Loading...
4727 White Oak Ct ~ cmroFEAGaN I~,~^~ . Permit No: Date: 10-I347 , ` 300 Pibi'1Cnob Road B/P No: 78132 Date: 10-9 -R 7 P.O. Box 21199 - ~ ~ Epan, MN 551. ~ O~vner. `5unshiae Const. SiteAddress: ~727 White Oa~ Court s.lO B Plumber: atar z'lumbinv, ~ ~ MWCC: _ s 1 C'. OQpd 4 "r Zonina- , Clty Chg: 100. OOpd ~ Acct Dep: 15•00p3 No. of Units: Permit Fee: 0• iOgn. eo comply wnn fn. cny aEagan . Surcharge: ' Ordinanc". Misc.: ' BY SEWER SERVICE PERMIT Ci'rY OF EAQAN Permit No: 9143 Date: lu' 1. 3-S 7 3830 Pilot KHob Road Meter No: p a gize: ~r o P.O. Rdk 21199 Reader No:~$`.~7 7~ ct/ Epan, MN 55121 3 Date: Z2 - - Q''7 Owner. Sunshine Const. Site Addresx 4727 {~.1liitn pa~` qurt L10 B2 Oak i f f 4 tti Plumber ' P ~ Conn. Chg: 525 , t1 , litiac P1 Acct Dep: 1 S. ~ I~1r9t t 1 I Permit Fee: _ 10. 0 AWMI-t° ! Surcharge: r 4QUI Tr. Plant $Y94"ply wlth the CMr of Eagan ~ Meter. Ordfnan - ~ I Misc.: BY WATER SERVIC PERMIT CITY OF EAGAN • 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ' PHON E: 454-8100 BUILDING PERMIT Receipt ~ To be used for Est Value Date 119 Site Address ~ '727 ~!'I'CE 'JAK CT OFFICE USE ONLY Lot Block " Sec/Sub. O`'j` Li`~ ~r 4"fct On SRe Sewage Occupancy ~ MWCC System ^ Zoniny Parcet No. On Site Wel! (Actual) Const a Name Oj{$ " City Water X (Allowable) Vn w S'i W PRV Required * of Stories = Address ' Booster Pump Length t, 1 ° City . . . PhOn@ s . , Depth I a !'s 1^ S.F. Totel a~ ,0 Name Footprint S.F. o ~ Address v~ City Phone APPROVALS FEES ~ ¢ Engr./Assess. Permit ~ W Neme Ptanner Surcharge =Z Address ' u z Council Plan Review ~ W City Phone Bidg. Off. SAC, City I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC intormation is correct and agree to comply with all applicable State of Water Conn. Minnesota Statutes and City of Eagan Ordinances. ~ Water Meter Signature of Permittee Road Unit ' A Building Permit is issued to: Treatment P1 ~ on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Parks TOTAL ' i Building Official____ j 1 Parmit No. Permft Holder Date TeNphone, it Plumbfng H.V.A.C. ,bs Eiectric ° - ' i L ~ i~ % i ~ ~ ~ '~t f,~ Ov il Softener Inapoction Date insp. Comments Footings I Faotings 11 Foundation Framing ii.~~•t ~ Roofing Rough Plbg. Rough Htg. ~ Isul. Fireplace Final Htg. r Final Plbg. Bldg. Final Ceri Occ. Temp. LP Deck Ftg. Deck Final Well Pr. Disp. , PERMIT# ' PLUMBING PERMIT CITY OF EAGAN RECEIPT # ! 8 3830 PILOT KNQB RQAD, EAGAN, MN 55122 DATE: ~v C=- CONTRACT PRICE: ; P ONE: 454-8100 Site Address BLDG. TYPE WORK DESCRIPTION Lot Block SeciSub Res. 4- New X Mult. Add-on ~ Name ~ LL1 Comm. Repair ~ Address Other c Ciry Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING: - N. FIXTUflES TOTAL , Water Closet - $3.00 $ ~ IVame ~ Bath Tubs - $3.00 • n ~ 'v - 3 Addre~ ~ 7 ~ ~ ~ TKitchen Lavatory - $3.00 .Lt p Ciry Phone `~>Shower - $3.00 Sink - $3.00 FEES Urinal/Bidet - $3.00 ~ i COMM/IND FEE -1% OF CONTRACT FEE ~-Laundry Tray -$3.00 i APT. BLDGS - COMM RATE APPLIES ~ Fioor Drains -$1.50 TOWNfiDItSE 8 CONDD - RES. RATE APPLIES */-Water Heater -$1.50 ~ MINIMUM - RESIDENTIAL FEE - $12.00 1Nthiripool - $3.00 - ~ " - - MINIMUM - COMM/4ND FEE - $20.00 --L.-Gas Piping Outtets - $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 f Rough Openings - $1.50 • + ~ SIGNA IURE OF PERTTt ~EE FEE: " S7ATE S/C: FOR: CITY OF EAGAN GFiAND TOTAL• t~ 1 , . + _ . . . _ _ ° . . : - . PERMIT # ; ~ i~ ?•v... MECHANICAL PERMIT RECEIPT # CITY OF EAGAN Q 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: Q/87 CONTRACT PR1CE: PHONE: 454-8700 Site Address nAK BLOG. TYP~ WORK DESCRIPTION Lot A, ock Sec/Sub • ~ Res. ? New ~ - ,s ` ~ ` ~h, Mult Add-on m Nart~e Comm ~c Addre~ss' - . Repair c City A/S V`1(, Phone 945, -10 p Other FEES Name ~ RES. HVAC 0-100 M BTU -$24.00 c Address & ADDITIONAL 50 M eTU - 6.00 0 City FAl~Aw! Phone - 99S (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GA5 OUTLETS (MINIMUM -1 PER PERMIT) - 1.50 EA. TYPE OF WORK COMM/IND FEE - 196 OF CONTRACT FEE Forced Air 104 M BTU APT. BLDG5. - COMM. RATE APPLIES TOWNHOUSE 8 CONDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU iJVINIMUM COMMERCIAL FEE - 20.00 . STATE SURCHARGE PER PERMIT - .50 Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES , Gas Piping Outlets # SO BEYOND $1,000) Other FEE: S/C: , SIGNATURE OF PERMITTEE TOTAI.: FOR: CITY OF EAGAN ~ , i . . . - . . . . . . . . . . . .__........._.3_i CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHON E: 454-8100 Receipt * . To be used for 5F I)WGIGAR Est Yalue 0,12b,000 Date UCTaBSR 4 '19 ti 7 Site Address 4737 1d1{I?E 4AK CT OFFICE USE ONLY ~ Lot l~ BloCk 2 Sec/Sub. Q~ CLIFF 4TH OnSiteSewage Occupancy MWCC System x Zoning $1 Parcel No. yn On Site Well (Actual) Conat ac Name SL+NSH1NE COHST City Water x Ilowable) Vn = Address 5985 125" ST W PRV Requlred * ot Storiea ° City p'AV • Phone 431-2200 eooster Pump Length 70 Depth 38.33 °C Name 'Ai-i- S.F_Total .o ~ ~ Address ~ Footprint S.F. _ P City fhone APPROVALS FEES ~ W (Vam6 • Engr./Assess. Permit : 581.50 W • Address ~ Planner Surcharge 63.U0 u W City PhOne Council Pian Review 290.75 Bldg. OH. SAC, City Zoo•oo I hereby ecknowledge that I have read this application and state that the VarfanCe _ SAC, MWCC 525• otj information is correct and agree to comply with all applicable State of WaterConn. 525•00 Minnesota Statutes and Ciry of Eagan Ordinances. water Meter 67. GU Signature of Permittee Road Unit 305.00 A Building Permit is issued to; SGi~iS1i 1~B COAiST Treatment P1 1&0. UO on ttre express condition that alt work shall be done in accordance with all aqplicable State of Minnesota Statutes and City of Eagan Ordinances. Parks Building OfflCiel.