4711 White Oak Ct
CITY aF EAGAN SEWER SERVlCE PERMR
3830 Pilot Knob Rosd
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 D/11E:
Zontr+D: No. of Unitt: ~
Ownwr.
llddress: ~
Site /lddre~: 1i '~3iite Gak f:o+,=t e"11!'f' 6tt_
Plurrber. u e:; ri r
? . ^r ~7q .:L 1',•~,°)~~pd
1e!m heseNly wllb fM dft Oi MWM Conrwctbn (]+crge: 7 5_0 4i2d_
Or4111111..0eM. Acoount DepoWt: I S n! ~
P*rrrAt FN: 1
Surohorpr.
BY Misc. Chorpm
Doh of IrKp.: Total:
Insp.= Doh Pold:
cIrr oF EAGur WATER SERVICE PERMIT ~
3830 Pllol Knob Road 8194
P.O. Bdx 211" PERMIT NO.: 11-1-86
Eagan, MN 551Z1 DATE
Zoning: t zmun _ e eraon No. ot Units: ,
:Dwner.
Address:
Slte Addess: 4111 te 2 pa,k C iff th ~
~
Plumber. e e um n
Meter No.: j • C*jrbW64jfiAe. 500. OOpd J
00 d
2 r oc 15 .
Size: ~$~'~}I~t.t~s(~tv.
Read rNa.: Q7d7UZa 2- Pef ~ F 1d.Od d
I agns to compy wlth th*~~E~r . SO d ;
Ordlosnces. Misc. Charges: 1 SE . 0Opd TP ,
. 7 TOtBl: 63.50pd
BY Dete Paid: .
Qate oi Insp.: Inep.-
/ - r?
, ~ . . :
cmr oF EAGaN ' N0 12814
' g,~, 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt S '
To be used tor SF DWG/Gt1R Est Value 4124,000 Date OCTOBER 24 , 19 86
Site Address 4711 WAITE DAK CT Erect BI Occupancy R3
Lot7_ Block Z SeciSub_ OAFi CLIFF 4TH Repa~e1 ? Type of Const R 1--
Parcel No. Addition ? No. Stories
W Name OZMUN-PEDERSOHI INC Move ? Length 69
~ Address 15136 GALAXIE AVE Demolish ? Depth 36
o Int Impr. ? Sq. Ft
Ciry A.V. Phone 431-5000 Install ?
Z o Name SAME APP?ovab Fws
Q Address Assessment Permit $ 493.00
~ City Phone Water & Sew. Surcharge 62.00
Police Plan Review 246.50
~ W N81Tte Fire SAC 575.00
~ a Address Eng. Water Conn. 500.00
Ciry Phone Planner Water Meter 63.50
Council Road Unit 290.00
I hereby acknowledge that 1 have read this application and state that the Bld9 off 1 O/2 4/$ Tr. PI. ~ 156.00
information is correct and agree to comply with all applicabie Sfate of
Minnesota Statutes and Ciry of Eagan Ordinances. APC Parks
Var. Date Copie
Signature o1 Permittee Total $2,386.00
A Building Permit is issued to: OZMUN-PEDEI2SON INC on the express condition that
all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinancee.
Building Official
/
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PERMIT M 7 (7
PLUMBINQ PERMIT RECEIPT M
CITY OF EAGAN
3830 PILOT KNOB ROAD, EA(3AN, MN 55122 DATE:
CONTRACT PRICE PHa E: 454-8100
Site Address BLDG. TYPE WORK DESCRIPTION
lot f:Z Block ~9- Sec/Sub Res. New
Mult. Add-on
~ Name Comm. Repair
g Address R - ~ - Other
c Ciry Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
" NO. FIXTURES TOTAL
Name -~Water Closet - $3.00 ~ o • ~ a
m J_Bath Tubs - $3.00 ~ .
; Address Lavatory - $3.00 ~ •
p Ciry Phone ~ _~_Shower - $3.00
Ki!chen Sink - $3.00
FEES Urinal/Bidet - $3.00
COMM/IND FEE - 146 OF CONTRACT FEE ~ Laundry Tray -$3.00 ~
APT. BLDGS - COMM RATE APPUES Floor Drains -$1.50 ~
TOWNHOUSE 8 CONDO - RES. RATE APPLIES Water Heater -$1.50 S ~
MINIMUM - RESIDENTIAL FEE - $12.00 Whirlpool - $3.60 "
MINIMUM - COMM/IND FEE - $20.00 ;4_Gas Piping Outlets - $1.50 ~ ~1
STATE SURCHARGE PER PERMIT - .50 (MINIMUM -1 PER PERMIT)
(ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00
BEYOND $1,000.00) Well - $10.00
, Private Disp. - $10.00
fi , ~ , • __ZRough Openings - $1.50 ~S v
SIGNATURE OF PERMITTEE FEE:
STATE S/C: • ~ ' FOR: CITY OF EAGAN GRAND TOTAL: J~
- PERMIT #
. . , • MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN
3930 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: PHONE: 454-8100
Site Address ~Mft J BLDQ. TYPE WORK DESCRIPTION
Lot I/ $loe~~ Sec/Sub Res. New
~
Mult Add-on
m Name
C _ Camm. RepBir
Address
~ Other
c City Phone
FEES
~ Name RES. HVAC 0-100 M BTU -$24.00
c Address ADDITIONAL 50 M 8TU - 6.00
p City Phone ~ y va (RE$. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA.
