The URL can be used to link to this page

4757 White Oak Ct I cmr oFfAQAv SEWER SERVICE PERMIT ~ 3830 Pilot Kttdb Road J ~ P.O. poXi1199 PERMIT NO.: 9946 ' ' Eagan, MN 55121 DATE 6-3-R7 ' ~ Zoning: RI No. of Units: 1 Owner. DevelOPeZS IIIt. Address: SiteAddress: - 4757 k'hite pak Court L15 82, Oak Cliff IV ' I Plumber. W%terke Trenchintt , -=1-127 72063 100.00pci I 1 agrw to camply with ft Clqr ol Esgan Connection Charge: ( Ordinanca. Account Deposit: 000-1 ; i Permit Fee: lA. 0o., i t Surcherge: ~ ~ By Miac. Charges: ~ Date of Inap.: Total: ~ k Insp.: Date Peid: ~ ; , _ _ . . . , . _ _ _ .~..N . - - - - _ , cr79 ~ 0T3-87 y CITY OF ~/?GAN Permlt No: Dete: . 3830 PIl1l~ Knob Road Meter No: Size: ' P.O..~aot3t~199 Reader Na U Detec 7- ;Z3-,f 7 ~ Eagan, MN 55121 Owner. L'evelopers Inc. SiteAddress: 757 iti'hite Oak Co t L15 B2 OaI: Cliff IV ' Plumber Weierke Trei . ARtY ' Conn, Chg: 525.00 n~` F~c, R1 Acct Dep: 15. 00 Permit Fei Z~ • p~v~ ~ 5urcharge: I+Apree to comply wlth ihe CRY of Espan Tr. Plant 1~~ • Ordlnancss. Meter. = ,St Misa: B . WATER SERVICE PERMI C,ITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ~ PH O N E: 454-8100 BUILDING PERMIT Receipt To be used for Est Value ' Date ' 19 4 OFFICE USE ONLY ~ Site Addres$ Lat fBloCk SeclSub. _On Site Sewage _ Occupancy -'-r- MWCC System _ Zoning PBfCeI No. - On Site WBII _ Type Of Const City Water _ (ActuaQ ¢ Name (Allowable) w * of Stories ~ Address G~~- 6 SfG 7 Len9tn o City Phone Depth , S.F. Total p Name ' Footprint S.F. ~ ~ Address APPROVALS FEES • 1- Clty PhOne Asseasmenta - Permft Water/3ewer Surcharge ~ W Neme Police _ Plan Review Uo AddreSS Fire = SAC,City _j Engc SAC, MWCC i W City Phone Planner _ WaterConn. Council _ Water Meter ~j t hereby acknowledge that I have read this application and state Bldy. OFf. _ Road Unit that the information ia correctand agree to comply with ell applicable APC _ Treatment P1 State of Minnesota Statutes and Ciry of Eagan Ordinances. Variance _ Parks Copies Signature of Permittee TpTAL A 8uilding PermSt is is ued to: on the express cvndition that all work shall be doneaccordance with all applicable State of Minnesota 5tatutes and City of Eagan Ordinancea Building Official _ Permit Mo. Parm)! Nolder Dom Tslspbone Jr Plumbing H.VAC. ElectriC Sottener Inspsction Data Insp. Comments Footings I V ~ Footings II Foundation Framing Roofing Rough Pibg. Rough Htg. ~ Isul. ~ Fireplace Final Htg. Y;.2 yd Final Plbg. Bldg. Final Ci@ft. OCC. Temp. LP Deck Ftg. Deck Frmg_ Wel! Pr. Disp. + v. na.,..-s~r -r; r', . .•~i..~plyy..;:T"^!Ta~ ? t.~~'~_~~'TC;,~W^7Te" _ !n . .i PERMIT# MECHANICAL PEHMIT RECEIPT # CITY OF EAGAN 3530 PILOT KN08 ROAD, EAGAN, MN 55122 DATE CONTRACT PRICE PHONE: 454-8100 Site Address BLDG. TYPE WORK DESCRIPTION Lot Block Sec/Sub Res New ~ Mult Add-on m Name Comm. Repair Address ~ - Other c City sPhone ~ %V Name FEES RES. HVAC 0-100 M BTU - a24.00 c AddresS J '~~Ph\bne r ADDITIONAL 50 M BTU - 6.00 p City r` (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIn - 1.50 EA. TYPE OF WORK = COAAM/IND FEE - 196 OF CONTRACT FEE - - -z~ - ( . APT BLDGS. - COMM. RAtE APPLfES Forced Air _;.,f(,` M BTU TOWNHOUSE 8 CONDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00 Vent CFM STATE SURCHARGE PER PERMIT - .50 Gas Piping Outlets # + BE`lOND $1/pC p lp) PERMIT PRICE GOES Other FEE S/C: 51GNATURE OF PERMITTEE t TOTAL• FOR: CITY OF EAGAN . . - ~ : . T:.~~•' . . . ...'P.rx . , ~:°'a. . . . . - . . . . 