4540 Whitetail Way
C!'TY OF EAGAN SEWER SERVICE PERMIT
3830 Pllo! Knob Road 9601-)
P.O. Box 21189 PERMIT NO.: `
Eayan, MN 55121 DATE: P
Zoning: 71 No. of Units: 1
Owner. ~nns :onst.
Address:
SiteAddress: 45 0 L~'hitetail 'day L' P5 T'2wci 'idge II
Plumber: F ?'lunbing
12 ~i_:f, F,n S^; 100.Cnpd
I ayree to comply wNh the CNy of Esgan Connection Charge: 47 5.0{1pr
Ordlnances. Account Deposit: 15 - 00nd
Permit Fee: 1 0 {)Cnr1
Surcharge:
gy Misc. Charges:
Date of Insp.: Total:
Insp.: Date Paid:
CITY bF EAGAN WATER SERVICE PERMIT
' 3830 Pilot Knob Road 845G
I~ P.O. Box 21199 ' PERMIT NO.:
Esgan, MN 55127 DATE: 2-18 F7
Zoning: Rl No. of Unitg: ~
i Owner. Sona ['.n st
Address:
Site Add@89: 454t) Lrhi teYa i 1 Wa3Z T? Ti ~ FatanPidQP TT
Plumber. ` '
~ MeterNo.:~ cti n 5i)~1 ,JlflP~1 I
~
SI2B: ~i'E
Reader No.: ~ OS .moj~ t~ 7 n npT~
1 aqree fo comply wtth the Cit~u Surch
~~ges: I s~, nn,.d T~
7`' ~ ~~~To~l, 63.50vd meter
I ~ Date Paid:
Date of Insp.: ,t InSP•:
13 -,-f 7
I
~ ..A
(Itr#tftr~tit of (IDrrupaury
titp of eagan
igmrtmmt nf ittdbmg 3tts.prrtinn
This Certefrcate issued pursucrnt to ihe requirements af Section 306 of the Unrform Building
Cale certrfying that ai the time of issuance this strrrcture was in compliance wilh the variotrs
ordinances of the City regulating building construction or use. For the following:
Use Claasitxauon 8idg. }lrmit No.
Oocupaocy Type Zoniog D'atrict Type Coost.
OwnerotHmlding - p~ .F; ,
rc
Btu7ding Address Lacality
D.te:
g~ ~
~
POST IN A CONSPICUOUS PLACE
CITY OF F-AGAN
? 3830 Plot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ~ 13073
PHONE: 454-8100
BUILDING PERMIT Receipt # ~
Tobeusedlur sf'' U~JG/GAR Est.Value '777,000 Date DF:CEMBER 31 19t3G
Site Address 4540 WHITETAIL WAY Erect ?K occupancy R 3
Lot 2 _ siock 5 sec/sub. FAWN RIDGE ZND Remodel ? Zoning ?i
Parcel No. Repair ? Type of Const V31
Addition ? No.Stories
Move ? Len th 8
W Name S0;:4; Cc)ivST::ZU'~Ti.ON l:0 g
_ 4606 Li~]ORE LN Demotish ? Depth Q~
o Address Int Impr. ? Sq. Ft.
Ci~ F~AGAN phone 4 5 2- 5 3 5 5 Instail ?
o Name SAME APprovab F"s
o< Address Assessment Permit ~ 3 6~. u U
I- Ciry Phone Water & Sew. Surcharge 33.50
Police Plan Review 182. 0 d
~ W Name Fire SAC 575.00
~ a Address Eng. Water Conn. 500 . OU
i W City Phone Planner Water Meter 63.50
Council Road Unit 290.00
I hereby acknowledge that I have read this application and state thatthe Bldg. on. 11/3 0/8 Tr. PI. 15r.. 00
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances. APC Parks
Signature of Permittee Var. Date Copi es Total (;o
A Building Permit is issued to: SONS CONSTRUCTIOIV CG on the express condition that
all work shalt be done in accordance with all applicable State o1 Minnesota Statutes and City of Eagan Ordinances.
Building Official ~ ` ' ~
Permk No. PonnN Ho1dN Dats Talephone k
,
Plumbin9
r
H.KA.C.
ElecMc .~r70 CD ti ~ 5' ~;77
Sotlen~r
Inspectlon DaM Imp. Commanb
Footlngtl ~
~ '
Footlngs II
Foundatbn -.147 .
Framiny ~ n ~1 B
RoofM9
Rouqh Plby.
Rouqh Hty. y ~ D
Insul.
Flnpleee f
Final Hty.
Final Plby.
&dg. Final
CNt.Occ. e~
Doelc FtQ.
Dack Frmy.
Well
Pr. Dbp.
