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4523 Whitetail Way41' City of Eaali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Ar `ry 2 8 r Use BLUE or BLACK Ink Permit #: Permit Fee: ` q$0 Date Received: LI—Z,%-1i Sta 's 2011 RESIDENTIAL BUILDING PERMIT APPLICATION` C � � 2 — "S 3 �k 4 LQ 1 14 Cl j Unit #: 4 Date: Site Address: � RESIDENT / OWNER Name: Zrus-r! h f" Z/ 11 6L Phone: &l2 363 /28? / / /• / Address / City / Zip: 4$ ? 3 �_ i -rGi i 1 1va-�j (tea) a n / MAI Applicant is: X Owner Contractor TYPE OF WORK Description of work: SC r2er)4 PO r C.1-• /Land any -4- £-/Y'ccl-3 Construction Cost / SOG ' 0 0 Multi -Family Building: (Yes / Nox ) CONTRACTOR Company: Contact: Address: City: State: Zip: Phone: License #: Lead Certificate #: If the project is exempt hOust from lead certification, please explain why: (see Page 3 for additional information) 6u ,---14 I916 In the last 12 months, \No If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? yes, date and address of master plan: _Yes Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE: Plans and supporting documents that you submit are considered to be,public infarmation Portions of the information may be classified as non-public if you'provide specific reasons khat would permit the City to conclude'lhat they are trade secrets , ` CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org 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 • isnot 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 app .val o plans. cJtA S4i n u 66 /e Applicant's Printed Name x Ap •,ftp is Signature Page 1 of 3 L/- } E SUB TYPES Foundation Single Family Multi 01 of _ Plex Accessory Building WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25 %_ 100% ) Census Code # of Units # of Buildings Type of Construction REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S &W Permit & Surcharge Treatment Plant Copies TOTAL Fireplace Garage Deck Lower Level Interior Improvement Move Building Fire Repair Repair DO' NOT WRITE BELOW THIS LINE Porch (3- Season) _ Storm Damage _ Porch (4- Season) _ Exterior Alteration (Single Family) Porch (Screen /Gazebo /Pergola) Exterior Alteration (Multi) Pool _ Miscellaneous Occupancy Code Edition Zoning Stories Square Feet Length Width Siding Reroof Windows Egress Window *Demolition of entire building - give PCA handout to applicant 207 Meter Size: Final / C.O. Required Final / No C.O. Required HVAC Gas Service Test Other: Roof: _Ice & Water _Final Pool: _Footings _Air /Gas Tests _Final Framing Siding: _Stucco Lath _Stone Lath Brick Fireplace: Rough In Air Test Final Windows Insulation Retaining Wall: _ Footings Backfill Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By: , Building Inspector 5z6z, MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers f Demolish Building* Demolish Interior Demolish Foundation Water Damage Gas Line Air Test Page 2 of 3 L \E-A;( W SURVEYOR'S CERTIFICATE 0 • .X000.0 (000.0) .DENOTES SURFACE DRAINAGE DENOTES IRON MONUMENT SET DENOTES IRON MONUMENT FOUND DENOTES EXISTING ELEVATION DENOTES PROPOSED ELEVATION GRAND OAKS DEVELOPMENT CO. #433 SCALE: I INCH = 30 PROPOSED GARAGE FLOOR = 947.3 PROPOSED LOWEST FLOOR = 5.3 PROPOSED TOP OF BLOCK in 94 7.7 I HEREBY CERTIFY TO GRAND OAKS DEVELOPMENT CO. THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 8, Block 3, FAWN RIDGE 2ND ADDITION, according to the recorded plat thereof, Dakota County, Minnesota. (THIS LEGAL DESCRIPTION WILL BECOME VALID UPON FILING OF 'THE PLAT FAWN RIDGE 2ND ADDITION.) FEET FEET FEET FEET AND OF THE LOCATION OF A PROPOSED BUILDING. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS.. OR ENCROACHMENTS. TF ANY TNFRFAN Ac Ctt)urVrn DV or nn Ilajnrn uv .. rnrnT .•.n rn.�t e.�nai For Office Use City of Ea an Permit 3830 Pilot Knob Road Permit Fee: Eagan MN 55122 Date Received4pR_21M Phone: (651) 675-5675 Fax: (651) 675-5694 Start: C ! 2008 RESIDENTIAL PLUMBING PERMIT APPLICATION Date. Site Address: Lin cu -A li)CLq Tenant: Xl.L{ib) Suite RESIDENT / OWNER Name: 01A.4-~ 0 ~Z Phone: 1~ J~ OU Address / City / Zip: C an fT\ _51 CONTRACTOR Name:_ - _ 'cense Address: City: Slate: Zip: Phone: Vct> __0 Contact Person:(-~,~ ~Y1 TYPE OF WORK New Replacement _Repair ---Rebuild _ Modify Space Work in R.O.W. Description of work: PERMIT TYPE RESIDENTIAL Water Heater \ Water Softener Lawn Irrigation Add Plumbing Fixtures RPZ / _ PVB) Main Lower Level) Septic System Water Turnaround New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround" (includes $.50 State Surcharge) 'Water Turnaround (add $136.00 if a 5/8" meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ 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 pia Applicant's Printed Name Appli nt's tgnature FOR OFFICE USE Reviewed By: Date: Required Inspections: `Under Ground Rough-In Air Test _Gas Test Final ÿ þýý üûúüùû øýýÿùú÷ð÷ ñîøõ ñ þýö þýüûúù ø ÷ ò ýûúù ûúù ø ÷ ö ø÷õ ù ô ùóý ò ý ò ñíýùú ð þïý î ôùì ô ë ëô ïý ô ü ô ê é øøù ÿééô ý ù êòéé ù é ê òüôè ïý üúø éôúëô ê î æñåæêê õø þýë çýæñåæêäêä çýñÿê ôó öòñ ùù òëôùøòôùúéãù Ýý óýüü óâäöÿáñë ú ö øóù ãö ãöñä àßñÞß ë üúø ë ëì ë ùù ëë éô ôùúøëùùü þ éã þý òúé í ê ùù÷ ý úþ ý CITY OF EAGAN SEWER SERVlCE PERMIT 3830 Pilot Knob Road P. O. Box 21199 PERMIT NQ.: Eagan, MN 55121 DATE: Zoninp: No. of Units: - Owner. /lddrcss: Sits Jlddresw Plumber: 1mlmo to eompy wMr 1w Citi eF Efpow Cannection Charpr. OriiMAae. Ac+oourrt Deposif: . Pormif Fee: ' n Surcharpe: . Bv Misc. Claroes: Dcte of insp.: Totol: Insp.: Doh Paid: t - . . . cInr oF eacaw WATER SERVICE PERMIT 3830 Pilo1 Knob Raad 4 o : Box 29199 PERMIT NO.: Eagen, MN 55121 DATE: Zoning: No. of Units: ? Owner. Cranil i~^ks ~ Adclsess: ~ Site Addess: 4"2 3 T*h t a i 1 „aZz i L R^ Va w:' F l' z IL ~ Plumber. ~rn~ v pl"Ir1b' ~ Meter ~Otc. 9e: '''0 ~~o'`i $IZ@: Read,er No.: 1~1 l agvse to compty whh the 4ao Sur 0;' o~inances. REoU----1~~8 Tatal: F?, `0rd tneter gy Date Pald: Date of Insp.: Insp.: ~ _ . _ _ _ °m...s • ~v. ""..~-..-.r~~ r~y.'"F • ~..n+."_.. r w r . . . . . . CITY OF EAGAN ~L89~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHQNE: 454-8100 BUILDING PERMIT Receipt # To be used ior S F DWG f vAR Est Value $73,000 Date N0VEMBER 2 0 19 86 SiteAddress 4523 WHITETRIL WAY Erect C~ Occupancy R3 l.ot-8 elock 3 sec/sub. FAWN RIDGE II Remodel ? Zoning R1 Parcel No. Repair ? Type of Const. V Addition ? No. Stories a GitAND OAKS DEVEL CO Move ? Length `~0 Z Name Demolish ? Depth 52 3: Address 1881 SUNRISE CT Int.lm r? S Ft ° City EAGI~;~ phone 452-8934 Installp ? 4 ¢ SANlE Approvals Fees o Name Address Assessment Permit $ 352.00 ~ City Pnone Water & Sew. Surcharge 36.50 Police Plan Review 176.00 ~ W Name Fire SAC 575.00 ,4ddress Eng. Water Conn. 500. 00 U s W Ciry Phone Planner Water Meter 53 . 50 Council Raad Unit 290.00 I hereby acknowledgethat I have read this application and state thatthe Bldg. Off~g Tr. PI. 156.00 information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagar~,Ordinances. APC ParkS Var. Date Copies Signature af Permittee / z";` t=~ C.