4463 Whitetail Way
il
I
CITY OF EAGAN WAM SERVICE pUM
3530 P1162 Krwb F1oad pERMtT NO.: 6219
P. O. Box 21189 oATE: 5- 3 a A B 5
' Eaw, MN 55121 1
No. of Units:
owne.. r°a L _ r 3 s ~ I
Mirew 2e 6z L,.m; t- Teai1~v T 1 F'ai,,, R; rlnra ~ I
~u~r ~ ~ Mn Cha?Ooc 500 fl ftlad_ ~ I
MMrr No.: S~O 57 a
f 1 S nnnri
_ . . \z:; D.vm+t: 10, 0 0 pd ;
p r r ~ . ~~.1 5Dac3
...yyi aW~'~~ C-~~` 132, 0 n pd~/C , jELEPFiL ~u
ac. t~ F g~ , ,A me I
~i
By Dar Paid: i
I
Dflte Of Inip.: ~ y d Insp'•
V ~
CITY OF EA(iAN StWER SERVKZ MMR
3530 Filo~ Knob Rwd P~µIT NO.: I
P. O. Box 21199
Epsn, MN 55121 s
~ No. of units:
z«ang:
Owrnr:
AddNtfS: ~ E, i-! Fs~•_.~ ~-0 rlrsn
Sib /Sddross: a L2 s I'~ i~ n Tra ~
Plu^''ber.
~!lr:t'
h~Ir ~r111~ !v CMf of 1sM" Conrwefton Charpe: ; r
Aoaou+t DepoNt.
O~il~wr. ftenAt F..:
lnr.:
S1JfChOf+Qe% -
BY Mlsc. Chorom
Dah of Inqp.: TOtat'
DoH PoW: -
Irtip.:
't
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eaysn, MN 55121
• " PHONE:454-8100
SUILDING PERMIT R~lpt #
To w wd iM . : /i . Est. Valw 0 l. i Date ''fAY J , 19 v
~ - - - - -
Site Addrsa Erect Q Octupancy
t.ot j Block e; r ' 1-~1, f~ Rsmadsl ? Zoning ~
.c/Sub.
Rspsir Q Type of Coast.
Psrcel No. Enlerye ? No. Stwias
Mave ? Lenyth
d .
~ Nams FFaI HLDRS Dsmoli:h ? Dapth
Addross Gnde ? Sq. Ft.
City _ hone Irntall ?
Nama AVMe"y iees
u Atsessmwnt Permit * O
Addrm
C cy Phons Water a Sew. Surchorqe 42.00
Poliu Plan Review. 192 • 5O
~W Name Fin S/IG $25~90 ~
i~ Addraa Enp. Wafer Conn. 500, 0
VW City Phone PlanaK Woter Metar =_3 0
Counell ~;-~7~ Road Unit 280SQ0
I hereby ocknowledpe that I how road this opplication ond staro ttbt- gl~, pff, ~s/ ~a T.P. 132.00
Hr iniormotion is coned and oqree to comply with oll oppliccblo
State of Minnesoto Statuess ond City of Eaqan Ordinonces. APC Total $2,119.50
Vu. Dm
Sipnotun of PertnittN ` A Buildinq Pennit Is isswd to: , on the axprot conditfon ihw
dl work sholt be dorn in atooidoice with all opplimble Stott of MinnesoFo Statutes ond Cify of Eoqan Ordinoncn.
8uildinp Offidol
Pomlt No. Pamit Noldw Doo Te1e hone
Mwmbxp
H.VA.C.
Eheaic a S
soee.n..
IrtMadion Daa Imp. Otha
Footinyt <P ~
Foundation
Frsmino „ ,
N°oflny 7
i Rough Ptblg. ~ - /
Roupb HVA JI '7~S p " )
I ion ~ `
Fiml Plbo.
Final HVAC ~ I
Final
~ I
CMt/Oee. c4N
Wanr boiwft Lacation: I
Vllell
Sawer
Pr. Obp.
r - i
Raceipt PLUMBING PERMIT Permit No.
