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4528 Whitetail Way Use BLUE or BLACK Ink For Office Use I I City U Ea i Permit 1 J~~ I Jz) 3830 Pilot Knob Road Permit Fee: Eagan MN 55122 I Phone: (651) 675-5675 I Date Received: I I Fax: (651) 675-5694 1 Staff: I J 2013 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all com ercial applications. Date: Site Address: I Tenant: Suite Resident/Owner Name: 144i / I iJ M ' X Phone: i0 L/P~- Address / City /Zip: dt b f'~ f~ Name: Zt L.d License Contractor Address: tl y ry City: State: M Zip: / Phone: s_~ Contact: Email: New Replacement Additional Alteration Demolition Type of Work Description of work: 6 C5 y NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. RESIDENTIAL COMMERCIAL Furnace New Construction _ Interior Improvement Permit Type _iZAir Conditioner Install Piping Processed - Air Exchanger Gas Exterior HVAC Unit Heat Pump Under / Above ground Tank Install Remove) Other RESIDENTIAL FEES: $60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $100.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) TOTAL FEE COMMERCIAL FEES: $70.00 Underground tank installation/removal Contract Value x1% $55.00 Minimum = Permit Fee "If the project valuation is over $1 million, please call for Surcharge = $ 6, 1 A' 5.00 Surcharge" = $ 6~0.`~ TOTAL FEE 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.aopherstateonecall.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 work is not to start without a permit; that the ork will be in accordance with the approved plan in the case of work which requires a review and approval of plans. X 6r v)&L 1y/ & x ~ Appli ants Printed Name Applican igna e FOR OFFICE USE Required Inspections: Reviewed By: Date: Underground Rough In Air Test Gas Service Test In-floor Heat Final HVAC Screening iS#,,,, -Otjm 4 CITY OF EAGAN SEWER SERVICE PERMIT ~ 3830 PNof nnob R&d ry q n I P.O. Box 21599 PERMIT NO.: ; Eagan, MN 50"21 DATE: Zoning: P-1 No. of Unib: Owner. -%rr Oa : B .a.rs. Address: ~ ~ W, teta ay . , awn ge 11 ' Site Address: , Sid Plumber. axe e um g 4-29-81 2 • P , ~ I ayroe lo comply wlth fhe qlyr of Eagan Connection Charge: 525. OQpd ~ ' Ordlnances. Account Deposit: IS.OOpc'+ 7 ' -~Permit Fee: IJ . 0Opd i surcnarge: • 5nd j ~ gy Misc. Charges: ~ Date of Insp.: Totel: Inap.: Dste Paid: 'I CITY OF EAGAN Permit Na ~ 74 G Date: 7 3830 Pilot Knob Road Meter No: Size: P.O. Box 21180 Reader No: Date: Eagan,+IIAN 55121 ~ Owner. Burr Oalc P•lc3rs. Site Address: ,.rs tet B _a•.;n .71..~-e Z Plumber Conn. Chg s~ 5.~ C~ NoRCt~°~ Etc. Ir + ~ . o n - Acct Dep:. r ~ Permit Fee: 1i, . ` ' Su~charg~ I agree lo comply witfi the Clty ol Eagan ~Tr. Plant J.` Ordi es. Meter. Misc.: B WATER SERVIC PERMIT :A ~ •.,R~. . . • - - ' CITY OF EAGAN ` - 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454-8100 BUILDING PERMIT Receipt # To be used for Est Value Date ,19 Site Address OFFICE USE ONLY Lot ' Block ' Sec/Suh. ' On Site Sewage _ Occupancy ~ MWCC System _ Zoning ParCel No. On Site Well _ Type ol Conat City Water (ActuaD Q Name (Allowable) v _ , # of Stories 3 Address Length 0 City Phone ~ Depth S.F. Total , p Name Faotprint S.F. o ~ Address APPROVALS FEES < Clty PhOne Assessments _ Permit F Water/Sewer _ 5urcharfle yVj W Name ' Police _ Plan Review • = n Address Fire _ SAC, Ciry u Engr. _ SAC, MWCC i W City Phone Planner _ WaterConn. Council _ Water Meter I hereby acknowledge that I have read this applicatian and atete Bidg. Off. _ Road Unit thet the information