4762 White Oak Ct
~ cinr oF E?aAN
3830 PNot Knob Road SEWER SERYICE PERMIT '
I , - - 1 ~113
i P.O. gpx 21199 PERMIT NO.:
~ fagan;)AN 55121 DATE: 5-20-87
Zonir9i: Rl No. of Units:
Sunshine Const.
Address:
Slte Address: e Oak ur ~
~
, Plumber: taY Plumbing
- • P
1 agros to comply wkh ihe City ol Eagan Connectlon Charge: 525• OOpd
; O?dinancas. Account Deposit: 15 . 04pd
Permit Fee: 1~ . ~~pd Surcharge: •50pd i
gy Misc. Charges: ;
' Date ot Msp : Total: ~
~ Insp.: Date Paid: i
I
y - - i
CITY OF ~A(iAN Pej'mR No: Datec
3830 F'`ilo. 'nrfb Road Meter Siz~ r ,
P.O. Boz Z" 199 Reader No: &1;2p-Iv ;?Te-Q Date:
Eagan, MN 55121 j
Owner. Sunsh:t.ne
Site Address: 4762 tilhite Oak Cuurt L6 B1 Oak c1 i ff Tzl !
Plumber Star Pluznb
Conn. Chg: 525 •
Acct Dep: 15' i a ~LJ 61119
~IG tt. 1
Permit Fee: 10. 0' Ata r
' Suroharge: •5 a~b ~y wlth the City of Eagan
Tr. Plant 130 , Ordina . .
'Meter.
Misc.: By I
WATER SERV E PERMIT
_ - i
~
I
I
I
I
'R'W,.,rW
CITY OF EAGAN ~ ~ 0 J'* 7
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 `#3
PHONE: 454-8100 ~
BUILDING PERMIT Receipt #
To be used for n= Est. Value =1 s0()0 Date MAY 16 , 01
%
SIIe Addf
Lot 6_ , ck _1 Sec/Sub. OAR CI.L!! 44'H OFFICE USE ONLY
PdfC@I N0. 0" OccupanCy 1&2 FEEg
W Name C~tEGG 1CI.INL Zoning
_
(ACtual)Const BIdg.Permit 23~00
~ Address 4762 VRIT1s Ow1C CT (ab,,,,able) _
Surcharge _..t30
City EAGAN Phone 894-9613 # of scones
Length 476 Plan Review
~ Name $m poW 161
snc, aiy
Address S.F. raai
~ Clty Ph0?1B S.F. Footprims _ SAC, MCWCC
~ On Site Sewage _ Water Cpnn
¢ Name
W W on sne wau
W Water Meler
~ ; Address MwcC system _
~ W City PhOne Gry Water _ ~~sit
PRV Required _ SNV Pertnit
I hereby acknowlege that I have read this application and state that the Booster Purrq) - S/yy Surcharge
information is correct and agree to .comply with all applicable Slate of
Minnesota Statutes and City ol EBgan pr~nanc'es. 7reatment PI
Signature of Permitee APPROVAI.S qoad Unlt
A Buflding Permit is issued to: Planner _ Park Ded
on the express condition that all work shall one in accordance with all Council
applicable State of Minnesota Statutes and City of Eagan Ordinances. gldg, pff. _ Copies
Building Oflicial Variance - TOTAL 23.50
PWmil No. Permit Holder Qats TNWphwm N
WATER
SENIER
PLUMBING •
H.YAC.
ELECTRIC
Infqetion Dsft 4tsp• CortNllwts
Footirps I
Foundaion
Framing
Roofr?g
Rpigh Plbg.
Rough Htg.
Iwl.
Fireplace
Final H68.
Orstal Test
Fnal Plbp. Plhg. kupecta - Wolify PkirMer
COnsl. Mete?
Engr./Plan
Bldg. Final
oeak Fq. S=/7 y1 Q S
o,* FinW /
weli
Pr. Disp.
~
L r % CITY OF EAGAN • 3830 Pllot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ~
` PHON E: 454-8100
BUILDING PERMIT Receipt ~t
To be used for Est. Value Date r't "Al+ ,19 ~
Site Address OFFICE USE ONLY
Lot Block i Sec/Sub. CL1 t'F 41h On Site Sewage Occupency
MWCC System ~ Zoning `
PBrCeI No. On Site Well Type of Const v
Ciry Water _ (ACtuaQ u
a Name ' ~-t'.NSTRI'CTIUir (Allowable)
bu u * of Stories
; Address Length -
b City Phone `00 Depth
S.F. Totat
, g NSme Footprint S.F.
ou Address APPROVAL8" FEES s..
P City Phone_ Assessments Permit
~-water/Sewer _ Surcharye
~v W Name i.i' L?:;' PolfCe _ Plan Review
W
' ' • "
7 Fire _ SAC, C1ty
Address
Q= , Jw- > c', Enyc - SAC, MWCC
~ W City Phone Planner _ Water Conn.
Council _ Water Meter
I hereby acknowledge that I have read this application and state Bidy. Otf. _ Road Unit
thatthein}ormationiscoRectandagreetocomplywithallappliCable APC _ TreatmentPt
State of Minnesota Statutes and City of Eagan Ordinancea Variance _ Parks
Copies
Signeture af Permittee TOTAL
A 8uilding Permit is issued to: on the express condition that
all work shall be done in accordance with all applicable State of Minnesota 5tatutes and City of Eagan Ordlnancea
Building Official
I
• Wrmit No. Permlt Holder Deft TeNphono
Plnbing
H.V.A.C. Electric , ~1_33~
Softener
Inspectbn Date Insp. Comments I
Footings I
Footings II I,
Foundation I
Framing el . I
Floofing
Rough Plbg.
~ Rough Htg.
Isul.
FireplaCe - ~
Final Htg.
Final Plbg.
Bldg. Final Wcecl Corr-er76ed s•ike, a1? oio Cert OCC. !~j C'a//eJ [~Xf• .
Temp. LP
Deck Ftg.
Deck Frmg.
Well
Pr. Disp.