• ~ Total $2,149.00 A Buildin Permit is issued ta: - GRAND OA~CS ,~x.Y~L CU 9 on the express condition that all work shall be done in accordance with all applicable State of Minnesota 5tatutes and City of Eagan Ordinances. Building Official ' ' - Permk No. Permit Hotdar Date •Talepbone M l Plumbing H.V.A.C. Eiectrlc Softenet Inspecdon Date Insp. Commenb Footings 1 LU~ Footinys 11 Foundation Framing RooHnq Rough Plbq. Z? efi C~~ ~j~ Rough Hiq. AInsul. Flrepiace Final Htg. $ Flnal Plbg. y~+- ~ Bldg. Finsl Cert.Oec. Av, Deck Ftg. . ~ • ~ Deck Frmy. Well Pr. Dfsp. _I..~r~p. :w . + : . . . . , ' . . . . . . . - . PERMIT # LZ PLUMBING PERMIT RECEIPT # CITY OF EAGAN , 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE - CONTRACT PRICE PHOHE: 4544700 Site Address BLDG. TYPE WORK DESCRIPTION Lot Block Sec/Sub Res. A New A m Name ' ' C ' ' ' Mult Add-on ~ Address~~' Comm. Repair c City Phone 2~ Other NO. FIXTURES TOTAL Name .--)_Water Closet - $3.00 $ - 3 Address/ Bath Tubs - $3.00 p City 'r Phone~ ^1 r~ Z rLavatory -$3.00 Shower - $3.00 ~ Kitchen Sink - $3.00 FEES Urinal/Bidet - $3.00 COMM/IND FEE - 196 OF CONTRACT FEE - ~ Laundry Tray -$3.00 MINIMUM - RESIDENTIAL FEE -$10•00 ' Floor Drains -$1.50 MINIMUM - COMM/IND FEE -20•00 Water Heater -$1.50 STATE SURCHARGE PER PERMIT - .50 Whirlpool -$3.00 (ADD $30 S/C IF PERMIT PRICE GOES I Gag Piping Outlets -$1.50 BEYOND $1,000.00) SoRener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 SIGNATURE OF PERMITTEE FEE J r STATE S/C: FOR CITY OF EAGAN GRAND TOTAL: ' PERMIT # MECHANICAL PERMIT RECEIPT # qTY OF EAGAN I ~ -.~C - "t 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE a CONTRACT PRICE C)U ~ PHONE: 454-8100 Site Address BLDG. TYPE WORK DESCiiIPT10N Lot Block ~ Sec/Sub Fies. " New L - ~ Name ' 1 ` ' t { ~ ' Mult Add-on Address`= ~ - Comm. Repair c City Phone Other Name i',. ~ k J L• ~ << r. + FEES RES. HVAC 0-100 M BTU - $24.00 c Address" p City :r Phone ADOITIONAL 50 M BTU - 6.00 - ADD-ON AIR COND. 0-24 BTU - 12.00 TYPE OF WORK ADDITIONAL 6 M BTU - 6.00 Forced Air GAS OUTLETS - 1.50 EA. M BTU COMM/IND FEE - 19~6 OF CONTRACT FEE Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00 Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00 Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50 Vent CFM (ADD $50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # BEYOND $1,000.00) Other FEE: 7~ SIGNATURE OF PERMITTEE S/C: TOTAL: A-M FOR: CITY OF EAGAN ~1j. PEAMIT # A-12 MECHANICAL PERMIT RECEIPT # y`--~---; CITY OF EAGAN 3930 PILOT KNOB ROAO, EAGAN,1rAN 55722 QATE CONTRACT PRICE: PHONE: 454-8100 . For Office Use Only: Site Address BLDG. TYPE WORK DESCRIPTION Lot Biock Sec/Sub Res. New m Name ' - Mult Add-on ~c Address 'r "•.1::;! Comm. Repair Other c City ` Phone ~ FEES _ Name RES. HVAC 0-100 M BTU -$24.00 c Address ` : ADDfTiONRL 50 M BTU - 6.00 p City Phone (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GA5 OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA. TYPE OF WORK COMM/IND FEE - 196 OF CONTRACT FEE Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CQNDOS - 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 STATE SURCHARGE PER PERMIT - .50 Vent. CFM $ (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # BEYOND $1,000) Other FEE S/C: EE 5~rl.f~f ? TOTAL: ~FOR: CITY OF EAGAN + . . CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N0 - 12899 PHONE:454-8100 BUILDING PERMIT Receiptx Tobeusedfor SF DWG/GAR Estvalue $73,000 Date NOVEMBER 20 19 86 SiteAddress 4523 WHITETAIL WAY Erect C~ Occupancy R3 Lot8-Block 3 Sec/Sub. FAWN RIDGE II Remodel ? Zonin9 Rl Parcel No. Repair ? Type of Const V Addition ? No. Stories W Name GRAND OAKS DEVEL CO Move ? Length 50 ~ 1881 SUNRISE CT Demolish ? Depth o Address Int. Impr. ? Sq. Ft Ciiy EAGAN phone 452-8934 Install ? i o Name SAME Approvala Fces nddress Assessment Permit $ 352.00 ~ City Phone Water & Sew. Surcharge 36.50 Police Plan Review 176. 