is conect and agree to comply with all appliceble APC _ Treatment Pt State of Minnesota Statutes and City of Eagan Ordinances. Variance _ Parks Copies Signature of Permittee TOTAL A Buiiding Permit is issued to: on the express condition that all woric shall be done in accordance with all applicabie State of Minnesota Statutes and City of Eagan Ordinances. Building Official Permit No. Permit Holder Data Telephone ~ Plumbing H.V_AG ~2 ~ 50~1~18 Electric Softener Inspsction Dats Insp. Comments Footings i p~ 9 Za Footings II Foundation Framing Roofing Rough Plbg. ~ Rough Htg. l5ul. -Ao 77- Fireplace Final Htg. Final Plbg. Bldg. Final o Cert Occ. Temp. LP Deck Ftg. Deck Frmg. Well Pr. Disp. . . . . : . . . r . . . . . . , . . . . . . . . . . . . . . . , , . f wCe" r . PERMIT # , PLUMBING PERMR ' RECEIPT f# 7-3 9 CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: J74ztq CONTRACT PRICE: PHONE: 451-8100 Site Address BLDG. TYPE WORK DESCRIPTION Lot _;2_ Block Sec/Sub Res. New ~ Mult. Add-on m Name i Comm. Repair ~o Address Other c City Phone r~ RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Name -aZwater Closet - $3.40 $ ~ -LBath Tubs - $3.00 Address _oZ-Lavatory - $3.00 p Ciry Phone ~Shower - $3.00 -7 --_Kitchen Sink - $3.00 3 FEES Urinal/Bidet - $3.00 COMM/IND FEE - 146 OF CONTRACT FEE --/--Laundry Tray -$3.00 : =C-`' APT. BLDGS - COMM RATE APPLIES Floor Drains -$1.50 . ~L.l V TOWNHOUSE & CONDO - RES. RATE APPLIES ~Water Heater - $1,50 ~ZMINIMUM - RESIDENTIAL FEE - $12.00 Whirlpool - $3.00 MINIMUM - COMMIIND FEE - $20.00 _j Gas Piping Outlets - $1.50 L STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIn (ADD $.50 S/C IF PERMIT PRICE GOES Sokener -$5.00 BEYOND $1,000.00) Well - $10.00 Private Disp. - $10.00 ~ j~ " ' Rough Openings -$1.50 y 1 L T 3 FEE: J?ciNA'TdRE ~OF PERMITTEE~ STATE S/C: FOR: CITY OF EAGAN - GRAND TOTAL: ~ PERMIT ir , MECHANICAL PERMIT RECEIPT # ' CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: 454-8100 Site Address r' BLDG. TYPE WORK DESCRIPTION Lot Block _ 7_ Sec/Sub Res. New • Mult Add-on m Name Address - , ~ Comm. Repair ~ Other c City Phone FEES Name ' RES. HVAC 0-100 M BTU -$24.00 c Address ADDITIONAL 50 M BTU - 6.00 3 (RES. HVAC INCLUDES A/C ON NEW - fl Cih!. Phone:. ; - - ~ - COJ.4STRUCTlON)_. GAS OUTLETS (MINIMUM - 1 PER PERMIn - 1.50 EA. TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE Forced Air BTU APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPUES 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 CFM ~ STATE SURCHARGE PER PERMIT - .50 Vent (ADD $.50 S/C IF PERMIT PRICE G4ES Gas Piping Outlets # ' BEYOND $1,000) Other ~ FEE: SlC: SIGNATURE OF PERMITTEE TOTAL: FOR: CITY OF EAGAN , CITY OF EAGAN > 8~53 ~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 P HON E: 454-8100 BUILDING PERMIT Receipt # L To be used for aASEMENT FINISH Esl. Value ;1 + S00 Date OCT 12 , 19 90 Site Address 4528 WHITETAIL WAY Lot 7 BIOCk 4 Sec/Sub. FA~ Ri~ Z~ OFFICE USE ONLY PdfC21 N0. OccupanCy - FEES Zoning ¢ Name CHUCK QUESNEL (Actual) Consl - Bldg. Permit 35.00 z 4528 HFlITETAIL 1JAY o Address (Allowable) - Surcnarge 1.00 City EA"N Phone 432"'65W +r or scories - Length _ Plan Review . o Name ~IC BUII,t?ERS, ItiC oeptn - snc, city S.F.To1al - ~a Add~ess 2810 ~ S= W SAC, MCWCC ~ City R~~M Phone 42 1 S.F. Footprints - On Site Sewage - Water Conn W W Name On Site Well - Water Meter =Z Address MWCC System _ u= Acct. aeposit <W City Phone c~rywaier _ PRV Required _ S/W Permit I hereby acknowlege that