' . - . ~~~:a•sva.;.-v'^'~i',~R;•., _~r+.r,+-~,~;~::~+*.~~4`~Tr•,•,~... .~....a. ;a: . -
. ~ - - PERMIT #i gg~ I
• . PLUMBIN(i PERMIT
RECEIPT M ~U J 1&
• CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE PHONE: 454-8100
Site Address - ~ - BLDG. TYPE WORK DESCRIPTION
Lot Block ~Sec/Sub Res. ' New ~
77 Mu1t. Add-on
(D Name Comm. Repair
-LIV
Addres~s Other
c City PhOne --~lL-- RES. PLBG. ONIY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
Name Water Closet - $3.00 S y
~
1 =Bath Tubs - $3.00
c Address 2-1- _t Lavatory - $3.00 - -
p Ciry j ~ill Phone ` -L_Shower - $3.00 ~
_LKitchen Sink - $3.00
FEES _,_Urinal/Bidet - $3.00 _
COMM/IND FEE - 1% OF CONTRACT FEE 1, Laundry Tray -$3.00
APT. BIDGS - COMIN RATE APPLIES i_Floor Drains - $1.50 ~ -'~-TOWNHOUSE 8 CONDO - RES. RATE APPUES -L_Water Heater -$1.50 -
MINIMUM - RESIDENTIAL FEE - $12.00 ___~-Whirlpool - $3.00 J
MINIMUM - COMM/IND FEE -$20.00 1 Gas Piping Outlets -$1.50 ~
STATE SURCHARGE PER PERMIT - ,50 (MINIMUM - 1 PER PERMII)
(ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00
BEYOND $1,000.00) Well - $10.00
Private Disp. - $10.00
- Rough Openings - $1.50
_ c~ ~ - • ~
SIGNATURE OF PERMITTEL FEE: ` t
STATE S / C: ~
FOR: CITY OF EAGAN GRAND TOTAL: ~-s
PEFiMIT #
MECHANICAL PERMIT RECEIPT # CITY OF EAGAN /~7
3830 PILOT KNOB ROAD, EAGAN. MN 55122 DATE
CONTRACT PRICE PHONE: 454-6100
Site Address gLp~`,, TypE WORK DESCRIPTION
Lot _(_P ock ~ Sec/Sub Res ? NeW
Name =pzc' Mult Add-on
m Comm. Repair
~ Address
c City -r~•1~e- Phone Other
FEES
~ Name r ~ - RES. HVAC 0-100 M BTU - $24.00
c Address ADDITIONAL 50 M BTU - 6.00
p City a t Phone I- (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PEHMIT) - 1.50 EA.
TYPE OF WORK COMM/IND FEE - 196 OF CONTRACT FEE
Forced Air 100 M BTU a:l ,0 APT. BLDGS. - COMM. RATE APPUES
TOWNHOUSE 8 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 a1 S~ S !,17 (~,Z~ ytSs'-[ 7)~. -r.
S/C: e~o SIGNATURE OF PERMITTEE
.
TOTAL•
FOR: CITY OF EAGAN
, HOUSE HEATING TEST RECORD ' ADDRESS APT. F100R CITY 4 G SUBURB-~. ~
OCCUPANT OWNER h~ (
HEAT LOSS DATE TG. INST.
SOLD BY P~-+s i'"11L~ INSTAILED BY pr~~S /~~rl a-~;~4
Eleerrical Mlwk Bp ~r 4,e 041! Gas Lin• Br
TYPE OF HEAT GA FA X HIN STEAM SPACE HTR. UNIT HTR. OTHER
GAS,DESIGN CONVERSION
MAKE fa/~h ~J/0^9 MAKE OF BURNER
Mad.i SUK tao 6,41- 3,4 Moei1
S.ial g~~k T7 ~ Q~ AAos. BTU Ratiny
INPUT IG'U.d 00 MAKE OF FURHACE
AAod.l
CONTROlS
THERMOSTAT Hoot Pluy Yont S;s• ~Volv. KIND OF LINER SIZE 'NONE
Limit Drah Hood Reyvlotor
Limit SeMin9 Filtws Sis• v~s~ ~ Number
Fa^ Settin9 O+imner Loeation Inside~ , X Ovtsid•
Pilot T y1/G
rpe ~ ChimMy Construction - %
Pilof Mak•
Pilot Model Smoko Bomb Wiriny
Pllot Timina Oroft Tett Teg
L.W. Cw Off y Door Presaur• Lfyhfiny (nst. -~r
P?isswo 3• ~ Percent Cp2 7- • Date Tastod
Inqut CFM ~UUn~ Pweont OZ q8-~ Companr 7estiny d'f ef ~i1 !4
Stock Tomp. 00Y Pwesnt CO 0l Name eF Test*r y V^
Fo.w, 235
. , ~
f~~r~i#tr~fp nf (~rru~~nr~
titp of eagan
loPmtnPtif Df %ailtg jwPtfiDlt
This Cerd; ficate rssued pursmant w the requinments ojSection 306 of the Uniform Building
Code certifying that at the time of issuance this structure nrrs in compliance with the various
ordinances of 1he City regrelating building conshuction or use. For 1he folbwirtg:
U. m.&.u. M?w eft. ttfzwt rb. I~C~1
O-UP--Y 7* R3 Zonmg nisa;r, R ! TYx c«m `
p~,w~~ ~SF1T.]~: OQNSIRUGIL~i Add,= 5985 1251h a W. A.V.
MIdin Add= 4762 WHTIE QAK LT. L-amy Lb, Bi, QAK (ZIFT fri:a
aa: nou'c-mbar 23. 1987
ea~q o~tl
POST IN A CONSPICUOUS PLACE
NO PRV REQliIRED CITY OF EAGAN N! . 14065
3530 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:454•8100 s7& 6-7q
BUILDING PERMIT ' Receipt x /
Tobeusedfor SF llWG/GAR Est.Value $131,000 Date AUGUST 19 19 87
Site Address 4762 WHITE OAK CT OFFICE USE ONLY R3
Lot 6 Block 1 SeGSub. OAK CLIFF 4TH MwCC Systeme X ~on ng ~cY RF-
Parcel No. On Site Well Type of Const _}J
CityWater X (qctual) _.V_
a Name SUNSHINE CONSTRUCTION (Allowable)
w x or stories
z Address 5985 125TH ST W
; Length 54
0 CitY A.V. PhOne 431-2200 DePth 38
S.F. Total
,a Name SAMF. FootprintS.F.
~a Address APPROVALS FEES zli 596.50
a
~ CityPhone qssessments Permit
Water/Sewer Surcharge T5-.50
W w Name JAMES R HILL INC Police _ Plan Review ~75
~Z 8200 HliMBOLDT AVE SO Fire _ snC,City 100.00
i-
t~ Address En r SAC, MWCC 57 S.OO
aw City BLMGTN Phone 894-3029 Planner _ waterConn. S?s p4
Council _ WaterMeter 67 OQ
I hereby acknowledge that I have read this application and state BIGgAft _ Roatl Unit 7n S_ OC
thattheinformationiscorrectandagreetocomplywithallappliceble APC - TreatmemPl 1RO.OC
State of Minnesota Stetutes and City f Eagan Ordinances. Variance _ Parks
Copies
Signature of Permittee 7oTAl 7"
-
A Building Permit is issue to, SUN INE CONSTRUCTION on the express condition that
all work shall be done in accordance with all applic le State of innesota Statutes and City of Eagan Ordinances
Building Official
~
CITY OF EAGAN N2 •'I 9067
3830 Pilot Knab Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be used for DECK Est Value $1,000 pyte MAY 16 ~ g 91
Site Address 4762 WHITE OAK CT
LOt 6 BIOCk 1 SBC/Sub. OAK CLIFF 4TH OFFICE USE ONLY
Parcel No., Occupancy PL-2 FEES
Zoning _
w Name GREGG KLINE (ACtuaqConst _ Bldg Pormit 95_00
~ AddresS 4762 WHITE OAK CT (Allowable) - Surcharge -SO
City EAGAN Phone 894-9615 x ot Siofies
Length 47' Plan Review
~a Name SAME pepth 16' snc,ciry
O¢ Address S.F. Total - SAC, MCWCC
~ City Phone S.F. Foolprims _
On Sne Sewage - Water Conn
F¢
t z Name On Sne Well - Water Meter
AddfBSS MWCCSystem _
iw CIfY Phone Gty Water _ Aut. Deposn
PRV Requirad _ S/W Permit
1 hereby aCknowlege ihat I have read this application and 5tate that the Boosler Pump - SIW Surcharge
information is correct and agree ompty with all applicable Sta1e of
Minnesota S[atutes and City of agan r r es. TrealmeM PI
Signature ol Permitee APPROVALS Road Unii
A Building Permit is issued to: GREG INE Planner - park Ded.