'G' , ' - PLUMBIN(i PERMIT PERMIT N A~C0-3- . . ' ~ CITY OF EA(iAN RECEIPT ti 3530 PILOT KNOB ROAD, EAGAN, MN $5122 DATE: CONTRACT PRICE PMONE: 454-e100 Site Addre9s BLDG. TYPE WORK DESCRIPT Lot Block Sec/Sub Res. New ' 6 ~ KAult. Add-on ~ NaSne Comm. Repair ~ Address ~ Other c City ;O,~~~ Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Name Water Closet - $3.00 m _i-Bath Tubs - $3.00 ; Address __4,~_Lavatory - $3.00 p City Phone --/--Shower - $3.00 _,~__Kitchen Sink - $3.00 FEES Urinal/Bidet - S3.00 COMM/IND FEE -196 OF CONTRACT FEE _I.Laundry Tray -$3.00 APT. BLDGS - COMM RATE APPLIES / Floor Drains -$1.50 TOWNHOUSE 8 CONDO - RES. RATE APPLIES -if Water Heater -$1.50 MINIMUM - RESIDENTIAL FEE - $12.00 ' Whirlpool - $3.00 MINIMUM - COMM/IND FEE -$20.00 Gas Piping Outlets - $1.50 STATE SURCHARGE PER PERMIT - .50 (MINIMUM -1 PER PERMIn (ADD $.Sb S/C IF PERMIT PRICE GOES SoRener -$5.00 BEYOND'$1,000.00) Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 S G ATURE OF PERMITTEE FEE STATE S/C: 5 " FOR: CITY OF EAGAN GRAND TOTAL• ~ S'~ ~rr#ifir~t~ a# (~rru~~nr~ i of eagan ]pPpwblIPftY of Inad111[J iwPttlOYl This Certifrcate issued purstiant ro tlee requirenients ojSectton 306 of the Unijorm Building Code certifyin8 that at the time ojrssuance lhir structwe wns m rnn?pliance wllh the mrious ordinances of r/te City regulating bul/ding construction or use. For rhe follnwing.• u,e clagairxarioo SF 1X/Gr?.R mes. Nrmii No. 1 s4X O-VO-Y TYW R3 Zoning DWzic, Rt Tra0. v oWW Of * T=FIOPERs aNss-nujc'r.zcx~ „dd= 110 i =r RW, sacMtF &uld* A&Irm 4757 AM QA1C 00URI L-Slit' L15, E2, QAK Q.I1''F 4TI! aw. JULY 29, 1987 &adims O&W . POST IN A CONSPICUOUS PUCE . "s"r•, " . . . . . , t . . ~r.~.,R~i+-~'?1b. , :t . - . . . . _ . . . . . . , CITY OF EAGAN A9 1713' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE: 454=8100 - Recei Pt # Li~~ ~ To be used for 3-BZAI" PoltO Est. value ~79000 oate OCT 4 , 19 a9 Site Ad~~ 6757 ii1HITE Q11K C1' Lot Block SeGSub. OFFICE USE ONLY P3fCel AfiJ. Occupancy - FEES JOHIi D RYAIi zoniny - W Name (Actuaq Consl _ 81dg Permit ; AddreSS (allowable) _ 3.50 o Surcharge City EAGAN Phone of stones ~ Length Plan Review ~ , o Name s~ ~in ~ snC, City Address S.F. Total - SAC, Mcwcc ~ City Phone S.F. Footpnnis _ On Site Sewage _ Water Conn . ~ W 1W Name On Site Well - Water Meter _ ; Address MwcC system _ ` ¢ = Ci waler Acct. Deposit <W City Phone H - PFiV Required _ S!W Permit I hereby acknowlege thal I have read this application and state that the eoosier Pump - SrW Surcharge information is corcect and agree to comply with all applicable State oi Minnesota Statutes and City of Eaqan Ordjnancqs. Treatment PI . ) ~ IL • _ Signature of Permitee ° C\ ' APPROVALS Roed Unit A Building Permit is issued to: S~ ~ AX Plan"ef - Park Ded. on the express condition Ihat all work shall be done m accordance with all Cot+ncil 50 • applicabte State ot Minnesota Stalutes and City ot Eagan Ordinances. gldg, On. _ COPMS -94-00 8uilding OffiCisl Vaziance - TOTAL Pamk No. Permk Holder Date Telephone # WATER SEWER ` PIUMBING H.V.A.C. ELECTRIC % InspKtion Date Insp. Comments Foolings 1 founGation framing :7 _ / Roofiri9 Rough Plbg. Rou9h Fllg. ~ 2q ~ DS Fireplace Final Hlg. Final Plbg. Const. Meter Plbg. Inspecta - Notify Plumber Engr.fPlan Bldg. Final Deck F1g. Deck Fnal weli Pr. Disp. ~sI/D 9Q 3 CITY OF EAGAN N°_ 13 4 0 8 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE:454•8100 Receipt # -70.o c 3 7obeusedfor SF DWG/GAR Est.Value $123,000 Date APRIL 1 1987 Site Address . 4757 WHITE OAK CT OFFICE USE ONLY R3 Lot 15 Block 2 SeGSub. OAK CLIFF 4TH Mwcc sys eme X Oocn ^gancy R1 PafCBI No. On Site Well Type of Const Gty Water (ACtua1) V a Name DEVELOPERS CONSTRUCTION (Allowable) ~ w x of Stories ~ Address 1101 CLIFF RD Length 76 o City B' VILLE phone 890-6194 Depih 32 S.F. Total . o Name SAME FootDrint S F. ~Q Address APPROVALS FEES ~ City Phone qssessments _ Permit $ 572.50 Waler/Sewer Surcharge 61.50 ww Name Police _ PlanReview 2116_25 ti Fire SAC,CRy inn_np i - Address - u o Engr. _ SAC,MWCC 595_flQ aw City Phone Plenner _ WatarCOnn. S29n0 Council _ WaterMeler 67 nQ I hereby acknowledge that I have read this apPlication and state 8l49 Off. _ RoaC Unit _305,00 thattheinformationiscorre reetocom I withallapplicable APC - TreatmentPl 1Rn_np State of Minnesota Statu s a ag d City of Fa OrdinenCes. Variance _ Ca~Prkseg Signature of Permitte 70TAL 2 22. 25 A Building Peimit is iss d to: DEVELOPERS CONST on the express condition that all work shall be done in accordance with all applicab State of Minne,~ ta Stat tes and City of Eagan Ordinancea Building Official ~ CITY OF EAGAN N p 1713 7 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55721 BUILDING PHONE:454-8100 Receipt s ~ i1l~J'I PERMIT Tobeusedlor 3-SEASON PORCH Est.value $7,000 pate OCT 4 ,1gS9 Site Address 4757 WHITE OAK CT Lot 15 Block z Sec/Sub. OAK CLIFF 4TH OFFICE uSE ONLv Parcel i00. Occupancy - FEFS Zomng _ w Name JOHN B RYAN lAClual) Consl _ Bldg. Permil 90.00 ; Address 4757 WfiITE OAK CT (Allowable) - p Surcharge 3.50 City EAGAN Phone 895-9352 x ol Stories - Lenglh 121 Plan Review zF Name SAME Deplh SAQ City 0,¢ Address S.F.TOIaI - SAC,MCWCC ~ CIfY Phone S F. Foolpnnls _ On Sne Sawage _ Waler Conn r ez Name On Sno Well - Waler Meter .Z5 Address hnWCCSysiem - a W City Phone City Water _ Deposit PRV Raqwretl _ SiW Permil I hereby acknowlege ihat I have read ihis applicalion and state that the Boosler Pump - SNJ Surcharge information is correct and agree to comply with all applicahle State of Minnesota Statutes and City of agan Ordinan es. Treaimenl PI SignaWre of Permrtee ~ AP7ROVALS Road Unn A Building Permit is issue o: JOHN B~.'AN Planner - park Ded. on Ihe express condilion ihat all work shall be done in accortlance with all Council 50 apphcable State of Minnesota Statutes and Ciry ol Eagan Ortlinances. Bldg' OIL CoOies . - ButldingOfhcial fiodJ~~ r~ 401A. ~~l6 Variance - TOTAL 94.00 ~ PERMIT # LZa?7 RECEIPT DATE 2002 RFSIDENTIAL PLUMBINfi PERMIT APPLICATION crrY oF EasAv 3$80 PILOT KNOB RD EI1fiAN, MN 55722 651-6$1-4675 Please complete for: single family dwellings, townhomes and condos when permits are required for each unit, backflow preventer for irrigation system I-1 o "L r SITEADDRESS: H15, YVhllt OOIK Cft*P- OWNERNAME::-Fodd Ericivsorl TELEPHONE#: 1o51-SO/D' //11AV (AREA CODE) INSTALLERNAME: brGt111 PrD PIUVI1bIF101 TELEPHONE#: _RE~ COy~O~-~ORgg STREET ADDRESS: n(~I ~ ~I "I ~AI1 V! al~ ~ CITY: LA'Ke V I IfPl STATE: m N ZIP: !SS U y 7 SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) g 100.00 includes $40.00 County fee Note: Additional consultant fees may apply • MODIFICATIONlALTERATION TO EXISTING DWELLING UNIT, INCLUDING: _ Adding fiutures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00 _ Abandonment of septic system. _ Water turnaround - existing dwelling unit 5/8" meter if needed -$118) Other. RPZ: new installatioNrepaidrebuild $ 30.00 _ lawn irrigation system ReplacemenUadditional: _ watersoftener ~waterheater $ 15.00 State Surcharge $ 50 rotal $ 1 S 'SC) I hereby acknowledge that I have read this appliwtion, statethal the information is conect, and agree to complywRh all applicable City at Eagan ordinances. It is the applicanPs responsibility lo notify the property owner that the Ciry of Eagan assumes no liabili ~for any amages cause y the City duringi rmal operational and maintenance activi[ies to lhe §cilities constructed under this permit 11 i r rty/rig o- ~ s m SIGNATURE RMITTEE 1/0 RESIDENTIAL ~~~/(7S BUILDINC PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681•4675 New ConsW ction Reauiremenh RemodellRemir Reauirementa . 3 registered site surveys shovnig sq. ft. af lot, sq. R of house; arM all roofed areas • 2 apies of plan (20% maximum lot coverage allowed) . 1 sel of Energy Calculations for heated additions • 2 copies of plan showing beam 8 window s¢es; poured found design, etc.) . t site survey for exlerior additions & decks • 1 set of Eneyy Calcula6ons . Indicate'rf home served by seplic system for additions • 3 copies of Tree Preservation Plan if lot platted after 1l1193 . Rim Joist Detail Options seledion sheet (bldgs wiN 3 or less units) DATE VALUATION 7j-0 JOB SITE ADDRESS y7fZ W4t"f E O'i/Y Cr , L= 9' f'~i.-, IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER TYPE OF WORK R214GC Si~/1Tr d- /~aiV FIREPLACE(S) _ 0_ 1_ 2 APPUCANT _C~~l.f'Sar.tP. ~k'TL°?IohJ' PHONE# 76.1~- JPo ~QCa ADDRESS 1-?c?Y /0 /40 ~*h i/ ~ °t-~ ZIP CODE PAGER # CELL PHONE # FAX # 763 - 7Pv NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted _ MINNFSOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor. Phone P1umUing System Includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00 Water Heater No. of R.I. I3aths No. of 13aths Mechantcal Coniractor. Phone # Mechanical System Includes: Air Conditioning Tee: $70.00 Hcat Recovery System Sewer/Water Contractor: Phone # All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with ail applicable State of Minnesota Statutes and City of Eagan Ordinances. SignahrreotApplicanf L?°v'^"~ - Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 2002 OFFICE USE ONLY ? 01 Foundatlon ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelting ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 E#. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plez ? 10 08-plex ? 18 Deck O 23 Porch (screened) ? 36 Multi ? OS 03-plex ? 11 10-plex ? 19 Lower Level O 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New O 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement `Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const W idth REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaVC.O. _ Footings (deck) _ FinaVNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Wa[er _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Tes[ _ Final _ Windows (new/replacemen[) _ Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MCIES SAC City SAC Water Supply 8 Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total / o ~ 1987 BOILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLQDE 2 SEfS OF PL9NS, 3 CERTIFICATES OF SQROEY, 1 SET OF ENERGY CALCQLATIORS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOSiNER MIIST DESIGBATS AHICH ADDRESS IS DESIRED. NO CHANGES NILL BE ALLOHED ONCE BDILDING PERMIT IS ISSIIED. MULTIPLE DiiELLINGS - RFSIDENTIAL RENTAL OAITS FOA SALE i1NI2S INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SQRVEY - CAECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATION3, COMMERCIAL ~ INCLUDE 2 SETS OF ARCHITECTURAL'& STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, t $2,000 LANDSCAPE BOND l 2 3, o'~o To Be Used For: Valuation: Date: ~ ~--~~7- Site Address OFFICS USE ONLY Lot IZE- Block On Site Sewage_ Oecupancy /J MWCC System ? Zoning R 1 Parcel/Sub ~(~'~,~rf 2~ S~'h On Site We11 Type of Const City Water ? (Actual) ~ Owner (Allowable) SL" !P of Stories Address Length ")(L~ Depth 3Z City/Zip Code S.F. Total Footprint S.F. Phone - / 9PPROVALS FEFS Contractor , Assessments Permit 57 2~ Water/Sewer Sureharge 6~j s° Address Police Plan Review Zb(.. u Fire SAC, City IoO. City/Zip Code Engr SAC, MWCC 5 ZS Planner Water Conn 5 25 Phone Council Water Meter !o -7. Bldg Off Road Unit OS• Arch./Engr. APC Treatment P1 f2>0. Variance Parks Address Copies City/Zip Code TOTAL Phone lF 60~d x s8 = 3~~00 S7C~ K ~Z CP9 f Z Zd- x2~ " 2c~ x ao (04vx 44- - 4s7(ao 44 ~ ~32G Zx lS - 30 ~ 22-1 d c~ ~ ' Bk: 107/91 ' Certificate for: . DevelopeNs Construction_Inc. 1101 Cliff Road Burnsville, Minnesota 55337 DELMAR H. SCHWANZ LAND O)WAYOR& NC. ftprrw undw uw a nm ser. a winwn. 14760 80UTM RO6EHT TRAII ROSEMOUNT, MINN TA 55088 8l423-1769 SURVEYOR'8 CERTIFICA E 3 ~~Rg /333S NB9- 36- 10,6 q$2~/ 9~ t p N9°y~9 k I M o 3f9'~ 0 3z.o o ~ qB~, y M 3,. ~ 2 Q N I k 1 I I ~ D d, ~ ~ ~ n 0 0 ~ ~ I C p Q N ~ I 15 I ~ N 7,--- Dzainage and Utility Easement a ' 9907 y ~0 qqo.o '99 N as• td - ;c /38.3e ' Proposed qarage floor Elevations shown are existing ' elevation ~ f Scale: 1 inch = 30 feet t . t i Description: Lot 15, Block 2, OA[ CLIli 47N ADDITION, according to the recorded plat thereof, Dakota County, Minnesota. Also showing the location of a proposed house thereon: Houae type revised March 31, 1987 I MreW,oNtl1Y tlrt Nds wwwY. 0w. or npoet wu ~.0~0~ iry me a wldn mY Olnef wprvlMOn and lMt 1 aa a duly ibp1- 0A UiW SwvWyor un0w tn. I.,. a M. sUte a ~an».oe.. March 4, 1987 ONrmrM.Bolwenz • pdp MMn„Mo RpUtntfon No. SMl6 EX'fERI01t ENVEIOf'p nvEiinrr "u" cinmtrrnrturi y . QVIIIER: . , ~ . . . . . SITE ADDRESS: CONTRACTO(l: DA7E: PHONE:~ - - DETERHIIIE. VIORY,IIIf SOUARE FOOTAf,E OF,EACII: , . , 1 . . TOTAL EXPOSED tilAlL AiIEA, , , , , . sq f t x "U" 7. TOTl1l ROOF/CEILING AREA,, .,';sq ft x"U" _,f 3•' TOTAL EXPOSF.O iJAI.L AREA CAICUlATIONS: Total exposed wall . ' orca above flaor........ 