~ CITY OF EAGAN
Fee
fi!l in numbered specea S/C •
Type or Prinr legfb/y Tot
1. Date 2. Installation Cost
3. Job Address'¢~~ ~ A 1
Blk. Tract
4. Owner
5. Contractor: Phone
_--r- -
6. Addreu
~
7. City State r//&
8. Building Type: Residential`~f Commercial ? Institutional ?
9. Work Description: New`b Add ? Alter O Repair O
10. Describe
11. No. Fixtures No. Fixtures
~ Water Closet Cesspool/Drainfield
Z Bath tuba Septic Tank
~ Lavatory Softner ~
~ Shower Well
Kitchen Sink 1
Urinet/Bidet Other
Leundry Tray
~ Floor Drains
Drinking Ftn.
Slop Sink
/ Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and 1 agree to
comply with all ordinances and iod,s governing this type of work.
Signed : k .'-'/1 /I for
Rouph Flnal
Inspections: Date Insp. Dete Insp.
This is your permit when numbered and approved.
ApRroved CITY OF EAGAN 464-8100
~ Roaipt MECHANICAL PERMIT Pennit No. CITY OF EAGAN
, FN,
fill in numbensd s,pacat S/C
~ TYPQ or Prini /egisly Tot
~ 1. Data 2. Installation Cost
3. Job Addrau ~l(c.. ~ 11~'~r rT Iii~ Loi ~ Blk. Tract .
4. Owner - r i. ~,C~ E.-
5. Conuactor e/.~ ~ Phone
6. Addren
~
7. City e..r ,,-fr'• ~ i~ ~ a~ State • f Zip S. BuildingType: Aesidential 13' Commercial ? institutionat ?
9. Work Desrxiption: New Cl'/ Add ? Altes ? Repair ?
10. Desaibe Fuel Type
1 t. No, Fquioment BTU - M. Ea. No. Ecuipment CFM
Forced Air Air Handlinq:
Mfg.
Boilers Mech. Exhaust
Mf9.
Unit Heeter
Mfg. Other
Air Cond.
Mfy.
Ga, Piping Outlets
12. I hereby oertifY that the abave information is true and correct, and I agree to
comply with all ordinanoes and codes governing this type of work.
Signed : for
Rouyh F insl
Inapections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAOAN 464$100
I ,
Rsoeipt PLUMBING PERMIT Permit No.
CITY OF EAGAN
FN
i ,
- FiU in numbsrod gaces S/C
Type or Print /egibJy Tot. '
1. Date 2. Irutallation Cost
3. Job Address 4y63 Lot ' Bik. - Tract
c ~e-A
y
4. Owner QQ n ~ AQ l1 ignrL,
5. Contractor N'r r;?l Phone
r r.~ ~}•73 r' / 1'f'
6. Address (0. ~C){_4 rl
7. Gty r1/~'! ~tl ~ i' 14 h fc State ~ 1 l~? ZiP ~
' 8. Building Type: Residential L~ Commercial ? Institutionsl ?
9. Work Description: New ? Add El Alter ? Aepair O
10. Desaibe
11. No. Fixtures No. Fiztures
Water Closet Cesspool/Orainfietd
Bath tubs Septic Tank
Lavatory ~ Softner
Shower Wel I
Kitchen Sink i
Urinal/Bidet Other '
Leundry Tray
Floor Drains ,
~
Drinking Ftn.
Slop Sink
Gas Piping Outleu
12. 1 hereby certify that the above information is true and correct, and I ayree to
comply with alt ordinances and codes governing this type of work.
Signed : for
Rouyh Final II
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved. ~
Approved CITY OF EAGAN 464-8100 li
~
- ~
CITY OF EAGAN Remarks
Addition FAWN RIDGE ADDITION Lot 1 plk 2 Parcel 10 25800 020 02
Owner Street 4463 Whitetail Wa state Ea an J4IlV 55123
Improvement Date Amount Annual Years ~S Paymant Receipt date
STREETSURF. 1951 229.3$ 11.47 20 ;?•aO --10.3o~0
STREET RESTOR. 19$4 499.46 49.95/-~ 10
GRADING 1981 61.26 4.08 15 r
-/O3O C1'~l.S"rQ~
SANSEWTRUNK 19$1 M/4,33 10.27 20 164,17
SEWER LATERAL 1$1 1.65 Sewer Lateral 1981 1.18 20 11,47
v ~
WATERMAIN
WATER LATERAL 1981 .2.18 20 Ck3 0 q -.-~2 " S
WATER AREA 19$1 205.44 27 20 ? 11
Water Lateral - 1981 27,68 1.38 .