TYPE OF WORK _ COMM/IND FEE - 196 OF CONTRACT FEE
Forced Air M BTU APT. BLDGS. - COMM. RATE APPUES
TOWNHOUSE & CONDOS - RES. RATE APPUES
Boiler M BTU MINIMUM RESIDENTiAL FEE - ALL ADD-ON &
Unit Heater M BTU REMODELS - 12.00
Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
Vent CFM
(ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping OuUets # } BEYOND $1,000)
Other
FEE
S/C: SIGNATURE OF PERMCfT'EE
TOTAL• ~ 7s
FOR CITY OF EAGAN •
INSPECTI4N RECORD
i
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number.
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
I Ii tI;S 1 ~ ";1;
j
PERMIT SUBTYPE: TYPE OF WORK:
1 , ~4; t . , , I!, ; , . t 1, i „ !
INSPECTION . D.
~ i4.111 ! N 1 1 t:++ t I P~fil
I~ J
Portnk No. MnnN HoWw Dab TeNphoM R
00
ELECTRIC ,~I/6 9O7
PLUMBING
HVAC
bnpwtlon Date Insp. Commenb
FOOTINGS
FOUND
FRAMING ~
ROOFING
HOUGH
PLUMBINQ
PLBGi
AIR TEST
ROUGH
HEATING
(3AS SVC
TEST
INSUI
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FT(3
DECK FINAL
1986 BOILDING PERMIT APPLICATION - CITY OF E9GAN
BOYS: 9LL CANTRACfORS MQST BE LICENSED iTITH THE CITY OF EAG9N
SIPGLE F9NIILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
MIJLTIPLE DiIELLINGS - RFSIDENTIAL 8ENT61. IIIiITS FOE SALE QNITS
INCLUDE 2 SETS OF PLANS, CERTIFIC9TE OF SQRVSY - CHECR BITH BLDG. DEPT.,
1 SET OF BNERGY CALCULATIONS
COl4MERCTIIT_
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For: GFn Valuation: iZ4i0C)CD Date: nr-t - 23, 1e86
Site Address 4711 wh;tP naic cn„rt OFEICE OSE ONLY
Lot _L Block 2_ Erect ? Occupancy iZ- 3
Remodel _ Zoning (Z.i
Parcel/Sub nak (-i;ff 4th A(qr3;+i0n Repair _ Type of Const _--IZ7
Addition # of Stories
Owner 07mnn-ParlarSnn, Tnc Move _ Length (.99
Demolish _ Depth 3 (o
Address 1 S1 ~6 aalax;a Ava Int.Impr. _ Sq Ft
Install _
City/Zip Code App1 a~7a_ 1 1 aT, MN 551 24
Phone 431-5000 APPROVAIS FEFS
Contractor O.m,n- d r on, rnc. Assessments Permit 43.
Water/Sewer Surcharge (o Z.
Address 15136 Gal axi e Ave Police Plan Review 7-4(o, s°
Fire SAC
City/Zip Code Apple Valley. MN 5 124 Engr Water Conn 5O~•
Planner Water Meter b',.SO
Phone 431-5000 Council Road Unit 290.
Bldg OfTreatment P1 I 510,
Arch./Engr. APC Parks
Variance Copies
Address 'IOTAL
City/Zip Code
Phone 11
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOfiNER MOST DESIGNATE WHICH 9DDRESS
IS DESIRED. NO CHANGES WILL HE ALLO{dED ONCE BOILDING PERMIT IS ISSIIED.
I 4 x ~ 28o X SfS ` ; J
2~oK2Z = 5~2K (2 =
2~ 1~ 3 S- ~8o n 44 " ~ 3 12 0
~23 CX~~
;_7•~•~ /
I /
~ i
:
,
i
t
4~} -r3_G f/
/
, i -to_64. e/. J
i N
i~.
I
I V rY~
~ r V _ fJOf~i_f!