5q pt a) Total wall wlndow area: • G 9lazed...... _ sq f[ x IOUll glazed...... sq ft x iluit v b) Total door arca sq ft x"U" ~ r c) •Total sllding qlass door area:' i, . . . ~ 9lazed.:.... sq ft x ifun yZ. ° !331 0 . glazed....,, sq,ft x "U" o d) Total flreplacc wall arca sq ft x"U" e) Total wall framing area ' (Average 10%)............ _ sq ft x --Un f) Total net wa11 area above ~ 3. floor (Insulated).,.,,,, ~ sq ft x"U" g) Total rim Jolst.area....., sq ft x"U'! Total foundat_lon area (Exposed).........._ y~D sq.ft li) Total foundatlon windori area............. 0 ' sq ft x"U" e I) Total net foundatton area ahove.graJe% sqft x"U" ylp~ d~~~5'y 3• - • . ' . TQTAL a) thru 1) If'ltem /13 Is the samc as, or less than Item pl, you havc met the Intent of S.R.C. Sec[Ion 6006 (c) Z. h. TOT/1L EXPQSED R•OOF/CEILING f,ALCUll1TI0N5: . . . Total exposed . . roof/ceilinn area......,. 1122 _ sq ft . . J) . Total skyl lalit. area........ Sq f t x "Un k) Total roof/cellinq framing , area (Averaac 109)...... ' sq ft x"U" v~~ I) Total ne[ Insula[ed ' rooF/cel l inq area.......--~iy-JG'-L9 ,L sq ft x~~U" ~ QgQ~ at• TOTAI J) thru I( total'of 94 ls thc same as, or less than n2, you have met the Intent of S.D.C. Section 6G(16 (c) 1, , . . . . _ ~a•. ' • , • • • . . ~ . . . , ALTERNATE DUILDIIIf EIIVELOPE DESIf,N , • To u[ilizc the [otal envelope system method, tlie values establlshed by the sum •of Items 1/3 and !!4 shall not be 9reater than the sum of Items //I and !12. : 1. + 2. _ 3 , + 4 . ° • . . C E R T I F.I f, A T I0 II I hereby certify that I have calculated the "U" factors and "R" • values herein and that the buildln(i here dcscrihed meets or exceeds [he State of Hinnesota Encrpy f.onscrvation Aet. . i - • r , Slqna[urc . , . . - ~ CEILIHG SECTI011 .('Ip'ISULATED) Interlor :iir'filri'` . ~ ` - ? ua.k o G7.l1LFr~1,2~' lJOOL I.c 3 4 ~i. Cxtcrior 11 r film (stI ll) O;/1 ,.'TOTnL.,{; 1 / R '.:0:?` . 1, ~ ..1' • ' , i i ' ~ ~~~i~ - - . ~ , ~'~~;q::.'•;`, ~.~,~~r'~n~,,~l~lt!:,,.,,'~i?',.',;;'~:f,::.;?~, ~ , fEILING FRAMI[IG SFCTION LJ-•,; 5, 1 Interlor alr illm " .f1 61 .,z AIR... . VENTCD, erlor alr Pilm still 0.61 FLOW '_.5. ~ /t~ Inches soft wood . , ,'..TOTAL R , , . ' , . ~o..l/R U „ i• " . , . . . . . . ' . I. . . CEILIf7G SEf,TION (IhISULATED):;`.;,'.: 4r I ' I n t e r i o r a i r' f 1 1 m..,' oi 61 : 2 . . 3 i..,...,..,.. 11F.xterlor air film: still n.' ' :.TOTAL R .1 / R ~ . C[ILINr, FRAMlflr, SECTION: . , 1• Interior atr film veNrED ~ 2 3 , h Er.terior air film still ~.,1 ~ i inches so(t wood , TOTAL R = . . . r. U = 1 /R = 3 5 4 . , . . 1 Insidc alr fflm n,Al . n~';~~, ~ ~ 2 J / y ~ < 5 Outside a i r f i lm n,17 TOTAL- it = l , . U = I/R 4 " c01151'nUf.'trDl1 R vilLUL'.i:.,~ . . . . . . : , , l1ALL FItA1111;G SECTION:;.'°,;;. ' r 1 . Interior air'fllm • ~ , : f ~yl~ o a ~ c- ; inches soft wood ~ : • - . , 5 : a ~ d 6e A Fxterior air fflm ;17 % . , . . :'.TOTAL, R , . . . ' . . ,r.,~;,:i:',~ .;-.~.i;' , ~.I"•; ~ ~ ~ ~ • , U:.'~.,.~;~R'm',.,,'Ir~: , ' :.~~i'!".~f." '.r.' :~t . . . • ;~,~...:.'i: i~.': , ' • - ' ' . v~'~r: ,'3: ::'~~~`Z~'i,:`.; >i ,tJ:;S~/~;;,.',. WqLL SECTIONIIJSULATED)' 1 Interlor.a(r fllm• ti.:. .~.•-.s-`'.f1.(,R; 6 \ ' ~ i r . , L:'' , • . f,. Cxterlor alr. film • . 0~1.7'•;;;;;~~:: • . TOTAL,R.= =a " . ' U =.1/R • ' ,..r , , . RIM JOIST S[CTIOH: . - 1 Interlor a i r fllm,.. . ' ~~~,6R;.°,;i;`• 2 3 . , . : S7 ~ 5 - =(G Extr_r1oM alr fflm . 1.7;"•, ,TOTAL'R ~ • ~y• ~ . IU I / R ~ . ; 1i . . ~ A• • . . . . . q . , ~ . .i"~. , 'p, FOUfdDAT10i1 SECTI01l: Intr.rior alr ftlm ~ n.(,$ 2 A ~ ~ ~ ~d0 ~ a•_'!~,r iI T*.xterlor air'film , n,17' ~ - ,m~iA~F . . 4 ` ~!'~'~~;•/Jr%;/~~~j . ( f, . . . ~ , TOTAL R S u= 1/R= ' . , • SLAR 01l GR/1DE• ~ • V '4 ~ cl. ~ , ~ : - q~b~+ ~ ,11jfJ jF~t ~A n ~ ; , ~ V" , ~ .~d ` i/i////.'%////~: „ ~ : ' ' 4• q, ~l.a ~ • ~ • ~I a.~ p~'%v • ' {%!l ~ n.4a~ ,n' ,a•1-•~~ ~ . . . 1989 H[TSLDIHG PERMTT dPPLIC9TI0N CITY OF E6GAN 1989 SINGLE FAMILY DWELLINGS MDLTIPLE D LINGS COP4MEACIAL 2 SEfS OF PLANS 2 SETS OF PL9NS 2 SETS OF ARCHTfECfQftAL 3 EEGISTERED STTE SDR9EYS REGISTfiRED SIT6 30RVEY5 - 6 STBUCTORAL PLANS l SET OF ENEEGY CALCS. (CHECB WITH BLDG DI9.) 1 SET OF 5PECIFICATIONS 1 SEf OF ENERGY CALCS. 1 SET OF ENERGY C9LCS. MULTIPLE DWELLINGS RENTAL QNTTS FOR S9LE IINITS i OF IINTTS HOTEs ADDRESSFS FOH COANER LOTS - COATRACTOR/HOMEOWNER MUST DFSIGHAiE iTHICH ADDRESS. IS DFSIRED. NO CHANGFS iiII.L BE ALLONED ONCE BQILDING PERMIT IS ISSDED.. SEiiER 8 HATER PERMIT FEES AND ACCOiTNT DEP0.STT FEFS iJILL HE INCLIIDED WITB THE SOILDINd PERMTT FEE. PAOCESSING TIME FOA SEWER AND HATER PERMITS IS TWO D9YS ONCE A PERMTT H95 BEEN COMPLETED INDICATING 9 LICENSED PL04IDER. PENALTY APPLIFS FiHEN: PERMIT IS NOT PAID FOR IN 39ME MONTH IT IS REpIIESTED. LOT CHANGE IS EEpIIESTED ONCE PERMIT IS ISSDED. 73-sEnsoN ~6PcH To He Osed For: QCi"-rt~ ~ - )k- Valuation: 7 0.0 Date: G Site Address 9~5'j (.JH171~~- 04\KGT, OFFICE OSE ONLY Lot 15- Block Occupancy FEFS Zoning Parcel/Sub GAk C.uFr ~'H i-!D'D N, Actual Const Bldg. Permit 90•00 n Allowable Surcharge 3,50 Owner TF~~•. iJ. 4` nr # of stories Plan Review Length /Z, SAC, City Address is- (7c,ic- C'f- Depth /t ' SAC, MWCC .~n S.F. Total Water Conn City/Zip Code ~C..c.%"(nv" 1\~vx h2SVf`, Footprint S.F. Water Meter S S 1~ Ac Phone ~~a - $~1r et. Deposit `l5 a- On site sewage S/W Permit On site xell S/W Sureharge Contractor C~ w1 ~r' MWCC System _ Treatment P1. City water _ Road Unit Address PRV required _ Park Ded. Booster Pump _ Copies ,So City/Zip Code SQBTOT6L APPADVAI.S Penalty Phone Planner _ TOTAL ~ Couneil Arch. /Engr. W VH t rT ~cl.; ~e~ s Bldg. Off. .~~28 Address 5S L..o.k~-- ~Icri S,,,dc 30/ Variance S~So~3- City/Zip Code `-Cl r-e~4- Lvi4 Phone 0 ~ ~ 3 " t ~ ~ • t~a Lt ~ ~ • vAcu,a-noAJ lZ x~6= l9z ' ' ,(in = ;20 i~z X~o= 6~sFTJ o~e 7 0~~- .tificate for: ' Bk: 107/41 .evelope5s Construction Inc. 1101 Cliff Road Burnsville, Minnesota 55337 DELMAR H. SCNWANZ ~ INC n.gwn.a unw uw a n%o ew. a w~n~ 14750 SOUTH ROBERT TRAII ROSEMOUNT, MINN OTA 55088 8121I23-1789 3URVEYOR'S CERTIFICA E 3 „Rg /3i 3S N89- 36 /8 E q81.3 9P.~ 1 a y°~yb.q I\ ~ M 3f 3°I -0 ;L.D Q N ~ ~ - - - ---.o - - - -I N j 1988 z I ~ ~ Q I qB1 ` ~ a'" 4, ~ ` n 'a = k ~1 I I o V o° G o o ; ~ I - y I! q ti, %I N V~ N I ~'N 10 s 4 I ~ O ~ ~ O ~ 7 r-- pN N „ a. 4 I Drainage and t N ~ a; Utility Easement S. 99o a ~ 0. 7 yi L "',oPC~f18 I - ~.y 990.0 ~ _ _ - af~t qfjt ~yas• ta 30 /3$ ;b Proposed garage floor Elevations shown are existing elevation ~ Scale: 1 inch = 30 feet ; Deecription: Lot 15, Block 2, Q111C CLIFF 4TH ADDITION, according to the recorded plat thereof, Dakota County, Minnesota. Also showing the locntion of a proposed house thereon: House type revised March 31, 1487 1 MrMy owMfy Me MM ourvey, plan, or nport was vOPOI M^O a unh. r" a.oot wpw.INon ana mM I an . duly Mp1qm/oA und avrmyor unAw IM In" d tM 6HN of MMnwoh. . March 4' 1987 Wlmr H. 8ehwen: DOM Mlnnewta qplstntlon No. lS2b . *i*********#****#*****~****###*****# CITY OF EAGAiV * ~ ~°F~ ~ TIM oF APPROVAL OF PERhIIT. APPLICATION FOR PERMIT ; INSPDL'TION OF SF.yM ADID/OR f@1TII2 : TrZrAr.ramrONS WILL Nl7f BE S(HED-- SEWER AND/OR WATER CONNECTION UNTIL PERMIT HAS BEEN ~ APPROVID. ; L4 * w , . * • **+***:*.t+•*,r*,.++*~,r*t*,~***,.**t:*,r* P ease Print) 1) PROPERTY ADDRESS: 4757 ~'~hSte Qak Ct. LEGAL DESCRIPTION: F P. oCk 2 Odk Cliff 4th Lot Block Subdivision or Tax Parcel ID ) IF E7QSTING STRCGZSTRE, DATE OF ORIGZNAL B(.'ILDING PERMiT ISSL'ANCE: ' PRESfTlP ZONING/pROPOSID L'SE: (t"bn Year) - ? CAMAEFtCIAI./f2fiTAIL/OFFICE tjn R-1 SINGLE FAMILY Q ZISJC'STRLAL ~ R-2 DL'PLEX ('Iko Onits) [I INSTI2L'TIONAL/GOVEEti~,'[VT ~ R-3 70WNHOL~SE (Three + Units) ( L~nits) . p R-4 APART27ENT/CODIDOMiNILRd ( Units) 2) Q~ NA`E0 Developers Cont. ADDRESS: 1101 C l i f f nd. , CITY, SZ'ATE, 2IP: Purnsville, PRN. PxoNE: 890 6194 3) • R': NA„E. Weierle Trenching For City Use - Plumbers License: A ctive ADDRESS: 660 C1iff Rd. ID CITY, STATE, ZIP: Eagan, A:n.. 5 bcpired Not recarded PHONE: MASTFR LICESISE# 0003691M9 St~a f Initiyl 4) • • ia• NAME: Feme a.s applicant ; _ ADDRESS: , CZTY, STATE, ZIP: PHONE: - 5) ~ v ~ r. : o • o~ a. EBH roi`1b7F'.CTION 1o CITY SEWII2 HiMHCpMIDUrION To CITY WAZER ~ p'IHER . 