00 ~i Name Fire SAC 575.00 nddress Eng. WaterConn. 500.00 iw Ciry Phone Planner WaterMeter 63.50 Council Road Unit 290.00 Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe gldg.Off.ll/20/S rr.Pi. 156.00 information is correct and agree to comply with all applicable State of Minnesota Statutes and ip of Eaga rdinances. APC Parks ~ Var. Date Copies SignatureofPermittee , ' TOtal $2.149.00 A Building Permit is isaued to: GRAND O S D L CO on the express condition that all work shall be done in accordance with all ap le StatP• f Mi tutes and Ciry of Eagan Ordinances. Building Otticial ~ S~~~S RESIDENTIAL BUILDING PERMIT APPLICATION f 7 CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55722 651-681-4675 New Consauctlon Nwuirementa flemodaVileoah Reaulrements • 3 reglstered site surveys Nwwing sq. tt. of bt, sq. tL of house; antl gH rooleE areas • 2 coples of plan (20%mewmumlotcoveregealbwed) • 1 setofEnergyCakulatansforheate0atlditbns • 2 copies of plan showhg beam & wiMOw saes; pourad fountl tleslgn, etc.) • 1 site survey for e#erior add'Aans 8 dedcs • 1 set of Energy Calculatbns . InCicate it home serve0 by septic syslem fa atltlttbns • 3 coples ot Tree Praservatbn Plan it bt pletled afler 7/1193 • Rkn,bist Defail Options seled'an sheat (hldgs wth 3 of less units) DATE 9-.2S - a Z-- VALUATION SITE ADDRESS lf2, 3 w4 1~ 7~°~ ~?4 ~ MULTI-FAMILY BLDG _ Y N TYPE OF WORK I-2 - 5-1:5v IZ- FIREPLACE(S) _ 0_ 1_ 2 APPLICANTZY700-e STREET ADDRESS 13ao177 ,S/I~'f ~CULl~ C'7L CITY " 1~~ STATE/fIyi LP_E'3 33 Z TELEPHONE # J'~a -V14tZ2 CELL PHONE #wlK 2 FAX # PROPERNOWNER ZklG TELEPHONE# COMPLETE THIS SECTION FOR °NEW,, RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY i MINNESOTA RULES 7672 (4 su6mission type) - Residential Ventilatlon Category 1 Workshaet Submitled • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Conhactor: Phone # Plumbing system includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00 _ Water Heater _ No. of R.I. Baths No. of Baths 1r n i~ ~~iSr~ Mechankal Conhacfor. Phone # ! . . Mechanical system includes: _ Air Conditioning ; i' S:. P%'~ ~On7 Fee: $70.00 _ Heat Recovery System Sewer/Water Conhacfor. Phone N- - - - 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 Ordi Signature of Applicant OFFICE USE ONLY ~ Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY ? 01 Foundation ? 07 OSplex ? 13 1Eplex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex O 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex O 17 Garage ? 22 PorchfAddn. (4sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? OS 03plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage 0 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New 0 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 WindowslDOOrs 0 34 Replacement •Demolkion (EMire Bldg only) - Give PCA handout to applicaM 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 W idth REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaVC.O. _ Footings (deck) _ FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ A'v/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By , Building Inspector -_----------------------_W W W-------- Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storege S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Conetruetlon NeaulremeMa RemotleUReoalr ReautremeMa • 3 registered stle wrveys showing sq. ft o1 bt, Sq. R M hause; and gp roofetl areas • 2 coples of plan (200% ma)dmumbtcoverapealbwed) • lsetofEnergyCatulafanslorheatedaddtlbns • 2 copies of plan showhg beam & window sizes; poured found design, etc.) . 