I have read this application and state that the Booster Pump - SiW Surcharge information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. ~ Treatment PI Signature of Permitee " APPROVALS Road Unrt A Building Permit is issued to: USIC BVILDER$• IHC Planner - Park Ded. on the express condition that all work shall be done in accordance with ail Council ~ applicable State ol Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. _ CoPies Building OtliClal ' Variance - TOTAL 36.00 r Permit No. Pe?mR Holder Date Telephone # WATEfi SE4VER PIUMBiNG f~ H.V.A.C. ELECTRIC Inapection Date Insp. Commenis Footings I Fourdation Framing Raoling Rough Plbg. R-gh Ht9. Y AlJ Isut. Freplace -~s y/ ~~QU Lt1 7 ~ Fnal Htg. ~ Fnal Plbg. Const. Meter Plbg. Inspector - Notify Plumber Engr.IPlan i Bldg. Final 121 44! Deck Fig. Deeic Final Well P?. oisp. 1 ' ~ • ~srS1~~ ~r 77~A a'!°y`Y~ePr d~'~/~~' . . ~p~' ~ ILUMBING PERMIT , For Office Use O y CITY OF EAGAN PERMIT # CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT #~~f PRICE PHONE 4548100 DATE: L),4-3 Site Address uJNrr" 7,9) BLDG. TYPE WORK DESCRIPTION Lot -,7- Block Sec ub Res. New f Mult. Add-on Comm. Repair Name f7~ ' Other 43s',> r .3-/</ ~ Address httl c C i t y I~ ~~"?J h o n e~ RES. PLBG. ONLY - COMPLETE THE FOLLOQVING: - NO. FIXTURES TOTAL i Water Closet - $3.00 $ ~ Name ' ' Bath Tubs - $3.00 = Address _1 Lavatory - $3.00 City Phone I Shower - $3.00 • Ktchen Sink - $3.00 UrinaUBidet - $3.00 FEES Laundry Tray - $3.00 COMM./IND. FEE - 1% OF CONTRACT FEE Floor Drains -$1.50 APT. BLDGS. - COMM. RATE APPLIES Water Heater -$1.50 TOWNHOUSE & CONDQ - FiES. RATE APLLIE Whirlpool -$3.00 MfNIMUM - RESIDENTIAL FfE -$12.00 - Gas Piping Dutfets - $1 .50 - MINIMUM - COMM.IND.lFEE , ~•--~26- NY- (MINIMUM -1 PER PERMIT) ' STATE SURCHARGE PER PERMIT .50 Softener -$5.00 (ADD $.50 S/C PER EACH $1,000 OF PERMIT FEE) Well -$10.00 Private Disp. - $10.00 Rough Openings - $1.50 U - . U ~ SIGNATURE OF PERMITTEE PERMIT FEE: STATES S/C: . S ~ FOR: CITY OF EAGAN GRAND TOTAL: S~' (,p 1"-E'~'`'~' #~l~•~,~1 cI ~G'-r~r ~..~~c-~` ~~3~~ 7 PERM17 # MECHANICAL PERMIT RECEIPT # - , CITY OF EAGAN / 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: 454-8100 ' Site Address BLDG. TYPE WORK DESCRIPTION Lot 1-7 Biock Sec/Suly Res V New r~ , . , m Name G Mult Add-on ~ AgI Address Comm, Repair Other c City Phone r. r FEES Name ' f ~ RES. HVAC 0-100 M BTU -$24.00 c Address ADdITIONAL 50 M BTU - 6.00 p City -`f~: Phone (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) 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 APPUES TOWNHOUSE 8 CONDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU REMODELS - 12.00 Air Cond. SM 8TU MINIMUM COMMERCIAL FEE - 20.00 Vent CFM STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # BEYOND $1,000) Other 06 FEE: S/C: 25 SIGNATURE OF PERMI • EE TOTAL• ' 5 FOR: CITY OF EAGAN RESIDENTIAL BUILDING PERMIT APPLICATION 3830 PILOT KNOB RDN 55122 ' 651-681-4675 J New Construction Reauirements RemodellReoair Reauiremenls . 3 regWtered site surveys showing sq. ft of l06 sq. ft, of house; and all roofed areas • 2 copies of,plan (20%mazimum lol coverage allowed) . t set of Energy Calalatbns for heated additions . 