• o PERM?T # -±25
• . • PLUMBING PERMIT RECEIPT #
CiTY OF EAGAN -
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: ~
CONTRACT PRICE PHONE: 454-8100
Site Address BLD(i. TYPE WORK DESCRIPTION
Lot Block Sec/Sub
Res. ' New
, Name Mult Add-on
~ Address Comm. Repair
c City Phone Other
NO. FIXTURES TOTAL
L Name Water Closet -$3.00 t
c Address Beth Tubs - $3.00
p City Phone Lavatory - $3.00 ~
Shower - $3.00
FEES ' Kitchen Sink - $3.00
UrinallBidet - $3.00
COMM/IND FEE - 1% OF CONTRACT FEE 1 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 $50 S/C IF PERMIT PRICE GOES ~ Gas Piping OuUets -$1,50
BEYOND $1,000.00) Softener - $5.00
Well - $10.00
P?ivate Qisp. - $10.00
- Rough Openings - $1.50 -
SIGNATURE OF PERMIITEE FEE
STATE S/C:
FOR: CITY QF EAGAN GRAND TOTAL• f~
' PERMIT #
MECHANICAL PERMIT
CITY OF EAGAN RECEIPT # / ~ ~ -7
3830 PILOT KNOB RaAD, EAGAN, MN 55122 DATE: -CONTRACT PRICE: ~ Cf ~ PHONE: 454-8100
Site Address Z_
• BLDG. TYPE WORK DESCRIPTION
Lot - Block ~ Sec/Sub
Res. x New
Name ti Mult Add-on
Address Oomm. Repair
c City < Phone `-i bther
FEES
Name ' - , ~ c ~ ~
~ RES. HVAC 0-100 M BTU -$24.00
c Address ADDITIONAL 50 M BTU - 6.00
p City Pho11e ti r~ 53 ~ (RES. HVAC INCLUDES A!C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA.
TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE
Forced Air ` M BTU APT. BLDGS. - COMM. RATE APPLIES
Boiler M BTU TOWNHOUSE & CONDOS - RES. RATE APPLIES -It 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 (qDD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # BEYOND $1,000)
Other ~
FEE: • Y,
' ~
S/C: L} SIGNATURE OF PERMITTEE
TOTAL• t"•
FOR: CITY OF EAGAN
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued: '
(612) 681-4675
SITE ADDRESS: APPLICANT:
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION „ . .A
~
~ -
PsrmH No. PermR Nokler Dste Tsleptwne •
S/IM
PLUMBING
HVAC
ELECTRIC
ELECTHIC
Inspection Date Insp. Comments
/ l
Foottngs 1
Foundation
Framirg . Z_ • 3 bS p C k 4. G~ tl u rA Q C 0 w••dr~
RooCng
4~~C US?
Rough Plb9- E_ f5; 6~
Hough Hlg.
Isul.
Freplace
Fnal Hlg.
Orset Test
Fnal PI6g. Pibg. Inspector - Notity Plumber
Corlst. Meter
EngrJPlan
eidg. Final T 5 le -
neac Fcg. U n~ /S Cr/!-/t.~
oea~ FffW
weli
Pr. Disp.
, ~ . CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55127 N2 13073
BUILDING PERMIT PHONE:454-8100 Receipt u ~l' /
,
To be used tor SF DWG/GAR Est. Value $ 77. 0 0 0 Date DECEMBER 31 198 6
SiteAddress 4540 WHITETAIL WAY Erect C~ Occupancy R3
Lot 2 Block 3 Sec/Sub. FAWN RIDGE 2ND Aemodel ? Zoning PD
Parcel No. Repair ? Type of Const Vn
Addition ? No. Stories 3 $
~ Name SONS CONSTROCTION CO Move ? Length
4606 LENORE LN oemousn ? DePm a~
o Address Int Impr. ? Sq. R.
Ciry EAGAN phone 452-5355 Install ?
¢ $AMF Approvals Faea
o Name
address Assessment Permit $ 364.00
' City ahone WaterRSew. Surcharge 38.50
~a Police PlanReview 182.00
ez Name Fire SAC 575.00
~a nddress Eng. WaterConn. 500.00
a W City Phone Planner Water Meter 63.50
Council Road Unit 290.00
Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe gldg.Off.ll rr.Pl. 156.00
information is correct and ree to co ly with all applicable State of
Minnesota Statutes and i I.of E~gan di~ s. APC Parks
Var. Date Copies
Signature of Permitt ee $ 2 16 9. 0 0
Total •
A Building Permit is issued to: SO S CONSTRUCTION CO on the express condition that
all work shall be done in accordance with all applicable S of Min sota fatutes and Ciry ot Eagan Ordinances.
Building ORicial
BUILDING PRESIDENTIAL
ERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EACAN MN 55722
651-681-4675
New Conshuctlon Reauirements RemodeURanafr Reauiremenrts
• 3 registered sife surveys showing sq. fl, o( lot, sq, ft. of house; and all rooled areas • 2 copies of plan
(20% marimum lot coverage allowed) . 7 set of Energy Calculations for heated additions
• 2 copies of plan shaxing beam & window s¢es; poured found design, etc.) . 1 sRe survey for eMenor additions & decks
1 set of Energy Calculations • Indicate if home served by sepHc system for additions \
. 3 copies M Tree Preservation Plan if lot platted afier 711193 ~
• Rim Joist Delail Options 581ection sheet (bldgs wAh 3 nr less units)
DATE 121- Z3-0Z VALUATION C
SITE ADDRE3S r~ ` te-~°" 1 MULTI-FAMILY BLDG - Y ~
TYPE OF WORK F.,Csk. 15rt`°"L 6f R°~Sew. FIREPLACE(S) 0 _ 1_ 2
APPLICANT G, ~ 60 Ickr
STREETADDRESS 41~-qb 0lnifie-fa_"( (ty0." CITY S4C~, STATE,~ZIP ~ !Z3
TELEPHONE # 4-5-l' "99q-`/735-CELL PHONE # FAX #
PROPERTYOWNER cSte-v°-~ TELEPHONE# 3S
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNLSO"1'A RULk:S 7672
(J submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contraclor: Phone #
Plumbing system includes: Water Softener _ Lawn Sprinkler Fee $90.00
_ Water Heater No. of R.I. Baths
No. of Baths
Mechanical Contractor: Phone #
Mechanical system includes: _ Air Conditioning ree: $70.00
_ Heat Recovery 5ystem 2~~?