1 sAe suney lor exterior addRbns 8 decla • 1 set of Energy Calculetions . Intlicate B home servad Oy seplic system tor additions • 3 copies of Tree Preservatbn Plan If bt pletted after 7/7/93 • Rim ,blsl DetaJ Options selectbn sheet (hldgs wBh 3 or le5s untl5) DATE ~ - ~ -7 - d Z VALUATION SITEADDRESS 23 "t1'P4lL.. ~--y MULTI-FAMILYBLDG _Y ?~J TYPE OF WORK ,14q,2 -//e e) FIREPLACE(S) ~:fO _ 1 " 2 APPLICANT ~~CJ~--4~ 2-021 17~12~ STREETADDRESS 132-oT c-~f- CIN &l"r~,&tSTqTF~4r4 Zlp SS?'3~ TELEPHONE #752- °/3/- 6 Z'z2 CELL PHONE # b/ 2-Y/6- ~'i'A& yFAX # PROPERT1f OWNER f12- j L S' TELEPHONE # COMPLETE THIS SECTION FOR -NEW- RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672 (J submission type) • ResideMial VentllaUon Category 1 WoAcsheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Conhacfor: Phone # Plumbing system includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00 _ Water Heater _ No. of R.I. Baths _ No. of Baths Mechanlcal Conhactor: Phone ri Mechanical system includes: _ Air Condirioning Fee;-- -$7@;00 _ Heat Recovery System Sewer/Water Conhacfor: Phone --°---------------------------------------------------------------------------------°`-11 I hereby acknowledge that I have read This application, state that ihe information-is correct, and agree fo comply wiTh all applicable State of Mlnnesota Statutes and CI1y of Eagan Ordinan s. Slgnalure ofApplicant ^.Y.Y.Y...~.M .Y.Y.M.. OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 OFFICE USE ONLY ? 01 Foundation ? 07 OSplex ? 13 16plex ? 20 Pool ? 30 Accessory Bidg ? 02 SF Dwelling ? OB 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) O 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4sea.) ? 33 Ext. Att - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Mutti ? 05 03-plex ? 11 10-plex O 19 Lower Level ? 24 Storm Damage ? 06 04plex ? 12 12-plex Plbg_Yor_N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement O 38 Demolish (Interiar) ? 44 Siding ? 32 Addition ? 36 Move Bldg. O 42 Demolish (Foundation) ? 45 Fire Rapair ? 33 Alteration ? 37 Demolish (Bldg)' O 43 Reroof O 46 Windows/DOOrs O 34 Replacement •Demolition (Entire Bldg only) - Give PCA handout to appltcaM Valuatlon 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) _ FinallNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Finel _ Franilng _ Siding Stucco Stone _ Fireplace _ RI. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaviing 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 i , tJ" / ~ s 1986 BOII.DIRG PERlQT APPLICA ON - CITY OF EAGAN NOTE: 9LL CANTRACPOES MOST BB LICENSSD flITH THB CITY OF EAG9N SINGLfi F9KELY DiiELLIIiGS INCLQDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 7 SET OF ENERGY CALCULATIONS IiULTIPLS Dii6L.LINGS - B&SIDBNTIAL RENTAL i1gITS FOA S6LS QNITS INCLUDE 2 SETS OF PLANS, CfiRTIFIC9T& OF SQRVEY - CHECF iiITH BLDG. DEPT.9 1 SET OE SNERGY CALCULATIONS COZ4IERCIAI: INCLUDE 2 SETS OF AACHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Used For: S.S' Valuation: ~3,COo Date: L~ ~ 3 G.~st ~ Site Address i OFFICE IISE OPLY Lot ~ Bloek Erect ~ Occupancy IZ•3 Remodel Zoning 2,i Parcel/Sub -;~i, vlc, ~jr_p Repair, _ Type of Const SL Addition # of Stories Owner ~CY~-,SLL~.~•~ Move _ Length 50 Demolish Depth ~ Z Address Int.Impr. _ Sq Ft Install _ City/Zip Code Phone AppROVALS FEES Contraetor Assessments Permit 352• r Water/Sewer Surcharge 34,.