4524 Whitetail Way
. , . .i
CITV ' EAGAN Permit No: c7 Date:
3830 PitoijKfhob Road Meter No: -3 5- 3! ael Size:
P.O. 61bic 21199 Reader No: 1'L3- E!2// a d Date: 9 7
Eagan, MN 55121
Owner. ~ ~O7-PQrate Const.
, -'Tttitetail
'.-,c II
Site Address: gjjjkjv4 „a-,1*z ?V
-
Plumber
I
Conn. Chg: . _ ,:;~oit~q , tocal
~ C~c [tC. '
tE
Acct Dep: nits: =
Permit Fee: ' ~ t* ~
C ~
5urcharge: ~ y sf~gre 'to comply with the City ol Eagan
Tr. Plant Ordinances.
Meter.
Misc.: gy I(V P~
WATER SERVICE PERMIT
~ _ _ _ ~ _ -•--~•--"'~-~T •
CITY OF EAGAN SEWER SERVICE PERMIT
3830 Pilot Knob ¢ood aj
P.O. BOx 21199 PERMIT NO.: r
~ Eagan, IV S5VI9 DA7E: 1
, Zoning: - F-Z No. of Units:
Owner. Cornoxate Const.
~ Address:
Site AddreSS: ~}r~24 ~Jhftetail Way L6 B Fawn Ridge II
1'Iueibing
Plumber: gj - IT aeg
c': .
i 525.00r
~ I agree 1o compiy wtth !he (:ify of Eagan Connection Charge: ~ 5.OO~d , Ordinances. Account Oeposit:
Permit Fee: Ip' 00pd
I Surcharge: . 5!'
I
j By Misc. Cherges:
' Total:
~ Date of Insp.:
~
Insp.: pate Paid:
' I
CITY OF EAGAN rr S 7 6
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-8100
BUILDING PERMIT Receipt* j
To be used for Est. Value "Date P'5 ~ ,19 '
Site Address ' OFFICE USE ONLY
Lot Block SeC/Sub. ~ 41'l' On 5ite Sewage _ Occupancy
MWCC System _ Zoning
Parcel No. On Site Well T Type of Const
City Water _ (Actuaq
rc Name ' (Allowable)
z * o( Stories
3 Address Length
~ City Phone ~Y ~Depth ~ . •
S.F. Total
, p NBme Footprint S.F.
~ ~ Address APPROVALS FEES
~ City Phone Assessments Permit '
Water/Sewer _ Surcharge ' •
OW Neme Police Plan Review ~
= Z Address Fire _ SAC. City '.1
v= Engr. _ SAC, MWCC
~ W City Phone Planner _ Water Conn. .1
Council _ Water Meter
I hereby acknowledqe that 1 have read this application end state Bidg. Off. _ Road Unit
that the informatfon is correct and agree to compywith all applicable APC _ Treatment Pt
State of Minnesota Statutea and City of Eagan Ordinances. Veriance _ Parka
Coples
Signature of Permittee TOTAL
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
Bullding Official
Permit Ho. Permit Holder Date TNephone s
Ptumbing
• ~
H.V.A.C. yL
Electric ~ •,~5 7 e
Softener
Inspection Oate Ins Commsnts
Footings I AFAC
Footings II
Foundation
Framing
Roofing
Rough Plbg. _3 V
Rough Htg. SIM7
Isul.
Fireplace
Final Htg.
Final Plbg. _ V.
Bldg. Final
Cert. Occ. ~
Temp. LP
Deck Ftg.
Deck Frmg.
Well
Pr. Disp.
r PERMIT #
PLUMBING PERMIT
CITY OF EAGAN RECEIPT # - ~7-2~~~' ~
~ p
3830 PILOT KNQB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: PHONE: 454-8100
Site Address - ~ - ' • C .ZSLDG. TYPE WORK DESCRIPTION
Lot Block i?T SeciSub 7e s. I-- New ?