STORM SEW TRK 1985 557.79 37.19 15
51204-16
S70RM SEW LAT- 1984 222 , 51 22.25 10 ~
CURB & GUTTER
SIDEWALK
STREET LIGHT
FdDcZ T_1111t .
WATER CONN.
BUILDING PER, lO a
SAC •
PAR K
~ . CITY OF EAGAN N 0- 'I O 3 O O
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 4548100
BUILDING PERMIT 5D
Te be ard fer SF DWG/GAR Est. Value $84,000 pate MAY 30 19 85
g;mqdym 4463 WHITETAIL WAY Erect CR Occupancy R3
Lot 1- Block Z em/Sub. FAWN RIDGE Remodel ? zoning ' R 1
Parcel No. R~ir ? Type of Contt. _y
EnlarBe ? No. Stories
FP-_,F_TURE BLDRS Move ? Length 70
Name
~ A~ms 15513 LOGARTO LN G tle~'sn O Depth sq. Ft. 28
BURNSVILL 435-8443
City FPhone Install O
Aoo~4 i~es
o Name SAME
A~~ Assessment Permit • o
u~ City Phone Water 6$ew. $urchorga 42 . 00
Police Plan Review 192.50
r'& Nmne Flrc swC 525.00
4~ Address Erp. WaterConn. S~Q0
~w City Phone VlonMr WoterMeter63-Il0
Countil Road Unit 280 0
I hereby ockrowladpe thot 1 hove read this opplicofion ond stote fhat gld9 pry. S/Z 9/SS T. P, 132 . 00
tha inlormotion is correcf ond ogree to comply with all opplicobla
Stoh of Minnewta Stotute Ciry of Eargan /O~rdironces APC Total $ 2. 119 . 5(
Ver. Date
~A-cc _ W,•~1N'~:+-v..=. .
$iprwfun of Pe,miMaa
A Buildlno permir Is issued ro: FEAT E BLDRS on tha exprsy~ ihol
dl work sholl be dane in acmrdonca with all oppli I St of A~Ain'~ao tutd and City of Eoqan Ordinoncaa
Buildnp Offlcfal ~
2004 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
.
1 ~
Date.,/ I/? U
Site Street Address !~lo Unit #
Property Owner E[Wct~e1 Telephone loS/) G 397 69fl
Contractor -5 ~P~/~ / Telephone # 23 ~~-Z
Address ~561 City ~~~"~'?a /C' StateAn_ Zip ~~uy
The Applicant is: _ Owner x Contractor _Other
Alterations to existing dwelling $ 50.00
i _Add fixtures to rooms, excluding water softener and water heater
_Septic System Abandonment
_Water Turnaround (add $121.00 if a 5/8" meter is required)
Other:
Water Softener Water Heater $ 15.00
replacement _ additional
Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00
State Surcharge $ 50
Tota~ I MpY 1 7 2004 $
I hereby apply for a Residential Plumbing Permit and ackn that the infor ation is complete
and accurate; that the work will be in conformance with the ordina`n ec ~`ai~c des of the City of
Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan 's required to be reviewed and approved.