Sewer/Water Contractor: Phone # ' ~ -
~
13~~~
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 ances.
Signature of Applicant 7v- 2mo
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4l02
OFFICE USE ONLY
? 01 Foundation ? 07 OSplex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt- Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 6ct. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? OS 03-plex ? 11 10-plex -9' 19 Lower Level ? 24 Storm Oamage
? 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
y- 33 Alteration ? 37 Demoiish (Bldg)• ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolition (Entire 81dg only) - Give PCA handout to applicant
Valuation )-tc7L,~,q 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) FinaUC.O.
_ Footings (deck) )t FinaUNo C.O.
_ Footings (addition) ' Plumbing
_ Foundation ~ 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)
~ Insularion _ Retaining Wall
Approved By 8uilding Inspector
Base Fee
Surcharge
~
Plan Review 4,2
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies ~
Other
Total -
CITY USE ONLY
PERMIT RECEIPT DATE:
2002 it£SIDENTIAL MECHANICAL PERMIT ~PPLICATION
CITY OF EAfiAP
3930 PaoT Krroe Rn
EAsnN nuu 55122
651-681-4675
Please complete for: > single family dwellings
townhomes and condos when permits are required for each unit
Date: , Lo ~L--
SITEADDRESS: ( `C w
OWNERNAME: TELEPHONE#:
STANOARD HEATING b AIR CONDITIONIN6 C0.
INSTALLER NAME: 410 WEST LAKE STREET TELEPHONE
MI 55408-2998
612-824-2656
STREET ADDRESS:
CITY: STATE: ZIP:
Place a check mark next [o the permit work type
x Add-on, modification or alteration to existina dwelling unit ~ 30.00
. furnace replacement ~
• air exchanger
• air conditioner
. other SL~ Nature of work: State Surchar e $ .50
TOtal S~
.
aSIGNRE O P ITTEE
1/02
CITY USE ONLY
PERMIT RECEIPT DATE:
APPROVED BY: , INSPECTOR
2002 COM141£RCIAL MECHANICAL PERMTf Af'f'LICATIOIV
Ct1'Y Of E4Hf1N
3$30 PILOT KNOB RD
EASAIV, MN 55182
651-681-4675
Please complete for: all commerciaUindustrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DA't E:
SITE ADDRESS:
OWNER NAME: PHONE -
TENANT NAME (IMPROVEMENTS ONLY):
WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME:
INSTALLER: -
STREET ADDRESS:
CITY: STATE: ZIP:
TELEPHONE
WORK T'YPE: New construction Install U.G. Tank
_ Interior Improvement _ Remove U.G. Tank
_ Processed Piping
SpecifyNature of Work:
When insra!ling/rnmoving underground tank, call 651-681-4675 jor inspection by Fire Marshal and
Plumbing inspector.
Fees: 1% of contract price OR $50.00 minimum fee, whichever is greater.
Underground tank removaVinstallation = minimum fee
Contract price: $ x 1%= $ (Base Fee)
State surchazge calwlate at $.50 for each $1,000 Base Fee
TOTAL $
SIGNATURE OF PERMITTEE
' Updated 1/02
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
NewCanetructbn BeaulremeMe BemotleVReoair Reoulrementa
• 3 registeretl sile surveys showing sq. tt. oi bt, sq. R W house; and g( roofed areas • 2 oopies oi plan
(20%maidmumbtcoverageaibweo) • 1SB10fEnergyCakUl2tbn5f0r hB2t¢detltlfti0n5
. 2 copies of plan showing heam & whdow s¢es; poured lountl design, etc.) • 1 sfte sunrey for exlarior additrons 8 decks
. 1 set of Energy Celculatbns • Indkate H home served by septic system lor ad08bns
. 9 copies ol Tree Presematbn Plan tl lot pletled afler 7/1193
• R'vn,bist Detail Oplbns seleqbn &heet (blCgs wilh 3 or less uni4s)
DATE S- z O-~ Z VALUATION
SITE ADDRESS `7 Sq ~ ~.U Yl A P- I t Qjc2.c.I MULTI-FAMILY BLDG _ Y _ N
TYPE OF WORK FIREPLACE(S) _ 0_ i_ 2
SELA Fi00FING & REMODELING
APPLICANT 4100 EXCELSIOH BLVQ
ST. LOUIS PARK, MN 5541 r
STREETADDRESS i,g..,+;nnn,nan CIN STAiE_ZIP
TELEPHONE # (QLZ-SZ3CELL PHONE # FAX #
PROPERTYOWNER S+"2- TELEPHONE#C4S(-'2RL{-'{`Z3.~
COMPLETE THIS SECTION fOR °NEW11 RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672
(d submission type) • Residentiai Ventilation Category 1 Worksheet Submitled • New Enerpy Cotle Worksheet Submiqed
• 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
Mechankal Conhactor: Phone #
Mechanical system includes: _ Air Conditioning Fee: $70.00
_ Heat Recovery System
Sewer/Water Contractor: Phone # T ~
'(~hAy'-g~-~11llL-
I hereby acknowledge that I have read th(s application, state that the Information is c ct, and agree to c~ply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances. I
SlgnatureofApplicaqf~~ .