Mult. Add-on
~ Name Comm. Repair
m
~a Address Other
c City RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
R0. FIXTUFiES TOTAL
~Water Closet - $300
Name ..~Bath Tubs - $3.00
3 Address r ~_Lavatory - $3.00 1~•.
p Ciry Phora6ty_s~2LiV- _/---Shower - $3.00 3-
' _-.1_Kitchen Sink - $100
FEES UrinaliBidet - $3.00
COMM/IND FEE - 1g!o OF CONTRACT FEE _I-Laundry Tray -$3.00 r
APT. BLDGS - COMM RATE APPIIES ~Floor Drains -$1.50
TOWNHOUSE 8 CONDO - RES. RATE APPLIES Water Heater -St 50
MINIMUM - RESIDENTIAL FEE -$12.00 Whtrlpool - $3.00
MINIMUM - COMM/IND FEE -$20.00 =Gas Piping Outlets -$1.50 1-
STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMI'f) _
(ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00
BEYOND $1,000.00) Well - $10.00
, Private Disp. - $10.00
_.fi--Rough Openings - $1.50
S~ATURE OF PEAMI EE FEE:
STATE S/C:
FOR: CITY OF EAGAN GRAND TOTAL: ~ 7~~
PERMIT # '1---
, MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNaB ROAD, EAGAN, MN 55122 DATE: iUne 1. y~; ;
CONTRACT PRICE: 2 800.00 PHONE: 454-8100
site Address 4524 Yi e i1 W BLDG. TYPE WORK DESCRIPTION
Lot ~a Block - A-1 Sec/Su4 X
Res. New
44 41 ;
~ Name I - • i Muit Add-on
~mm. Repair
~a Address 13075 Fioneer Trail
c Ciiy Eden Prairie phone 941-4211 Other
Co rate Constrction FEES
Name r~ RES. HVAC 0-100 M BTU -$24.00
c Address 4466 P:ed ewood ADOITIONAL 50 M BTU - 6.00
p CitY Lagail Phone 454-0644 (RES. HVAC INCLUDES A/C ON MEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA.
TYPE OF WORK COMM/IND FEE - 196 OF CONTRACT FEE
Forced Air 75,000 DmtI r&~nrk(h&gTU APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
Boiler M BTU MINIMUM RESIDENTIAL FEE - AlL ADD-ON &
Unit Heater M BTU REMODELS - 12.00
Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES
'Gas Piping Outie3s # BEYC)ND $1,000)
Other
FEE
S/C: . 5 SIGNATURE OF PERIv4rYTEE
TOTAL:
FOR: CITY OF EAGAN
`
~ (tertif iratit af (Orrupaurg
(Citp of (ilagan
i
' aPpa1'ftltPtl# of lgwbitU3 3wPtttOtt
This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building
Code certifying that at the time of issuance this structure was in compliance with the various
ordinances of ihe Crty regulating building construction or use. For the follawing:
USC CliSSifu,340n '•Y v;` °_d Bldg. PE[OIII NO. '
OCCUpanCy Type Zonipg I)Lqrict Type Const.
OR'RCiOfBILld171 lr. .~1{11F.1i V.AY~.1.1.~~ . . , ~1A~Rffi r"~~. , . _•.~...a. '.i?''. g
Buildiog Addre$ ' . . [.ocslity
D,u: .3I1315' 28, 3987
a,amog offia.t
POST 1N A COhVSPiCllOUS PtJ+CE
,
. r~
~
v tA ~ ~x - s
' ~Y~.~t~1 f •17.6 {MJYhJIL-"~ W W' ~Jlll ~ Ylll2 • - ' ~ ~ ~ . . . . .
YIJs 311L1J3 /d1a'1 flV. ,S.A1 3.lfw 4L1t11mmv +vH . .
. ~ i. ~ . . . . . . ._.-_:r~;:' ,1:~' . .