J ~ ~J \ \
G \
oAK c c. IF,- r._ *-l" a np/ 7-1 a;.~
1"=?o' o- Cr'
0 - EiC13T/~Cr, E;lj;vArro"3
C:) 1'K6116!5;~7~17 ~LG~/A7'%oN5
P_STF:RTUN ENVCI.OPE AVERACE "U" COMPUI'A'1'ION
_ d~(-<~lLr , --~ti1Jr'l~-'Jdhl _Address rhone
Descripcion of Froper[y: Lot~IIlock___Z__AdditionO/t/G GG/T~ `I na[e /O-ZL-g
~.ddress_~'I I I (iJ ~7 / (:-I
AVERACE LINEAL FEET OF
EXPOSED WALL AItEA ABOVE rRADE
Level r' ~f
cal [t. of framed wall above grade~x height of wall Uf _ % ~-I~~ti U
!.i`"~ f'IaGYC._ 1 2~, 97 L005'.a.?
cist area
eal ft. of rim Zx heigh[ of rim =
level
eal ft. of fzamed wa11 above gradeJ ~-J x height of wa11 Y i Z~•L~,~JJ
eel ft. of masonry wall above grade_JJQ, x height above grade UO_
TOTAL wall area ahove grade including windows and doors ='>O~j~~• ~ J
~115: Area x "U" value s rype 'pL71 /I G G il J sy. fe. (u) (A)
IF /Ge.! 7~G.f-~ :.ii 7_.~,'~ sq. ft. (U) (A)
" Z-oc7An~:,;•; 3,L sq. ft. 64- Z(ll)(A)
~[_sq. ft.~X -I(,(U) (A:
" c'•t' l~i'{' sq. ft. x u0° ( = SA04 (U)(Ai
" z ZOHn 9o sq. ft. D N)(Ai
" .},60 sq. ft. 0 x "U" 1 = l, 0 (ll) (A:
L 7 D 4- S; G. 'S sq. ft. C. x~~U~" - 'j ~ (U) (A:
„ l'.~ 9=r-,' I r, c sy. fc.~~x 56 (u) cn
sq. fe. 6y9o x~~~~~ i ,it (u)(n
eq. ft. ~'?~q0 x np~~ l = 5 (U)(A.
u _t. ibGk. 1 8 4 sq. ft. nGn (U)(A.
sq. ft. 1<l~/U x'lUll~_ (U)(A
sq. ft. x "U~~ _ ~LI)kA.
sq. ft. x Iv _ (U)(A
sq. ft. x "U'l - (U)(A
ii - sq. ft. . . x nU,, _ <L') (A
" sq, ft. x "U'I (U) (A
Z Q , i? 4'
Area x "U" value
6 tyPe sq. ft. x n0u _ (U)(A
' U sq. ft:~x U~~ (U) (A
u 2?63 sq. ft. / l x u~u r'i = Si361 (U)(A
5 5"L sq. ft. Z~.O"'D/ x°U ° =(-I f (U)lP.
- - - - - - - - - - - - -
UE WALL CONSTRUCTION; A[ea x"U" value
"r~'-<nri:ni: f9/c:~:~ ' s Z~2~°f•x~~U~,.d L= 1,7, 6 t/(l:)(n
q • ft.
~~)~/~1Nv'17 Lvfl _ sq. O x °Un DQ"1 G'/st.(U)(A
il reEer sq. f[. U19a"n x"U° O.i ° I/ ,(C V(U) (A
from ~ sq. ft.-----T7o-x"Un ./D/ ° -/0 ~U)(F
,ched
sq. ft. x "ua (U)~A
'CS sq. ft. x "Un = (0)(A
- sq. f[. . . _x „Ull (U)(A
1'OTAL Wa11 Area Including
winaows s noors 1 , l`1l ToraL (u) (n)
',L (U) (A) VALUF.S ~ ~ ~ tJ i - AVG. "U"
CDED 13Y 1'OTAL WALL AREA L ,
tAGE "U" Minimum .ti or less for 1 S 2 family dwellings
;linimum .ZZ or less For all other 6uildings
lf avrrage "U" values as calculated above do no[ meet the Enezgv Code requirements, ehe
"f.lcrnate Envelope Design" as indicated on Page 5 may be used.
I
~ .
, FIiAMINC,MEMBERS IN WALLS R-Valae
Tnp View ' . .
rALL SECTIOtvS _Exterior eir_~ilm.-'...._........--'--"-' ..17_..--_
~UTEi Use lOk • ~ I
of opuque SidinR STEEL W1r-4F1Y1?"__"' _l.'• 8.Z
x•all t,reu
for 1'rumirrll Il Sheathing Zs~+j2 Z^O ~o
mnmLorx ~
G.B7 S
sofe vooa 5~/Y -4.5e
dr.y wall
. , _ --'.-•._45--
_ 'Interlor_a1r film •68
TOTAL R= I Z. D S~
U= 1/R U~ ~ O Dj Z.