` ~r~ z7~c°~ZQ/
ApplicanYs Printed Name Applie'anYs Signature
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
1+9 93830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Construction Reouirements RemodellReoair RequiremeMs
• 3 registered site surveys showing sq. ft. of lot, sq ft oi house; and all roo(ed areas • 2 copies of plan
(20% macimum lot coverage allowed) . 1 set o( Energy Calculations for healed additions
. 2 copies of plan showing beam 8 window sizes; poured found design, etc.) . 1 site survey for exterior addi6ons & decks
• 1 set of Energy Calculations . Indicate if home served 6y septic system for additions
• 3 copies of Tree Preservation Plan rf lot pialted aRer 711193
. Rim Joist DeWil Options seledion sheet (bldgs with 3 or less units)
DATE VALUATION "i dzy-b
SITEADDRESS MULTI-FAMILYBLDG _Y _N
TYPE OF WORK FIREPLACE(S) _ 0_ 1_ 2
APPLICANT &'j
STREET ADDRESS CITY~STATE1~A) ZIP SS~ ~ -2,
TELEPHONE # -rp,G--bUIg j CELL PHONE # FAX #
PROPERTYOWNER C`"~ TELEPHONE#
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULLS 7670 CATF.(;012Y 1 MINNLS01'A RULlS 7672
(d submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor: Phone #
_ _ _ _ _
Plumbing system includes: Water Sofiener Lawn Sprinkler Fcc: $90.00
Water Healer No. of R.I. Balhs
No. of I3aths
Mechanical Contractor: Phone #
Mcchanical syslem includcs: Air Conditioning O~~~ ~p7 0
Heat Recovery System D
MAY 0 7 ` 002
Sewer/Water Contractor: Phone
ELK----------------°--
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinance/s. p ~
Signature of Applicant I k (2'`ti-.-x~~
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ° - - - - -
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 EM. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? OS 03-plex ? 11 10-plex ? 19 Lower Level 0 24 Storm Damage
? 06 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous
? 31 New ? 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) - Gtve 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 Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) _ FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation H VAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Poo] Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding S[ucco Stone
_ Fireplace _ R.I. _ AirTest" Final _ Windows (new/replacement)
_ Insulation • " _ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MClES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
. 5 1 .
1985 BUZLDING PERMIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
`A 84.oeo.
To Be Used For: Valuation: 9-5~~ Date:
Site Address: OFFICE USE ONLY
Lot: r Block a Sect/Sub Q. Erect ~ Occupancy R"3
Remodel Zoning R•I
Parcel II Repair Type of Const y
Enlarge /I of Stories
Owner ('6,V,rn /j, Move _ Length -70
Demolish Depth 2g
Address Grade Sq Ft
City/Zip Code
Phone APPROVALS
Contractor Assessments Permit 3 ~5,
Water/Sewer Surcharge 42
Address l Si ~Z, c~~ 27Gw. Police Plan Review -Z so
~nq Fire SAC 979 v
City/Zip Code Engr Water Conn 500• =
Planner Water Meter fo3.
Phone ~f3s- ~ yy g Council Road Unit 2gp. °r
Bldg OffS Parks
Arch./Engr. APC Treatment Pl
Variance
Address TOTAL
City/Zip Code
Phone I!
24~c 3d =~zo x S4- - 3
2(~2~" ' .
~ 3 472
TRI L14ND C0. CERTIFICATE O SURVEY FOR'.
.:.....;.:.SURVE-YtftG._....
SERVICES :...-~FEATURE BOILDER,S
'
LEGAL DESCRIPTION: Lot 1, Block 2, Fawn Ridge Addition
according to the recorded plat thereof.
Gara9e floor shall 2 feet above top of curb
100.00 denctes existing elevation
~ ' _ - -
~ t WkITETAIL WAY K
Bl'Dq'S3'Wt~
I / ~ 812D.1 - - - - ~ - _ 2500,01 ro
o . --Q_ILYi'~x
7 " J
Cy~ !+~'•'Y~ ~ u , ~
/ ti 0~~ sv .1e • .p 2i
t
c«,, '
i r
i-
~ I
' I hereby certify that this survey, plan
or report was prepared by me or under
my direct supervision and that I am a BRADLE SWENSON MN. REG. No.15235
duly Registered Land Surveyor under the pATF 5~23~85
Laws of the State of Minnesota.
7
.