T&I
I
, CITY OF EAGAN nJa 13 5 7 6
. 3830 Pilot Knob Road, P.O. Box 21 •199, Eagan, MN 55121
PH ON E: 454-8100
BUILDING PERMIT Receipt # I 7 c~ ~
Tobeusedfor SF DWG/GAR Est.Value $75,000 Date MAY 7 ,19 87
Site Address 4524 WHITETAIL WAY OFFICE USE ONLY
Lot 6 elock 4 Sec/Sub. FAWN RIDGE 2ND On Site Sewage _K Occupancy R3
MWCCSystem _ Zoning R1
Parcel No. on Site Weli 7ype of Const
City Water X (qctual) v-
a Name CORPORATE CONSTRUCTION INC (Allowable) If
w x ot Srories
= Address 4466 WEDGWOOD DR Length ~
~ Ciry EAGAN phone 454-0644 Depth 48
SF. Total
¢ Name SAME Footprint S.F.
,o
Address APPROVALS FEES
,
i- City Phone qssessments _ Permit $ 416.00
Water/Sewer Surcharge 37.50
W w Nem6 Police _ Plan Review _20800
~ i Fire - SAC, City 7 nn n0
x- Address
~u Engc _ SAC,MWCC S~?~AS np
qw City Phone planner _ WaterConn. S~S_,.gp
Council _ WaterMeter 67 np
I hereby acknowledge that I have read this application and slate BIdg.Off. _ Road Unit "1n5 _()p
thattheinformationisconectandagreetocomplywithallapplicable APC _ TreatmentPl 7Rn_O0
State of Minnesota Statutes Ci of Eagan Ordinances. Variance _ Parks
Coples
Signatuie of Permittee ~ TOTAL ~0
A Building Permit is issued to: CORPORATE CONS N INC on the express condition that
all work shall be done in accordance with all applicabl tate of Minne ta Statutes and Ciry of Eagan Ordinances
Building Officfal ~-q -
G55D~ /5-50
2004 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date __I ! _2 (B
Site Street Address Unit #
Property Owner a ~ Telephone #(64-j) 633- ~0 7 G
7
Contractor Telephone # P"-7} Y77^ y~'U
Address 313j' 6) QrJ City 9-Z-4-w State /1 Zip
The Applicant is: _ Owner _ Contracfor _Other
Alteretions to existing dwelling $ 50.00
_Add fixtures to rooms, excluding water softener and water heater
_Septic System Abandonment
_ Water Turnaround (add $121.00 if a 5/8" meter is required)
Other:
_ Water Softener ~ Water Heater $ 15.00
_X replacement _ additional
Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00
State Surcharge $ 50
_ "+fJ
Total $ /J `
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete
and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will b'n a rda e with e approved plan in
the event a plan is required to be reviewed and appro
6P 1 ~z1 tl ~rf . .
ApplicanYs Printed Name ApplicanYs Signature
. 3 5 76
198~ BOILDING PERNIIT APPLICATION - CITY OF EAGAN ~
SINGLE FAMILY DWELLINGS
INCLIIDE 2 SETS OF PLANS, 3 CERTIFICAT6S OF SIIRVEY, 1 SST OF ENERGY C9LCOLATIOHS
NOTE: ADDRESSES FOR COEHER LOTS - CONTRACTOR/HOMEOWNER MIIST DESIGA@Tfi WHICH ADDRfi55
IS DESIRED. NO CHANGSS NILL BE ALLOWED ONCE BIIILDING PERMIT IS ISSQED.
M[R,TIPLE DWEL.LINGS - RSSIDENTI9L RENT9L [JBIITS FOR SALE OBiITS
INCLUDE 2 SETS OF PLANS, CERTIFICAYE OF SORVEY - CfiECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS 9ND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For: O"A" Valuation: 75poo Date: 5--,6
Site Address 007 OFFICE OSE ONLY
Lot ~ Block ~ On Site Sewage_ Occupancy
MWCC System ~ Zoning ~Z • 1
Parcel/Sub ,~A„(/f~ On Site Well Type of Const
City Water ? (Actual) ~
Owner (01z9dvz(~' (Allowable) SL
# of Stories
Address Length
Depth 4B -
City/Zip Code ~i'-041^ ! n Lw 7 S.F. Total
h/ Footprint S.F.
Phone ~.~~1~~!~b 9PPROVALS FEES
Contractor Assessments Permit
Water/Sewer Surcharge 3~,so
Address Police Plan Review ~11D 8.