2 copies of plan showing beam & window sizes; poured found design, etc.) • i sita survey for exlenoradditiom & decks • 1 set of Energy Calculatiore . Indicate rf home served by seplic system for additions • 3 copies of Tree Preservation Plan'rf lot platted after 711193 • Rim Jaist Detail Options selecGOn sheel (bldgs with 3 or less uniLS) DATE VALUATION 00 JOB SITE ADDRESS IF MULTI-FAMILY BUILrDIN~G, HOW MANY UNITS? J PROPERTY OWNER n, ' lGl ,l'« cd Clnn C TYPE OF WORK Rel-e'ooC ~ FIREPLACE(S) _ 0~1 _ 2 APPLICANT «-ow~2ou~rtQ~ PHONE# ZIPCODE SSCr~3 ADDRESS ti--( 2f-C4 PAGER# CELLPHONE# (.eSC-~g-~iZ~~' FAX# U_t CsS C- 2.C/, -7, NEW RESIDENTIAI BUILDING ONLY - FILL OUT COMPLETELY energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted _ MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor: Phone Plumbing System Includes: _ Water Softener _ Iawn Sprinlder Fee: $90.00 Water Heater No. of R.I. Baths No. oP Baths Mechanical Contractor: Phone # Mechanical System Includes: Air Conditioning Fee: $70.00 Heat Recovery System Sewer/Water Contractor: Phone # All a6ove information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state tha information is correct, nd agree to comply with all applicable State of Minnesota Statutes and City of Eag Or ina es. Slgnature of Applica t~ Certificates of Survey Received _ Tree Preservation Plan eived _ Not Require _ Updated 1101 OFFICE USE ONLY ? 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 6ct. 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 (screened) ? 36 Multi ? OS 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 W indows/Doors ? 34 Replacement *Demolitlon (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings (deck) _ FinaUNo C.O. _ Footings (addirion) _ plumbing Foundation HVAC Dtain Tile Roof Ice & Water Final Other _ Framing _ Poo1 _ Ftgs _ Air/Gas Tests _ Final _ Fireplace _ R.I. _ Air Test _ Final _ Siding Stucco Stone _ Insulation _ Windows (new/replacement) 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 ToWI RESIDENTIAL Lj ~ U! 9 BUILDING PERMIT APPLICATION " -j CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 NewConstructionReauirements . . RemodellReoairReauiremenls - • 3 registered site survzys showirg sq. k. of lot, sq. N. of house; and all roofed areas • 2 coPies of plan (20;6 mauimum lot coverage allowed) ' • t set o(Energy Calculauons for heated additions • 2 copies of plan shaving beam & wind(Yw sizes: poured found design, etc.) , ~ - •1 site survey for ezlenor addi5ons 8 decks ; • 1 set of Energy Calculations • 3 copies of Tree Preservation Plan if lof platted after 711193 • Rim Joist Detail Op6ons selec6on sheet (bldgs wiU 3 or less units) . DATE VALUATION (EXCLUDING LAND) A)i 1~p - JOB SITE ADD SS IF MULTI-FAMILY BUILDING, HOW M Y UNITS? PROPERTY OWNER TYPE OF WORK /JZM FIREPLACE(S) _0 _1 _2 /3/ APPLICANT PHONE # ADDRESS i~,166G1 29,d /G ZIP CODE PAGER # ~d CEL PL HONE # fAX #163"V~' NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CA PEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Caiculations Submitted ~ MINNESOTA RULES 7672 % - - New Energy Code Worksheet Submitted Plumbing Contractor: Phone Pluenbing Systein Includes: _ Water SoFtencr _ Lawn Sprinkler Fee: $90•00 4Va(er Heatcr No. of R.I. Baths No. oF 13aths Mechanical Contractor: Phone # Mcchanical System Includes: _ Air Conditianing Fec: $70.00 I-[cat Rccovery Systcm Sewer/Water Contractor: Phone # I C ~ ~ I II1~ All above information must be submitted prior to processing of application. Im ol I hereby acknowledge that I have read this application, state that the information is correc ,~nd agree to comply th all applicable State of Minnesota Statutes and City of Eagan Ordinances. C Signature of Applicant - Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 1/Ot OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Firepiace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) 0 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ' ? 