on Ihe expres5 condition ihat all work shall b done in accordance with all Council
apphcable State ol Minnesota Statutes antl City of Eagan Ordinances. Bitlg. OIL _ Copies
BuildingOlficial WIA Variance - TOTAL 25.50
Y ~ ~
2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City OfEagan
3530 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete foc single family dwellings & townhomes/condos when permits are required for each unit
nate _7 / Ja7- / _ 5'
Site Address Y76a ev&7"e 04k CT Unit #
Property Owner (S/Q,EZ.G- AI(At!, Telephone #
Contractor haa/ / 4
StreetAddress a46 (OS /5/Sr~ s7`" ev City ~~~~()(!~J(
State AA) Zip S5Vj2X Telephone# (46t
Bond Expires:
The Applicant is _ Owner X Contractor _ Other
Add-oo or alteration to existing dwelling unit $ 30.00
furnace _Additional _Replacement
air exchanger
~ airconditioner _New x Replacement
other
State Surcharge $ .50
Total $ 30...5-0
I hereby apply for a Residential Mechanical 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 with the Mechanical Codes; that 1 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. • •
T,4~v~T W ~ lI roi~c- •~.~9
Applicant's Printed Name Ap 'cant's Signature
2005 COMMERCIAL MECHANICAL PERMIT APPLICATION
City Ot Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephoae # 651-675-5675
Pleau complete for. commercial/industrial buildings
multi-family buildings when separate pertnits are not required for each dwelling unit
Date / / ~ - •
.
Site Street Address Unit #
. .:i, : . _ . . .
Tenant Name (ifapplicable) Previous Tenan[ Name
.
.s?:Fv ' . • ~'k'..
Property Owner Telephone t! ( )
r
Contractor ' ~
Street Address , V " ; fi ~ X ; ~ • ~~it}}.'~ ' 4y
State , ~ • :'c, Zip•~,:., Telephone #
Bond Expires:
The Applicant is _ Owner _ Contractor _ Other
Work Type
New Construction _ Underground Tank _ Install _Remove "see 6efow
Interior Improvement _ Install Piping _Processed _Gas
Nature of Work:
"When installing/removing underground tank, caN for inspection by Fire Marshal and Plum6ing Inspector
Perml[ F¢es: $70.50 Underground tank mstallatioNremoval
$50.50 Mirtimum (includes State Surcharge)
or
Con[rac[ Value $ x 1% _ $ Permi[ Fee
• If eR rmit fee is $1,000 or less, add $.50 ~ $ State Surcharge
" If ermit f'ee is over $1,000, add $.50 for
every $ 1,000 pr emit fee S Tatal Fee
I hereby apply for a Commercial Mechanical Permit and acknowledge that the information is complete and accurate; that the work
will be in conformance with [he ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is
not a permit, but only an application for a permit, and work is not to start without a permir, 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 NVe ~ . , _ d', Applicant's Signature
Approved By: , Inspector Date:
. A. /(/06 ' • _
7987 BQILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
INCLIIDEIDSEfS OF PLANS,C CERTIFICATES OF SORVEY, d SET OF ENERGY CALCQLATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOSiNER MQST DESIGPA2E WHICH ADDRESS
IS DFSZAED. NO CHANGES WILL BE ALLOWED ONCE BIIILDING PERMIT IS ISSQED.
MULTIPLE DiiELLINGS - AFSIDENTIAL RENTAL IIPdITS FOR SA[.E ONITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF Si1RVEY - CHECK HITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMMERCIAL
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: Nff/J<ESidENTML. Valuation: / DCO Date: f-G -X7
Site Address AJ762 ~j/i7-4 OAKCT_ OFFICE USE ONLY
Lot Block On Site Sewage_ Occupaney r•3
MWCC System ? Zoning 2
Parcel/Sub (,j~K ~4/FF ~/~OD • On Site Well Type of Const
` City Water (Actual) -V-
Owner ~)u,~/,StfiA/AL ('c7nic;2u6 7-IOA/ (Allowable) -1~7
PI of Stories
Address ~5285- Length S9
Depth S8
City/Zip Code A/~,Pci //i4Lc.r/, /f~,S,~i~y S.F. Total
-T Footprint S.F.
Phone yz a~CA2 APPROYALS FEFS
so
Contractor _~AME A-S dQvi/'r- Assessments Permit
WaterJSewer Surcharge 65.so
Address Police Plan Review 29 a.
Fire SAC, City lnp.
City/Zip Code Engr SAC, MWCC 'S Z S.
Planner Water Conn > z S.
Phone Council Water Meter (g-7,
/ Bldg Off ~ bl~, e, Road Unit '~05,
Arch./Engr. 5 Q• ~fiaL /Nlo • APC Treatment Pl 180.
Variance Parks
Address fje2pU Ffa.~-iAo~T /tdE SD • Copies
TOTAL
City/Zip Code ~zOOhin//,7LYJ', ~~.,S.Sy31
Phone # k9 y- 02q
ZZ,c ~C)40 . i-.
.
a8C Y 2 = (Do
~3 o
~6 8 -75G(L
' Ar,~ wTio nl - 2,v 1f-• 14,p e OE7
SURVCYOR'S .CCRTIFICATE suNSniriE coiIsTnuci'IoN;r,o.
N
- (0
~N
oV' Ll' sr irr,c USE I
c-
,
o ,
~ Q ssi.a, L-
~ - - 143.04 9'
90
9895 N 82°57'41" E
2B.76 993.49
48.35 _ i~9HT.9 981.24
= I 10 ~ 17.14 ; 15.63 ~ I 5 1
O - 993.7t 40.33 ~989.~ ~
~ N p 6
30
3 , o ~
PROPOSED z" LOT I'`L
, 2O.0 HOl1SE ~y ~
~I` i / O L= i-I . J w ~
0
Q Ma? o iQ
0 2167 /N Z
~ 2 l J
4_ ~-~`'E'Et C(P :<F G A R. I Q W
W 'OR IVEWq o~ I Q W ln/~
I 997.3x \4.67 a991.6 QW N
W 10 15.00~ I 5
983.9 I
~ 48.33 •9891 ~ t
992.B . 990.03 991.7 ~ ~ELEC. TRAN4O.46 N 81°10'23~~ E / • ,
\TELE. PED.
I ' L_ ~l I f I .
. 30
II
p DENOTES NAIL SET
--4_ UFNUTES PROP05EIl SUfiFACF. UIlA11111GE
O UENUTES 111(1N MONUI•IEHT SET SCAIEt 1 IIICH ~ a FEET
• IIIiNO'fF.S IIION M(1Nl1MEl1T FUUIIU PROPOSED I;NIAGF. FLUlilt ~ 99y,8 FEET
X00p.0 IifNU'ff5•EXISTRIG EI.EVIITI011 PROPOSED LUNEST FLUf)li - FEET
(UUU,U) ULNUIES I'RUI'USEU ELEYATIUPI PRUPOSEU TUP UF ULUCK - 945,2 FEET
1 IiEnEBY CERTiPY TO SUNSHINE COtiST. C0. 7}IpT 7H15 iS A 1RUE A11U COHRECT
HEPRESENTATIUN UF A SURVEY UF THE IIDUNUARIES UF:
•
Lot n, 61ock 1, OAK CLIFF4TH ADDITION, according to the recorded
plat thereof, Dakota County, Plinnesota.