. £XTERIOR ENYELOPE AVERAGE "U" COMPUTATION
0WNER
SITf ADDRESS (N~-
CONTRACTOR t7&-717 v IZ6 4 L YI*%(' DATE PHONE 4 3 P' 8 4 41
Determine working square footage of each.
a ' ao. i
1. Total exposed wall area sq. ft. x ,11
2. Total roof/ceiling area f, P o 6 sq. ft, x ,0V-0 .p,•o
Tota1 exposed a:all area ebove fl0or •i[jl :.dB`
_ a. Total vrall window area 7, 9'7
b. Total door area 't 7_ S/
c. Tota1 sli6ing glass door area d o.o Z
d, Total fireplace wall aren................ . -
e. Total wall framinq area (average 10%)...,......,. -z (St:Lt"
f. Tota1 net wall area above floor ~p~_ ;
g, Total r1m joist area ~2Z•d D
~ Tota1 exposed foundation area t 7•~
h. Total foundation uindow area.....................
i. Toal net foundation area above gra6e 7 S.s'2
Determine "U" value of each tvall segment,
a. [ 92x "U" , 5~- • <03-3 4 '
b.- 3-7-n/, X aU° . / •
o-L z"U" ` 57- • Z2.a1 ,
d• x nVR i
~ e. 2(S(oS~ X °U' 043 . _aJqO
.I
r. z °u• - o4i
9. 1u.ao x ^u• -0 4
h, X «u" _
• .
1. 7f S"L X "u.
3: . .......Z~~G.•~ ...............Tota1 • ~
If item 13 1s the same as, or less than ltem i1, you have oet the tntent
of SBC 6006(c)2. •
: i
. . - -
Total exposed roof/ceiling area ¦ f aoo, UU
j. Total skyliqht area
k. Total roof/ceiling framing area (average 10%)...
' 1. Total net'insulated roof/ceiltng area.........
Determine "U" value for each roof/ceiling segment.
~
X ilull ~
k. X mu,l .
1. [¢eOAU_. % "U" 3700
4 ..L4.8~.,qu....,...,Tota1 •
If total of 44 1s the same as, or less than 02, you have met the lnten1I of
SBC 6006(01.
Alternate Bullding Envelope Destgn
To utilite the tota) envelope system method, tne values establlshed Dy the
sum of ltems 03 and P4 shalt not be greater Chan the sum of ltems #1 ana 02.
~ >•oa • t77 .S~i
+ 1, Z 4 0. .Sy ^ + 2.
3. 2lG- + 4._ 3y00 = 253-83
WFPJA CO. PLAN SERVlCE ' -
ED ANDERSON
. I.PCHITfCTURAL OEBIGNING AND PLANNINO
5397 UGGer 147th Street
ADPIe Valley, MinneSOta
' Resitlence: Oflice:
423-5658 4233775
4
r . 1
2/84
CF u !
~12 CITY OF EAGAN
APPLICATIOU FOR PERiMIT
SEF7ER AND/OR WATER CONiVECTIODi
(PLEASE PRINi)
PnoD= p,nDRF-ss: 'f YC~3- 11,41$x~a~
TFraz. D_.qCputirTcv:
(Lc)tBlock/Su:Aiivisicn or Tac Parcei .D. Nu:. ner)
' ir 5?'R~C.^ ~E, DaT? Oz' OiZTGuIlL uiIL^I"G
pnr= „-=Lr./p?OFOS=') R-1 SL;GLE F?.~SLY
? R-2 DU2= ('?•,i0 L21Z'^S)
? R-3 ^.C7.IRMHrrcE (`ru_n.W + L':]ITS) ~ !N~"_'S)
? 2-4 [T,iI_S)
? CCi•n4..?CZ.L/RE.'I';IL,/Or^f'IC~
? :NCcsr.,saz
? r.rsTZ:t,-rzo~.~,;~cv~*z~:r
2) A'~PTy`>.~ (PLEASE Pdl2i[J
Nr'4•IE' ~L'.ZO-i[-(.t.~C P:2•~•..~~4.c
ACD:2P.SS: /S i ! T.~ ^~i3'.~-^~i '{~•t
Cr"_. ST~sT'~, ZIP:
PI:O-NE: L/'> 5 - S~4-~t3
3) Pu:"''E~? (PLjj S` PRIN; ) FOR CITY USE 04LY
~1~: 0 Jr~.~' ~C(C iG4.[1 }-LHA
ADDRESS: , PLI ~ LIC;,ygE;
` Attive
CIT'', STATE, ZIP; Expir d
PNONE= PLUt1BER LILENSE N of Retord
' ar iniciat
4) CICCL'iPNT/C!;iTER NAME: ASE PR1NT)
ADDRESS:
CI'?"L, STATG, ZIP:
P[:0*IE:
5) INDIG.TE :'1HICH PERb1IT IS HEIr;G RF.~~,UESTID;
0 MNECfZO.1 'IO CITY SaiEFt
(W corrNecrzc.r -ro czTr WATER
? OTE'.ER (PL.Cs'LSE DFSCFtIBE)
6) 1~:JZG,.:: C:.c.: .