~
FRAMED WALL
F.xterior air film ,17
SidinR 6 Te-6L w~frftM1 6'7-
Sheathing 2,j~3 2~ 2. O G
bat[ insulation
drv wall' .45 _
Interior eir fil •68
" T(]TAT R = Z 4. /CJ _
. 'U = 1%R U
Exterior air film
- statng STEEL. W/yv~f~l 8z'
Sheathing ' Z?~/3Z-
~ 1~" 'soft wood
. ?nsule +0
Interior air film
T01'AL R ° Z S ~I
uai/x ' u~ .039
' MASONRY WALL
-
Extarior air film .17
12" concrete blocK _ _ . -
. ~ "
Ineulation N I- D' R 104 t D !u
~
, Interlor air film •68._.
. (2)_ TUTAL H
~
V~ 1/R U- ,/07
ROOF CFILING ~
• J' ~
~ Outeide eir film .61
r ~ - - . _
~ u
' Insulation 1 Z G~f~G((rDiC 4:8: ao
Dryvall ~ .45
_ -
~
Interior air film _ 61 _
TOTAL A a~`J, 6 7
U=1/R U°.
.
- Outeide air film 1_.
' Inauletion
`
IS
ll n Drywell .45
' Interlor air tilm .61 . TOTAL R ~
. u o 1/R , . u v
Outaide aiz film •17
. . • ~ at~t r^^Etoy.-'--'-- -~.~3. .
'Ineulation
LL~~~..~+ ; . 'Wood decking
Interior air film ~ .61
TOTAL R'_
U s 1/R U
ROOP/CEILING: ~ •
TOTAL AREA: ' sq. f[.
~ecail reference ll" ' x sq. fe. ~~1(A)
from above. "U" x sq. ft. (U)(A)
Deecribe openinge ' "U"7 x sq. ft. (U)(A)
in roof .,U,f x eq. Ft. N)(A)
"U" x sq, ft. (11) (A)
, "Ulr x sq. ft. (U)(A)
' ..pa x aq., ft. (U)(A)
, ~ . TOTALS sa, ft. (U)
TOTAL (U)' (A) VALUES
IIIVIDED'BY~TOTAL I:GOP/ ~ AVG. "U"
CCILINC ARSA ~
AVENACE .OS for ventilated roofa ~
.10 fnr all other conetruction , . ,
'flF.: lf aver+ge "L"' vnl.uex as calculated ahove do not meet the EngergY Code requiremente, tl'
N(
"Allcrnn[e F.nvelope Deeign" ae indiceted on Page 5 mey ba used.
(3)
PERMIT
~ CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122•1897 Permif Number: 0 2 9 5 3 5
(612) 681-4675 Date Issued: 0 2/ 2 5/ 9 7
SITE ADDRESS:
4711 WHITE OflK CT
LOT: 7 BLOCK: 2
OAK CLIFF 4TH
P.I.N.: 10-53553-070-02
DESCRIPTION:
Building-P.ermit Type BASEMENT FINISH
6uilding Work Type ALTERATION
~Ceneus Code \~434 AIT. RESIDENTIAL
~
J
r 1
~
•r4> J
~ V~r i
t
5 V
REMARKS:
FEE SUMMARY:
Base Fee $50.00
Surcharge $.50
Lic. Search Fee $5.00
Total Fee $55.50
CONTRACTOR: - ,qpplicant - sr. LIC OWNER:
BJORKSTRAND COMPANIES INC 14525598 0008676 OLSEN DAN
4116 DIAMOND DR 4711 WHITE OAK CT
EAGqN MN 55122 EAGAN MN 55122
(6,12) 452-5598 (612)894-3625
I Mereby acknowledge that I have read this applicaCion and state L'hat the
infiormation is correct and agree to oomply with all applicabla State of Mn.
L Statutes and City of Eagan Ordinances. J
APPLI AN7/q M17EE SIGNATURE -ISU D B: SIG ATU I~~
1b y 997 BUILDlNG PERMIT APPLICATION (RESIDENTiAL) ~,ffb
CITY OF EAGAN
3830 PILOT KNOB RD - 65122
681-4675
No Construetion Reauiremants RemodeVReoair ReauiremeMs
? 3 registered site surveys ? 2 mpies W plan
? 2 copies oF plans (inGutle Deam 8 window sixes; poured fid. design; etc.) ? 2 atte aurveys (exterior atlAkions 8 dedcs)
? 1 energy calculations ? 1 snergy celculetiona for heated addRions
? 3 copies ottree prosenetion plan H lot pletted aRer 711/93
repuired: _Yes No '
DATE: Z~ Iy CONSTRUCTION COST:
DESCRIPTION OF WORK Fr4vtiP wCIIS in GGSP/+-~i GI~SeI~'s (2,) 10oo1-wQc,5
/ Jt 9h S ~ I~-1~
STREET ADDRESS: y711 ON ~e au k LT
LOT $LOCK ~ SUBD.IP.I.D. PROPERTY Name: 6an 0151 h Phone 86/ 36Ls~
OWNER ~ ^~y
Street Address: y7// -p-A ~7", 04 K cr--
City: State: IJ Zip: -S•s Z
CONTRACTOR Company: ~i ~S 17,7,,7or L4LI~fhone ~-SZ SSI~.~
StreetAddress: License#:
City: FCi c state: Zip: S3/ Z 2--
ARCHITECT/ Company: Phone
ENGINEER
Name: Registration
Street Address:
City: State: Zip:
Sewer 8 water licensed plumber (new oonstruction onty): . Penalty applies when address change
and lot change are requested once permit is issued.