AtIU OF THE I.OCATfUN OF A PnorasEO BUILUiNa.17 DoES NoT PuRPnm' ro SHQW II4PROVEMEN'fS
UR ENCRUACHIqFt115, IF ANY, TIIEI3EUN. AS SUIiVCYED BY,ME, UI2 UNUEII MY OIRECT SUPCkVISION,
THlS 30rrI UAY OF Ju[Y , 1997.
SIGNEU: JAh]ES R. HILL, RIC.
REVISED HOUSE LOCATION
8-21-87 ~
V
nv: I{ARULU C. PETEHSUN, LAND 51141VEYUII
MINNE50iA LICENSE 110. 12294
rFlOJEC,r rro, uoou i racc JAMCS n. 1-IILL, INC.
87451 227/22 planners / Cnglneers / Surveyors
FILG NU, 0200 Ilumbold! Avenue Gaulh
FOLDLI3
i~io~~~,ir,u~on,?~n. cs~te~ G12-(i04-:1U29
SURVEYOR'S CCRTIFICATE SUNSHIME CONSTRUCI'ioN;Cn.
N
~N
EXISTINy I
HOUSE
a.p
Q ssi.a~
I 990.5
\I,4a
76 3.04 /N 82°57'41" E
~ ~ 29. ses.+ -
x9 OB
48.35 ~ I
~ -;~9BL9 981.2l N
= I 10 ~ I~14 ~ /15.63<'
~l
O ; - e~se,l /994.5 . / --,I a9B9.'! .
/ . • 24.67 fi -
N Q',
"5- QPO.S, GAR. I~ ~ y
30
a DRNEIVAY~ 2167 ~p, ~ ~ c_3 :r~:. LOT e+
Y 998.I~ I ~ / /N 1v J Y
v
Q ~ ~ ~ ;
MO~ I 0 PROPOS -7
ED 2 C '(O ~
NOUSE \ m
Z ~ .i
n o Q W 1^
Q~ Y' .
Z 40.33 O Q LO i~-
997.3~ . . •991.6 W N I_
W 1 10 15.00500
~
X993.9 U') ~ 48.33 989.1
992.8
30.00 ' 998.03 991.7 _ ~ 140.46 N 81010'23" E
3 ELEC. TRANS.
\TELE. PED. I
30 I y . L_~J I 1 I .
II
A DENOTES NAIL SET
_-4_ IIfNUTES PROPOSE[1 SURFACE UnA1N116E
O 11CNOTES IItUN MUNl114ENT SET SCIILE; 1 INCH a 30 fEET
• DfNO'iF.S IIIUN MONUPIENT FOUIII) PROPOSED GAIIAGF. FI.0l1H • 993,8 FEET
XD00.0 IIfNUT[S ERISTING EI.F.VATIUIJ PROPUSED LU4IEST FLOf)R - 4g6,1 FEET
(UUU.U) ULNOTES I'RUPUSEU ELEYIITIUPI I'ROPOSED TUP UF ULOCK ° R9y,2. FEET
1 HEREBY CERTIFY TO SUNSHINE COhIST. C0. THAT THIS 1S A TRUE ANO CORRECT
HEPIiESENTATIUN Uf A SURVEY Uf TIIE UOUNUARIES Uf:
Lot o, alock 1, OAK CLIFF4TH ADDITION, accordin9 to the recorded
plat thereof, Dakota County, Minnesota.
ANU OF THE I.OCATfUN,Of' A PROPpSED BUILIIING. IT DOES NOT PUfiPORI' TU SHDW 114P111OVEMEN'f5
UN ENCRUACHMEN'I'S, IF ANY, THEREUN. AS SUHVEYED BY,ME, Oli UNU[H MY DINCCT SUPERVISION,
TH15 30rH IIAY OF Jucr , 1907•
51GNEU: JAMES R. HiLI, IIIC. ~
91~ '
B Y : l~ ?~F2f1L~.~
HARUI.U C. PETENSUN, LAND SIIItYEYUl1
MINNESOTA LICENSE NU. 12294
rROJEC-r No. uoOrc i rncs JAMCS R. I-IILL9 INC.
87451 227122 Planners / Cngineers / Surveyors
FILE NO, pZUD Ilumboldl Avenue Goulh
FOLDLR Ulootnlnplon,ldn. 1335491 612-084-3029
• - , - , ' CITi OF Lz6I& BUILDIti(3 llEPARTI-IENT
EXTERIOR E14VFLOPE AVERAGE "U " CO1dPUTATION
(To be submitted with building permit application)
One or Tsro Family Dy+elling Owner
!11 Otlier Site Address _yTG~ ,~ri~frlEelwC~T-
Contractor ~C 6dr Date __k-G Phone 'Y3% ~~OL7
• ~-$5 - 3ZZ
LIIIEAL FEG'P OF
EX!'OSED l'JALL <7HEC-TII ft. above grade - 2~P~g.Sgj
TOTAL EXPOSED WpLL AREA SQ. FT.
OPAQUE 'ilALL COilSTRUCTION: °U° Value x Area
F~~ln70 - IIuit , 043 x s2. FT. to3,s•~S- 7.5S (u)(n)
Detail -e_o?~CI "U" . 14b x SQ. FT. IIS.IZ= (U)(A)
reference I n,l ilpto , 04D x SQ. FT. Z 37.o B = q,4i3 (U) (A)
from ~ npn x SQ. FT. _ (U)(Q)
attached iiUn x SQ. FT. - (U) (A)
sheets npn x SQ. FT. _ (U)(A)
7~II1DOSIS: "Ull Vulue x Area
11ake & Type _AwL, CS191"r "Ulf SZ- x SQ. FT. 70.00 = 07. (o (U) (A)
" " "U" x SQ. FT. _ M(A)
° It njJlt x 8q. FT. _ (U)(A)
" " ilUti x SQ. FT. - (U)(A)
A70R5: "Ul' Value x Area
Ifz.:ce Px Tyoe eiTL,, )4S0I.- x SQ. FT. ,00 = 6,9(0 (ll)(A)
° " AIx?IW) $lull . 4-7 X SQ. FT, as,oo = i6o.4s (u) (a)
ii ii npu x SQ. FT. - (U)(A)
n n nUa x SQ. FT. - (U)(A)
ToTnLS S SQ. r-T. 7-44.019 (u)(a)
AVERAQE "U ll
TOTAL ( U) ( A) VALUES 944 bg -
DIVIDLD BY TOTAL 14pLL AREA 2tO7B•$$
AVk;HA(3L•' 13U11 , g r lesa for 1&2 family dwellinge
ROOF/CEILIt](3:
TOTN, AREA: I19C~•OD
Detail reference itUl) .OZ3 x SQ. FT. 94 = 27W0(U)(A)
from flUit x SQ. FT. s (U) (A)
attached sheets. "Ull x SQ. FT. _ (U)(p)
Describe onenings "Ulf
x SQ. FT. - (U)(A)
in roof. ~'ll~~ x SQ. F.T. - (U)(A)
TOTAL (U)(A) VALUES DIVIDED BY z74~ _ T7~Lj,~2 I7.±4O CU~A>
TOTAL ROOF/CEIL 7(3 pF2EA 11~400
• AVERA(lE "Ut , 25 or ventilckted roofe.