Fire SAC, City I001
City/Zip Code Engr SAC, MWCC S25
Planner Water Conn S 25
Phone Council Water Meter (a7.
Bldg Off Road Unit OP5-
Arch./Engr. APC Treatment P1 vap.
Variance Parks
Address Copies
S(r
TOTAL Z73
City/Zip Code
Phone 4t
(04
,
12 x d~2'= 144 x 4~f = C~33~
S 4x~~` 23 7 (o
C> k ( 2 ` ' 2 ~ °
44
Za~22~
~143?Z
S U R V E Y 0 R' S C E R T IFI C A T E coaPnRnrE coNsTauCTIO"?
25
i
I -
r~
N .J
a
142.00 N 40003' 39" W zr
~ 30.00 - - 48.33
oa,arnrace a urtcrrr 5
~ ~ N I EASEMENT PER PLA7' C-
N
N ----°--1? (D
22.66 ? 25.6 J1 1n
~ , o
~ ~
w AR. j % LOT
n ...azxf"
J tr -''7'r 16. S 0 G N .
N m PROPOSED a 0
Q ~ ~ HOUSE
ui 6.0// ~ O ~v
I OO ~ pN 37.83 S
O
O
= m to ~o . °1 s ~
3 " I
IN . NI ~J ~ I
Ifl
e' 142.00 N 40°03' 39" W Q
v a
I ~
I 2s
..,4.-. UENOTES PRUPOSED SURFACE ORAINAC,E
O UENO'fE5 (IiON MQf1UMENT SET SCALE: 1 INCII - 30 FEET
• DENU'fES iRON MONUMEPIT FOUND f`ROP05EU GA(IAGE FLUUn - 911~-9 FEET
XOOO.U UENOTES E%ISTING ELEVATION PROPOSED LOIJEST FLOUR 4 9y'/•9 FEET
(UUU.U) UENUTES PIlOP05EU ELEV/1TlUN PROP05EU TOP OF HLOCK - 9y8.2 FEET.
1 IIEREpY CERTIFY TO CORPORFlTE COMSTP,UCTIOPi TIIAT TI115 IS A 7RUE ANU C01lfiECT
REPRESENTATIUN UF !1 SURVEY UF TIIE 130UNDAftIES UF:
Lot G, Block 4, FAl1P! RIDGE 2ND ADDITIOtl, according to the recorded
plat thereof, Dakota County, Minnesota.
ANU OF TIIE LUCl1TIUN UF A PROP05EU BUILUING. I7 DOES NUT PUfiPUItT TU SIIDII IMPItOVE14EIJTS
DIl ENCROACIIh1ENT5, II" ANY, THEREUH. 11S SURVEYEU UY h1E, Uli UNUER MY UIRECT SUPERY151014,
71115 29TH pAY UF APRIL , 1987.
PROP05ED EL[VATIOfJS SH041P1 AF[ AS ~
TAKEP! FROPi THE GRADIPJG DRAIfdAGE Ah1D SIGIJEU: JAPIES,/I11LL, 114C. ~
EROSIOiJ COt•ITROL PLAN FOR FA41Pd RIDGE
2PJD ADDITION PREPARED GY PRODE ~
ENGINEERIPlG COMPANY, IuC. LAST D.hTED
8-27-&6. QY:
11/1ROLU C. PETEflSUiJ, LAIIU SUNVEYOfI
P111JNE50TA LICEfVSE 110. 12294
PROJECT N0. BOOK / PAGE ,JAMES R. HILL, INC.
87 266 Planners / Engineers / Surveyors
FILE NO, •
8200 Humboldt Avenue Soulti
FO L D E R Blootnington, Mn. 65431 812-884-3029
. . ntnnr.av&A 4,..,..
v
BASED OV r,HA TE Tlit
i MODEL. ERGY COD - DITION_
~~cs~s~:~~~ ~dop:lun E f~ctiv• l/11 4
~
Phone 3 ~
)wntr
:tte Address
c~S~c,z~Jr,-•o_?hone
:ontractor /
Suildinq Classlflcatton: type At (Single fe;nily 6 Duptex) V Type AZ {3estoriesaor ess
(Other) (Over 3 staries)
3ENERAI INFOiUWTION 1. Buildinq Per.tmeter \ 1(,;2 ft.
watl hei9ht (ground u eave) \4 ft.