I hereby acknowledge that I have read this appliption and state that the infortnaGon is correct and agree to comply with all applicable
State of Minnesota Statutes and Cily of Eagan Ordinances. ~ .
Signature of Applicant:
F,f
OFFICE USE ONLY Cerfificates of Survey Received , Yes _ No i
t E'Bw~
~ I
Tree Preservation Plan Received ^ Yes _ No _ Not Required
OFFICE USE ONLY
~ ^*y~~, u
BUILDING PERMIT TYPE
n 01 Foundation o 06 Duplex • ? 11 Apt./Lodging er' 16 Basement Finish
0 02 SF Dwelling ? 07 4-plex ? 12 Multi RepaidRem. 0 17 Swim Pool
? 03 SF Addition o 08 8-plex n 13 Garage/Accessory ? 20 Public Facility
0 04 SF Porch o 09 12-plex ? 14 Fireplace n 21 Miscellaneous
? OS SF Misc. ? 10 _-plex o 15 Deck
WORK TYPE
0 31 New if '33 Alterations ? 36 Move
? 32 Addition o 34 Repair o 37 Demolition
GENERAL INFORMATION
Const. (Actuai) Basement sq. ft. MCNVS System ~
(Allowabie) Main levet sq. ft. City Water /
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code. 43k
Depth Footprint sq. ft. SAC Code o r
Census Bldg ~
Census Unit o
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit "
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies .25
Total:
% SAC
SAC Units
, . . yf*+**+~~+t+*x*+*****tr#***t:*:r~+#+r
C I T Y O F E A A N PAY~'~Ir OF FF.E AT TIME OF *
* ArrricrazoN ooFS r~r wt,sri~ *
~ *F APPROVAL OF PEE2NIIT. *
C APPLICATION FOR PERMIT * *
~ . . INsnncriorr oF sEWM nND/ox wA= *
* T114f'ATTATTQNS WIIS. No1' BE SCHID- ~
SEWER AND/OR WATER CONNECTION *~M UNTIL PmMIT HAS SEQV "
~
. . : APnrtovID. r
w *
r r
• tw*r+* r* r t+**+r+x,t ~+t tx;t: te:t**+
P ease Print)
1) PROPERTY ADDRESS _
/
LEGAL DESCRIPTION: L 0
x7 Be 4-L Ut~ C~/,7"i` S~ ~
Lot Block Subdivision or Tax Parcel ID )
IF E7QSTING STRL'CIL'RE, DATE OF ORIGINAL BLILDING PERMIT ISSCANCE: "
~ .
PRFSENP 7ANING/PROPOSID LSE: (Mon Year)
~ CO.~ff~2CIAL/F2ETAIL/OFFICE R-1 SZNGLE FAbffLY '
0 INID'STRIAL Q R-2 DL'PLEX (1Wo Units)
~ INSTI'IL'TIONAL/GOVERNmENT Q R-3 TOWN30L~SE (Three + Units) ( L~nits)
, q R-4 APARTh1EN'P/CONIDChh+1INZ0.1 ( Units )
2)
NAI,E=_
. ADDREss:1 o'Fas cP. ?ia tir/~
CITY, STATE, ZZP: ~~vcr C^rcrG /~r~. Mn
" PHONE: 3) c ~ / For City Use
~ ~ Plumbers License:
ADDRESS:_ 4-( 3 /V ctive
wN ' A
; CZTY, STATE, zIP: M.;~,.Z FScpired
~ S-Oa f-- Not recordea
PxorE:~~3 D rAsrm LIceNSE# Oo.p_60- '94f 2 sta in~tEiai
4) ...y•_.'~1.,~2!
_ ADDRESS: JJ%34 64 ~~cx ',e ffu~ .
CIT7. STATE. ZIP: ~-Rv
PHONE:_ 3 / -,~a n o•
•5) t.~ v ~ a: i •-u • U" Y~~~ ~9_100NNEC.TION 1iD CITY SEWII2 M__CONNEC,'I`ZON TO CITY WATII2 ~ OTFffR •
6) PLFASE HOLD APPROVFD PF.R6IIT FOR PICK-OP BY ONE OF A13C7VE
~ PLEASE MAIL APPROVID PERMiT ZU 1, 2.0 4. AHOVE .