' ~oRK: S~EET
&~PvC-Z Wp«.
~ 18•33X C4Z+4Z+2&+z6,) = Z497-.88
9-soX L(n+(o~ = 114vo
4. oo K I Z - 48• ov
~}•on. X (v = 24, oo ,
2 (,p75. $s ~
,~7X ~4-z+¢Z+L~o+zlo) = 9f•IZ
4.0o X (o = t4.oo
IIS.IZ ~
~~m Iorsr
~.Co7 x (,4z+4Z+Z(o~-z.lv~ = zL7. rZ
C(o +c~) = q.9(0
Z37.o8 ~
Wirlpows
r(ox3/o = 4.o x Z= 8.vo
ZoX3lo = 5.v X 3 = IS.oo
Z4x3~= ~v.o X 4 = Z4.oo
14x4g = 8•o K I~ = 88-00
Z4X 4v o = Io.v x 3 = 30,00
zvxcoo = 8.4 ns = 9zloo
Zo7, oo
Doo ~ ~j
3° sYL• wf 5,~. = ZB.oo .
ZQ= StL- ZEr. = Z?. 00
NeT ExoO,6~ wALc. 64?L*+Ls
,5 ° ATJZIvr~ t = 35, vo
84.oo~F 2Wg.g8
G~45 C'orle. 11s.1Z
Z37.0$
ZloX4-z = ?o9Z „ v.1nw'S zo7. QO -lo`i~3.zo
~ X 17 = ~~Z Doo2's 84:00
1~194.00~ Zo35.m8~
, . --17ALL SECTION--
Determining "Ull vfzlues at Roof, Wall, Rim, and Conc. Bloclc
ROOF/Cr,ILIIdG (R) VN,UE
5
1.) Interior Air r'ilm 0.61
2.) 5/81, ayP. Bd. .56
3.) Insulation 40.00
4.!
5.) Exterior Air Film .61
(STILL)
I 2 3
6 uUu = 1/R= .OZ3 '1'OTAL (R)=4f.78
. ~
8 Y7ALL R VALllE
9 6.) Interior Air Film 0,68
, 7.) -1" ayP. Ba. .45
8.) Insulation I9.oc
9.) $uiLT-RiTE Z•o¢
10.) Masonite Siding .67
l0 11.) Exterior Air Film .17
11
uUn = 1/R= TOTAL (R)= 23.OI
RIMt (R) VALUE
I~ ~3 12.) Interior Air Film 0.68
13.) In„ulation 19,00
14•) 2" Fir Rim Joist 1.88
75 15 15•) ~ILT-9 iT~ z.o
J 16.) Fiasonite Siding .6~
17.) Exterior Air Film .17
. o
, • . . lfpn = 1/R= .040 TOTAL (R)= Z4;QQd~
~ FOUIIDATIOtd (R) VALUE
18.) Interior Air Film 0,68
79.)
71 20.)
n 0~j°• ~ 21.) 12" Concrete Block 1.28
' e ^ ?0 22.) udDE~ 11 r,d ~*vl4YH 5• oD
23.) Exterior Air Film .17
n
L)° + (go • ' npn = 1/R= TOTAL (R)= 7,13
1999 BUILDING PERMIT APPLICATION (RESfDENTIAL) ?~~8
CITY OF EACAN I Q/„ ~S
3830 PILOT KNOB RD - 55122 UIS~
651-681-4675
New Conshuction Reaulrements Remodel/Reoalr Reaulrements
D 3 reglstered sNe surveys showing sq. H. of lot, sq. fl. of house 2 copfes of plan
and all rooled arecs (20% maximum lof coveraae allowed) 1 set ol energy calculationf lor heafed addlNOns
? 2 coples ot plans (show becm 3 window slzes; poured Ind. design; etc.) 1 sHe suney for exferior addMlons 3 decks
? 7 set of energy calculafions
? 3 copies of hee preservafion plan H lot plaBed after 7/1/93
DATE: n' 2 ~b -qI CONSTRUCTION COST:
DESCRIPTION OF WORK:
STREET ADDRESS: ~ ~64~--- (!)d~ C+ •
LOT: BLOCK: ~ SUBD./P.I.D. IS!
Name: ~`l ~ ~1 o G~Ce9`i Phone G~ Z~`jL7- .Z ) Z G
PROPERTY Lcs1 First
OWNER StreetAddress: 774 2- w4;4,- o44, 0f-
Cfty E4w State: Zip: .5 S~ L 2
Company: Phone 6~L $9S =0 0 j~~
(area code)
CONTRACTOR p
Sheet Address: ~ 1 Sg 3~\t4-1° License # Ab 011 N(o Exp.
ciN state: WAI zip: SS337
ARCHITECT/
ENGINEER Company: Name:
Telephone N: area code ( )
Sheel Address: Registration N:
City State: Zip:
~
Sewer 6 wafer Iicensed plumber (reautred for new conshuction onN
PenaHy applies when oddress change and lot change Is requested once permB is issued.
I hereby acknowledge ihat I have read this applicafion, state fhat the Informafion Is cortect, and agree to comply wRh all applicabl
Sfate ot Minnesota Statufes and City of Eagan Ordlnances. /
Signafure of Applicanf:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
, c• ~ FN1~~
Tree Preservation Plan Received _ Yes _ No _ Not Required !:~4~~ •
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 0 22 Porch/Addn. (4sea.
? 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 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Misceltaneous
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 Alteration ? 37 Demolish Bldg.` ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
" Give PCA handout to applicant for demolition permit
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 Valuation: $
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter •
I
Acct. Deposit
S/W Permit ;
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
SAC Units
% SAC
1991 BUILDtcqO~AICATION 4
' CITY OF EAGAN
SINGLE FAMILY DWELLINGS HULTIPLE DWELLINGS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGI5TERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL P1ANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCUTATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WNEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY IAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER lATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For: 'oECK Valuation: N~,w&- Date: S/~UI a~
Site Address -14-I(oZ U--jk(-(f OAK e.l OFFICE USE ONLY
Lot ~ Block FEES
Occupancy M-Z- Bldg. Permit z5
Zoning Surcharge
Parcel/Sub Actual Const Plan Review
Allowable SAC, City
Owner # of stories SAC, MWCC
Length I 6 -9 V 7 Water Conn.
Address W~~i f- OA K L- tDepth Water Meter
S.F. Total Acct. Deposit
City/Zip Code E!~" IMIJ SSIZZ Footprint S.F. S/w Permit
~7~;,r -Q61S S/W Surcharge
Phone On site sewage_ Treatment Pl.
On site well Road Unit
Contractor MWCC System _ Park Ded.
City water _ Trail Ded.
Address ~ PRV Copies
Booster Pump
City/Zip Code SUBTOTAL
~ APPROVALS Penalty
Phone Planner Lot Change
G Council TOTAL ~
Arch./Engr. ~^vl ` Bldg. Off. S11191 QS
Variance
~
Address X
City/Zip Code
~
Phone , UL agrees that all work shall be done in accordance with
(Sign ure of Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Cities Digital uality Control
The following image represents the best
available image from the original page.
Every effort was made to capture the content
from the original page.
TrE.,n/Tionl - 2IvIL-- be
EYOR'S .GCRTIFICATE suNSiiiriE carIsrnuci'ioN,Co,
FVE-
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~N
I k ~ I - ~ EXISTINy I
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C.~ 1 ~
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~ I l14 `I5.63 ~ I 5 I
O - 897.7.
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o /
I~ I m PROPOSED /OT ~
~ H 0 U S E z~ ~ a ~
M~ i N/// o I_ W O
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O Q(~f'0 0 2167 6 ~ W lk- Z \ J
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I Z W 1n
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W ! 10 15.00 t~ ; S ~
~ Yl.9 ~ : 48 33 ~ • 9B 9. 1 ~ I
~Y•0 . 998.03 991.1
140.46 N 81010'23ti E ~ ~ •
3 ELEC.TRANS. .y_
\TELE. PED. ~ ,
gp I ' L_~J I f
n
p OENOTES NAIL SET
..,y__ IIf:NUTES Pft(1pU5EU SIIIIFACE f111A11111(iE
O IIfNOTES IItUN MUIJUIIEHT SET SCALE: 1 1NCH ~ o FEET
o UIiNU'fF.S IIION M(1NUhiEiIT FOUIIU pROPOSEb t1AllAGF. FI.UUIi 994,8 FEET
XOf10.0 UfNOTf:S F.%15T1118 EI.EVATIUII PROPUSED LUIIEST FLU011 - 'q ~ FEET
(000.0) ULNll'IES I'RUI'USEU ELEVATIUII I'RUPOSEb lUP Uf' IILUCK - 995.z FEET
1 NEREOY CERTIFY TU SUNSHINE COIIST. CO, THAT 11115 15 A TItUE AAU COHRECT
IIEPHESENTATIUN UF A SIIIiVEY UF TIIE UOUNIIARIES OF:
Lot 6, Dlock 1; OAK CLIFF4TH ADDITiON, accordinq to the recorded
plat thereof, Dakota County, Piinnesota.
AIIU OF TIIE LOf,ATIUN UF A PIlOPOSFD BUIIUING, IT DOES NOT PlIHP0it1' TO 511t1W IIIPROVEM[Nf;
llll ENCRUACII11EN15, IF ANY, TIIEItEUII: AS SUIiV[YED 9Y,ME, Oli UNUCII MY UINECT SUI'EIiVISIUII,
ifIIS 3Urri UAY UF JU[Y , 1907.
SIGNEU: JAIqES (l, IIiLL, IIIC.
REVISED HOUSE LOCATION
8-21-87
nv:
HARUI.U C, PETENSUN, IAND SIIINEYUII
11111IIESO[A LICENSE 110. 12294
rnoJECr rro. ?,ouK ~ rAU[ J,qMCS (l. I-IILL, INC.
87451 227/22 . I'llanners / Cnglneers / Surveyor:;
FILC NU. 02U0 Ilumboldl Avenue Goulh
FOLDLR
u~oom~n~~~on,61n. Gs4~1 c1s-no4-:lozs
*******~****t****f****fi#**ii#******
rt
. C I TY O F E A G AN sFNO oo~-rI s
C ,*t APPROVAL OF PERAIIT.
APPLICATION FOR PERMIT *
* INSPDCrZON OF SESM ADID/OR FTATm ;
IIISPAISA7ZOKS WIIS. NOT BE 9C3HED-- ;
SEWER AND/OR WATER CONNECTION *ULED UNML PMMIT HAS $EEN >
: AePttwEn. ;
w ~ >
**.*~~x.*~***..~.k.*~*.*3**.,.***#**.
P ease Print)
1) PROPERTY ADDRESS: #762
LEGAL DESCRIPTION: D'T L /~coGl~ / Q/~KG[.ILG 'I ~
Lot Block Sub ivision or Tax Parcel ID )
IF EXZSTING SIRi:CiL'RE, DATE OF ORIGINAL BLILDING pEF2MiT ISSL'ANCE: '
~ On Year)
PRFSEISI' 7ANING/PROPOSID L'SE: (M
M M~ZJERCIAL/RETAZL/OFFICE ~ R-1 SINGLE FAMILY
0 IDIDC'STRIAL Q R-2 DCPLEX (Zt,o Units)
f7 INSTI'IL'TIONAL/G0VEE2bLv= ~ R-3 TOWNHOC!SE (Three + Units) ( Units)
R-4 APARTMENT/CODIDOMINIUM ( Units)
2) ~
NA"E: . ~'~iIin1 ~oAvST2uG77(0R/
ADDxESS:
CITY, STATE, ZIP:14O,pLF_ 1114 L1- IVN. -2 S~
PHO.IE: '~/3 ! - ~.z Cab
3) u a• NAM~. For City [Jse .
_ <y"AR PLUNL;/N& Plambers License:
aDDRESs: ,n /X ho41tin SP21 s T o" Acti`e
^ f5cpired
~ CITY, STATE. ZIP: LS f-o0h~ TO.~/ "A!- ~KSH.sO Not recorded
r
PxorE: y4 MASTII2 LZCENSE# J,3.29
St~t al
4) ".U•:.i
NA"E:_ _ S;9~,10
ADDRESS: '
CITY. STATE, ZIP:
PHONE: 5) ~ r• - i a+• : oi • o. o-~
,Uj CONNE(.'TION 1V CITY SEWII2 ~ CONNEC.'I'ION 2U CITY WATIIt ~ pTfER •
6) ~ PLF.ASE HOLD APPROVfD PERMiT FOR PSCK-UP BY ONE OF ABOVE '
PT'FnGE MAIL ~VED PEE2MiT TO 1. 2. 3, 4, AHOVE
~ (Circle one)
7) 777u• • Q(~ U.~,i J~-.5"-fl7
- • ti: • •c ~ ~ ~ r • a ia• ~ r• u~• ~ • • • o• • ~ ~
~ . • ~S. ~ ! : r M:I. •.tli~ 1 /1 . : dl' 1 P• ~ tl r
. FOR CITY USE ONLY " .
PERMIT # ISSL'ED
Pd w/Bldg. Permit FEES: ,
$ $ SEWER PERMIT (INCLUDE SURCHARGE)
$ IO ' C Z~ $ WATER PERMIT (INCLUDE SC'RCHARGE )
$ (c 7~~~ ~ $ WATER METER/COPPERHORN/OL'TSIDE READER
$ $ WATER TAP (INCLC'DE CORPORATION STOP)
$ $ SEWER TAP
$ I•S,-,p (7 $ ACCOUNT DEPOSIT - SEWER
$ l5 C~ n $ ACCOUNT DEPOSIT - WATER
$ r7 2 $ WAC
$ (G~ S•O0 $ SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRL'NK SEWER
$ S LATERAL BENEFIT/TRUNK WATER
$ I,PC~. C n $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ $ TOTAL
RECEIPT RECEIPT
DOES UTILITY 4NECTION REQUIRE EXCAVATION IN PCIBLIC RZGHT OF WAY?