, _ .r.__._
. OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
OFFICE USE ONLY
? 01 Foundation ? 07 OSplex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Firepiace ? 21 Porch (3-sea.) ? 31 Ext. Aft - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4sea.) ? 33 Ext. Aft - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Mutti
? 05 03-plex O 11 10-plex ? 19 Lower Level O 24 Storm Damage
? 06 04plex ? 12 12-plex Plbg_Yor_N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndalion) O 45 Fire Repair
? 33 Alteration 0 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire 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 Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (dcck) Final/No C.O.
_ Footings (addition) _ Plumbing
_ Foundation HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By , Building Inspector
-
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Suroharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
_
~ ~
1986 HQILpIBG PEttlUS APPLICATIOH - CITY OF SAG98
AOTE: ALL CONTAAC20B3 MpS? HB LICEN3ED iiI'fH THB CIYY OF EAGAN
SINGL6 FANIILY DWELLING3
fNCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OE SDRYEY, 1 SET OF ENERGY CALCULATIONS
MOLTIPI.E DWELLINGS - gg$mgRTIAL pENTgL UNITS FOE 3ALB UNIT3 .
INCLUDE 2 SETS OF PLANS, CSRTIFICATS OF SpS9BY _ CHECCg iiITH BLDG. lEPT.,
1 SET OF ENERGY CALCULATIONS
caxiMescr.AL
INCLUDE 2 SETS OF ARCHITECTURAL &-STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS, - -
$2p000 LAN?SCAP,E BONpJ~
5 ~ tar•r~~ ~ G~~~
i
To Be Used For: "J? e_- Valuation: U~d ~ Date: 12 - 30- Y6
Site Add~ ss OFFICE DSE ONLY
sr
Lot -I#- Block rect ~ Oecupancy ~
Remodel Zoning
Parcel/Sub F,Q Vr/p f 2~~yr F- il A *atq- Repair Type oF Const fz//'~
Addition 8 of Stories
Owner SU,vl C6 rvSTR.111E)-lp4/ Cii Move Length wr
Demolish Depth -90
9ddress 466~ le,uok 2 2e'.., Int.Impr. _ Sq Ft
City/Zip Code E,4f,p? , ~'l,d ST/ Install
2 L- -
Phone yu - S3 S) 6PPHOVALS FEEg
Contractar SGi+S 6-NS T Co $ssessmentS Permit 3~9
Water/Sewer Sureharge 3 g; 5
Address 76Q( ~e,vck e 244,e Police Plan Review ~
Fire SAC
City/Zip Code C4G,cy yw sf/ZL sngr water conn 45'00
Planner Water Meter 63•50
Phone y) L- Couneil Road Unit g90, 40
~
Hldg Off /2 Treatment P1
Areh./Engr. N2/An1 A's-s TlN',. pPC Parks
Varianee Copies
Addre9s '7464 LCpoAG L4n ' r(M'N,
---1'g-~
City/Zip Code E''4C.Aw /yni FF/Zz-
Ehone # YS2 -
i
MOTE: ADDRESSES FOR CORNER LOTS - CONTRAC70R/HOMEOWNER MQST DESIGNATSIi$ICH ADDB&4S I
IS DESIRED. NO CHANGS3 iIILt, HE ALLON6D ONCE BOILDING PERMIT IS ISSUBD
. . 4 . . . .
' EXTERIOR ENVEIOPE AVERAGE "U" COMFUTATION
01JtIER: ,SOnIS C6 10 572a...eY4 iJ.. 4j~
SITE AQDRESS: _aL/ .FawN- R,Ae I IRSf4'bJ~
CONTRACTOR: S6/~~ C6'pS,7- "~crit, d l,+ DATE: 1_a-3G-A~o _PHONE: `~S~-.S3JT
DETERMINE NORKINC. SOUARE FDOTAGE OF EACH:
TOTAL EXPOSED b7ALL AREA,,,,,,,, & sq ft x"U" 1L . 21~I•3Cn
2. TOTAL ROOf/CEILING AREA I 2 rj¢ sq ft x"U" .026 . 3Z•~ia
3. TDTAI EXPOSED 1JALL ARE.4 CALCULATIONS:
Total exposed wail
area above floor,,,,,,,, sq ft
a) Total wall window area:
qlazed...... I 3 Z sq ft x liull ,~j9 * 7~,8a
qlazed,,,,,, sq ft x"U" ~ 9.2 O
b) Totat Aoor area ,,,,,40 sq ft x"ll" • 2 3 °
c) Total sliding glass door area:
glazed...... 40 sq ft x"U" . Sa ~ 23.Zo
glazed...... sq ft x "U" ~
d) Total fireplace wall area sq ft x"U" ~
e) Total wall framin9 area
(Averaoe 104) . . . . . . . . . sq ft x "tl" . 1 O a i !e , l O
f) Total net wall area above
floor (Insulated)....... 1451 sq ft x"U" • 04 e S.0 4-
g) Tota) rim joist area...... 'L sq ft x"U" . 0'g-
Tota) foundation
Area (Exposed).......... sq ft
h) Total founda[lon
window area............. sq ft x"U" ~
i) Total net foundation
area above 4rade........ sq ft x"U" ~
1 9 't G . I'1o.50
i. TATAL a) thru I)
If Item W3 Is thc same as, or less than item pl, you have met the tntent of •
2 :ti:AR 1.16008 A and 0.
Page 1
.