~ • (Circle one)
7) r~ u•• ''~'7 //-51-~~
, :/Y~ ~ Y: 1:1: M ~ 11 : I: •~P J IP• ~ P i]I' • pl'1 IH1: ' p• ' D~ 1' 1
1 00. •~I' Ii. 11 1 : i •:I. •.~yp~ 1 1 I: a: ~ G' ' 1 11 Y' ' .
. FOR CITY USE ONLY .
PERMIT # ISSCED
Pd w/Bldg. Permit FEES:
$ $ SEWER PERMIT (INCLLDE SC'RCHARGE)
$ $ WATER PERMIT (INCLUDE S['RCHARGE)
$ L3 S 22 $ WATER METER/COPPERHORN/OC•TSIDE READER
$ $ WATER TAP (INCLC'DE CORPORATION 520P)
- $ $ SEWER TAP
$ $ /SD D ACCOONT DEPOSIT - SEI4ER
$ $ O D ACCOL'NT DEPOSIT - WATER
S S~•(')O $ WAC
$ 5 7-~ o a $ sAc
$ $ TRUNK WATER ASSESSMENT
$ $ TRC'NK SEL9ER ASSESSMENT
$ $ ` LATERAL BENEFIT/TRL'NK SEWER
$ $ LATERAL BENEFIT/TRC'NK WATER
$ $ WATER TREATMENT PLANT SL'RCHARGE
$ $ ' OTHER:
$ ~2-9'4Y'.SZ S , j~i D D TOTAL
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
F--j YES IF YES, THEN A"PERMIT FOR WORK SVITHIN PUBLZC
Q ROAD[9AY" MUST BE ISSUED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SOBJECT TO THE FOLLOWING CONDITIONS:
r
APPROVED BY:
TITLE:
DATE:
/ /
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3~, `-C 3830 PILOT KNOB RD - 55122
"651-681-4675
New ConshucHon ReaulremeMs Remodel/Reoah Reaulremerfi~P
D 9 registered sHe surveys fhowing sq. fl. a( lot, aq. fl. of house 2 copies of plan
and gil roofed areaa (20% maximum lof eoveraae allowed) 7sei o1 energy calculaNons tor healed addMlons
D 4 coples of plans (show beam i window sizes; poured fnd. design; etc.) 1 sBe survey for enferlor addMlons 3 decks
? 7 set of energy calculatlons
? 3 coples W hee prese aNon plan H lof plalfed alfer 7/1 /93
DATF.: C- ( I I~'"y ~ CONSiRUCT10N COST:
DESCRIPTION OF WORK:
STREET ADDRESS: tc
LOT: BLOCK: SUBD./P.I.D.
Name:~1..1~,~ ~Ii;l,n I t J~ Phone k:
PROPERTY Last F1.rst
OWNER L-f ~Street Address: ~
City State:~ Zip:
Compony~~ ,P-YO/l ~ja/2~ ~l J Phone M:
(area code)
CONTRACTOR
Sfreet Address: License 1k ~xp
CNy State: Zip: C.,
ARCHITECT/
ENGINEER Company: Name:
Telephone area code ( )
Siree? ~`vddress: °mg!j!ret!^.^.
City State: Zip:
Sewer 3 water licensed plumber (reaufred for new conshucflon onNl:
Pen~My applles when address change and lot change Is requested once permR Is Issued.
i he E•by acknowledge fhat I have read ihts appltcaHon, state thaf the In}ormation is conecl, and agre to compiy wMh II applicabl
State of Minnesota Statutes and City of Eagan Ordinances. ~
Slgnature of Applican. U
OFFICE USE ONL REC]EIVED
Certificates of Survey Received _ Yes _ No AUG 2 5 1999
Tree Preservation Plan Received ^ Yes _ No _ Not Required
Y.
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea.
[3 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 5torm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneolis
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Aiteration ? 37 Demolish Bldg.' ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
. . .
„!.e ,-I'.,~.. ~ . .