6) ~ r ?-~PLFASE AOID APPROVID PII2MIT FOR PICK-OP BY ONE OF AHOVE - ~ PLEA.SE MAIL APPROVm PERPiIT TO 1, 2, 3. 4, P,HOVE (Circle one) " 7) r ru• • ~ ti- ~i « 1~i ..~xTi~ r~7s - - - _ ' .m • a-r ~ • 71• • • a• • ~ ~ r. • ti. 1 ! ~ i Y:I•.NJ~ I 1 1 • ,,e•'^ ~ , :F . FOR CITY USE ONLY " - PERMIT # ISSL'ED ~7 y 2- Pd w/Bldg. Permit FEES: ~ $ $ SEWER PERMIT (INCLODE SURCHARGE) $ $ IO 'S~ WATER PERMIT (INCLUDE SC'RCHARGE) $ $ WATER METER/COPPERHORN/OL'TSIDE READER $ $ WATER TAP (INCLC'DE CORPORATION STOP) $ $ SEWER TAP $ $ +CCOUNT DEPOSIT - SEWER $ $ ~ « ACCOUNT DEPOSIT - WATER $ -5` 2 S ' &-o $ WAC $ $ SAC $ $ TRC'NK WATER ASSESSMENT $ $ TR[:NK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRONK SEWER $ $ LATERAL BEN°FIT/TRUNK WATER $ $ WATER TREATMENT PLANT SDRCHARGE $ : $ OTHER: $ $ TOTAL 72-0 G 3 7V2 2/ RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? ~ YES IF YES, THEN A"PERMIT FOR WORK WITHIN Pf)BLIC ROADWAY" MUST BE ISSUED BY THE ENGINEERING ~ NO DIVISION. LIST AS A CONDITION. S[)BJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: &I1L,~,/ TITLE: DATE: ,7 ~ F.°riOffce.~Jse ~ ~ Permit Clty 0f EapIl ~ I Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 ~ Date Received L, ~ I Phone: (651) 675-5675 Fax: (651) 675-5694 I Staff: . L--- - 2008 RESIDENTIAL PLUMBING PERMIT APPLI PIa o 5 2008 lk~ Date: Site Address: Tenant: B ._1 RESIDENT I OWNER Name: -WV Phone: (Q>I~°VC ~I (JV Address / City / Zip: ~l-IJ ` CONTRACTOR Name: e~Iiance.Connection§cjR9#: Address: ~ 1813 Danita Cr City: ShakState: Zip: Phone: Contact Person: TYPE OF WORK _ New _ Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W. Descri tion of work; PERMIT TYPE .RESlDENT/AL Water Heater , Water Softener Lawn Irrigation Add Plumbing Fixtures L_ RPZ PVB) ~ Main _ Lower Level) Septic System _ Water Turnaround New , Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround' (includes $.50 State Surcharge) 'Water Turnaround (add $136.00 if a 5/8" meter is required) $100.50 SeptiC System New ($10.00 per as built) (inGudes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) SOTAL FEES $ I herehy acknowledge that this informahon is complete and accurate; thal the work wdl be in confortnance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permR, and work is not to start without a permd; that the work will be in accordance i the approved pl in the case o~ work which requires a rewew and approval of lans. ' X x k Applican Prin e me Appjicant's Signature FOR OFFICE USE' ' , ~ ` ReviewedByi`'' ~ ` Date:, ` Required Inspections: . _Under Ground' .~_Rough`In `Air Test' ~ Gas'Test _Final ' , City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4757 White Oak Ct Lot: 015 Block: 002 Addition: Oak Cliff 4th PID:10- 53553- 150 -02 Use: Description: Sub Type: e - Furnace & Air Conditioner Work Type: Replacement Description: Fumace & Air Conditioner PERMIT City of Eaan Permit Type: Permit Number: Date Issued: Permit Category: Mechanical EA076277 12/27/2006 ePermit Comments: Questions regarding electrical permit requirements should be directed to Mar k Anderson, State Electrical Inspector, 952- 445 -2840. Ashley Orman 410 W Lake St Minneapolis, MN 55408 612 - 824 -2656 ashley @standardheating.com Fee Summary: Contractor: Standard Heating & Air Conditioning 130 Plymouth Ave. N Minneapolis MN 55411 (612) 824 -2656 Surcharge -Fixed ME - Permit Fee (Replacements) Total: Applicant/Permitee: Signature - Applicant - $0.50 $30.00 $30.50 Owner: Christophe R Osment 4757 White Oak Ct Eagan MN 55122 9001 0801 I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Issued By: Signature City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4757 White Oak Ct Lot: 15 Block: 2 Addition: Oak Cliff 4th PID:10- 53553- 150 -02 Use: Description: Sub Type: e- Reroof Work Type: Repair Description: House Census Code: 434 - Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Beissel Window Siding 