$_° Address Police Plan Review ~ 1 co , .g Fire SAC 5'7S• City/Zip Code Engr Water Conn Spp, -u~ Planner Water Meter (03. s-° Phone yS~Z- ~`'73Y Council Road Unit 290. Bldg Off Treatment P1 IS 6:1. Areh./Engr. APC Parks Varianee Copies Address SOTAL Y 7 City/Zip Code Phone lf NOTE: ADD8ESS6S FOR CORNER LOTS - CONTRACTOR/90HEOWNEE HOST DESIGHATfi AHICH ADDRSSS IS DESIRID. NO CHARGSS WILL BE ALLOiIED ONCE BIIILDZNG PERMIi IS ISSQED. t X i L'YilUh L^..IVYCL.VYIC f94'tt'Sf-9Ui i.! 4.;UPIi"l.l t H 1 lUl`I (aF'At,IL' Dy1cS DEWE:l.OF'MENT CC?MFANY hiql)E_L MARTT.I'JIGlU /-1F2E(-1 U Vp!_iJE:' U X FlhEA MF1XThiUh9 at._Lfl4JEp AY CODE TO'1'AL_ WAL.I_ AREA 1696 .11 186.56 TOTAL. ROOF AkEA 1:=00 .026 33.8 TOTAL AL_l_OWED 220.36 ACHIEVED W{lt_L AREA WZNXyOW.cJ 203 .J 101.5 DOOR;:l Uif_] .077 3.08 SLinE rG_.ASs 36 .4e 17.29 FzF;r_r•i..HC.E_ 30 .25 7.3 WAl_L_ FfyAME: AF:E.A 169.6 .041 6.9536 FtIM Jl"IIST 144 .0436 6.27E34 F"DUfdD AbOVE C;FyADF 95 .0769 7.3053 NE'T' WFll_L flf"tk:H 97H.4 .0377 =6.>8352 1°0'T'AL WAI....L 186.9810 kOtJF HfiE::R SI':'r`L_I TE: 8 .5 4 RCaOr PFiAI`1k:: 130 .032 4,16 P.IET 1=(C)CiF 1170 .0208 2*1.336 Ti]T AL ROL71= 32.496 TOTf1i_ ACFIIEVE.D 214, 1'"l'7C> I"IAI=:GIN Ihl EXCE.BS OF C:CInE .99298 "1„ h1AftQIPI TIV EXL'f::,S":i ,4460791 S U R V E Y b R"S C E R T I F I C A T E GRAND OAKS DEVELOPMEN'i C0. # 433 . < 0) ~0 e o~~O 0~%A <C% / ~oo \ ~s~ ~?0 o . ~ ~ % ° 5~` ~ Ps , ao o , 0~~~ ao rya3,y.~o vp~ Q~ \\y \ q~~{y ~ ~ \ ~ ~ q ~3~'~•k, ~ 1° as s o~ \ , ,.,~',k > ~O ~ o ~ a \o N . 05s / ~ .DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT SET SCALE: 1 INCH = 30 FEET • DENOTES iRON MONUMENT FOUND PROPOSED GARAGE FLOOR m 9473 FEET .X000.0 DENOTES EXISTING ELEVATYON PROPOSED LOWEST FLOOR = 53q„b fEET (000.0) DENOTES PROP05ED ELEVATION PROPOSED TOP OF BLOCK = 94 7.7 FEET I HEREBY CERTIFY TO GRAND OAKS DEVELOPMENT C0. THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 8, Block 3, FA4IN RIpCE 2WD ADDITION, according to the recorded plat thereof, Dakota County, Minnesota. (THIS LEGAL DESCRIPTION WILL BECOME VALID UPOPI FILING OF'THE PLAT FAWN RIDGE 2ND ADDITION.) AND OF TI1E LOCATION OF A PROPOSED BUILDING. IT DOES NOT PIJRPORT TO SNOW IMPROVEMENTS.. OR ENCROACfIMENTS, IF ANY, THEREON. AS SURVEYED BY ME, OR UNDER h1Y DIRECT SUPERVISIOIJ, TIIIS 7TH DAY OF NOVEMBER, 1986. PROPOSED ELEVATIONS SHOWN ARE AS SIGNED: J R. HILL, INC. TAKEN FROM THE GRADING DRAINAGE AND C~ EROSION CONTROL PLAN FOR FAWfJ RIDGE ~ 2ND ADDITION PREPARED BY. PROBE EPlGINEERING COF1PANY, IMC., LAST BY: DATED 8-27-86. AROL~ C. PETERSON, LAND SURVEYOR ' PIINNESOTA LICENSE N0: 12294 , pflOJECT NO. BOOK / PAOE JpMES R. HILL~ INC. 86217 Planners / Engineers / Surveyors FILE NO. 8200 Humboldt Avenue &auth FOLDER sloomington,Mn. 65431 e12-e841-3029 **********#***~i*~****k**#*!***k***# CITY OF EAGAi~ * ~F~ * E APPROVAL OF PE~iMIT. APPLICATION FOR PERMIT nusPncrzota oF s~ Arro/at Fm~t aa-rr~.~Tror~s w~. rror ~ sa~ SEWER AND/OR WATER CONNECTION ~~~'n P~T.~ ~ ~ ~ tPrxwFn. * . * ~ **.*#~*****~~,..~x************#:***** P ease Print) 1) PROPERTY ADDRESS; LEGAL DESCRIPTION: 3 ~ . Lot lock Sub ivision Tax Parcel ID ) IE' EXISTING STF2LY.ZLIRE, DATE OF ORIGINAL B[!ILDING PERMZT ISSL'ANC'E: ' ; FRFSENr ZANING/PROPOSID L'SE: (Dbn Yearl - ? M"ZEltCIAI'/RETP,IL/OFF ICE ~ R-1 SINGLE FAbIILY Q IISJCSTRIAL ~ R-2 DDPLEX (4G,o Units) ~ INSTII[1TIONAL/GOVERtag,'NT ~ R-3 70WbII-IOIISE (Three + Units) ( C~nits) . R-4 APARTMTI'/CODIDOMINI[.T1 ( Units) 2) ~ NAME: ~4-~- aoDxFSS: CITY. STATE. ZIP:_ ' PHONE: 'SeS 3) u c~• NAME. For City Use . - P1urtiUers License: ADDRFSS:_ Active i CITY. STATE, ZZP: EcPired - n~-~~-- Not recorded PHoNE: ~'9a aia / 1yASTER LICINSE# o2/07-/r~. 