2
3. 1. x 2. (above) gross watl drga O621, ft. t\qr~-VOA,,. ,
i. Building dimensSons (L) 40 x(W) 2(~ ' l Z~~ ft•Z r°°f S floor area
S. Square fcot area of rim joist - f~~or x jPerimeter {Z Rim o~ Z
st area ~ ~c> .o fC
,
6. Doors - Aret
Thic r?ess-?/4'• n• actor
rrpe or co~st~„ccson ~ -~~Maater c-. 3-z t 15.46fL.
Manutatturer
7. Total door's peMmeter ft
8. Yindw+s: Manufacturer ~~1~11c' o~ State approved
U factor 5~ 2
TYPE SIZE AREA (f:.z) ^fUMBER Of TOTAI FEET
EACH UNiTS
-4k 4+ _ ;?.0~ 10
- 4o3L__ Z t~.59
y, Total ft.2 61ass
Ft.Z
e-
106 Fireplace area: Width x heiaht • -{2_X_-~ '
• -7 Ft.Z
11. Expose4 founCaN on: Nei9ht x Perimeter xI
FOT~MFRS THA~ THE a MINIMAL ` CQNEW DE A~LONANCEIO IS USEDR RENODELING ANO BUtIDI.'1GS BEIt~
I)YED YMEFtE ENERGY
,
` ~css ~.a1? area ~ o
t1indft area ft.1 MifldOMS U x A=~O .
~
Rim ,}olst arN A \',:c ~ ft.2 U" rim joist ¦ .0-A_ Li x q=
~ poor area A a~ --I _-~--f tt.~ J door area U x A• -46(0
~ Flreplate aret A ft.z U fireplaCe U x A•~
~ Exposed foundation A ZQ~ f*..' U foundatfort ¦ U x A•
Framinq area A J franing area •„O~ U x A¦~
~ het aa11 area R `t. j wall = „c-U xASU
v. ,
(t?s; ',-a.L . . . . . . . . . . U x
;
t A. Gross well area x 0.11 (A-1 single family 1 dL;.;a¦ ~ alTawable U.c A/Code
(13. aDove)
x 0.23 (A-Z Other resiGen[ia'. j
'x .23 !Qther building„
x .28 (Over ; star;e:)
~ TUH i!ust be iarger than
x U Ccde 138 above
5' Cailtng fram.iny area (Af) aquals 10: nf ceiing ;rea + or the same as)
6ro;s ceil ing area s (l) -G C-) x!'++ • 1"~ ~ Z ft.2
Joist aret IAf) • 10'; tetling area = ft.Z
Me! ceilino area (At) {15A - 15B) '_~b 8 ft.2
.
U cei l i ng x J? c~ e~, zt lL x-~Q
~:U framing x A f¦ x_~Z~.~
£`50. ~07AL U x A
.
Ceflfng area (15A) x 0.026 (A-1 sinyle `amiiy S dupTex - code a1loNabTe U z A
x O.C33 (A-2 OtAer residt.^.:ial)
~ • x 0.06 (other)
Bo H Must be larger then 150 (aDo've)
1. 3,.(j,~11 z~(codel= mOZ(o, F (or Lhe same as)
?
si. •
NqTE: Use U and a ralues obtained f,•nf" ops 1, 3 and 4.
~ • .
~
~ .
. .
`7..
'viALL ` ~t tl& tnEes.t* wil •4~ (1141 I) C . ~ !
_ StC?IAN '6•, x~asu;Atiue
- r ~ °p
alr fllie
` , - 3 TOFeI
lnstde air filp .6A
' STCD . iV G int.: 3 0e '+s i l 4~5
' SECTIO[t i1• 'W.3-G-ud R= '7 (Framtng) U. F .
. ~ ~q ~Ae~[hfng Z.ole
Sidlni .(+7' .