'.•LIt~UI~I W d~JFJll~dlll IVI ~t:nwii6c,n rermii
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. Census Code
(Allowable) Main level sq. ft. SAC Code
UBC Occupancy sq. ft. No. of Units
Zoning sq. ft. No. of Bldgs
# of Stories sq. ft. MC/ES System
Length sq. ft. City Water
Width Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Building Engineering Variance
Permit Fee iq5.as Valuation: $
Surcharge
Plan Review
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• 200•~1S
SAC Units
% SAC
:
152, 3 I
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PROAOSED DECl~
ADD1TiD0 DAMEL. C.OC.SE/V
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$94-3 625
APRIL 23, 087
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~P~i~23, ?987
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2007RESIDENTIAL BUILDING rERMi'r aPrLicaTiorr
City Of Eagan /
q 3830 Pilot Knob Road, Eagan MN 55122 Cor ~
Telephone # 65I-675-5675 FAX # 651-675-5694 Y~
New ConsWCtion Reqwremenis RemodellReoair ReQUiremenls Office Use Onlv
3 registe2d site surveys showing sq. ft of lot sq. fl. of house, and all roofed areas 2 copies ot pian showing footings, beams, joists Ced of Survey Recd _ Y_ N
(20%maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Soils Report - _Y _ N
1 Soils Repo(t if proposed building is to be placed on disWrbed soil 1 site survey for additions 8 decks Tree Pres Plan Recd _ Y_N
2 copies of plan showing beam & windax sizes; poured tound design, etc. Add'Rion - mdicafe d on-site sepfic system Tree Pres Required_Y_ N
lsetolEnergyCalculations On-site5epticSystem _Y _N
3 copies oi Tree PreservaUon Plan if lot platted after 711193
Rim Joist Deiail Options selecVOn sheet (buildirgs with 3 or less unBs)
Minnegasco mechanical venlllation form .
Plans are considered uhlic information unless ou state the are trade secret and the reason.
Date E / ~2,4 / 0 -7 Construetian Cost
Site Address -711 t'`) 0~iE Cf- UniUSte #
Description of Work oCC IC
Multi-Family Bldg _ Y KN Fireplace(s) _ 0_ 1 _ 2
Property Owner ~JG` ^ ~ ~ S e ?1 Telephone #
Contractor ~4-S
Address City LG'~t° ; l4
State {M N Zip ,S -SU~ Telephone k (6 /Z-
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Mmnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submitted Submitted
• Energy Envelope Calculations Submitted
In ihe last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
- Y _ N If yes, date and address of master plan:
Licensed Plumber Telephone J
Mechanical Contractor tipNt 94 2flfl7 Telephone )
Sewer/WaterContractor Telephone#( )
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State 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
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.
Applicant's Printed Name pplic t's gnature
. DO NOT WRITE BELOW THIS LINE
Sub Tvpes
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accossor~ Bldg
? 02 SF Dwelling ? OB 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. 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 (screen/gazebo/pergola) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
O 06 04-plex ? 12 12-plex D 25 Miscellaneous
Work Tvpes
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Sidin9
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building• ? 43 Reroof ? 46 Windows/Doors
9 34 ReplaCement 'Oemolition (Enlire Bldg) - Give PCA handout to applicant
DescflqtlOft: WaterDamage_Yes .
Valuation OcO Occupancy `3 MCES System -
Plan Review /Y 100% or _ 25% Code Edition )Icro
Census Code 6-/3~( Zoning P0 City Water -
SAC Units ~ Stories - Booster Pump ~
# of Units Sq. Ft. - PRV
# of Bidgs ~ Length ~ Fire Sprinklered ~
~
Type of Const Width
v
REQUIRED INSPECTIONS
_ Footings(new bldg) _ Sheehock
_ Footings(deck) FinaVC.O.
_ Footings (addition) ~ FinaUNo C.O.
Foundation HVAC
Drain Tile Qthar
Roof Ice & Water Final _ Pool Ftgs AidGas Tests Final
~ Framing _ Siding _ Smcco Lath _ Stone Lath _Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
Insulation _ Re[aining Wal]
Approved By: , Building Inspectar
- - -
Base Fee / 34-2
Surcharge
Plan Review ~
MCIES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies 7
Other
Total
~
F
25"~
~ 1-4D C4,J4Y~ , ~
¦ ~
3y ~
~
~
26- Zo~
~ jo
, , ?.~i ~ , ~~'ci~~2 L. U ~
~
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, ~ PQo ~os ~
1
,
ti.
SE'
M 3v'
AORCr{ GA~Gf titi ti~
2~ZO'
S ITE PLAN Foe
pRoAflSED DC-c~
ADD1Ttdn1 DANieL C.OcsEAl
4 711 vJ4 IrE oAK e
[A6AN, MN 5si22
Anorl .9.4 I9Ai?
Use BLUE or BLACK Ink
For Office Usea~
Dflyof I Permit I 1
Evacin I
5 11 I Permit Fee: ' I
3830 Pilot Knob Road I I
Eagan MN 55122 1 Date Received: " l I
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 Staff. ~
L - - - - - - - ---------I
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit
Name: loa-&4-5cc S n ~ 0 k Phone:,671 "Gq'f - 36.4j-
Resident/ f
Owner £ Address / City / Zip: i e ® o K (2.