05 03-plex ? 11.-10-plex;.,..0 19. LowerLevel ? 24 StormDamage . .Q 06 04•plex ? 17 12-plex Pibg_Y or _ N ? 25 Miscellaneous - ' ? 31 New ? 35 Int Improvement ? 38 Demalish (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 •Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new hldg) FinaUC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addition) _ Plumbing _ Foundation HVAC Drain Tile Koof !ce & Water Final Other _ Framing _ Pool _ Ftgs _ Air/Gas 7ests _ Final _ Fireplace _ R.I. _ Air Test _ Final _ Siding Stucco Stone _ Insulation _ Windows (new/replacement) 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 CITY OF EAGAN N° 13 5 2 4 . 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55721 PHONE:454-8100 P ~~q~~ BUILDING PERMIT Recei t# / Tobeusadfor SF DWG/GAR EstValue ~~8~000 Date APRIL 28 ~y $7 Site Address 4528 WHITETAIL WAY OFFICE USE ONLY 7 4 FAWN RIDGE II OnSiteSewage Occupancy R3 Lol BIOCk SeGSub. MWCCSystem ~ Zoning R1 ParcelNa OnSiteWell _ 7ypeoiCOnst V City Water (Actuaq a Name BGRR OAK BLDRS INC (Allowable) v w # of Stories = Address 11461 GOLDENROD ST Length 46 o ~~ty COON RAPIDSphone 452-2906 Devth 38 S.F. Totel , o Name SAME FootP~~~~ S.F. ~Q Address APPROVALS FEES f City Phone Assessments Permit ~ 426.50 ~ Water/Sewer Surcnarge 3 00 ~w Name RIISSELL Pi.ANS Police _ PlanReview 213.25 Flre _ SAC, CITy i nn np Address PRNTA(CDN OFC PK Engr. _ SAC,MWCC c~~ aW City FOTNA Phone R95-597(1 Planner _ WeterConn. Council Weter Meter ~ I hereby acknowletlge that I have reatl fhia application and state gldg.Oh. _ Road Unit thattheinformationiscorrectandagreetocomplywithallapplicable A~ - TreatmentPl ~~0 State of Minnesota Statutes a d City of Eagan Ordinences. Variance _ Perks Copies Signature of Permittee .~7 ` TOTAL ~r3.$p_.15 A Buildfng Permit is issued : BURR OAK DRS INC on the express condition that all work shall be done in accordance with all applicable S te of Minnesota Statutes and City of Eagan Ordinancea Building Official ~ ~ - ~ ~ C, CITY OF EAGAN No. 18453 ~ 383,Q Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE:454-8100 Receipta V~ ~ ~10/~~S ~ Tobeusedfor BASEMENT FINISH Est.Value $1,500 Date OCT 12 ,1990 Site Address 4528 WNITETAIL WAY Lot 7 Block 4 SeGSub. FAWN RIDGE 2ND OFFICE USE ONLY P2fC01 N0. Occupancy _ FEFS Zoning - W Name CHUCK OUESNEL (Actual)Const - BIdq.Permit 35.00 o Address 4528 WHITETAIL WAY (Allowable) - Surcharge 1.(10 City EAGAN phone 452-6508 xoisiodes - Length _ Plan Review o Name BASIC BUILDERS, INC oapm - snc.ary o~ pddress 2810 145TH ST W S.F.Tolal _ o SAC, MCWCC ~ City ROSEMOUNT phOnB 423-3114 S.F. Foolprints - On Sile Sewage _ Water Conn r $w Name On Site Well - Water Me1er Address MWCC System - qccl. Deposit i W Clty Ph000 City Water - PRV Required _ SNY Permil I hereby acknowlege Ihal I have read this application and state that the Boosler Pump - Siw Surcharge iniormation is correct and to comply with all appli le State of Minnesota Statutes and ol Ordin nc . ~ Treaimem PI SignaWre of Permitee APPROVALS Road Unit A Building Permi[ is issued t: SIC IL E Plannar - park Ded. on tha express condilion that all work shall be tlone in accordance with all Council applicable State o1 Minnesota StaWles antl City of Eagan Ordinances. glay. pry. _ Copies Variance - TO7AL 36.00 Builtling Official . , (ger#ifirafe of (thruvanry titp of (tagan IOP}tfli`t111PttY of ll1tddlriJ JriB}tP[tiDtt Thir CerUftcate issued pursuanllo the requiremenLS ajSection 306 oflhe Uniform Bui(ding Code rertifying lhaC at !he Sme of issuance thrs slructure was in rnmpliance with !he various ardinances of the City regulatirsg building constructian or use. For the following: . llsc Chuifinuon E- ~t ~~-Z Bldg. himit No. 1=524 oo~-p-Mv eya VM ?onin8 Oistricl Ri ryae conn. v Oweerot&ul' ~'ZC?:: L..`..~'t~: L.i. AdNea' 1:'Ji 2r~',.~~ d~ ~8 6iWdivg Addras 4Ko i"TZ:ii,iT. 'T LanGty W. C1, cl-..; 1?i::-= ?-t ' p,W: Buildiag Ofliciil POST IN A CONSPICUOUS PUCE OAKLEAF IIX Y 3 l 1987 BOILDING PERMIT gP LICATION - CITY OF SAG6N SINGLE FAMILY DWELLINGS INCLIIDE 2 SETS OF PLAAS, 3 CBRTIFIC9TS3.OF SDRYEY, t SST OF ENERGY CALCOLATIOAS HOTE: ADDRESSES FOE COFNER LO2S - CONTRACTOR/HOMEOWNER HQST DESIGHATE WHICH ADDRESS IS DESIRED. NO CH9NGES HILL BS ALLOWSD ONCS SDILDING PEAMIT IS ISSQIiD. MOLTIPLE DTiELLIHGS - RESIDENTIAL RIIN'f9L OPITS FOR SALE iTYiTS INCLUDE 2 SETS OF PLANS, CEBTIFZCATE OF SDBVEY - CHBCB iiITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COA7NIERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND 15, To Be Used For: Single fdmlly Valuation: $5-2"~-- Date: 27 Apr 87 Site Address 4528 Whi:tetail Wdy OFFICE QSE ONLY Lot 7 Block 4 On Site Sewage Occupancy h 3 MWCC System ? Zoning ~I Parcel/Sub Fawn R1dge II pn Site Well Type of Const City Water ? (Aetual) ~ Owner Burr Oak Builders, Inc. (Allowable) 5' ' # of Stories 9ddress 11461 Goldenrod $t. Length 1-1~ • Depth ~o CityfZip Code Coon Rapids, Mn. 55433 S.F. Total (612) 452-2906 Footprint S.F. Phone - APPROYALS FSES ConEractor same Assessments Permit S'O 42~0 Water/Sewer. Surcharge 3 Address Same Poliee Plan Review 2~3,zs Fire SAC, City J o o• City/Zip Code same Engr SAC, MWCC SZ 5 Planner Water Conn 525. Phone same Council Water Meter (0`1. Bldg Off Road Unit "30 5 Arch./Engr. RUSSeII PldnS APC Treatment P1 g0, Variance Parks Address'Pentagon Office Park Copies TOTAL ~ TC City/Zip Code Edina Phone # $35-5970 ' ~ • PE fl OBE SuKR OAK COHSUL71H6 EH61HEf95 aUILD[T~S NGINE~RING plA}IHEflS nnd LAHCJ ~UftVEYOftS COMPfiNY, INC. ~ 1000 LlST 1461A 57REET, BURNSVILLE, 41}IHES0TA 5Z-337 P}{ ~]2-3000 C4ff 7^-Ze-z Ccxze y j&5:aI .C4e.~cr„~ c~P Iort: LoT 7, BLGCK 4, FAWN iZIDGE 2ND ADUrTlvN DAKOTA COUNTY, 611NNESOTFI DEnJoTES EXIST'In1G ELEVATION (9¢3.0) 'UFN07ES PROPOSED ELEVATI0N INDICA7"ES DIRLC'f"tON bF SUIZFACC DRAINAGE 943.33 = FINISNEV (GnRAGC FfLOOR r.L evArIUN ~S .0p SCALE : I"° 30~ •1~ La i~~~ DRAfNAGr- AND UTILITY f'f1SEM&Nr 30' BUlLDINU 5ET8ACk 4rNE' o \ aq~ ' / n \ e'ti~~ ~ ty~` ~ ` a~ . 'yy ~ aQq~O io^ ~ l9k lqk u° ~D 31-3) 3~ %qs .~Z~ • ° Op y, y7,/ ~ ~9.kV9? rry~ y 9 GP /~a yr5o~~q y , a a- \ \ 9,$, ~J \ v$ Q~",~,o bb$p~ ~ ' ti• ~ \ \ g~>, (,a 'Iy Lr V pC) i~` ~J, ~p~q 0\, i~ ~3~ • V I her:by cnrtify that thia ia n t:ue and C9ITECt rnpreeentation of a tract of ljnd as ahoxn'and deacribed hernon,• Aa.preperad by mn on this Z15'r day of . • 1997 _2~-~ Ninn. FE5. No. /Gat~ • ' ` ~ ~ 1990 BUILDING PERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCNITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WNICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWD DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. OCT 0 3 RECo To Be Used For: R{}SF,A, ~7,ia151n Valuation: ~ Date: 9d Site Address WsaS OFFICE IISE ONLY Lot Block L FEES Occupancy • Zoning ? Parcel/Sub ~f/G/A/ Actual Const Bldg. Permit J,si a0 t. Allowable Surcharge /.o 0 Owner ~k~y,~}~ = iA`c~SO~t~ # of stories Plan Review Length SAC, City Address ~sdlJ ~/vu~.-t+~d-Wl)( INY~ Depth SAC, MWCC ~ S.F. Total Water Conn City/Zip Code Footprint S.F. Water Meter Acct. Deposit Phone On site sewage_ S/W Permit On site well 5/W Surcharge Contractor~~ ML7CC System _ Treatment Pl. City water Road Unit Address PRV _ Park Ded. n Booster Pump _ Copies City/Zip Code rCQqEA&WU~ ~ ?V`1~ + SUBTOTAL 2 APPROVALS Penalty Phone 'f `C ~ ~y- PlanneY _ TOTAL Council Arch./Engr. Bldg. Off. Variance Address City/Zip Code Phone # . ~ *****i******#**##**f*****#**i#*.. CITY OF EAGAN *~F: P`~~r OF FFE AT T~ C. , . _ . . , . , * APPLICATION DOFS NOT OOi~b'PZZSTIE • ' ' . . ' * APPRWAL OF PERM'P. . APPUCATION FOR PERMIT * = - . * INSPncizorr oF sEWx AND/Ct ~TE-- - * aasru=ms wIIa. Nar BE scREc-- SEWER AND/OR WATER CONNECTION *ULED UNTIL PMR!= HAS BEM - - ~ ' • ' * APPRC)VID. " . * * . ***s*a**~# *,r*a** **,r*,r,t:*r***3 ***:r * P ease Print) 1) PROPgRTY ADDRESS: LEGAL DESCRIpTiON: Ln Lot Block Subdivision or x Parcel ID ) IF E7QSTING SCRCCiLTRE, DATE OF ORIGINAL BL'ILDI"NG PE.4MIT ISSL`ANCE: - PRESETTP 7ANING/PROPOSc"D CSE: (hbntnYear) [--I COLNPE2CIAL/REI'AII,/OFFICE -ftr-R--1 SINGLE FAMILY Q IDIDCSTRIAL Q R-2 DL'PLEX (4tro L~nits) INSTI=ONAL/GOVIItIZ= ~ g-3 TOGvNII3005E (Three + Units) ( L~nits) R-4 APARTMENT/CObIDON1INILTM ( Units ) 2) A rrarE: j a,rc.~ t,de sc~ cr = G ~f e.-,~-,c ADDRESS: CITY, STATE, ZIPcS PHONE: g`-ft f -7.1'6 C) 3) • u For City Use NAME•• •io~-2 ~LG~r»~, Pltunbers License: ADDRESS:~sZ-~-c~ EScpired CITY. STATE, ZIP: -.3 Not recorded PHONE: - d MASTEEt LI(.aISEn Stat Initial 4) ~..u• r i~- NAME: Bter d R~ fjc~ ; L.L•C/' S _ AwDRESs: /iy~ rr n) CITY. STATE, ZIP: 65'~gr) e PHONE: 'S~ ~ '~1 V• Y" '1 Y: • ]19 :Oq • Nq:,CyYGYi ' . 1~r~TIoN TO C2TY WA7ER roNNECTIoN ~ ~~TY WATEa a CTHER 6) iTb cr u- r r ~ PLEASE HOLD APPROVID PE4MIIT FCR PICK-OP BY ONE OF AH-)VE . ~_PLEASE Ml1ZL APPROVID PEih1IT 10 1, 2,<~D 4. ABpVE , (Circle one) 7) r,. u•+- ~-rn,~r~~C ~ s- .~'=7r~'Z_ 7' HY' Y'I" M4 ' ~ • U^ • I N ~I yp 1.A 1 / Y~ DI y` ~I • B• ~ r^ YY[~.`l. •~I• IS. ~ ~:i' Y:l. •.[17~ 1 11" : JI: :A' /~`I Y" r~~~ - - ' _-FOR -CITY USE ONLY - PERMIT # ISSUED I rf- ~ ~ i Pd w/Bldg. Permit FEES: - , $ SEWER PERMIT (INCLUDE SIIRCHARGE) $ WATER PERMIT (INCLDDE SDRCHARGE) $ WATER METER/COPPERHORN/OC'TSIDE READER $ $ WATER TAP ( INC.T~L'DE CORPORATIOiv' STOP ) $ $ SEWER TAP $ ACCOUNT DEPOSIT - SEWER ACCOUNT DEPOSIT - WATER $ a Z_ J' U-Z~ $ WAC $ SAC ' $ $ TRDNK WATER ASSESSMENT $ TRL'NK SEWER ASSESSMENT $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRC'NK WATER 3 !~~•~~Z! $ WATER TREATMENT PLANT SDRCHARGE -3 $ OTAER: 'a ~~~I 7• C/ t' $ e,~ TOTAL 7-~ RECEIPT RECEIPT JOES DTILITY CONNECTION REQUIRE EXCAVATION IN PC'BLIC RIGHT OF WAY? Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN PLBLIC Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. -vBJECT TO THE FOLLOWING CONDITIONS: : PROVED BY: TITLE: City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4528 Whitetail Way Lot: 7 Block: 4 Addition: Fawn Ridge 2nd PID:10- 25801- 070 -04 Use: Description: Sub Type: e - Furnace Work Type: Replacement Description: Furnace Comments: Quesetions regarding electrical permit requirements should be directed to Ma rk Anderson, State Electrical Inspector, 952- 445- 2840Cindy Lilienthal 21210 Eaton Ave Farmington, mn 55024 651- 344 -4253 clilienthal @controlledair.ne t Fee Summary: Contractor: Controlled Air 21210 Eaton Ave Farmington MN 55024 (651) 460 -6022 X253 Surcharge -Fixed ME - Permit Fee (Replacements) Total: Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - $0.50 $50.00 $50.50 Owner: Mark T Hofflander 4528 Whitetail Way Eagan MN 55123 Permit Type: Permit Number: Date Issued: Permit Category: 9001 0801 Mechanical EA076655 02/09/2007 ePermit I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Issued By: Signature City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4528 Whitetail Way Lot: 7 Block: 4 Addition: Fawn Ridge 2nd PID:10- 25801- 070 -04 Use: Description: Sub Type: e- Fireplace Work Type: Gas Insert Description: Census Code: 434 - Occupancy: Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Fireside Hearth & Home 20802 Kensington Blvd Lakeville MN 55044 (952) 985 -6675 Chimney /flue must be inspected prior to concealing. Smoke detectors are required in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector. Andrew Hoffman BL - Base Fee $3K Surcharge - Based on Valuation $3K Total: $90.00 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 PERMIT City of Eaan - Applicant - Construction Type: Owner: Mark T Hofflander 4528 Whitetail Way Eagan MN 55123 Permit Type: Permit Number: Date Issued: Permit Category: $88.50 0801.4085 $1.50 9001.2195 Issued By: Signature Building EA087127 10/27/2008 ePermit Use BLUE or BLACK Ink r For Office Use I / p, I I City of EaPermit Ed 41 r Permit Fee: ,V I 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: )o b Phone: (651) 675-5675 I nn I Fax: (651) 675-5694 I Staff: I I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 1,611 Site Address: &)JU& Unit M t Name: kihek ffLo & .L` Phone:(a 2! 6 Resident/ , Owner Address / City / Zip: S g~ Aguz ~7v_ Applicant is: Owner Contractor Type of Work Description of work: A Construction Cos. I f3 Z • 477f Multi-Family Building: (Yes / No Company: ct: * Contractor Address:`,32 /~fAlA~iC~ ~T al3~/ City: J T State: Zip: 551 V f' Phone: ~Pl_ 7 /'Y License AZ&,2 t -?2® Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that 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 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. Exterior work authorized by a building permit issued in accordance with the Minnesota State Buildin ust be completed within 180 days of permit issuance. x Y C5;1V U x 0"/"> Applicant's Printed Name Applic s nature Page 1 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA166471 Date Issued:01/12/2021 Permit Category:ePermit Site Address: 4528 Whitetail Way Lot:7 Block: 4 Addition: Fawn Ridge 2nd PID:10-25801-04-070 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Mark T & Lillian M Hofflander 4528 Whitetail Way Saint Paul MN 55123--209 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA166602 Date Issued:01/22/2021 Permit Category:ePermit Site Address: 4528 Whitetail Way Lot:7 Block: 4 Addition: Fawn Ridge 2nd PID:10-25801-04-070 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Mark T & Lillian M Hofflander 4528 Whitetail Way Saint Paul MN 55123--209 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA171929 Date Issued:09/08/2021 Permit Category:ePermit Site Address: 4528 Whitetail Way Lot:7 Block: 4 Addition: Fawn Ridge 2nd PID:10-25801-04-070 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 - Mark T & Lillian M Hofflander 4528 Whitetail Way Saint Paul MN 55123--209 Bonfe's Plumbing & Heating 455 Hardman Ave South St. Paul MN 55075 (651) 228-7140 Applicant/Permitee: Signature Issued By: Signature