. •
4. TOTAL EXPOSED~RQOF/CEILING CALCULATIDNS:
Total expo"sed
roof/ceiling area........ 1~~~S4- aQ ft
J) Total skyllaht area....... sq ft x"U" '
k) Total roof/cefllnq fcaming
area (Averaae Iwg)....... 1'~5sq ft x"U" - 3.45
1) Total net insulated roof/cetlinq area....... I~_ sq ft x"U"
4. TOTAL J) thru 1) 3~.55
If total of kh Is the same as, or less than 92, you have met the intent of
2 MCAIt 1.16008 A and 0.
ALTERr1ATE BUILDIfIG ENVELOPE DESIGN
To utilize the total envelope system method, the values established by the sum
of items N3 and !4 shaii not be greater than the sum of (tems NI aed 02.
1. + 2.
+
L E R T I f I C A T I 0 N
1 hereby certffy that I have calculated thp "U" factors and "R"
value5 herein and that the Auildinq here destrlbeA meets or exceeds the State
of Minnesota Enerqy f.onservation Act.
Slqnature
(Date) Page 2
Doy-
' TRI-LAND CO. SITE PLAN FOR:
SURVEYING :
SERVICES SONS CONST.
4655 NICOLS ROAD
EAGAN, MINNESOTA 55122
3p2~ 3 00
2°'
n
4e 930 Yo R 9
21.77 - ~ 2
N 730 00' 45"E;•.........,. ~2• ~ OG \
YP9 1rA0
O
6=88047 1 ~ ir
R=2000 a21xo~ e~i~j '6,$,
31.00 gj,,
~a~ . . -
~ GRG.
:U~ ~ ~ ~ ~ p' NOUS15 //'06 ~
D N N N ~ 43oX~) •CZJO0
~ z
U! ~i m I ~ o~9 >+Z) / q,~3 0
06
yz5,5 0 (9z.s*3j 95 19 ~
S 850 47' 17" E f 1(yz6 0)
Oi ~ L r,; i 3
i
PROPERTY DESCRIPTION
LOT_, BLOCK_, %j\
FAWN RIDGF 2nd ADp?V,
xcordinq fo ths recaded plaf fhereof N
LYaKOTA c«Mr,M~nne=ota SCALE: I"=30'
LEGEND Frg, vF(/ f'1,4N
O DENOTES IRON MONUMENT PROPOSED GARAGE FLOOR ELEVATION= .3ZS
o DENOTES WOOD HUB SET PROPOSED FIRST FLOOR ELEVATION = 9,93, 0
(9Z5'5)DENOTES EXISTING SPOT PROPOSEDBASEMENT FLOOR =
ELEVATION ELEVATION
925*5 DENOTES PROPOSED SPOT
ELEVATION
~ DENOTES DRAINAGE DIRECTION NOTE * VERIFY ALL FLOOR HEIGHTS WITH
FINAL HOUSE PLANS
I hereby cerfity thaf tAis survey,plan or
rsport was preparsd by me or under my ~
direct supervision and that t am a duly Brodley snson, Mn. Req.ldo. I5235
g Reqistered Land Surveyor under the
: Laws of the State of Minnesofa. Date -
PERMIT
CITY`OF EAGAN X-;
3830 PilotKnobRoad PERMITTYPE: BurLolNS
Eagan, Minnesota 55123 Perm it Number: 0 2 0 8 0 7
(612) 681-4675 Date Issued: 0 4/ 3 0/ 9 3
SITE ADDRESS:
4540 WHITETAIL WAY
LOT: 2 BLOCK: 5
FAWN RIDGE 2N0
p.I.N.: 10-25801-020-05
DESCRIPTION:
Buzlding-Permit Type GARAGE/ACCESSORY
Building Wbrk 7ype ADDITION
' Building Length 14
Building Width 26
t -
2' -
REMARKS:
FEE SUMMARY:
VALUATION $6,000
Base Fee $81.00
Surcharge $3.00
7ota1 Fee $84.00
CONTRACTOR: OWNER: - Applicant -
SAILER RAYMOND
4540 WHITETAIL WAY
EAGAN MN
(612)347-5110
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicable 5tate of Mn.
Statutes and City of Eagan Ordinances.
L -
J\ Sc~,:.~z., ~~1& I~01! ~ rJ~J
~APPLICANT/PERMITEE SIGNATURE ISSUED S GNATU19t: (1
REACTqFE ~ R E C E ~~//FE D CITY OF EAGAN
PERMIT # 1993 BUILDING PERMIT APPLICATION ~
` . APR Y 6 1993 681-4675 ~
. ~
~OgO
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date 8p4:1 / os ~ 93 Valuation of work ~ 3j°pc)
Site Address. ` K3 `1 b i.J~,`i ~Jec'i ~ LOA,~
STREET SUITE /
Tenant Name: (commercial only)
IAT 'Q BLOC& S SIISD.
FA,,~ 3d adbn, P.I.D. M
afY
Descri tion of work: (Ae- cudCAi o?)
The applicant is: Owner 0 Contractor ? Other (Deceribe)
Name SA e r~ 2A.~ mov-J ; S~^e-v ~ ti hone ~f5 N- ~tZS 9
Property LAST FIRST
Owner Address L15-yD Wh'l
STREET STE N
City F~cc~c._P1 State M A-) ZiP
Company Sc' rn -e- Phone
Contractor Address License # Exp.
City State ZiP
Company Phone
Architect/
Engineer Name Registration #
Address
City State ZiP
Sewer & water licensed plumber . Processing time far
sewer & water permits is two days once area has been approved.
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 0'rdinances.
Signature of Applicant:
OFFICE USE ONLY . ~
BUILDING PERMIT TYPE . '
? 01 Foundatian ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwg. ? 07 4-Plex 012 Multi. Misc. ? 17 Swim Pool
? 03 SF Addition ? OS 8-Plex 19 13 Garage/Accessory ? 18 Comn./Ind.
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility
? 21 Miscellaneous
WORK TYPE
? 31 New ? 33 Alterati.pns ? 35 Tenant Finish ? 37 Demolish
p 32 Addition ? 34 Repair 1 O 36 Move
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MWCC System
(Allowable) lst F1. sq. ft. City Mater
UBL Occupancy M-/ 2nd F1. sq. ft. PRY Required
Zoning Sq. Ft. total Booster Pump
of Stories Footprint Sq. ft. Fire Sprinkler
Len9th Aq~ On-site well Census Code
Depth On-site sewage SAC Code~
APPROVALS 64,ew~
0
Plannin Building Assessments
Engineering Yariance if- z~ 7 `j3
REGIUIRED INSPECTIONS Cz -70
? Site O Footing ? Framing ? Insulation
? Wallboard O Final ? Draintile ? Fireplace
Permit Fee 43 F~A v,ims;on: g
Surcharge ,o
PlanReview 11
Lia.c^iiac ~/~O
I F 'S2 ~
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC %
SAC Units
2000 Bt1tLDING PERMIT APPLICATION (RESIDENTIAL) ~ I -Ir~
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
New ConthucXOn ReauiremeMs Remodei/Reoalr ReoulremeMs
? 3 replsteieA tlh wrveys alwwinp aq.1l of lot, W. fl. ot house 2 copies o( plan
and aRrooled areas t2D% mmdmum bt coveraae albwetll 1 9et ol energy cdcWaMOns tor heated adch6ons
i 2 copiea of pkm (Show bearn & wlnApw sLzes: pouretl !nd desipn: etc.) t Yfe wNey fa exledor additloro d tlecks
? t $al of enerpy CdcuWllans
D J COpi9s o( hae preservaHan plan it lol plaMetl ofter 7/1/93
~
DATE: CONSTRUCTION COST: ZSC~ • _
DESCRIPTION OF WORK: 13 e-4~ <-'e-
STREET ADDRESS: y~ '7 O L.( } h i~ 4-4-c l,-CJ a-Y
LOT: ~ BIOCK: ~ SUBD./P.I.D. Y: t"Ch-l~)V1
Name: Phone u:(2)S t- 99y- q77~ S
pRQpEgry laaf Fkaf
OWNER
Sheet Address:
CNy &zr c~~ Sfate: Zlp: ~ s~ Z3
11
. Company. sELA ROCFiivi'a & REMOCFIING, inc. P,one r: 6a i Z $13-g-6 L((,,
ST. LOU9u FARK, MINNESOTA 55^.1S (area code)
COMRACTOR
Street Address: ID# 0001060 Ucerise y l6 Exp. 3 3 r- a)
City SfaFe: Zip:
ARCHITECT/
ENGINEER Comparry: Name:
Telephone t: ( )
Shee1 Address: Regishation -
CHy State: Zip:
Sewer/water licensed plumber (it installina sewer/waterl: Phone
1 hereby ockrwwledpe ttat 1 have read Ihis apPlicafbn, state IhaF Iha intomwtion Is corteet, and agrae ko comply wNh aA appACabk Siale
of Minnesola Stahules and Ciy of Eaflan Ordinances.
Signature of ApplicanY.
1
OFFICE USE ONLY
CeRificates of Survey Received _ Yes _ No ' ~T
Tree Preservation Plan Received _ Yes _ No _ Not Required
OFFICE USE ONLY ~
BUILDING PERMIT SUBTYPES
O 01 Foundation ? 07 OS-plex 0 13 16-plex ? 21 Porch (3sea.) ? 31 Ext Alt - Multi
O 02 SF Dwelling ? 06 06-plex 0 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Ait - SF
0 03 01 of _ plex O 09 07-plex ? 18 Deck O 23 Porch (screened) 0 36 MuRi
p 04 02-piex ? 10 08-plex ? 79 Lower Level ? 24 Storm Damage
O 05 03-plex O 11 10-plex aib9 Yor_N O 25 Miscellaneous
O 06 04-plex ? 12 12-plex O 20 Pool O 30 Accessory Bldg.
WORK TYPE
O 31 New O 36 Move Bldg. 0 43 Reroof
? 32 Addition O 37 Demolish (Bldg)" O 44 Siding
O 33 Alteration ? 38 Demolish (Interior) O 45 Fire Repair
0 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors
' Give PCA handout to applicant for demolition permit
GEN@RAL iPIFORii3ATiOP1
SAC Code # of Stories sq. ft.
No. of Units Length sq. ft.
No. of Buitdings W idth Footprint sq. ft.
Const. (Actual) Basement sq. ft. Census Code
(Allowable) Main level sq. ft. MC/ES System
UBC Occupancy sq. ft. City Water
Zoning sq. ft. Booster Pump
PRV
Fire Sprinkiered
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MC/E5 SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded. '
Trails Ded.
Other f
Copies
Totai:
SAC Units
% SAC
i v v -j-
,
T'RI°LAND C0. SITE PLAN F4R:
SURVEYING
SERVICES
SONS C4NST.
' 4655 NICOLS ROAO
EAGAN, MINNESOTA 55122
= new 6~cc,5e ~
. _ J = naw Or:devay ~
. _,i C) '
3~p U
5' ~ ,
~.2~. ~
00 ~1 93oYo Ds C)
` /E~P ?2 ~ G5
' ~ ~IN a 90 0022 \
21.77
2 m ~
N 730 00' 45"E,.
Q pr:.a ~
pG
610
6=88°47
R=20.00
31.00
(9~6cC- \i
~iam'. .GRC7. R(\\
P
` _ . a
70 S//;5~,
~ N N do 930xj~ ~ •
~QO
~tT_~ ~ / O'(92»2i yO
~ O . ~
-
' ~ L n / 26` o
~ . v25,5 ~ ~ / y6° ~9
95.19
(9zsr3~ S 85° 4
7J17'i 1 926Y5 ~
E ~ (92600)
i ~ ~r.,
' ~ ' ~ 3
PR4PERTY DESCRIPTION
LOT_, BI.OCK_,
FaWN Rln(;F ?nd npR
aceordinp fo the rocorded piai ihsroof
~~iSOTA CwrXy, iNinrnesoto
SCALENI"=30'
LEGEND Fgr, vr V F;n,°+
O DENOTES IRON MONUMENT PROPOSED GARAGE FLOOR ELEVATION a 3Z. S
DENOTES WOOD HUB SET PROPOSED FIRST FLOOR ELEVATION ~)33-o
: ~~9zs'S~DENOTES EXISTING SPOT PROPOSED BASEMENT FLOOR =
ELE VATION E LE VATI ON
9Z5`5 DENOTES PROPOSED SPOT
' ELEVATION
~ DENOTES DRAINAGE DIRECTION NOTE ' VERIFY ALL FLOOR HEIGHTS WITH
FINAL HOUSE PLANS
I hereby certity thof tAis survey,plan or
i-,rsport was prepored by me or under my
"!t direct superviaion and that 1 om a duly Brodiey J enson, Mn. Rep. No. 15235
: Reqistered Land Surveyor undsr ths
j~, . Laws of the State of Minnesota Date - /lal99
f • ' ~ 1 f1 ? •
•
•
. CITY OF EAGAN,
AYPLICATION FUR PERNffT SEWII2 ArID/OR VATER CONNECTION - •
P ease Print)
13 PaOPERTY AoDRESSs L5L0 jhite T~~_E$ean-
LFaPi. DE9CTtIpTIat; Fawn Ridge 2nd Addition I.ot 2 Blk 5
. t oc S vision or Tax ParceI.D. Number)
IF EXISTING STRL'C'1S.'F2E, DATE OF ORIGINAL BUILDING PERMIT ISSL~AN('.E:
" , -'MOn Year)
; s PRFSENP 7ANING/PROPOSID USE: R^1 SINGLE FAMILY
• R-2 DL'PLEX ('IWo Lnits)
R-3 '1CX^1NHOt'SE (Three + L~nits) ( Lnits)
R-4 APARTMENf/CODIDOMINIL'M ( Units)
CONA'fERCIAL/RETAIL/OFFICE
~ ; .
IAII.?OSTRIAL
sINSTI'iL'TIONAL/GOVII2NMENT
~y ~2}
NAME: mrr 0],gyn Sona Constructi on .
' r
ADDRESS; 4370 Rahn Road
r n r ; „ . -
CITY,i STA'lE. ZIP: Eagan., Minn 55122
; , . 452 5355
PxorE:
{sz,_:r . - .
~ t For City L'
3) ~ NAN~: R.C. Pltim~bing
Plumbers Lice
rRt. Box 99 L
s ADDRES5: # g" Active
~
ExPired
jNorthf'ield Minn. 55051
~ CI+PY. 5TA'PE. ZIP Cl
NotpCl
.1L
_pgpNE. 461 2096° MASM.LICENSE # 2Wa4
SaTf'Initial
s r,
~
~rt
NANE ° , . Don 01'don
r ~
g ADDRESS. 11370 Rahn Road
~,,n,,~ ~jCITY; STARE; 2IP Eagan, Minn:°55122 .
.
r ~r _pHoNE 1~52 5355`~:.. s
4~~
x . r ~ . . . _ , .
CONWC'PIO+1TO CITX SEWER , It CONBIDCTION 7O CITY WATER
P tyPE~R' (Please Describe)
F
EMBEGA= "y ~ , . . . _ . .
,
PLFASE HOLD APPRC7VID PF~tNLIT FYaR PICK-CP BY ONE OF ABOVE
3 4. ABOV~
M' pLEASE MAIL APPRQVID PERMIT 21
(Circle one)
~ ' l'i.. .r S y . • - .
. N' . . W _ _r ' - . . - y .
-
, a.
,...x.
~
. FOR CITY USE ONLY
. . c~
`~,t,PERMIT # ISSUED '
s
,r . .
z~°Pd w/Bl'dg. Permit FEES:
SEWER PERMIT (INCLUDE SURCHARGE)
('iY . . ~ _ J
WATER PERMIT (INCLUDE SURCHARGE)
WATER METER/COPPERHORN/OC'TSIDE READER'.;
aisc ;
S~'~ $ $ WATER TAP (INCLUDE CORPORATION STO
SEWER TAP -
, %
ACCOUNT DEPOSZT - SEWER
i~ , . . . ..;1,,.
ACCOUNT DEPOSIT WATER
z WAC.
!
/.:S^ SAC
TRLNK WATER ASSESSMENT
Nai . , . - , ; _ . . . ' . : ' ~ ''~i~P.
TRUNK SEWER.. ASSESSMENT
w
LATERAL BENEFIT/TRC'NK~SEWER
LATERAL BENEFIT/TRUNK WATER t ~
Yt 5 ~c• ,'2,.
WATER TREATMENT PLANT SURCHARGE!~ r~.
x
OTHER:
,
3
e7`0 TOTAL
~ L .
76 0
,
kECEipT
rDOES'UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
YES IF YES, THEN A"PERMIT FORWORK WITHIN PUBLIC
ROADWAY" MUST BE ISSUED Sy THE ENGINEERING
• NO DIVISION. LIST AS A CONDITION.
.;"r'SUBJECT TO THE FOLLOWING CbNDIT20NS:
,
APPROVED BY:
' TITLE:
DATE :
, -
:k . +
2004 RESIDENTIAL BUILDING PERNIIT APPLICATION
City Of Eagan a "0 U C~
3830 Pilot Knob Road, Eagan MN 55122
~ (pog `-I Telephone # 651-675-5675 FAX # 651-675-5694
New Consiruction Reauirements RemodelA2eoair Requiremenls Uffxs~ElseddR'
eS
3 registered site surveys showing sq. ft. of lot, sq. N. of house; and all roofed areas 2 cropie.s of plan wT+fsliri~
(20°6 mazimum lot coverage allowo 1 sel of Energy Calculafions for heated addfions TCeePteSPIe9Recd _Y _N2 copies of plan shovring beam & window sizes; poured Found design, elc, . 1 site survey for addtions & decks FEe2 t~s R4~1Git~,l Y mm N
1setofEnergyCalculaGons Addfi'ron - indicatefiorrsrtesepticsystem 01[-site58pUCSyStEm ..:.Y,..,.,N3 copies of Tree Preservation Plan if lot plaited aFter 711193
Rim Joisi Detail Options selection sheet (bidgs wdh 3 or less units
Date r~ /~=•G /~i~"~ Construction Cost ~ 5Do- VII
SiteAddress `wlvY Unit/Ste #
Description of Work eF.P1hC€~E3v'~' \4"~tVh1.S j~ W I V\'Ad W__s
Multi-FamilyBldg _ Y iC N Fl'replue(s) _ 0_ 1 _ 2
Property Owner Sl n t~'Z Telephone # ( )
Contractor V~r-E.ChI P-kTEQSoP S
Address 4?1AC K31i;2G PA'rH CitY
State 1,0t3 Zip hVJ Telephone SI ) 4 Sb - O o'v`M
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Warksheet • New Energy Code Worksheet
(J su6mission type) Submitled Submitted
. Energy Envelope Calculations Submiked
Nave you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
licensed Plumber Telephone )
Mechanical Contractor Telephone # ( )
Sewer/Water Confractor Telephone ~
ccurate;
I hereby apply for a Residential Building Permit and acknowledge that the info ation is complete an
that the work will be in conformance with the ordinances and codes of the Cit 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
pertnit; that the work will be in accordance with the approved plan in the case o£work wluch requires a review and
ap o~ l of plans.
Appli an Printed Name Appli nt' ignature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwellfng ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea. ) ? 31 Ext. Alt- Multi
? 03 07 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Ak - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_vor_N ? 25 Miscellaneous
Work Types
? 31 New ? 35 fnt Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Adddion ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire 81dg) -Give PCA handout to applicaM
Valuation Occupancy MCES System
Census Code Zoning City Water
SAC Un"its Staries Boaster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Canst Width
REQUIItED INSPECTIONS
_ Footings (new bldg) _ Final/C.O.
_ Footings (deck) _ FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Dcain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tes[s Final
_ Framing _ Siding _ Stucco _ Stone _ Brick
_ Fireplace _ R.I. _ AirTest _ Final _ Windows
_ Insulation _ Retaining Wall
Approved By: , Building Inspector
Base Fee ^
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Totai
Use BLUE or BLACK Ink
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
I For Office Use I
Permit I?1 0 I
non
City of EaRd I v s~
I Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff:
I I
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit
a Name: E 0 G Phone: 1-t2 5
Resident/ /~j
Owner Address / City / Zip: L/(~
g
Applicant is: Owner Contractor
. ~ M
Type of Work Description of work:
Construction Cost: < Multi-Family Building: (Yes /No
Company: l~Y''\ V/ S Contact/ 1 1 I
O/~ rye
Contractor I Address: hS LCity:
State: Zip: -5?215 / Phone: (0 /C)
License A C 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 maybe 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 Eluildinq)Code must be completed wi in 180
days of permit issuan
x ~ I ' l ~ rrc
X ,
Applicant's Printed Na a Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA150667
Date Issued:07/18/2018
Permit Category:ePermit
Site Address: 4540 Whitetail Way
Lot:2 Block: 5 Addition: Fawn Ridge 2nd
PID:10-25801-05-020
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
John S Ross
4540 Whitetail Way
Eagan MN 55123
(952) 260-6568
Perfect Exteriors Of Mn Inc
516 Pine St
PO Box 297
Monticello MN 55362
(763) 271-8700
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA151397
Date Issued:08/22/2018
Permit Category:ePermit
Site Address: 4540 Whitetail Way
Lot:2 Block: 5 Addition: Fawn Ridge 2nd
PID:10-25801-05-020
Use:
Description:
Sub Type:Siding & Windows/Doors
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of house wrap and leave on site for 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: 8,000.00
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 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 -
John S Ross
4540 Whitetail Way
Eagan MN 55123
Applicant/Permitee: Signature Issued By: Signature