` . 1y Outsido air C1Ln .!7
1:.:~~. J.I . : U ~ • .
n :"OTAL ~ O . ~ O
2nstae air tilm R• .68
' 2MD 4ALL Intrrtoi wil .'4Jr
Sheaoi(r~ e Z -oa 7
Ext~tlvall :ovoeieg
~ } r
Exerrt~~lr ct1m 1
. a rore~ ~o'~..
~i .
.
Lnteriur air (Il:n Z• .68
elM fi-~~ il G" IV l. '.r.sula_loa ti4•~~ ~
J015T 1k ir.eh su(t •iuud R=1.$8 (Rim (J • ~ •
w~,` - Joist)
~ ~9 ~S~luaChlllg Z. O4i
. ~ .
vall coveetn`. •(eZ . .
iatftleliC,alr fllm No ~.17
-
i;dy;_> .
; a mrAti z4_4(e
~ .
_ i tncprtar air Ute a' .68
' •Sm insvlatia:
Foundacion Z-• ~ ~ . (fdR..) U • ~ * .
. 40 e%° xtarlor air itler R• .17
F roreL
=r:'? ~ t -txpo.ee 31ucK
' •
~~".•`~~.__,rsEe 3.
- _ . .
E
y.N;,
.Y"n f ~ Z :t r,i:.: ~ 1 . • . . . . . , ~ ' ~ . S.
.s i
, 0ll1,A4r #iie_ 0.61
~3\ •`t (ntuaativn
~ .
,ioisc
a
? . ~R Ceiliny
Atr F11a 0.61
.9 3 rotai R
u - A -°z t$- -
:
F:AT RMf OR CatHEDRA! CEtI['1G ,
37aue R YALUE
F"ING CHIIING
~ 0.61 Inslde afr fi~m 0.61
_ m
Ceiling ~
Joist (stud ,
. I Insulation :
Air spatt ~ .
< Roof dw0kinq
, ~ Insul~~loe
vi~
s,i 8u11 t-YP rocf? -
. 0. 7 , Du;si~ ~1~ tfls : ~ • : .
f~
Totil' R ,
~ . --T----~ ~ ~ •
r
~ i(ndpw infiltraticn 5 cfw/lineal foot ot Crack
;;4fidentiel door inftltritloa 0,5 tfm/squara faot or dcor and miainu? code ra0uirement
' 1iN-rosidtntial door inftltration 11.0 cfaflineal fooE of crack
lb 12" cono'eLf b10Ck no insu9ition f.t7 R 2.1
,s . tZ" toncrete block insulated cores =.26 1 3.8 ~
12" li3htweIqh; p1oCr +.32 R 3.1
~ 12" iiqhawight b1ock iei'sulated cores ~.lZ R 8.7 •
'J:stuqle glass ¦ t.i3: r1t,h storta rtndov .54 ,
doU010 ylasi ~ :56 .
crfple glass :
~l til acterior walls and ceilings must have a vapor barrier (C.10 pena 1~1x.).
;;.:~por barrier aaust bt on thm insids (heated sfde) of wall.
°Atpor barrfers of tht p01ylthelef?s thin f11m hare rro R valuc.
~
• 4.
.
***Y***#*ff***********k******~*****#
C I T Y O F E A A i~ ~~CnTT ~~Ftao °F * cmeriTuTE
APPROVAL OF PERMT. *
*
APPLICATION FOR PERMIT ~
~ INSPECTION OF SEWM AAID/OR MUgt
* INSTALLATIONS WILL NOT BE sCH9- *
SEWER AND/OR WATER CO(VNECTION + ULm UNTIL I'ERmT R%S BEm ~
* APPRaVED. r
• ~ ~
_ * * r******x,t r **,r * *,r~ *+,t,r**** ~ x*,r*
P ease Print
1) PROPERTY ADDRESS: ~j~~~ ~,~y~
LEGAL DESCRIPTION:
_ Lot Block Subdivision or Tax Parcel ID )
7F E3ISTING STRCCiS]RE, DATE OF ORIGINAL B(JILDING PERMIT ISSL'ANCE:
1
, PRFSENT ZANING/PROPOSID L'SE: hbn YearY
q ca114EtcIAu,/xErA.zr.,/OFFICE R-1 SINGLE F_AMIS,Y
Q IAIDL~STRIAL ~ R-2 DLPLEX (7Uo Units)
~ INSTI'IL'TIONAL/GOVIItN,1EN'p ~ R-3 20WNHOC~SE (Three + Units) ( Units)
~ R-4 APARTMEN'C/COAIDOMINIOM ( Units)
2) '
N11ME:
ADDRESS:
CITY, STATE, ZIP:
` PHONE:
3) ca• For City Use .