4) • . ~ i~• ~j tvArE: _ ADDRESS: • CITY, STATE. ZIP: PHONE: • •5) u v ~ a• • a~ - a~ _ED-EONNECrION 7+0 CITY SEWII2 M-GONDErrIM TO CITY WATII2 OTfER , 6) ~ • r ~ PLEASE HOLD APPROVID PERMIT FC)R PICK-OP BY ONE OF ABOVE E MAIL APPRCJVID PERMiT TO 1, 2,a 4, AHOVE ~j • (Circle one) 7) G' ' r r. u. . ~.i~/L?G ' ' ' ' ~l • ~ GGT • O ' • `f: ~ Y' Y.I: M ~ . . ~ ~ . 9 I:a• ~ /YDI' • 1 ' • • 9• . • li. 1 1 ::r M'4 •,HSI 1 1 1 71' ~ :A• 1: 1 . U. M1 . , . . . FOR CITY USE ONLY _ - ~ PERMIT # ISSUED " ~Z Pd w/Bldg. Permit FEES: $ $ SEWER PERMIT (INCLUDE SORCHARGE) $ $ WATER PERMIT (INCLLDE SL'RCHARGE) $ $ WATER METER/COPPERHORN/OL'TSIDE READER $ $ WATER TAP (INCLL'DE CORPORATION STOP) $ $ SEWER TAP $ f S` d1~ $ ACCOUNT DEPOSIT - SEWER $ rCJ l~ $ ACCOC'NT DEPOSIT - WATER S -~b nO v $ wAc $ $ SAC $ $ TRONK WATER ASSESSMENT $ $ TRL'NK SEWER ASSESSMENT $ $ " LATERAL BENEFIT/TRL'NK SEWER $ $ LATERAL BENEFIT/TRLNK WATER $ U $ WATER TREATMENT PLANT SURCAARGE $ $ OTHER: $ V 5 ' $ TOTAL R~TZ C~- RECEIPT DOES UTILITY CONNECTION REQDIRE EXCAVATION IN PLBLIC RIGHT OF WAY? Q YES IF YES, THEN A"PERMIT FOR WORK S4ZTHIN PUBLIC Q ROADWAY" MOST BE ISSOED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: : DATE : ~ ~ CITY USE ONLY l/ L BL ~ RECEIPT l37 3 7-5 SUBD. Ca W h ~ Jl Q RECEIPT DATE: 7° I J7-GC~ ! PERMIT# -IIlIo 8000 PLUM$IRfi PEPMTI' (fiESIDENIUL) crrYoF E+?sAx 3830 PII.OT KNOB RD F-?sa?x. buv 55122 651-681-4678 Please complete for. ? single family dwellings ? townhomes and condos when pertnits are required for each unit ? backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL Alterations to existing dwel!ing - minimum fee Describe: $ 30.00 Bath tub $ 3.00 x = $ Floor drain 3.00 x = $ Gas i in Outlet ' minimum -1 3.00 x = $ Hot tu6/s a 3.00 x = $ Kitchen sink 3.40 x - $ Laund tra 3.00 x = $ Lavato 3.00 x = $ Se tic S stem newlrefurbfshed • re uires MPC Ife. 75.00 x = $ Se tic S stem abandonment 30.00 x = $ RPZ new insbllatlonlrepaidrebuild 30.00 x = $ Rou h o enin 1.50 x = $ Shower 3.00 x = $ Under round s rinkler ifdwellin isunderconswcuon 3.00 x = $ Under round s rinkler if ewsen dwellin 30.00 x = $ Watercloset 3.00 x = $ Water heater 3.00 x = $ W ater softener if dwelling under eonstructlon 5.00 x = $ Water softener if existin dwawn 30.00 x = $ Waterturnaround 30.00 x $ State Surchar e .50 $ .50 Total $ Reminder. Call for inspectians of alterations, i.e. water heaters, water softeners, etc. I hereby acknowledge that I have read Mis appiicatlon, stale Nat the information is correct, and agree ta comply with all appliWble City of Eagan ordinances. I[ is the applicanPS responsibility to rrotify the properry ownar that the City of Eagan assumes no liabiliry for any damages caused 6y the City during its rarmal operational and main[enance activities to Ne facilities consWCted under this Dermit within City propertyfrightrof•wayleasement. SITE ADDRESS: OWNER NAME: : I! 1 TELEPHONE (AREA CODE) INSTALLER NAME: YY~ y, ~c2D t-e- r T "bl ?Z~l TELEPHONE ---N 3`-K-SI -0SJ-<- ~ " , ` (AREACODE) STREET ADDRESS: (7` 6 d Z~ l ~ Y' ; =r CITY: Li YYIUWI +'"1 STATE: ZIP: SIGNATURE OF PERMITTEE ~ ~ ~ For Office Use ~ City of Eapll ~ Permi) fl_~S~Ql7V^ ~ I , 3830 Piloi Knob R08d j Permil Fee: 440~ ~ I I ~ Eagan MN 55122 Phone: (651) 675-5675 1 Dale ReceivedAPR-0-2_20~Q_.