Applicant is: Owner _L~Contractor
3
P Description of work: R - 12cs a A a i~ O A ►ti mq ct y
Type of Work
i
I Construction CoJ Multi-Family Building: (Yes / No
s
I Company: i 1 c) V 1 !J) L) A ,x a,1 Contact:
Address: y3'1 J_ ~ ~ N ~tCl+.iiC 16A City: G ~
~ Contractor ~
3 I Stater zip: 'rla3 Phoneb~tl3a- 3"'9')f Email: 1 i-CjP (_omc_454v K.►Q
License IC -YD 6,TCI Lead Certificate
l
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
IL G 40
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:
i 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 the 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 Building Code must be completed within 180
days of permit issuance.
x Mme( f~ A--eY x
Applicant's Printed Name Applicant's Signature
Page 1 of 3
JUN/16/2017/FRI 12:59 PM Elder Jones Building FAX No, 952 854 4909 P. 001
Use BLUE or BLACK Ink
For Office Use ` 07 I
:::t:ee
f y44110 City of E� a� : X CC-•
3830 Pilot Knob Road
Eagan MN 55122 RECEIVED I Pate Received: ,
Phone:(651)675-5675 I I
Fax:(651)675.5694 JUN 1 6 2017 i Staff`
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 6/16/2017 Site Address: 4711 White Oak Ct Unit 11:
Name: Daniel OlsenPhone: 651-894-3625
;;`', Resident/•• .
:Owner.: Address/City/Zip: same
Applicant is: Owner Contractor —P-12)
' Description of work: 2 entry door replacements,one with possible jteader change. See attached spec sheet.
"•T`• a of Work
yp.. 11500
• Construction Cost: Multi-Family Building:(Yes /No )
. , Pella NorthlandContact: julie 952-345-6057
15300 25th Ave N. Ste 100
Contractor ' Plymouth, MN 55447 City:
Lie#BC645090 Ph. 763/745-1400 _ Email: julief@elderjones.com
License#: Lead Certificate#: F151782-1
If the project is exempt from lead certification,please explain why:
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:
Fire Suppression 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 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,eooherstateonecall.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 Building Code must be completed within 180
days of permit Issuance.
x Tim Schenk
Applicant's Printed Name A •licant's Signature
Page 1 of 3
/ 0/ tjar,-,,k
DO NOT WRITE BELOW THIS LINE /6-76 ciie-
SUB TYPES
Foundation _ Fireplace — Porch(3-Season) _ Exterior Alteration(Single Family)
Single Family — Garage — Porch(4-Season) _
/ Exterior Alteration(Multi)
i Multi — Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous
01 of_Plex _ Lower Level _ Pool _ Accessory Building
WORK TYPES
New _ Interior Improvement — Siding _ Demolish Building*
_ Addition _ Move Building _ Reroof _ Demolish Interior
Alteration _ Fire Repair _ Windows _ Demolish Foundation
_ Replace _ Repair Egress Window _ Water Damage
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation ver 00 0 Occupancy ilk- MCES System
Plan Review Code Edition IAA livV(Sr SAC Units
(25%_100% YJ Zoning City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction \ta Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings(Deck) Final/C.O. Required
Footings(Addition) X Final/No C.O. Required
Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test
Roof: Ace&Water _Final Pool:_Footings _Air/Gas Tests _Final
1C Framing 30 Minutes 1 Hour Drain Tile
Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick—EFIS
Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression: Rough In_Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: II' , Building Inspector
RESIDENTIAL FEES /
Base Fee 5,1'146/ V 1�
Surcharge
Plan ReviewO
MCES SAC /�0 J
City SAC
Utility Connection Charge
S&W Permit 8 Surcharge /r Y
Treatment Plant `.I` 0 v
Copies
.�
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA157189
Date Issued:08/08/2019
Permit Category:ePermit
Site Address: 4711 White Oak Ct
Lot:7 Block: 2 Addition: Oak Cliff 4th
PID:10-53553-02-070
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Daniel Olsen
4711 White Oak Ct
Eagan MN 55122
(651) 894-3625
Pella Northland
15300 25th Ave N #100
Plymouth MN 55447
(641) 670-7051
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA162547
Date Issued:07/20/2020
Permit Category:ePermit
Site Address: 4711 White Oak Ct
Lot:7 Block: 2 Addition: Oak Cliff 4th
PID:10-53553-02-070
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Insert
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 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 -
Daniel Olsen
4711 White Oak Ct
Eagan MN 55122
(651) 894-3625
The Fireplace Guys Llc
680 Hale Ave N #110
Oakdale MN 55128
(612) 326-1919
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA178362
Date Issued:08/12/2022
Permit Category:ePermit
Site Address: 4711 White Oak Ct
Lot:7 Block: 2 Addition: Oak Cliff 4th
PID:10-53553-02-070
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 -
Daniel C Olsen
4711 White Oak Ct
Saint Paul MN 55122--332
Pella Northland
15300 25th Ave N #100
Plymouth MN 55447
(763) 745-1400
Applicant/Permitee: Signature Issued By: Signature