P1LUnbers License:
ADDRESS: Active
/
~ CITY. STATE, ZIP: EScpired
GZ.. 3~ta3 Not recorded
T'
~ ~-MASII2 LICENSE#
St&Tf Initial
4) ~ i~• ~
NAME:
ADDRESS:
CITY. STATE. ZIP: - 3 '
PHONE:
5) ~ r • : a a~ - 7CONNECTION ON ~ CITY SEWIIt 7U CITY WATER Q OTfIHRR .
6) ' [3 PLEASE HOLD APPRpVID PERMIT FOR PICK-OP BY ONE OF ABOVE - MtGE MAIL APPROVID PERMIT RO 1. AHJVE
(Ci2 one)
7? r. n • ~ ) ~
_ ' '1' • Y' I' ~ ~ • I' • 17P • u P 71' • ~1' ' Ji• ~ • D~ • ~ ~
plwkf(%~ilf • : [r M01• • tl?~ 1 1 1 ]I • • M1 .
FOR CITY USE ONLY ~
PERMIT # ISSUED
_
Pd w/Bldq. Permit FEES:
,
$ $ /'b SEWER PERMIT (INCLUDE SURCHARGE)
$ $ WATER PERMIT ( INCLC'DE SL'RCHARGE)
$ $ WATER METER/COPPERHORN/OL'TSIDE READER
$ $ WATER TAP (INCLCDE CQRPORATION STOP)
$ $ SEWER TAP
$ ~S -6 $ ACGOC'NT Dr;"YGSi^1 - SEWER
$ /5^O7J $ , ACCOC'NT DEPOSIT - WATER
$ $ WAC
S $ sAc
$ $ TRUNK WATER ASSESSME[VT
$ $ TRLNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRtNK SEWER
$ $ LATERAL BENEFIT/TRONK WATER
$ 1po • a ~ S WATER TREATMENT PLANT SDRCHARGE
$ $ OTHER:
$ 2 7 $ -.21, G,-o TOTAL
732-Y 2-- 73 3(~ / RF.CEIPT RECEIPT
DOES UTILITY CO[VNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
~ YES IF YES, THEN A"PERMIT FOR WORK 6VITHIN PL~BLIC
Q ROADWAY" MDST BE ISSUED BY THE ENGINEERI[VG
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE:
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA123307
Date Issued:06/04/2014
Permit Category:ePermit
Site Address: 4524 Whitetail Way
Lot:6 Block: 4 Addition: Fawn Ridge 2nd
PID:10-25801-04-060
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Stephanie Vought
3451 W Burnsville Parkway Suite 120
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 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 -
Jason R Walter
4524 Whitetail Way
Eagan MN 55123
Burnsville Heating & Air Conditioning
3451 West Burnsville Parkway, Ste. 120
Burnsville MN 55337
(952) 894-0005
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA124354
Date Issued:06/30/2014
Permit Category:ePermit
Site Address: 4524 Whitetail Way
Lot:6 Block: 4 Addition: Fawn Ridge 2nd
PID:10-25801-04-060
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 .
Angie Olson
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 -
Jason R Walter
4524 Whitetail Way
Eagan MN 55123
(701) 240-8603
Reroof America
10740 Lyndale Ave S
Suite 10W
Bloomington MN 55420
(952) 888-8440
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA151336
Date Issued:08/20/2018
Permit Category:ePermit
Site Address: 4524 Whitetail Way
Lot:6 Block: 4 Addition: Fawn Ridge 2nd
PID:10-25801-04-060
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Jason R Walter
4524 Whitetail Way
Eagan MN 55123
(602) 377-7127
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature