4709 White Oak Ct
I CITY OF EAGAN" SEWER SERVICE PERMIT !
I
+ 3630 Pibt Knob Road 9790
P.O. Box 21199 PEAMIT NO.:
Eagan, MN 551$1 DATE: b-14-87
Zoning: RI No. of Unita
.ering Canst.
L~
Owner.
i
Address:
Site Address: ,04709 White dak Court L6 B2 Oak Cliff IV '
Plumber. Thompson Plumbing
3-12-87 71461 100.00pd
1 prN to wmpir wMh ihe Clty o1 Eagen Connectlon Charge; 515 OLlpd
Ordlnances. AccouM Deposit: 3..r. Afi]Pd ,
Permlt Fee: 1LL 40vd '
~ Surcharge: . SOpd
gy Mlsc. Charges: ~
Date of Insp.: Total:
Insp.: Dsts Paid: ;
I CITY OF EAGAN Permit No: l8, y2 9 I~ Date: 4-14 - S 7 ~
3830 Plioi Knob Roed Meter No: Size: 5 i
7. r 3• BoX`Z»" Reader No: 3 Date:
iyar, MN 55121
Owner. Klfering Const. ~
SiteAddress: 4709 White Dak Court I,0 B2 Oak Cliff IV
Plumber Thonnson !'Iumbinp ,
Conn. Chg: 525. 0 . c' 1069;
Acct Dep: 15. l1opd
Permit Fee: I0.00 n r 11 OC~4~(;A~~ I
Surcharge: • 50 9910 ~~~ilee"'to co wRh Clty ot Eagan
; Tr. Plant 18~.OQ ~ py~ ;
67
Meter.
1 Misc.: 8 I
~ WATER SERVICE PERMIT ~
.
3830 Pilot Knob Rosd P O. Box 2G-A1 8, Esgan, MN 55121 ,y 2 13313
• ~ ,
PHONE 454-8100 ,
BUILDING PERMIT Receipt #
To be usedror SF D6iG/GAR Est Value =139,000 Date ~"URCH 6 19 87
Site Address 4709 WHITE OAK CT Erect 43 Occupancy R3
lot 6 Block 2 Sec/Sub. OAK CLIFF 4'fH Remodel O Zonlna k1
ParCel R0. Aepair ? Type pt Const V
<'Addition ? No. Stories
a CLFEk1NG CONST `~Move 0 Length . 70
Name
= 633d CARI.SOH DR Demolish ? Depth 44
; Address Int ImPr? SQFt
0 City EDEN PR*AW 934-5555 _ Install O
= o Name SAME Approvab Fws
Oa Address Assessment Permit $ 620.50
~ city Phone Water 8 Sew. Surcharge by •50
Police Plan Review 310.25
~ W Na~ Fire SAC 625.00
Address Eng. Water Conn. S25.00
g W City Phone Planner Water Meter 67•00
Council Road Unn 305.00
1 hereby acknowledge Mat I have read this application and state thatthe B~dg. Off. Tr. PI. 18(1. 0(i
information is correct and agree to comply with all applicable State ot
Minnesote Statutes and Ciry oi Eagan Ordinances. APC Psrks
` r.
Signature of Permittee Var. Date Co
~'t pi O .
TOtal '
A Building Permit is issued to: ELFERINC CONS~--- on the express conditlon that
all work shall be done in accordance with all applicable State of Minnesoffi Stahtes end City oi Eagan Ordfnances.
Building Official '
_ - -
' P~nnM Na PrrmM Molder DaM TNopAonw N
Plumhlp0 ~%-!'i ' ' ~~,,L• i J ~~f ~
M.V.A.C. • ~ _
Sallon..
In~p~cYon DtM leap. Conrn«Ns
F°°aW i P l.~,B
FoouW n
FoundaNon
Fnming -:7- --7 6 A. Ncu4 h"dc r,~,
R°°""y G~c.tx G :pi~- /s .~?~•?~T
nougn Plnv. 7l,~/.f7 -F 7- pP
Rouo HW N G Y s9 ? ~sd
Flnpl~c~
Final MIO. f~
Fkat nft
Sldv. FYuI
c«+. oa. T-v - ,7 - AO
~i Dock Fty.
' Doek Frnq.
YIfNI
P?. Dlsp. -
J
PERMIT0
MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN t
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE
CONTRACT PRf E: PHO • 454-8100 ;
` Site Address BLDG. TypE WORK DESCRIPTION
Lot Block - Sec/Sub
;
Res. ~ New
@ Narfie Mult Add-on
~ Address /:~-t-'t- Comm. Repair
c City E l<1. i i i i ~ Phone 'r (L
Other
Name , pEES
c Address RES. HVAC 0-100 M BTU -$24.00
p City Phone ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
` TYPE OF WORK AQDITIONAL 6 M BTU - 6.00
~ rn GAS OUTLETS - 1.50 Ea.
Forced Air M BTU _ ' COMM/IND FEE - 196 OF CONTRACT FEE
i Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00
Unit Heater M BTU MINIMUM - COMM/IND FEE • - 20.00
Air Cond. ~M BTU STATE SURCHARGE PER PERMIT - .50
CFM (ADD $.50 S/C IF PERMIT PRICE GOES
Vent
BEYOND $1,000.00)
Gas Piping Outlets #
Other
FEE
s/C. e? t) SIGNATURE OF PERMITTEE
TOTAL '
~ FOR: CITY OF EAGAN ~
• PERMIT #
, . PLUMBING PERMIT RECEIPT N
CITY OF EAGAN
3930 PIIOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: PHONE: 454-8100
Site Address " ~L BLDG. TYPE WORK DESCRIPTION
Lot~ lock ec/Sub Res. v New a
~ Mult. Add-on
m Narrie Comm. Repair
~ Address ~ ~ ~ Other
c City Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
Name • -r' • ~ - Water Closet - $3.00 ~
_Z Bath Tubs - $3.00 "
c Address Lavatory - $3.00
3 ~
p City
Phone ~ • -'S _ ~,__~Shower - $3.00 -
' Kitchen Sink - $3.00
FEES Urinal/Bidet - $3.00
COMM/IND FEE - 1% OF CONTRACT FEE ~ Laundry Tray -$3.00
APT. BLDGS - COMM RATE APPLIES ~ Floor Drains -$1 50 '
i'OWNMOUSE &-CONDO - RES. RATE APPLIES ~ Water Heater -_$1.50
MINIMUM - RESIDENTIAL FEE - $12.00 Whiripool - $3.00
MINIMUM - COMM/IND FEE -$20.00 ~ Gas Piping Outlets -$1.50
STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIn
(ADD $.50 S/C IF PERMIT PRICE GOES SoRener -$5.00
BEYOND $1,000.00) Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
SIGNATURE OF PERMITTEE FEE: ~
STATE S/C:
FOR CITY OF EAGAN GRAND TOTAL:
~ cinr oF E?GAN N° 13 313
3830 Pibt Knob R o ad, P. O. B o x 21-1 9 9, E a g a n, M N 5 5 1 2 1
PHONE: 454-8100 .716~/
BUILDING PERMIT Receipt ~ /
To be used tor S F DWG / GAR Est val ue ~ 13 9, 000 Date MARCH 6 87
Site Addreas 4709 WHITE OAK CT Erect 17 Occupancy R3
Lot 6 Block Z Sec/Sub. OAK CLIFF 4TH Remodel ? Zoning Rl
Parcel No. Repair ? Type of Const 19
Addition ? No. Stories
W Name ELFERING CONST Move ? Length 70
6338 CARLSON DR Demolish ? Depth 44
0 Address Int Impr. ? Sq. Ft
cih, EDEN PRK M 934-5555 Install ?
o Name SAME App?ovab Fe4m
e¢ Address Assessment Permit $ 620. 50
0
~ City Phone Water & Sew. Surcharge 69.5
5
~ Q Police Plan Review 310.2
~ = Name Fire SAC 625.00
0
50 Address Eng. Water Conn. 525.0
i W City Phone Planner Water Meter b 7. 00
Council Road Unit 305.00
I hereby acknowledge that I have read this application and state that the gldg. Off. Tr. PI. 180 . 00
informatian is correct nd agrelig comply with all appli ble Sfate of
Minnesota Statutes an o Orlinan esi APC Parks
Signature of Permitt ~Var. Date Copiea
Total $2, 702. 25
A Buflding Permit is issued to: ELFERING CON on the express condition that
all work shall be done in accordance with all a State of Minne Stahi and City of Eagan Ordinances.
Buildfng Ofliclal
(9rr#ifirate uf Mrrupanry
. titp of eagari
]Bpw:wPltf Df lltmq jt1B}1PtftDlt
This Cerlificate issued pursuanl w the requirernents of Section 306 of [he Uniform Building
Code certifying that at the time of issuance this structure was in compliance wrth t/re various
ordinances of the City reguladng building conscruction os use. For the following.• ~
ux a.m6caaon Si 5C/W
eft. ptrm;t No. ?33 I3 O-P&-Y TW R3 Zmins Muict r: l CorAt r
kS.F"~'RI[~G OCX~`r ~ 6~3$ C.A,KI..S~+ LIiIVr, ~'Ltil~•; F~2.~IFCv~ ~
awWifkg naa=, 4700, WTM AAK (X)lJ'' L-fity If , 82, 0AK = 47H
D..: .TiJW 4, 1937
eulldmg officw
POST IN A COIVSJy1GU0U5 PLACE
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LEGAL- pE- SGRIPTION
p~oz a ~OT(s; 3l~OCK~A~Gl = 4Ya` ADO:TIp.v 2a'
~C_ v1T1~ U,~~.~u~'~rVi ?i~!~.~ .v ''.J'..1:~! /~~O, Q C Q :
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BY 1 ~Y~HX nsr•
'~7- iY
s ITE P! AN:~
'
~A~ L ~ 1 y •cau
~os Ho.
BUILDING INSPECTIO S DEPT. 9s;Z ~
• •w~er FTT7
E e rjac
nstru`1Iction Inc.
~ DE8I~C9
NOBS]61 B U f L D
oc •w~are
re
d:~C._AF77 1fiAA CfrawhnrYV H~11 R..s.l elt,.,. A,iN SFnnt
1987 BOILDING PERMTI APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
IFCLODE 2 SETS OF PL9NS, 3 CERTIFZCATFS OF SIIHVEY, 1 SET OF ENERGY C9LCOLATIOHS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MDST DESIG6AYE WHICH ADDRESS
IS DESIRED. NO CEANGES WILL BE 9LLOiiED ONCE BDILDING PERMIT IS ISSQED.
MOLTIPLE DWELLINGS - RFSIDENTIAL RENTAL i1NITS FOR SALE IIHITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SQRVEY - CHECB ffITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COPAERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
/ l39,000
To Be Used For:,/yUky Valuation: Date:
Site Address y 709 O~ OFFICE USE ONLY
Lot ~ Block On Site Sewage_ Occupancy F 3
MWCC System ? Zoning K•~
Parcel/Sub / On Site Well Type of Const
City Water \Z (Actual) ~
Owner (Allowable) SG
' # of Stories
Address Length '10
Depth 44
City/Zip Code SS3y S.F. Total
Footprint S.F.
Phone 9PPROVALS FEFS
Contractor Assessments Permit
Water/Sewer Sureharge loq. 5=
Address Police Plan Review 3I o.zs
Fire SAC, City IP,7.
City/Zip Code Engr SAC, MWCC SZ S•
Planner Water Conn S?5Phone Couneil Water Meter (0'1.
Bldg Off Road Unit '50 5.
Arch./Engr.~ APC Treatment Pl I~30.
Variance Parks
Address Copies
TOTAL 0a. a S -
City/Zip Code
Phone Ik
I4 ~34-^' 4~ co J~ Z~1 C~oB
7-b`= 22 4 K S:-b r Z~i~( Z
~ 2 x 2¢ , 2a8 I~ 70 ¢
20 ~C Z¢ V~8 ~ x c 2~ 57(60
22
,`1~~
t~, = Z z~ x~4 = q gs~
~ = l 3~s2
22 ' ~°cb
t ~gi~~
Hed'lund Engineering Services 920IEasrBloaMrqronFr..way
e+o«mMaron, wwama 55420
Lon/ Surveron Clvll Enyfneers Land Plannen GAOne: 888-0289
~ srtmqvrtl
s G'ealf "tcate
- - BOOK 9 ~ PAGE ~
- ~ JOB N0. 197 R- 107
SUWVEY FOR: Elfering Construction
GESCRIBED AS: Lot 6, Block 2, OAK CLIFF 4TH ADDITION, City of Eagan,
Dakota County, Minnesota, and reserving easements of
record, ~
N89°38P2f . ~
2-L6- /so . o o p
LA i ~ 94T-7
Sr - ~ - -15 n
~
N I C
r 0
z I
I iJ 6J
5~• A in
52\~ 1 440 ~
M ~
I ~
~10 OE~µ ~ ~ ~ ^ N
S Icjl57.2
' b \ I~ ~ 3Z 6
\ 95J A
G P
r%
7 ? ~
~ PR250s
. \ ~~o ' 1'1.°1g3 a Ij• G ~ ~7/"
C \ 0,1D ".r IZLm ~ cn
35 o\ d 5
~ \ J4• ~ 1 p~ O
sd~ro „ ~P~~ b ~959.8
• 5 o Soop,• 2LB 4
TOP OF FOUNDATION = 9bo.2
GARAGE FLOOR = 959.8 ;
BASEIlEIVT FLOOR = 95 2. I ~ 957.9 `Q~09
SEWER SERVICE ELEV. = N/n _P/IIHITE
PROPOSED ELEVATIONS 9512 EXISTING ELEVATIONS iN~M9 q,g2 QAK .