~~~r.,~ , ~ ` - _ _ TOTAL CITY OF EAGAN N_ 14 2 6 6 3830 Pflot Knob Road, P.O. Box 21-199, Eagan, MN 55121 /'7S/ f~'az BUILDING PERMIT PHONE: 454-8100 Receipt it / U To be used for SF DWG/GAR Est Value $126,000 Date OCTOBER 6 19 87 Site Address '4727 WHITE OAK CT OFFICE USE ONLY Lot 10 Block 2 Sec/Sub. OAK CLIFF 4TH On Site Sewa9e Occupency K3 • MWCC System X Zoniny R1 Parcel No. yn On Site Well (Actual) Const I a Name SliNSHINE CONST City Water X (qllawaae) VII = Address 5985 125TH ST W PRV Required * of Stories 0 Ciry A. V. Phone 431-2200 Booster Pump Length 70 ~I Depth 38.33 a Name SAI~: S.F.TOtal I 0 ~ ~ Address Footprint S.F. ~ ~ City Phone APPROVALS FEES ~ ¢ Engr./Assess. Permit $ 581.50 yVj W Name ~ = Planner Surcharge 63 . 00 ~n Address 290.75 City Phone Councii Plan Review 4W Bldg. Off. SAC. City 100 . 00 I hereby acknowledge that I have read this application and state that the Variance _ SAC, nnwcc 525.00 information is correct and agree to comply with all applicable State of Water Conn. 525. 00 Minneaota Statutes and City of Eag n Ordi nces. Water Meter 67 .00 Signature of Permittee Road Unit 305.-00 A Building Permit is issued to HI CONST Treatment P1 _180,~0 on the express condition that II rk shall b done in accordance with all applicable State of Min sota Statutes d CiW of Eagan Ordinances. Parks Building OffiCial TOTAL ~ 5 ~ ~ ~ (Irr#ifira#t of Otrupanry r tilp Qf (fagan loPpwftmi# Af gltaittg jwPrttDn Tkis Certi, ficate lssued pursuant to the reoguirements of Section 306 of the Urriform Building Code cenrfying that ar the time of issuance this structure wws in complimtce with the various ordinances of the City regulating building construction or use. For the following: C, ~ nWr, ~ 'c ~ E r . ~ . . Pamit No. oa,Ur•m Tya R3 ZDomc aWia R I 1Yvwc.ooa. ownffotBww~" Sulama Addma 514r15 125Tt1 ST W. A.V. MWing Addmo ':l!ti">: fb1:~ iXRM' L-ary f.al~, B2y aw CL: • r 4TI4 orw 4IAEUE eUMM offici.t POST IN A CONSPICUOUS PLACE J - . ~e • ~ ~ 1987 BD4MA 6PPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLIIDE 2 SEfS OF PLANS, 3 CERTIFICATES OF SQRVEY, 1 SBT OF ENERGY CALCUI.ATIOHS NOTE: 9DDRESSES FOE CORNER LOTS - CONTRACTOA/HOMEOWNER MDST DESIGiQATE WHICH ADDRESS IS DFSIRED. NO CHANGES WILL BE ALLOiiED ONCE BDILDING PERMIT IS ISSIIED. MULTIPLE DWELLINGS - RESIDENTIAL RENT6L UAITS F08 SALE 0@iI2S INCLUDE 2 SETS OF PLANS, CERTIFICATE OF S[JRVEY - CFiECK iRTH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COLMMRCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND ?tEC'D OCT 5 1987 To Be Used For: -SI,v&L E/:Ati,cyValuation: 12 6 000 Date : /O- 97 / Site Address 7a { Q OFFICE USE ONLY Lot _/0 Bloek On Site Sewage_ Oecupancy R- 3 MWCC System ? Zoning 7;_1 Parcel/Sub Of1 KG4/FF On Site Well Type of Const City Water v (Actual) y-N Owner ljL"N6/!/v,E /'t».vST/1ucTibt/ (Allowable) \/-N zg- lk of Stories Address _ SJfjs /dSST. Lr/• Length r10.00, q J Depth 3 8.33' City/Zip Code f/AP«!/,OuEy, ,d 55/2y S.F. Total ' Footprint S.F. Phone 11,3 j -.:2~00 APPROVALS FEES Contractor ~~ANE ds II(iad,E Assessments Permit 58I1570 Water/Sewer Surcharge 63,00 Address Police Plan Review ~490.75 Fire SAC, City IoO.Oo City/Zip Code Engr( SAC, MWCC SZS. ~O Plariner Water Conn S25,00 Phone Council Water Meter 69.0 O Bldg Off ~ ~ Road Unit p$,pD Arch./Engr. f,yES /16L4- APC Treatment P1 186.0 b Variance Parks Address 9yoi fH _S ~i/~. .~O• Copies City/Zip Code Pjcoori,n/GTd.? 5--7Y3I TOTAL 9 Phone 1f f;S 'Y -3 0,-:2- 6anA:;G~~ 3ox ZZ- 660x Iz= '7920 h>`~; " +IauSE r , 40XZg = f I20 X 1102 LauNDRy ~ %smr... `6x~= by x s8= 3'?1Z ~ 258'12 S U R V E Y O R' S C E R T I F I C A T E SUNSHINE CONSTRUCTION CO. I I 9pg,g EXIg TING I 30 HOUSE N 89° 36'18"E ~ - 133.35 a961.0 958.1 958.9 • 138.33 - 9t9',-Z 30.00 sase ~ 967.3 9677 ~ 955.8 x . I[1 ' i:iz.oo 12.oo-_;`L_-~ 1 ~ 956.6. ° io 1 ~ 5 2833 ~ 1 JW ~ ~ O \ ~ I I V v0 N`W W °a ~ mY I N i W I O a= j~esa.z pM Y a" N ~ O N i-~ ~-(MV ~ 7. I o~ 0 10.0 > Q 4.67 ~1~ LI I I pROPO~W'~-.' 97L t- 961.3 w ~ i I" a o°. DPo~!EWA1~ ar~zRi ~N\c~ . I I =1 C 51 I A` 'v 26.66 10 J I a.ooT~_ nn vr~ IC) 96 7.e ` e7 2~a i°' / aes.e ses.s 972.E - 38. 3 - 30.00 asae ; rN 133.35 ~T N 89°3 ' "E FE'XISU".IING 3o i ~ . \J I I ~1 1 > DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT SET SCALE: 1 INCH - 30 FEET • DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - 9(u'1.5 FEET X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR - 959, (v FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK- FEET WE HEREBY CERTIFY TO SUNSHINE QONSTRUCTION C0. THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 10, Block 2, OAK CLIFF 4TH ADDITION, according to the recorded plat ttiereof , Dakota Couniy, Minnesota. IT DOES NOT PURPOFIT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 24'fq DAY OF SEPT. , 1957• SIGNED: R HILa BY: JA " S HAROLD C. PETERSON, LAND SUFiVEYOFi MINNESOTA LICENSE NUMBER 12294 ~ T 07 O N ~ m i~ f° ~ m James R. Hill, inc. m~ n-PO (nW D N~ o r°~ o W~~ n Z~ m P. Z PLANNERS / ENGINEERS / SURVEYORS Z1 Z -0 V W O m w ~ j - 9401 JAMES AVE. S. • BLOOMINGTON, MN 55431 • 612-884-3029 N N O N ~ . CITY OF " 6/ BUILDII1a llEPART[-lEPT • EXTERIOR ENVFIOPI AVERAGE "Ull COhIPUTATION ' (To be subtaitted with building perroit ctpplication) One or Tvro ?amily Dwelling Owner ' I11 Otlier Site Address -41717 4, fT~ ~4x~ . Ll3T RLK ~2 D/Y?G~iFL y~ Contractor (J ~NJ ~ldC (~ONs7. Date _ /O % -S,7 Phone y,3~ ~sar7 , ' # $5 ~ 3Z2 LIt7EAL FEET OF EXPOSED r,nia. yEE "l,Jore1C qEe?ll rt. abova graae - 26v7B.88 TOTAL EXPOSED WpLL AREA Sq. FT. OPAQUE WALL COtISTRUCTION: "Ull Value x Area , Detail- ' ff "Uit .O+3 x S2. FT. 20_ 3$•(og. r5 7.5S (U) (A) reCerence I4b x SR. FT. 115.IZ.= ![n 11 (U)(A) , ~lH'1 'iU° , 04D x SQ. FT._ Z37.oB= 9.48 (U) (A) ' trom npu x Sq. FT. _ (U)(R) attached iIUIi x Sq. FT. - (U)(A) ' sheets IIpII x Sa. FT. - (U) (A) 'NIttDOP7s: "Ull Value x Area I ~ Dlake & Type _jl~SUL. C~ar~J~7` ~~U~~ .5Z- x Sq. FT. xG.oO = D~ ~o (U)(A) n n n ii upu x SQ. FT. o M(A) ' 2 "U" x 5q. FT. - M(A) n n npn x SQ. FT. - M(A) 1 DOORS: "Ull Value x Area , - Eleke & Tyoe S?I )}15U1.~ "U" x SQ. FT. 4cf. = (P• (U)(A) " A'TR11W1 "U" .47 x Sq. FT. S,oo = I(0.45 (U)(A) n n upu x SQ. FT. (U)(k) ' i; n u npn x Sq. FT. _ MICA) TOTALS ZrP7R.A~S Sq. A'T. Z44.0 B (U)(A) , AVERA(3E IfUll ` Toxni, c u> c n> vat,uss Z44 aB DIVIDED BY TOTAL s/air, naEa Zfo7g,gg AVERA(3~ ~~Ut' , ~•5 r leea for 1&2 fAmily •e~Ylinga ,r ROOF/CEILIPId : ' `TOTAL AREA: I .00 ~ ; Detail reference IIUII 107.3 x Sq. FT. ~_1 94 = Z79-(p(U)(A) . from x SQ. FT. ~ (U) (A) ~y attnched sheets. VIUll x SQ. FT, - (U)(A) ; Describe onenings f'Ull X Sq. FT. _ (U)(A) ; in roof. IIUII x SQ. F.T. - (U)(A) , - s TOTAL M(A) VALUES DIVID~D BY z~4~ _ 7°Y'6c~~7 117Jq.~( ~~g~ CU~A~ TOTAL ROOF/CEIL Ic3 AREA II 14'• 00 r~ AVERADE "U~ . 2$ or ventilnted roofe. ,F .i. i i . . W~?~~ sr~EET C~Ro~y Envscb w~LL- 18•33X ~4Z+4Z+2(c, +z6o) = Z49L.$S 9-50x (,(o+lO~ = I 1 4.cr, 4.0o X IZ = 48.00 I. ce 7~ la = Z4, o0 2 ~78. 88 ~ . Cor1c, ' " ; .~~,c (4z+9-Z+L~+zlo) = 91•!z : ` . : ~}.oo x (a = z4.oo IIS.1Z ~ m Io?sr ~.(D7 x(.4z+4Z.+Z(p}-Z,(n~ = Z Z7. lZ ' -83 x (lv+(o) = 9-9(0 Z37.o8 ~ Wir~~owS r(ox3l~ = 4.o x ,Z = 8.00 ZoX3lo = 5•v X 3= 15.00 Z4x 3(o = fo. o X 4 = Z4.oo 14x4g = 8•0 x' I~ = 88.00 Z4x lao = lo.o x 3 = 30,00 zo x l~o = 8•4 7' 5 = 9 Z1oo . Z07. oo Doo. sTLwf 5.~. - ZB.oo z~ St[.• se,~ = Zl.oo 5° ATRwrrt = 35,00 NET Ey~oSED wpLt-. ~Q~-~`k.~i 84.0o~ 26o 78.s8 ooF L~ss L'o,~e. !?s.~Z i~ ~l n"! • Z37.o$ Zlv X 4-Z = l 09 Z ~v,1nw5 z oz o0 (vX 17 = 1oz „ , -~43.zo ~ooR S 8¢;00 ~,194.00~ 2035.~8~ . --WALL SECTION-- I Determining "U" values at Roof, Wall, Rim, and Conc. Blocic ROOF/CEILING R VALUE ' . S - 1.) Interior Air k'i1m 0.61 z.) 5/81, (lyP. Bd. .56 3.) Insulation 40.vo 4.1 5.) Exterior Air Film .61 (STILL) ~ 2 3 6 "Ull I/a= .oZ3 'ioTai, (a)=41-78 ~ , . . $ YlALL (R) VALUE 9 6.) Interior Air Film 0,68 7.) 1" GYP. Bd. .45 8.) Insulation 19.00 9.) $uiUT-RiTE Z•o9- 10.) Mtzsonite Siding .67 ~ l0 17.) Exterior Air Film .17 ll flUtt = 1/R= .04"?~ TOTAL (R)= Z_S.Oj . ~ ~L RII4 (R) VALUE 12.) Interior Air Filtu o.68 13.) Insulation 19.00 14.) 2" Fir Rim Joist 1.88 ~ 15 15•) gvrLT-9iT~ Z.o4 16.) hinsonite Siding .67 17.) Exterior Air Film .17 . o , d• nU'1 = 1/R= .04.0 TOTAL (R)= Z4;14 ~ FOUiIDATION - (R) VALUE 18.) Interior Air Film 0,68 ~g t9.) . z~ pb 20.) n g°• ~ 21.) 