. ~ PT~~SE F?OLD r1PPP,OVE.D PER.+1IT FCJR PICi~-TP BY CNE OF-AE'~OVE~
G~----- -
°I.EyS :•?.IL APPROVm PEF.•LIT 'PJ 1. 2. 3. 4 r1SOVE
(Circle one)
7) sic7juRE: DATE: ~1~91 ~ sr
U
~wA:al_iwwr~af~rot~:ascaa~r+~sas+~~a~~s~sara:~a~~ • '
~A
F 0 R C I T Y U 5 E O N L y
PERtitIT ISSUED
~
rr^S: S S-i'i-~ n~o\iTT (I,I(-T.J~.~.= JUP.CH1.C<GL)
$ /0.sy WnT°R PERp(7'j+ (j1;CiuDc SiiRC?-?ARGc.)
$ ~cIrJ WAT°R METER/COPPERHORN/QUTSID°_ 2Ei,uc?
$ ~ WAT°_R TAP (INCLUDE CORPORfiTZO:] STO?)
$ 5:W'c2 TA?
$~/<.C/d ,?r.ci- - a-.,c3
r
$ _ 1~ •U(j AC^Oii?:T DEPOSIT - S4AT_°3
$ ~06) o-v wac
$ s :c
$ TpU>rx rraTEz assLss:!_:;T
$ T3u21K 5'c:iER :,SSESS:iE?iT
$ LF,TE3;-,L BEi•iEc IT/TRli`IR SEi:E=
$ L:1''r',2aL BEVr.FIT/TRU:•IK [']AT°_R
$ WATER TREATPfENT PLANT SURCHARGE
$ coU OTHER:
$ TOTAL
~ r.2070. ('U P:.'.OC;`:T Pr',IDjRECEI?T
DOES UTZLITY CONNECTION REQUIP.E EXC.aVATION Ii7 PUSLIC RIGi-IT OF S4AY?
~ YES ZF YES, THEN n"PE3b]IT FOR :dORS WIT'iIV
PUBLIC ROADS+IAY" MUST BE ISSUED BY TY.E
ENGINEERZt]G DIVZSION. LZST AS A CONDI-
TZON.
SGEJECT TO THE FOLLO:JING CONDITIOP?S: •
APPROVED BY:
TI':LE:
DAT°_: / -
~
,
SO - Depar[men[ of Administration
~ ~veae.
October 3, 2000
Eileen Kern
4463 White Tail Way
Eagan MN 55123
RE: Chair Lift - Elevator ID# 00-06506PT00-28R
Residence: Kern, Eileen Residence
4463 White Tail Way
Eagan 55123
Dear Sir/Madam:
Minnesota Statutes Chapter 16B provides that the Department of Administration, Building
Codes and Standards Division, Elevator Safety Section, inspect and approve elevators and
manlifts (endless belt lifts) before they can be legally used in Minnesota. An Inspector from the
Elevator Safety Section recently inspected your residence and determined it meets
requirements of the Minnesota Elevator Safety Code.
NOTE: Compliance with Minnesota Rules and the ANSI/ASME A17.1, Safety Code for
Elevators and Escalators does not necessarily assure compliance with the
Americans With Disabilities Act of 1990.
Sincerely,
BUILDING CODES AND STANDARDS
/Chn P. hA Roche
State Elevator Inspector
jpr/rkr (CE-2)
c: Reid, Douglas M., BO, City of Eagan
Access Lifts, Inc.
ElFormCE2R
Building Codes and Standards Division, 408 Metro Square Building, 121 7th Place East, St Paul, MN SS 101-2181
Voice: 651.296.4639; Fax: 651.297.1973; TTY: 1.800.6273529 and ask for 296.9929
y''f
kwESO-'- Departmen[ of AdminisVation
October 3, 2000
Eileen Kern
4463 White Tail Way
Eagan MN 55123 .
RE: Chair Lift - Elevator ID# 00-06507PT00-28R
Residence: Kern, Eileen Residence
4463 White Tail Way
Eagan 55123
Dear Sir/Madam:
Minnesota Statutes Chapter 166 provides that the Department of Administration, Building
Codes and Standards Division, Elevator Safety Section, inspect and approve elevators and
manlifts (endless belt lifts) before they can be legally used in Minnesota. An Inspector from the
Elevator Safety Section recently inspected your residence and determined it meets
requirements of the Minnesota Elevator Safety Code.
NOTE: Compliance with Minnesota Rules and the ANSI/ASME A17.1, Safety Code for
Elevators and Escalators does not necessarily assure compliance with the
Americans With Disabilities Act of 1990.
Sincerely,
BU DI G CODES AND STANDARDS
leL P Xo
John P. Roche
State Elevator Inspector
jpr/rkr (CE-2)
c: Reid, Douglas M., BO, City of Eagan
Access Lifts, Inc.
ElFOrmCE2R
Building Codes and Standards Division, 408 Metro Square Building, 121 7th Place Eas[, St. Paul, MN 55101-2181
Voice: 651.296.4639; Fax: 651.297.1973; TTY: 1.800.6273529 and ask for 296.9929
2004 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122 o
~ Telephone # 651-675-5675 FAX # 651-675-5694 ~ ~ n ~
~
New Constmdion Reamremenis RemodellReoair Reomremenls Ofk? i e Onlv
3 registered sile surveys showing sq fl of lot, sq ft of house, and all roofed areas 2 copies of plan CeA d Swvey Recd YN
(ZO% manmum lot cwe2ge allowe~ 1 set of Energy Calculations for heated addtlions 7rec Pres'PlanReEtl~_ : _Y.~ _N
2 capies of plan showing beam & window srzes, poured found design, etc 1 site survey for additrons & decks Tree Pres~Required, " 'X- N
iset ofEnergyCalculalions Addifion - mdicatei/on-sitesepficsystem D~sifie'SeptieSysfem.^Y._~N
3 copies of Tree Preservafion Plan d lot platled afler 711/93
Rim Joist Detail Options selection sheet (bldgs with 3 or less units
Date Construction Cost Z- V 00
Site Address y IAI h, W:hm') UniUSte #~X~b
Description of Work T-ree S~a dV.a, ~ei~uuP s~~
Multi-Family Bldg _ Y_-IN Fireplace(s) _ 0_ 1 _ 2
PropertyOwner J=i /Yt.•, vl M-c,z,- Telephone#(&(;/)~~
Contractor Lboc lAjoi l4tJ."t
Address 17 ~e-/0,7 7:7- iUr 'I r . City
State Y1~ N Zip 590qi/ Telephone #(~15
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Venlilation Category 7 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y f'N If so, 25% plan review
fee applies.
Licensed Plumber I,'F/+ Telephone r
Mechanical Confractor Telephone #
~j AUG 3 0 2004
Sewer/WaterConfractor Telephone# )
Y
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan a the State of MN
Statutes; I understand this is not a pernut, but only an application for a permit, and work is ot to start without a
permit; that the work will be in accordance with the approved plan in cas work whic requires a review and
approval of plans.
0/) c, : 1L G,
Applicant's Printed Name Applicant's Signatur
OFFICE USE ONLY
Sub Types
. .
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ~ 30 Accessory Bldg
? 02 SF Dwelling ? OB 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage O 22 Porch/Addn. (4-sea.) ? 33 6ct. Alt- SF
? 04 02-plex ? 10 OB-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-p10X ? 12 12-p12x Plbg_Yor_N ? 25 Miscellaneous
Work Types
? 31 New O 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
X 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg) -Give PCA handout to applicant
q ,,/,_a~
Valuation ~G~'~/ Occupancy a MCES System -
Census Code Zoning City Water
SAC Units - Stories ~ Booster Pump -
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const ~ Width
REQUIItED INSPECTIONS
_ Footings(new bldg) FinaUC.O.
Footings(deck) ~ FinaUNo C.O.
Foolings (addiaon) _ Plumbing
Foundation _ HVAC
Diain Tile Other
Roof Ice & Water Final _ Pool _ F[gs _ AidGas Tests Final
_ Framing _ Siding _ Stucco _ Stone _ Brick
_ Fireplace R.I. AirTest Final Windows
Insulalion _ Retaining Wall
Approved By: , Building Inspedor
- -
-
Base Fee • ---F~- ~a c~Y+ Q~y ~ 7 gL
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connedion Charge
S&W Pertnit & Surcharge
Treatment Piant
License Search
Copies ~
Other
Total
.
. FEATURE. BVILDERS
SERYICES -
1 LEGAL DESCRIPTION: Lot t, Block 2, Fawn Ridge Addition
according to the recorded plat thereof.
Garage floor shall 2 feet above top of curb
100.00 denotes existing elevation
WHITETAIL WAY «
I i - - - - - - _ er o9'sw~c
~ 0
a 8I20
4-41
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~ Q~ ' .ae • p 23 0 /T /n
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I hereby certify that this survey, plan D 1S.,e„~~? -
or report was prepared by me or under BRAOLE SWENSON MN. REG No.15235
my direct supervision and that I am a
duly Registered Land Surveyor under the DATE: 5123149.r -
~ Laws of the State of Minnesota.
1
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA113096
Date Issued:08/29/2013
Permit Category:ePermit
Site Address: 4463 Whitetail Way
Lot:1 Block: 2 Addition: Fawn Ridge
PID:10-25800-02-010
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
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 .
Eva Lewis
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 -
Eileen T Ohara
4463 Whitetail Way
Eagan MN 55123
Purpose Driven Restoration Llc
325 Main St NW
Elk River MN 55330
(763) 633-4737
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA135888
Date Issued:04/12/2016
Permit Category:ePermit
Site Address: 4463 Whitetail Way
Lot:1 Block: 2 Addition: Fawn Ridge
PID:10-25800-02-010
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 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 -
Eileen T Ohara
4463 Whitetail Way
Eagan MN 55123
(651) 271-9922
Changing Images Design Llc
13007 Main Street
Rogers MN 55374
(612) 709-0756
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA158584
Date Issued:10/21/2019
Permit Category:ePermit
Site Address: 4463 Whitetail Way
Lot:1 Block: 2 Addition: Fawn Ridge
PID:10-25800-02-010
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Eileen T Ohara
4463 Whitetail Way
Eagan MN 55123
Haley Comfort Systems
4320 Hwy 52 N
West Frontage Rd
Rochester MN 55901
(507) 281-0138
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA160640
Date Issued:03/31/2020
Permit Category:ePermit
Site Address: 4463 Whitetail Way
Lot:1 Block: 2 Addition: Fawn Ridge
PID:10-25800-02-010
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
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 -
Eileen T Ohara
4463 Whitetail Way
Eagan MN 55123
Tony's Appliance
2090 County Road 42 West
Burnsville MN 55337
(952) 435-2442
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA170078
Date Issued:06/18/2021
Permit Category:ePermit
Site Address: 4463 Whitetail Way
Lot:1 Block: 2 Addition: Fawn Ridge
PID:10-25800-02-010
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site. We encourage you to retain an electronic copy of
photos until the project passes a final inspection.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Eileen T Ohara
4463 White Tail Way
Saint Paul MN 55123--209
A To Z Construction Inc
124 County Road 81
Maple Grove MN 55369
(763) 424-1884
Applicant/Permitee: Signature Issued By: Signature