DRAINAGE DIRECTIONS : --s RiM°958.OCOURT
DENOTES LOT CORNERS : O ~
DENOTES OFFSET STAKE: p •
reoTIFIGATE OF SURVEY
I Mre" certifr fDOt on 3/¢/87 . I wrveye0 the property Gscriped obov and thot .
tAt oeove plot is o correct npretentotion of soid surver. '
. ~-1- ?J . 'o~~~
Jeffr y. L dqren, Licens No.14376
pREJUOR QIY0.0PE TNERMAI TRANSMT7TANCE PAGE 1
• , .
' STANWIRD VORKSHEET ' .
. Stte Addrcss 4709 WHITE osuc co Ezr Ownsr HEN r^^rII-EY
! Contractorz~~a~/?O pryona 934-5555 pete 3/5/87
Butldln9 Typa (chack ona) Da ON and TWO FamilY a+a111ng j_1 Other
Assembly (Oeseribe tyW frcm Table 3 or Ana (A) U-Yalw U x A
show caleulattons on Pa e 2 Ft
Insulated Aree 40 / . Q ~ • ~ .
. Fremin Area 2 • d2 7 4.03
~ Sk lt hts
° O Z D
-
~ Other descrlhe 4 S ,02 5
u Other descMbe
1 Totals 36,
2 Arera e U-Valve UxA A from Line 1 Z7
*~tf,? t~+++*
3 R ulred U-Value from text
Insulated Ar_a 3 • ~ ~ h
Frarain Aree 4~ 4- l4 ' U 32,55
, Nlndaws T e < / 9 1~
ooors T e 7 o • o
Rtm Jo1st Area -3 2~ 4p
fire lace Nall lWi~G~/ecY J~~ -
= Foundatian Wall above rade . ~
d .
o Foundation Hinda+s T e INOIA44 IPJ
Other descrlbe
Other descrihe ~
Otlier descrtbe '
4 TOtats
5 Avero e U-Yalue, UxA / A fran Line 4
6 R lred U-Vatue fram text
If Line 2 1s greater than Line 3, or Line 5 greater than Ltne 6, complete tha
follavin to determtn alternaNve U-Value far total extertor emelo .
~ 7 Area (Ltne 1) + llrea (L1ne 4). • ' %
~ 8' UxA (L1ne i) . uxa(tine a), . + •
m ,~y~,~a,?
0 9 Area (L1ne i) x U-Yalue.'(Line 3) _ x
~ 10 Area (Line 4) x U-Yalue (l/ne 6) _ x
W
Il °Budget', Line 9+ Line 10
Y
~ 12 Alternatlve U-Value. Line 11/Ltar 7
If Line 8 1s greater than Line 17. al'er assembites as r_quircd so Line 8
does not axteed Line 11.
\ 4
~7,402O461 .
ASSEfIBLY ASSEMB Y I
6YP Bd 5/3" .56 IIJSULATIO^! F.G $11 27-63
12" 44.0 $OFT'•!OOn
Silsulation' 25/32" -
SIDING 2"AVE .75
I"ITERIOR F-UALUE • INTERIOR F-VALUE '6
ASSFMBLY U-VALUE .021 ASSEMBLY U-VAt-UE .03
,
,
~
r
GYP Bd 5/8.56
. ;
SOFT4!00b 4 i;5 f'0
. 3112" 4.33 , rp 3
i
1 "u 1.E6't:30f1' ~ . 3.51, n
. -,68 -
7NTFRTOR -
R - 6 .17
.027 SLUE
.T3~
E^JT€R ON PAGE 1
A-SrFMRI M TE - . '
GYP Bd
:';•:Sql'id-•wo..oa~; ' FIR€R6LAS5 1 2" 19 " ~
4.5 SHTG 25/32" - 2.06 .
• .12
SIDItIG '
TA S 23.23
EMBL U-VALUE .04 ASSEMBLY U-VALUE PAGE 1 .40
FNTFR
WALL FRAMINC Q
.
Gyp gd 11211 .4 DO
SOFTWOOD ' 1/2n 6.88
SIiTG 25 32 2.06
H. WRAP 19
, .
SIDING?~' 1 2" INTERIOR F-VALUE
- .17
TQT
l
~
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CI1'Y OF EAGAN
3830 PII.OT KNOB RD - 55122
(651) 681-4675 qp
New Construction Raquirements RemodeVReoair Reauirements C 1 1
? 3 registered site surveys ? 2 topies of plan
? 2 copies of plans (inGude beam & window sizes, poured fnd. Aesign; etc.) ? 7 site suneys (exterior add'Aions 8 tledcs)
? 7 enargy wlculations ? 1 energy wlculations for heated additions
? 3 copias of trea preservation plan if lot platted after 7!1/93 -
required: _ Yas _ No
DATE: CONSrRUCT10N COST: Z~~ ~ Z 3
DESCRIPTION OF WORK: ADL71 4 Idrx
STREET ADDRESS: l 7~I /ft , TC ~l CDtI~'L •I-
LOT: (o BLOCK: SUBD./P.1.0. C) DJL
Name: 3617~ Phone#: (JSI-~y~65"7
~
PROPERTY Last ~rst
OWNER
Street Address: 7 0 L?9/ ^ d/'¢C C 0 dkr f
Ciry 9472yr.l State: IV1 Zip: ~S/2 Z
.
Company:~~_~ .~}'C ( O/?C % ~f?'~L Phone f 7~6
CONTRACTOR
Street 7s: License # Exp.
City State: Zip:
ARCHITECT/ / `ENGINEER Company: G
~ OCc./~p'y~~ ~ Phone
Name: Registration
Street Address:
Ciry Stare: Zip:
Sewer 8 water licensed plumber (new construction only): Penalty applies when address
change and lot change is requested once permit is issued.
I hereby acknowledge that I have read this application, state that the informatio ' corcect, and agre o co y with all applicable
State of Minnesota Statutes and City of Eagan Ordinances. ~
Signature of Applicant:
OFFICE USE ONLY FEB ] 5 i999
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation 0 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool
X 03 SF Addition ? 08 8-plex ? 13 GarageJAccessory ? 20 Public Facility
? 04 SF Porch ? 09 12-plex O 14 Fireplace ? 21 Miscellaneous
O 05 SF Misc. ? 10 _-plex ? 15 Deck
WORK TYPE
~f 31 fVew ? 33 Alterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) S' ~ Basement sq. ft. Census Code
(Allowable) S•~ Main level sq. ft. 22 SAC Code oL
UBC Occupancy 9-3 sq. ft. Census Units I
Zoning sq. ft. Census Bldg p
# of Stories - sq. ft. MC/ES System
Length !(o sq. ft. City Water
Width I~ Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS Planning Building l~ Engineering Variance
l)
Permit Fee Valuation: $ I Z~~ fi
Surcharge
Plan Review I LI I I
License 2•L~ XS[.~ _ ~ Z~ p~ Co
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies .
Total: 31''~ ~b
% SAC
SAC Units
' u
MNcheck COMPLIPANCE REPORT
Minnesota Energy Code Permit #
Nfi'check Software Version 3.0
Checked by/Date
COUNTY: Dakota
STATE: Minnesota
20NE:'2
CONSTRUCTION :YPE: Sir.gle Family
DATE: 2-10-1999
DATE OF PLA.uS: 1-5-99
PROJECT INFOR^4ATION:
LEWZS, JOFiN @ BETTY
COMPANY INFORMP.TION:
SNERJAC
COMPLIANCE: PASSES
Required liA = 87
Youz Home - 77
11.0t Bettez Than Code
P.rea or Cavity Ccnt. Glaaing/Door
Perimeter R-Value R-Value U-Value
^
CEILIVGS: Raised Tr•aea 256 44.0 44.0
WAiLS: Wood Frame, 16" O.C. 536 :9.0 19.0
GLAZING: Windowe or poors, Above Grade 136 0.350
GLAZING: Skylighta ' 6 0.550
FLOORS: Cver Outside Air 224 43.0 0.0
COMPLIANCE STATEMENT: Tne propceed building design deacribed here ie
consister.t w:th t:e building plans, specificationa, and othar calculatioas
submitted with the permit anpiicatior.. The pronosed building has been
designed to meet the requiremer.ts of tne M'_naeeota Enargy Code.
