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