F--j YES IF YES, THEN A"PERMIT FOR WORK TVITHIN PUBLIC
Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING
NO DIVISION. LZST AS A CONDITION.
SOBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE : p /-Z 0 /-P ,
CITY USE ONLY
LOT BL / RECEIPT 9 7"~ ~
SUBD. 6&k. (JG* 4~~- RECEIPT DATE:
199$ M£CHi41V1CAL P£RMIT (ftESID£N1'lihL)
crrY of ewsnN
3850 PILOT I{NOB RD
EA6AN MN 55122
nete: 11•3- 91 (612) 681-46T5
Complete this section an[v if you aze installing HVAC in single family, townhomes or condos under
construction and not owner /occupied '
• HVAC: 0-100 M B T U $ 24.00
ADDITIONAL 50 M BTU 6.00
• Gas outlets (minimum of one required @$3.00 ea.)
• State Surcharge: .50
• TOTAL:
Complete this section onlv if you are remodeling, adding to, or repairing existing single family dwellings,
townhomes, or condos. Note: Mechanical permit is not required for alteration/add-on to ductwork in
existing residential units; but is required for the following:
~ Install fiunace _ Install air conditioning
_ Install air exchanger, i.e. Vanee system, etc. _ Other
Minimum fee applies to all remodel or add-ons of existing residences $ 20.00
State Surchazee .50
V Total: $ 20.50
SITE ADDRESS: 7~G Z W~'1 I~ W I.W+
OWNERNAME: Gre KIlY12 PHONE#: PH'quI5
INSTALLERNAME: Ron's Mechanical. Inc. PHONE#: 445-8535
STREETADDRESS: 12010 OLD BRICK YARD ROAD
CITY: SHAKOPEE STATE: MN ZIP: 55379
41 rdo Costep~
SIGNATURE OF PERMITTEE
JS/FORMS BLD/MECH PERhfIT (RES) - 1998
CITY USE ONLY `
L BL RECEIPT#:
SUBD. RECEIPT DATE:
APPROVED BY: ,INSPECTOR
1998 M£CBRNICAL f'£RMIl' (COMM£ftCIAL)
CI7'Y Of £Afi1kN
3830 P1LOT KNOB !tD
£AfiAN, MN 55122
(612) 6$1-4675
Please complete for all commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE: CONTRACT PRICE:
WORK TYPE: _ NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: 1% of contract price OR $25.00 minimum fee, whichever is greater.
Processed piping - $25.00
CONTRACT PRICE x I%
PROCESSED PIPING
PERMIT FEE
STATE SURCHARGE ($.50 per S 1,000 of rmit fee due on all permits.)
TOTAL
- - - - - - - - - - - - - -
SITE ADDRESS:
OWNER NAME: PHONE
TENANT NAME (IMPROVEMENTS ONLY):
INSTALLER:
ADDRESS: PHONE
CITY: STATE: ZIP:
SIGNANRE OF PERMITTEE
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA125415
Date Issued:07/23/2014
Permit Category:ePermit
Site Address: 4762 White Oak Ct
Lot:6 Block: 1 Addition: Oak Cliff 4th
PID:10-53553-01-060
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
Christine Deutsch
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 -
Gregg A Kline
4762 White Oak Ct
Eagan MN 55122
(651) 247-0785
Kaufman Sheet Metal Roofing
2521 24th Ave S
Minneapolis MN 55406
(612) 722-0965
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
�--------
---------�
� For Office Use �
. j �c���� I
���� O� n���� � Permit#: I
H_ i � i
l� � Permit Fee: �
3830 Pilot Knob Road � I
Eagan MN 55122 � Date Received: �
Phone:(651)675-5675 j I
Fax:(651)675-5694 � Staff: �
L----------------�
2015 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit#:
�,r< /
�� �`� �:, Name: I��� r- ��'(�� ��f��� Phone: ��j� 2�7—j��Js�Jr'
, ;��':
R�s�dentl ��
�� C�vvner ��`��� Address i c�ty i z�p: `��C��- :Wl�i�r-z. ���K, �c�iJ✓+� � E�t�►Cx v� M� �.4
� Applicant is: Owner � Contractor
T ,�?@ Of�Work��:� Description of work: I VI���Ct� �l'P.f%'�C�G'�-
� ����"���� Construction Cost: � ��id��� Multi-Family Building: (Yes /No�
� 7����.� Company: ���� �'�l,{ l���T06`� �JIi�Y�S Contact: I�i � � �'���'�<.
. 4� �
. `S *3's. � � Y�
��ontractor � Aaa�es8: I 22 �"� � � c��: ��IG(S�7 rl C'1��
��`� State:�e�Zip: ���� Phone: tl1S �""�3�'�Email: t1�L�I�� �U��CL�'�'J�Z'!^�--���'�'�
���w �
License#: �''�/lJ I ,�� Lead Certificate#:
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: I�,
'NOtE::P/ans atn�l�upPortin,g documents thaf yotr�ubrr►i#�tns Consi+e�er�aal to be�ublic jttfotnt h `n Portions o� �I
the i�formatioi��»�y b+�ctass�fed as non-public if you"P�v��e sp �easan�;th�� Ould p�tAit��,�lty tp.
� �r concfu�;�at the �aie�i+de�sec� ���� � �� ',
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.ora
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 pertnit issued in accordance with the Minnesota State Building Code must be completed within 180
days of p it issuance.
x � � [`�/lit�` �' `� �� X � � C�� '� -�--��f.�L�
ApplicanYs Printed Name ApplicanYs Signature
Page 7 of 3
. ....... ........ , ..... ,,.,. ..., .,.. . ., . .. , . .., , .., . . ,.... .,. ,
lJse 6lUE or BL{1CK ink���
i—�---__,_,��.�..�.��_w i .-
� Fo�om�e u�
/11,,'1,,t �I j� � � P�n�: � �C1� � i�(.��..�5
V1N� �� L���1! � permh Fee: �� l.�-��' �
3830 Pilo�t Knob Road t ,�1�1�
Eagan MN 55122 � faata Recelved• � �
Pho�e:(651)675 5675 � siaff: CS �
FaY:(651}675-5684 I_` �
�����.-.�.�.�.�r.�.��rw.�J
2015 RESIDENTIAL PLUMBING PERMIT APPUCATl0�1
Date: 1 f�/$ "�� Site Addresm: `�?�� wti r��, oA�(c C,t
Tena�t: G�C /C/,h �. gp���
•.''Reslder�'/OWne�t',� IVame; ✓' ��•yi� t�hone: 6s/ �2s�� �o??'.s"'
� ". Address/City/Zip: � � w h;T�, ,o�� C/
, �' � .� :� . Name• ��'�Nu't Ff.a llc v �ic8nse#: I°cb�i�S�
, �•C011'tl'B�tOt...���• Address:S�c�4/. J�v R�1Lo sT n� City: �S'�f�/}A•.r/
.., , • .. State: M n'� Zip: 5`S�ca� Phone: r!�3—Co�t 8'` �/S�
' • ' :'�. �' Contact: ��'Mu..�j' �mail: �f <l Y 10 3 M A. . Co.re
.�'.�
: ` '��.� ';�:'''•` , ' �Naw „�Replacement ,,,�Rapeir _fiebuild _Mvdiiy Space ,,,,,,,,,,WONt it�R,�.W,
: •,.typ'�Of�1�lf�Or1(,•�''�.
� ' , � Desdription of work: h / i..l S�`� !J' (i D' P A�/
� � �'�' RESID�N7IAL
� • , Water HeaYer •
. �` '�.: '.; �� ' ' ' ^._Waber Softensr
Lawn Irrigaiion�RPZ/_pVB)
;,...�,PermZt'.7ype�:`�.: :.
. • ; • 3gptic Spstem .,_,_,,.��Plambing Fixtures�M�In I_,Lower Leveq
' ' „_.New Water Tuma�aund
� ' �• Abandonment '
RESIbENT'FAl FEES: �
560.00 Wat�r Neater,WaEer 5p�t6n�r,or Water Heater�nd Softener(i�dudes State Surcha►ge)
560.00 Lawn Irrigation(inc�udes State 3urcharge) �
$60.00 Add Plumbing Fixtures,Seplic SVstem Abandonment,Water Tumaround"(includas SYake Sur+Gharge)
'°Water Tumarpund(add$210.00 i�a 518"met�r 161�equired)
5115.00 S�ntic 3vstem New(i�du�es County fee a�d Srace Surcna�rge)
' TOTAL FEES 3
CALL BEFORE YOU D�G. Call Gopher Stats One Ca11 at(651)484-OOOZ for protect7on against unden,�round utdity demege.
Call 48 hours trefo�you inlend M dlg to receive locates of unde�ground uHfities. r�r,�w,9oeherste����eca11 erg
1 hereby acknowledge that d�is inlorma6on is eanplete e�d aawiate;fhat tho w�e�ic wi11 be in confomrenoe wiu,@,e,o�rrN�anoes a�d oodec of ths Ciry of
Eagan:ri►�t t urniaTseend this is not a permit,Eut onry an app�caticn Fw a parmlt and wqrk is not to start wrihouC a penn�t;ihat me wqrK yxill be in
aacordence wlth the approved plan in the cass oP work whiGh reavir�s a review and spproval of p�ans.
x_ tD`�a�c.'J N�I(e i x_1G��c���%��.
Appllce+nt's P��Md Name Applleant'�Sigriature
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Re+quite�l�lpspecqdns:.,�'�;.: �"r:Unde�'Ground� ; � �`.�;:`�'.�Rbugh-lli:��; ;. � �`.:airTest'�,. �� �� ��.'G8s'Test•:' .� "�. _:._Finai:�, ,"�:�� �,�.
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Mere�,ReCated�lt�erris:�`:.�.,Meter•:S�ze�;,�:�.`.:�,. � .� I�iiiio;�ead .'��;;,.Manan�Ye�.•: .�,..:.Staff; ���"�����::�'. ::'::":.� �,� .�.
�.,�..
Z0 39ad EE0Z96�0ZE �9�b0 600Z/LZIbO
Use BLUE or BLACK Ink
r-----------------+
� I For Office Use �
' . 1�y��� �'C-��
Clt of �a a� ; Permit#.
� �7 / ;
I Permit Fee: � / �• �I
3830 Pilot Knob Road RECEIVED I I
Eagan MN 55122 � Date Received: �
Phone: (651)675-5675 �EC � 5 2�� I I
Fax: (651)675-5694 i Staff: i
2015 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: �a"i� �f� Site Address: `��a w��� '� ��� C Unit#:
� � „���
Name: �(2..���C� ��� �� �,,�,,�.,��,..s,e.�,� Phone: ��1— a`f� —�7�
R@sIC�Br�'� �-�-��P� 1n7�'1 l J� l� A iC 'L j
Q�y�g�; Address/City/Zip:
Applicant is: Owner Contractor
Description of work: ����'`�'J {MA�^V (�J��'". �`''=M��E�--- `+ ��Z� �/���-
�, T�rpe of 1N�ark `
Construction Cost: 1"s��� Multi-Family Building: (Yes /Nox�
� Company: Contact: �
' Address: City: �
Con#ractor
� State: Zip: Phone: Email: �
�� � License#: Lead Certificate#
,�...��_�,.��.�,�,.�b�...�.�,.�.,,�,�,�.�,,��.�,aw,�..�,.�,...�...._.....,�.,�..�.,�...��,,,��M�,�,�,�,..,,.,�,.�...�.��.�.,�.,,��..�.ra,�,,�.�„�..�,�,�..,���
� 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:
': NOT�.P�a�ts��d;suppQrtingr dacur�e�a�th�t yo�r scrb��t are c��s��►'ered to be p�;+b#���rfar���c�r►. Por�i�r�,s�f
: fla,e i�'�rmat�on m�y be class�"re�!�s n�n pubfi+�1�'y��prro��+d�spec�c reasor�that�nr�u��d p�r��t t�e��t,y tt�
concJud'e tha�t�e are tra�Ge�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 ' not to start without a permft; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval o lans.
Exterior work authorized by a building permit issued in accordance with the Minnesota ate Buildin Code must be completed within 180
days of permit issuance.
X ���� `�LU��
X
Applicant's Printed Name Applicant's �g ature
Page 1 of 3
r� /C�✓ c� �,U�Y l c�� U'i� ��O NOT WRITE BELOW THIS LINE �.�����.5-�
SUB TYPES
Foundation _ Fireplace _ Porch (3-Season) _ Exterior Alteration (Single Family)
� Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration (Multi)
_ Multi _ Deck _ Porch(Screen/Gazebo/Pergola) _ Miscelianeous
_ 01 of_Plex _ Lower Level _ Pool _ Accessory Building
WORK TYPES
New )4 Interior Improvement Siding _ Demolish Building*
Addition Move Building Reroof _ Demolish Interior
_ Alteration _ Fire Repair _ Windows _ Demolish Foundation
_ Replace � Repair (reRP�'}��'�� _ EgressWindow ` _ WaterDamage -
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION _�/
Valuation `'� o ""�"` Occupancy 1►��°�� MCES System
Plan Review Code Edition � �aO SAC Units
(25%_ 100%�) Zoning 12-� City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction Y.13 Width `
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) � Final/ No C.O. Required
Foundation � HVAC_Gas Service Test Gas Line Air Test
_� Roof:�Ice &Water �Final PooL_Footings _Air/Gas Tests _Final
`� Framing Drain Tile
�� Fireplace: _Rough In _Air Test _Final Siding:TStucco Lath _Stone Lath _Brick
� 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: � � � ����`�t� , Building Inspector
RESIDENTIAL FEES 1, �� �,,���� ,�, �a������ 1 �- ��, 2 �/ ,
Base Fee �
�' `�`
Surcharge � (�� S� . ��`. ?� Zo � �o S�'.,'�°j Z��,�l
Plan Review
MCES SAC
c�ty sac �� �� �IR��. �.���a� �� .� �
Utility Connection Charge
S&W Permit 8. Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA166933
Date Issued:02/16/2021
Permit Category:ePermit
Site Address: 4762 White Oak Ct
Lot:6 Block: 1 Addition: Oak Cliff 4th
PID:10-53553-01-060
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Gregg A & Patricia Kline
4762 White Oak Ct
Saint Paul MN 55122--333
(651) 334-3586
Ron's Mechanical
2026 Colburn Dr
Shakopee MN 55379
(952) 445-8585
Applicant/Permitee: Signature Issued By: Signature