__ I ~ ~ Fax: (651) 675-5694 ~ Siall Li1~ ~ 2008 RESIDENTIAL PLUMBING PERMIT APPLICATION Dale. ~n'v) Sile Address: `J 1 1La,U Tenant Suile tl: RESIDENT/OWNER Name: Phone:~~Ll~a ndares5 i city i ziP: CONTRACTOR Name:~_~ ~L U_ _6(0-un-siucense fl: ~ Address:______~~~~ t\\ I-,. - Cily: State: W_\_ Zip: ~lVl `Y--- Phone:l ~S~!JlG (~DO Conlacl Person:~ Vr TYPE QF WORK _ New 4 Repl2cement Repair Re6uild _ Modily Space _ Work in R.O.W. Descri tion of work: PERMIT TYPE AESlDENTIAL Waler Heafer ` Waler So(lener _ Lawn Irrigalion /1dd Plumbing Fixlures RPZ PVB) ( _ Main Lower Levei) Seplic Syslem Waler Tumaround New Abandonmenl RESlDENTlAL FEES: $50.50 Minimum Waler Heater, Waler Softener, or Water Healer and Softener (includes $.50 Slale Surcharge) $30.50 Lawn Irrig8lion (includes $.50 Stale Surcharge) $50.50 Add Plumbing Fixlures, Septic Syslem Abandonmenl, Waler Turnaround" (includes $.50 Stale Surcharge) 'Wa1er Turnaround (add $136.00 il a 5/0" meter is required) _ $100.50 Septic SySlem New ($10.00 per as built) (inciudes Gounty lee and $.50 Slale Surcharge) $90.50 Fire Repair (replace bumed out appliances, duclwork, elc.) (includes $.50 Slale Surcharge) TOTAL FEES $--f-)~ I hereby acknowledge Ihal this inlormalion is complele and accurate; thal Ihe worh will be in conbnnance wilh Ihe ordinances and codes ol Ihe City ol Eagan; Ihat I undersland Ihis is nol a permil, 6u1 only an applicalion lor a permil, and work is nol lo slarl wllhoul a permil; Ihal !he work will 6e in accordance wilh Ihe approved plan in Ihe case ol work which requires a review and approval ol pla x ~M ~~r-e x ~ ; Applicanl's Prinled Name Appls Ignalure FOR OFFICE USE Revlewed By: De[e: Required InspecUons: _Under Ground _Rough-In _Air Test _Gas Test _Final City of Eagan PERMIT 41' CityofEaa Permit Type: Building Permit Number: EA106375 Date Issued: 08/21/2012 IIPermit Category: ePermit Site Address: 4523 Whitetail Way Lot: 8 Block: 3 Addition: Fawn Ridge 2nd PID: 10-25801-03-080 Use: Description: Sub Type: e-Windows/Doors Work Type: Windows/Doors-New/Replacement Description: House Census Code: 434 - Zoning: Square Feet: 0 Construction Type: Occupancy: 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. Fee Summary: Valuation: 4,000.00 BL - Base Fee $4K $103.25 Surcharge - Based on Valuation $4K $2.00 0801.4085 9001.2195 Total: $105.25 Contractor: Champion Window Company of Mpls 5100 HWY 169 N, #B New Hope MN 55428 (763) 574-2054 - Applicant - Owner: Justin W Hubble 4523 Whitetail Way Eagan MN 55123--209 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. Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA119666 Date Issued:12/11/2013 Permit Category:ePermit Site Address: 4523 Whitetail Way Lot:8 Block: 3 Addition: Fawn Ridge 2nd PID:10-25801-03-080 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. 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 - Justin W Hubble 4523 Whitetail Way Eagan MN 55123--209 Snap Construction 8200 Humboldt Ave S Bloomington MN 55431 (612) 360-1033 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA121584 Date Issued:04/08/2014 Permit Category:ePermit Site Address: 4523 Whitetail Way Lot:8 Block: 3 Addition: Fawn Ridge 2nd PID:10-25801-03-080 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 . Dan Lahr 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 - Justin W Hubble 4523 Whitetail Way Eagan MN 55123--209 Snap Construction 8200 Humboldt Ave S Bloomington MN 55431 (612) 360-1033 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA168009 Date Issued:04/06/2021 Permit Category:ePermit Site Address: 4523 Whitetail Way Lot:8 Block: 3 Addition: Fawn Ridge 2nd PID:10-25801-03-080 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 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 - Alex & Lindsey Terres 4523 Whitetail Way Eagan MN 55123 Ray N Welter Heating 4637 Chicago Ave S Minneapolis MN 55407 (612) 825-6867 Applicant/Permitee: Signature Issued By: Signature