1635 Oakdale Ave W St Paul MN 55118 (651) 451 -6835 Perm closed without required inspection(s). Letter sent to applicant on 8/18/09. (pf) If there is no ice protection inspection prior to final, you must meet inspector with ladder and flat bar. Pictures are not acceptable in lieu of inspections. BL - Base Fee $3K Surcharge - Based on Valuation $3K Total: I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - Construction Type: Occupancy: $88.50 0801.4085 $1.50 9001.2195 $90.00 Owner: David Rew 4757 White Oak Ct Eagan MN 55122 -3328 Permit Type: Permit Number: Date Issued: Permit Category: Issued By: Signature Building EA087375 11/12/2008 ePermit City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4757 White Oak Ct Lot: 15 Block: 2 Addition: Oak Cliff 4th PID:10- 53553- 150 -02 Use: Description: Sub Type: e- Windows/Doors Work Type: Windows/Doors - New/Replacement Description: House Census Code: 434 - Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Beissel Window Siding 1635 Oakdale Ave W St Paul MN 55118 (651) 451 -6835 PERMIT City of Eaan BL - Base Fee $3K Surcharge - Based on Valuation $3K Applicant/Permitee: Signature - Applicant - Construction Type: Occupancy: Permit Type: Permit Number: Date Issued: Permit Category: A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are required in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector. Total: $90.00 Owner: David Rew 4757 White Oak Ct Eagan MN 55122- -332 $88.50 0801.4085 $1.50 9001.2195 Building EA087516 11/19/2008 ePermit 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. Issued By: Signature Use BLUE or BLACK Ink r----------------� I For Office Use � I • � �a'�� i C�� i Permit#: Y � � � vSa � � Permit Fee: I 3830 Pilot Knob Road � I Eagan MN 55122 � Date Received: � Phone: (651) 675-5675 • I I Fax: (651) 675-5694 I Staff: � I I 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: / Site Address: J I S7 6vh r�c ��}Gt GR� Unit#: Name: S /��.,t ,s ]��/1�� y� � �, 5 Phone: �Ol (� �7 '��7� �Resider�tl ` Owner� � � Address/City I Zip:_�7 s � ��N`�C C��l�( CR T, �L ��i�1�i�li' ,�/1 /� s'SY z 3 5�w ':„; �� -�'�� Applicant is: Owner �Contractor Description of work: C^ �,� � ..i y 6"' 7� � }�}� � � £y' ,��O/�/ Type of Work �� ,, ;, , t.; Construction Cost I�J�� Multi-Family Building: (Yes /No� � ��,��3�� / ` Company:��.�� f� ��'J'� ��6�5 Contact: `�l7��.TC� z� � 7 �� COI1tCaCtOC % Address: J IA 2 £G R lg2r� c�ty: lt/v oD,�V R Y � '�_ � �� State:/1?�Zip:�s1 z l Phone: �i�� 7Q7�^ �ai� � J�1��L�� '��•��S. , � --�ca�_ o�, � �= License#: �(_ G �3 � � �o Lead Certificate#: O 7 S"` If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes �No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: NOTE:Plans and SUpporti'.ng documents tfiat you submit a"re considered to be.public information.. Portions of the information may:be classcfied as non pu6lic=if you provicle spec�fic reasons thaf would permit the Cify to a ;.� ,conclude fhat the are traale'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.qopherstateonecall.orq 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 .�s!�� r � .- x Applican 's Printed Na ApplicanYs Signature Page 1 of 3 PERMIT City of Eagan Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA140523 Eagan,MN 55122 City Date Issued: 12/28/2016 (651)675-5675 O (] (]j1 Permit Category: ePermit www.ci.eagan.mn.us /LLI t/1l11'll Site Address: 4757 White Oak Ct Lot: 15 Block: 2 Addition: Oak Cliff 4th PID: 10-53553-02-150 Use: Description: Sub Type: Fireplace Construction Type: Work Type: Gas Fireplace(new) Description: Census Code: 434- Occupancy: Zoning: Square Feet: 0 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 Fee Summary: BL- Base Fee$3K $88.50 0801.4085 Valuation: 3,000.00 Surcharge- Based on Valuation$3K $1.50 9001.2195 Total: $90.00 Contractor: - Applicant - Owner: Fireside Hearth&Home Paul L Yates 2700 Fairview Ave N 4757 White Oak Ct Roseville MN 55113 Eagan MN 55122 (952)985-6675 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. Applicant/Permitee: Signature Issued By: Signature