I
Builde=/Designer Date
i~-~ 0039'7
~ 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) ~Xrmd ?o9. Z5 3830 PILOT KN B RD - 55122 016•`5
851-881-4874
+a~c a i 5.zs
riaw f:onsiiucfian Rawirertania
D 3 IYQIf1YlYtl tlft WNiYS fhOWIfIQ tq fl 01101, W. IL Of hdW 2 CCWYf Of WQ1
anC 21 rooted aroat (Z0% maxlmum lot coveroae allowedi t Wt af wwrpy CaladaMOns ta hwW aCdMOM
D Z eoPlat of Waru ftAOw baan d wlntlow tixes; Pa+Ktl h,4 tlaslyn; aM.) 1 tlte wrvay for axW Aa additlorq 8 Wtb
> 1 Wt of arwrpy caladaMOns D J copiat d haa prowrvatlon plm H Id plaMad afpr 7/1/93
DATE: 01~)-I I-OO coNsmucnoN cosr:
DESCRIPfION OF WORK: 'I'eDl-r cg CU1C1 Ye- fCYC- ~0 15e Q-nd
/1 ~
SiREET ADDRESS: "7-I U4 W Y11 +e CaK CaW'+
LOT: ~ BLOCK: ~ SUBD./P.I.D.IKAt rIlti' u}h
Name: LeWIS _1(*l+', Phonee: ~nSl-~~-~0523
PROPERTY Lee Flnr
OWNER SheetAddreaa: 4-I0q Ld)I"11'~e CaK ffi.IV+
CMy ~CC1C3a.Y1 State: M n' Lp: ~~5QQ
ComPanY mIC1ue5~ 0FdC1X T'1'YlWOC)F' Phone#: ~xm- 1149
(area eode)
CONTRACTOR
Sheef Addtesx ZI Ls M. (ZIVPw ei(iC7P. C1yde. LlCenae iwl4133(° Exp
City gl.L'f'1SVI (1 e State: IU(1- Lp: 5533-7
ARCHITECT/
ENGINEER Company: Name:
Telephona C ( )
Sheet Address: Regishatlon If:
' CMy Stafe: np:
Sewer/water licensed plumber (H Inafallfna sewer/wuterl: Phone p:
I hereby acknowledye ihat I have read Mb applkafbn, dafe ttwl the iMomwibn b carecf, and apree to comply wflh a1 appYcable Sfade
of Minnewfa Stalutes cnd Cily of Eapan Ordinancea.
Siqrwlure of Applicant
~ ii ~
OFFICE USE ONLY AUG 16 2000
Certiflcates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes No _ Not.Required
OFFtCE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 Foundation O 07 OSplex O 13 16-plex p 27 Porch (3sea.) O 31 Ext Alt - Multl
O 02 SF DwelOng ? OB 06-plex p 17 Garege 0 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
O 03 01 of _ plex p 09 07-plex ? 18 Deck O 23 Poroh (screened) ? 36 MuIU
0 04 02-plex ? 10 08-plex p 19 Lower Levei ? 24 Stortn Damage
O 05 03-plex 0 .11 10-plex Plbp _Va_N 0 25 Miscellaneous
O 06 04-plex O 12 12-plex O 20 Pool O 30 Accessory BkJg. WORK TYPE
O 31 New O 38 Move Bldg. p 43 Reroof
O 32 Addition O 37 Demolish (Bldg)' O 44 Siding
13 33 Alteration O 38 Demolish (Interior) 13 45 Fire Repair
O 34 Repair O 42 Demolish (FoundaGon) O 46 Windows/Doors
• Give PCA handout to applicant for demoliUon permit
GENERAL INFORMATION
SAC Code # of Stories sq. ft.
No. of Units Length sq. ft.
No. of Buildings Width Footprint sq. ft.
Const. (Actual) Basement sq. ft. Census Code
(Allowable) Main level sq. ft. MC/ES System
UBC Occupanq sq. ft. City Water
Zoning sq. ft. Booster Pump
PRV
Fire Sprinklered
MISCELLANEOUS INSPECTIONS
O Stucco/Stone
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $
Surcharge '
Plan Review i
License ,
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI. .