12" Concrete Block 1.28 22.) UfbAFP, 11 R" Fof3YI? S• 00 23 23.) Exterior Air Film .17 , Q D° • (go • IiUn = 1/R= TOTAL (R)= 7,13 . **~*~~#~**#****f*x#f#*~*#*#*i~#**#~i CITY OF EAGAi~ * ~F~, °F CONSTiTuTE * APPROVAL OF PFRNIIT. ~ APPUCATION FOR PERMIT * xNsrECTIotv oF sEWEt Arro/ox FmTEt * INSCAILaTTONS WIIS, bIOT HE SCEED- SEWER AND/OR WATER CONNECTION ~~m uwm PERMIIT BAs B~ * ArPxovm. * » ~ • *****#****!Yt*aFlftf*********'k!!*!F'k#*Y P ease Print) 1) PROPERTY ADDRESS: y72 7 Ak/Jif Q,QK Cot& r- " LEGAL DESCRIPTION: LG'r /O QE-~ .2 eq4KCL/F~ y,e2F- y (LOt7Block Subdivlsion or Tax Parcel ID ) IF EXISTING STRCCIL'RE, DATE OF ORIGINAL BPILDING PERMIT ISSL'ANCE: ' ~ PRFSENf 7ANING/PROPOSID USE: (MOn Year) ~ CA~P'lEf2CIAL/REIAIL/OFFICE R-1 SINGLE FAMILY ~ IrIDC'STRZAL ~ R-2 DCPLEX (1D.o Onits) n INSTITL'TIONAL/GOVII2NNEN'r ~ R-3 TOWN[IO[JSE (Three + Units) ( L~nits) ~ R-4 APARTNM]'P/CObIDOMINI[JM ( Units ) 2) ~ NAME:_ 111.tlX ~.oros• wrr~ON ADDR£SS: 598~~ /1<C-~" ST " CITY, SfATE, ZIP: /-tADLE PxorE: 3) • u aFor City C~se Plumbers License: ADDRFSS: ActiVe n u i CITY, STATE, ZIP: bcpired Not recorded PxorE: fs'8 y- `/i Vy -MASTII2 LICIIVSE# 33,:)- 9 M steff Inicial 4) •~r • • i~• ^ NAME: _ , H E' /~S 'O~_ ` ADDRESS: ' CITY. Si'ATE, ZIP: PHONE: • -5) u v ,5 r• a • • s~ ~ NNNF'.CTION 10 CITY SEI^M ~ CONNECfION 20 CITY WATII2 Q O= ' . 6) ~ i- ~ PL,F,ASE HOLD APPROVFD PEE2PIZT FOR zc~l C~P BY OI ~ OF AB(3VE e one) 7) r ~ u• - ' ~ ry' Y'I" ~ • I' • J I~/' i1 I• YJI' Y.~ JI' ' S~ ~ 1. , ~~IJI" Y 11' 1 Y• ' ~ ~ . FOR CITY USE ONLY . PERMIT # ISSOED Pd w/Bldg. Permit FEES: $ ~d • S ~ $ SEWER PERMIT (INCLUDE SURCHARGE) $ ~l' • S~~ $ WATER PERMIT (INCLUDE SC'RCHARGE) $ $ WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOUNT DEPOSIT - SEWER $ $ ACCOUNT DEPOSIT - WATER $ 0-7) $ WAC S (C z- « $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRL'NK SEWER ASSESSMENT ' $ $ LATERAL BENEFIT/TRC'NK SEWER $ $ LATERAL BEN°FIT/TRUNK WATER $ $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ $ TOTAL RECEIPT RECEIPT DOES UTZLITY CONNECTION REQLIRE EXCAVATION IN PUBLIC RIGHT OF WAY? Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN PLBLIC ROADWAY" MUST BE ISSUED BY THE ENGINEERING ~ NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE: PERMIT City of Eagan Permit Type:Building Permit Number:EA107774 Date Issued:10/26/2012 Permit Category:ePermit Site Address: 4727 White Oak Ct Lot:10 Block: 2 Addition: Oak Cliff 4th PID:10-53553-02-100 Use: Description: Sub Type:e-Reroof Work Type:Reroof Description:House Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes . 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 - Alan J Bonham 4727 White Oak Ct Eagan MN 55122 Sela Roofing Remodeling 4100 Excelsior Blvd St. Louis Park MN 55416 (612) 823-8046 Applicant/Permitee: Signature Issued By: Signature