Park Ded.
Trails Ded.
Other
Copies
Total:
. SAC Units
% SAC
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* W
' C I T Y O F E A A f~ *F *M~' PAYM~Nf OF FFE AT TIME OE' ;
* APPI.ICATION DOFS NC7f OabTIN1E *
* APPROVAL OF PERMIT. *
APPLICATION FOR PERMIT * *
. ~ nNsrncriota oF sOM r,em/ox MzM *
TTISTATSATTONS WII.L PX)T BE $C]IID-
SEWER AND/OR WATER CONNECTION ~ULED LINTu PMMT HAS BEEN '
.
~ tPrxavm. •
* .
* »
. *
»
P ease P/^r~int /
1) PROPERTY ADDRESS: I I ( ( .I.{.~
LEGAL DESCRIPTION:
Lot Block Subdivision or Tax Parcel ID )
IF E7QSTING STRCCi[JRE, DATE OF ORIGINAL BLZLDIM PERMIT ZSSL'ANCE: '
PRFSENP 7ANING/PROPOSID USE: (Nbn Yeaz
q COA'A7ERCIAL/REfAII,/OFFICE ~ R-1 SINGLE FAMILY
r7 IAIDC'STRIAL Q R-2 DOPLEX (T4,o Onits)
~ INSTIZ[JTZONAL/GOVfI2NmENI' ~ R-3 Zl7WDII-IOOSE (Three + Units) ( Cfiits)
. E] R-4 APARTMENf/COfIDUMINICT7 ( Units )
2' ~ NAME: k) U PAI h6
ADDRFSS:
CITY, STATE, 22P:
PHONE: SS
• 3) • ~ME. For City Use
Plimibers License:
ADDRESS: 22 Active
bcpired
~ CITSt, STATE, ZIP: Not recorded
PHOrE: - ~j MAS'IERR LICE[vsE# ~ gta~~itial
4) • i5•
42-
ADDRESS: '
CITY, STATE, ZIP:
PHONE: •
'S) r. • : o • s~ - a~
CONMCPION T0~ CI'TY SEWII2 Irl9 Cp~,TION TO CITY WATII2 ~ OTHER .
6) " • PLEASE HOLD APPROVID PERMIT FC)R PICK-C~P BY ONE OF ABOVE
f:71 PLEASE MAII, ApPROt7ID PERMIT TO 1, 2,~ 4. ABOVE
7~
(Circle one)
» ~ -1^
• ~ Y' 1" ~ ~ ~ I' ? IJi• D Y71• • ' • • J• • ~ ~
i' • 1?~ M' . •,N?~ • 1 1 1 71' ~ JI' ' ~ " r .
FOR CITY USE ONLY
PERMIT # ISSUED •
G> .
L 7
Pd w/Bldg. Permit FEES:
$ $ ~jf,i -5-Z) SEWER PERMIT (INCLUDE SCRCHARGE)
$ $ /0•-5'D WATER PERMIT (INCLUDE SURCHARGE)
$ $ WATER METER/COPPERHORN/OL'TSIDE READER
$ $ WATER TAP (INCLC'DE CORPORATION STOP)
$ $ SEWER TAP
ACCOUNT DEPOSIT - SEWER
$ $ ACCOLjNT DEPOSIT - WATER
$ $ WAC
$ $ sAc
$ $ TRUNK WATER ASSESSMENT
$ $ TFUNK SEWER ASSESSMENT
$ $ ` LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TR[)NK WATER
$ $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ TOTAL
7R7 Z7
RF,.('F.TP'I` RF('_FTnT-$
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
~ YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLZC
Q ROADWAY" MUST BE ISSLED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CpNDITIONS:
APPROVED BY:
TITLE:
DATE :
~ PERMIT
City of Eagan Permit Type: Building
3830 PILOT KNOB RD Permit Number: EA034565
EAGAN, MN 55122 Date Issued: 03/16/1999
(651) 681-4675
Site Address:
4709 W HITE OAK CT
Lot: 0006 Block: 0002 Addition: OAK CLIFF 4TH
10-535-53-06-002
Description
Sub Type: Porch/Addn.(4-season) ~1 itibi-RCCcupancy:
Work TYpe: New ~ Cons[ruction Type:
Description: 14' X 16' Zoning: ~
~
Census Code: pddi[ion/Bsmt fin/Decks/Porch ~~ore Fe~[~t~.~
~
~U
~
~
t~
RCR?i1TkSL PLANRb'VIEWEDBYCRAfGNOVAr7.VK.
SEPERATE PERMIT REQUIRED FOR ANY PLUMBINGWORK.
CALL (612) 445-2840 REGARDING ELECTRICAL PERMIT AND INSPECTIONS.
Fee Summary: State Surcharge 6.50
Valuation: $13,000.00 Plan Review 145.11
Base Fee 223.25
$374.86
IContractor. . - Applicant - OWner:
ENERJAC CONST INC St Lic.: JOHN LEWIS
1688 STRAWBERRY HILL RD 4709 WHITE OAK CT
, AFTON, MN 550010000
, 6124368517 EAGAN, MN 551220000
~
1 hereby acknowledge tha[ 1 have read this application and state [hat [he informa[ion is wrtect and agree to comply with all
applicable State of Minnesota Statutes and Ciry of n Ordinances.
` l
ApplicandPermi[ee: Signature sued By: Signazure
Use BLUE or BLACK Ink
r---------------- i
I For Office Use
City n Permit of Eq,
'
I _ Q U.~ I
I
3830 Pilot Knob Road 1 Permit Fee: lL
Eagan MN 55122 I / I
Phone: (651) 675-5675 Date Received: / 3l 3 j
Fax: (651) 675-5694 1 1
1 Staff:i 1
L ------,/-----------1
2013 MECHANICAL PERMIT APPLICATION
❑ Please submit two (2) sets of plans with all commercial applications.
Date: le -I 2> Site Address:
Tenant: Suite
Name:/ O k y Le-w I S Phone: t5 I- 350-
Address Resident/Owner Q
/ City / Zip: 4'709 LJ 0'4 le G•
Name: ` ice" 7 <<b License
Address: P, 0, 13W -7 City: L I+k/W ► I I e
Contractor
State: h l~ a Zip: !9~0 Phone:
Contact: (2" f,3 a- Email: k-lA LL4.. b•'1 Ne 1 Q~~
i
New Replacement Additional Put-Oa Demolition
Type of Work Description of work: _~1J2/la _4C 7A IL . 1`t-Oa U V►'~-
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
F rnace New Construction Interior Improvement
Permit Type 'fir 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 or alteration to an existing unit (includes $5.00 State Surcharge)
$100.00 Residential New (includes $5.00 State Surcharge) = $ TOTAL FEE
COMMERCIAL FEES Contract Value $ X.01
$55.00 Permit Fee Minimum
$70.00 Underground tank installation/removal Permit Fee
*If contract value is LESS than $10,010, Surcharge = $5.00 Surcharge*
If contract value is GREATER than $10,010, Surcharge = Contract Value x $0.0005
***If the project valuation is over $1 million, please call for Surcharge TOTAL FEE
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.
x cu X2-41 s )~k 1 X ( JAAJ~
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE
Required Inspections: Reviewed By: Date:
Underground Rough In Air Test Gas Service Test In-floor Heat Final HVAC Screening
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA138469
Date Issued:08/29/2016
Permit Category:ePermit
Site Address: 4709 White Oak Ct
Lot:6 Block: 2 Addition: Oak Cliff 4th
PID:10-53553-02-060
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 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 F Lewis
4709 White Oak Ct
Eagan MN 55122
Estate Claim Services Llc
934 Cromwell Avenue, Suite 2
St Paul MN 55114
(651) 309-1114
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA147713
Date Issued:01/29/2018
Permit Category:ePermit
Site Address: 4709 White Oak Ct
Lot:6 Block: 2 Addition: Oak Cliff 4th
PID:10-53553-02-060
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 -
John F Lewis
4709 White Oak Ct
Eagan MN 55122
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA152072
Date Issued:09/26/2018
Permit Category:ePermit
Site Address: 4709 White Oak Ct
Lot:6 Block: 2 Addition: Oak Cliff 4th
PID:10-53553-02-060
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
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 -
John F Lewis
4709 White Oak Ct
Eagan MN 55122
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA152078
Date Issued:09/26/2018
Permit Category:ePermit
Site Address: 4709 White Oak Ct
Lot:6 Block: 2 Addition: Oak Cliff 4th
PID:10-53553-02-060
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Fixtures
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (miscellaneous)$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 -
John F Lewis
4709 White Oak Ct
Eagan MN 55122
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature