4465 Whitetail Way
` CITY OF EAGAN UWER SER VWE PEMW
3830 Pilot Kry+b Rosd
P. O. Box 21', PERMIT NO.:
Eagan, Mh 55127 pATE:
Zorting' pl Na of Units: ~
Owrer. (-rskncl (~lca
Md?ess:
sih Addnm 4465 Wb-i ai1 „7
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' 1^sp,: Doft Pald:
I
k CITY QF EAIiAN WATER SE 'ERMR
~ 3830 r ~?t'Knob Rwd
P. G. esax 21199 PERMIT NO.:
Epan, MN 65121 ~ _ . . ;
D/?TE:
ZanlnQ: No. of Unlts:
, Owrwr:
/Iddress:
S14 4vt:5 ~~1IrP.ta1~. 13 i . ~'~twtl ~ •r-
/~~IfY:
Plun~r,
. ,
M~r No.: 4 Car?aetion Chorpr 5~~ • oQ~' :
Sizr. `f D•poslt:
~ R~od~r No.. It Fae:
'p~ ~ ~ 15 6. t7op= j 2P
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-
. - . . . - . . ' . y ,
cinr oF EAGAN ~ 11747
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt It To be used for SF DFJG/GAR Est value $61,000 Date APR I L 7
SiteAddress 4465 WHITETAIL WAY Erect 1~ occupancy R3
Lot 17 Block 2 Sec/Sub. FAWN RIDGE Remodel ? Zoning R
Parcel No. Repair ? Type of Const V
Addition ? No. Stories
$ Name GRP,ND OAKS DEVEL CO Move ? Length ~A
Address 1881 SUNt~ISE CT Demolish ? Depth
0 Int Impr. ? Sq. Ft
City EAGAN phone 452-8434 Install O
o Name Approvab F"a
Address Assessment Permit 316.00
Ciry Phone Water 8 Sew. Surcharge 30s 50
Q Police Pian Review 158.00
~ W Name 575.00
W Fire SAC T,
,,a Address Eng. Water Conn.500 00
~ W City Phone Planner Water Meter_63: 50
Council Road Unit 290 . 00
I hereby acknowledge thet 1 have read this application and state thatthe Bld . Off. 4'~ 8 6 Tr. Pi. 156.00
information is correct and agree to comply with all applicable State ot 9
Minnesota Stetutes and City of Eagan Ordinances. APC PBrkS
Var. Date Copie
SignaWre of Permittee ' - Total $2 , ' 0Q
A Building Permit is Issued to: GRANU OAiCS [.)EVI:L CO an the express cOndition that
all work shall be done in accordance with all applicable Slale of Minnesota Statutes and City of Eagan Ordinances.
Building Official - - - ~ - ' - J
"PwmM Mo. PrnnN Molds~ MM TNphon~ M
.k.d*lg l . b
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PERMIT # CITY OF EAGAN FEE ~
PLUMBING PERMIT
RECEIPT 454-8100 S/C
MINIMUM RE5IDENTIAL FEE - $10.00 +=.SO TOTAL
DATE MINIMUM COMMERCUL FEE •=20.00 + $.50
1. Bldg. Type: Res ~ C~~ Inst 2. New Iter~ pai; ~
3. T I Bid Price 4. Job Ad
~ q ~.~J
n
Lot~ Block Sec - 5. Owner ~~^p~d d I~KS ,~e?
6. Contractor p L124 DiuM 6,n q ao
(Name) (Sheet} (City) (Zip)
7. Contractor Phone M hI9~,plai
NO. FIXTURES NO. FIXTURES NO. FIXTURES
~ tWater Closet - $3.00 Laundry Tray - $3.00 -Well - $10.00
Bath Tubs - $3.00 Floor Drains -$1.50 Private Disp Syst -$10.00
Lavatory -$3.00 Water Heater -$1.50 -_-F--Rough Openings w/o
Shower - $3.00 Whirlpool - $3.00 Fixtures - $1.50
-/--Kitchen Sink - $3.00 :TGas Piping Outlets - $1.50
_Urinal/Bidet - $3.00 -So(tener - $5.00
COMM./IND. RATE - 146 OF TOTAL BID PRICE PLUS $.50 STATE SURCHARaE FOR EACH $1,000 OF FEE.
Signed: for
Approved Inspections: Date Rough Insp. Date Final Insp.
PERMR M
, . MECHANICAL PERMIT RECEIPT M ~ C~
CITY OF EAGIW
3a30 PILOT KNOB ROAD, EAGAN, MN 55121 DATE:
CONTRACT PRICE PHONE 454-a100
Site Address BLpG, TYpE WORK DESCRIPTION
Lot Block Sec/Sub
Res. ' New
m Name Mult Add-on
Address Comm. Repair
~c' City Phone pther
~ Name FEES
3 Address - RES. HVAC 0-100 M BTU -$24.00
p Ciiy - Phone -ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
TYPE OF WORK ADDITIONAL 6 M BTU - 6.00
GAS OUTLETS - 1.50 EA
Forced Alr M BTU COMM/IND FEE - 1% OF CONTRACT FEE
Bofler M BTU MINIMUM - RESIDENTIAL FEE - 10.00
Unit Heeter MilTU - MINIMUM - COMM/IND FEE - 20.00
Afr Cond. M BTU STATE SURCHARGE PER PERMIT - 30
VeM. CFM (ADD $.50 S/C IF PERMIT PRICE GOES
~
Gas Piping Oudets N BEYOND $1,000.00)
Other
FEE ~ -
S/0. ' SI(iNATURE OF PERMfTTEE
TOTAL:
FOR CITY OF EAGAN
CITY OF EAGAN Remarks
Addition FAM RMGF. Ai7]TTTCN Lot 17 Rlk 2 Parcel 1(1 25RM 1 70 fl?
Owner Street 4465 White Tai 1 Way State EagaT1, MN 55123
Improvement pate Amount Annual Years Payment Receipt Date
STREET SURF. ~ 1981 229 3- 11.47 2
STREETRESTOR, s/ 1984 499.46- 49.95 10
GRADING 1981 61.26- 4.08 15
SAN SEW TRUNK 1981 205.44 - 10.27 20
SEWER LATERAL ' 27 19$1 33.07- 1.65 '
Sewer Iateral ' 1981 23,57- 1.18 20 WATERMAIN
WATER LATERAL ~ 19$1 43. - 2.18 20
WATER AREA 776 1981 2drj.44- 10.27 20
Water Iateral 1~ 1981 27. 68 - 1.38 29
STORM SEW TRK ~ 1985 557. 79 - 37.19 15
STORM SE&hA
~ 1984 222.51-- 22.25 10
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILOING PER.
SAC
PARK
~ INSPECTION RECORDw~ ~
CITY QF EAGAN PERMIT TYPE: 1 L I' I
3830 Pilot Knob Road Permit Number: 4) N08:s
Eagan, Minnesota 55122-1897 Date Issued: y`'
(612) 681-4675 Kio
SITE ADDRESS: APPLICANT:
t r'if.1N l+ I Ilrr!
PERMIT SUBTYPE: TYPE OF WQRK:
, 111i.'rh
INSPECTION .
PIlfi1 [ Ni.
i
Permit No. Permit Holder Date Telephone N
ELECTRIC
I
PLUMBING I
HVAC I
IrtspecUon Date Msp. Commwts
I FOOTINGS
I I
FOUNO
I
I FRAMING I
ROOFING I
I
NOUGH I
PLUMBING
PLBG I
AIR TEST
ROUGH
HEAnNG
~ GAS SVC ~
~ TEST I
INSUL
GYP BOARD I
FIREPLACE I
FIREPLACE I
AIR TEST
FINAL PLBG
FINAL HTG i
ORSAT I
TEsr
eiDc FiNaL
BSMT R.I. ~ I
1 I
BSMT FINAL I
DECK FTG I
I
DECK FINAL I
I
. - - I
- - - - I
I
~
~ RESIDENTIAL
BUILDING PERMIT APPLICATION ~a• ~
CITY OF EAGAN ~
3830 PILOT KNOB RD, EACAN MN 55122
651•681-4675
New Cons[ruttion Reauiremenh RemodellRaoair Reauirements
• 3 regotereG site surveys showing sq. ft of lot, sq. fl. of house; and all roofed areas • 2 wpies of plan
(20%ma:imum lot cove2ge allowed) . 1 set of Energy Calculalions lor heated addihons
. 2 copies of plan showing beam 8 window saes; poured fountl design, e[c.) . 1 site survey for eztenor additions 8 decks
• 1 se1 of Energy Calculations . Indiwte A home served 6y septic system fm additions
• 3 copies of 7ree Preservation Plan if lot platled after 717193
. Rim Joist Detail Options selectian sheet (hldgs wiN 3 or less umts)
DATE VALUATION
SITE ADDRESS MULTI-FAMILY BLDG Y N
TYPE OF WORK'-& o f..L Is- cu r 2 . FIREPLACE(S) _ 0_ 1 r2
SELA ROOFING & REMODELING, IKii
APPLICANT dinn Fxr.Fi Giria ai vn
STREET ADDRE55 ST. LOUIS PARK, MN 55416 CITY STATE ZIP
TELEPHONE #(Q~ z-`623- O~/(o CELL PHONE # FAX #
PROPERTYOWNER L?yl ')ac-k.bSG1~~c~ef1~ TELEPHONE# `fS~~- ~Z 3cI
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNLSO"C:1 RULGS 7670 CA"fLGOl2Y 1 MNNLSOT:\ RL;L1:S 7672
(d submission rype) . Residentlal Ven6lahon Cate9ory 7 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor: _ Phone #
Plumbing systcm includcs: _ Watcr Softencr _ I.avm Sprinl:lcr Pcc: $90.00
bVa[cr Hcater No. of R.I. I3adis
No. of Baths
Mechanical Contractor. Phone #
Mcchanic:il sys[em includcs: Air Condiuonino Fcr. $70.00
Hcat Rccovcry Syslcm ~LllSII
Sewer/Water Conhactor: Phone # ll
-
I hereby acknowledge that I have read-this-a
- pplication,-stafe that-the-information is corr-e ~and agree_to
with all applicable State of Minnesota Statutes and City of Eagan O d'nances.
Signature of Applica t
-
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
UOdated 4/02
OFFICE USE ONLY
? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace 0 21 Porch (3-sea.) ? 31 Ext. Alt • Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-piex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04•plex ? 72 12-plex Plbg_Yor_N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demoiish (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 MClES 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) _ FinaVC.O.
_ Footings (deck) _ Final/n'o C.O.
_ Footings (addition) _ Plumbing
Foundation HVpC
Drain Tile Other
Roof _ Ice & Warer _ Final _ Pool _ Ftgs _ AirlGas Tests _ Final
_ Fracrung _ Siding SNCCO Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit 8 Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
PERMIT
~ CITY OF EAGAN
3830 Pilot Knob Road PERMITTYPE: euzLosNG
Eagan, Minnesota 55122-1897 Permit Number: 028083
(612) 681-4675 Date Issued: 0 6/ 2 6/ 9 6
SITE ADDRESS:
4465 WHITETAIL WAY
LOT: 17 BLOCK: 2
FAWN RIDGE
P.I.N.: 10-25800-170-02
DESCRIPTION:.
(ROOFING)
Building_Permit Type STORM OAMA6E IBuilding Work Type REPAIR
Census Code \ 434 ALT. RESIDENTIAL
J \
1 ~
1
~
1 <..~t- , '
/ ~ ~=iy =+~j i'~-• ~ ~
REMARKS:
FEE SUMMARY:
a
CONTRACTOR: OWNER: - npplicant -
SCHAURSCHLAGER JOSEPH
4465 WHITETAIL WAY
EAGAN MN 55123
S hereby acknowledge that 2 have read this application and state that the
3nformation is correct and agree to comply with all applicable State oF Mn.
Statutes and City vf Eagan Ordinances.
J
~ -t(~1113 ~~PL
PER IT E S G E SSUED Y:IGNA URE
CITY OF EAGAN
isom 3830 PILOT KNOB RD - 55122
1996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
New Construction Reouirements RemodetlReoair Reauirements
? 3 registered site surveye ? 2 copies of plan
? 2 cropies of plans (include beam 8 window sizes; poured fnd. design; etc.) ? 2 site surveys (exterior additions 8 decks)
? 1 energy calculatlons ? 1 energy caiculations for healed addilions
? 3 copies of tree preservation plan if tot platled afler 7l1/93
required: _ Yes No ~
Z/
DATE: CONSTRUCTION COST:
DESCRIPTION OF WORK:
STREETADDRESS:
LOT ~ BLOCK _ SUBD./P.I.D.
PROPERTY Name:,)r,44aRSCHLf)GEi2 Phone
OWNER . ueT rine+
Street Address- G, 7/-Y
City: state: 4d.L zip:
coNTRACTOR Company: Phone
Street Address: License
City; State: Zip:
ARCHITECT/ Company: Phone
ENGINEER
Name: Registration
Street Address•
City: State: Zip:
Sewer 8 water licensed plumber: Penalry applies when address change and lot
change are requested once permit is issued.
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.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes No
Tree Preservation Plan Received Yes No
OFFICE USE ONLY
~ t-
;w
~
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. o 17 Swim Pool
0 03 SF Addition ? 08 8-plex o 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch o 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 _-plex ? 15 Deck
WORK TYPE
? 31 New ? 33 Alterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MC/WS System
(Allowable) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code.
Depth Footprint sq. ft. SAC Code
Census Bldg
Census Unit
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Pertnit
SIW Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
~o ~ 1986 BQILDING PERKL'P APPLICATIOA - CITY OF EAGAN
.
dOYE: ALL CONTRACfORS MOST BE LICIIiSID ifITH THE CITY OF EAGAN
SINGLE FAFIILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
MOLTIPLE DWELLIHGS - RFSIDENTIAL HEN?AL 06ITS FOR SALS QNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SDIi9EY - CHECH WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
CONAERCIAi:
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: s'~ ' Valuation: Date: 44-(
c
Site Address y, S ~ OFFICE USE ONLY
Lot 11 Block ~ Ereet ~ Occupancy R3
/J Remodel Zoning P- I
Parcel/Sub Repair _ Type of Const
Addit3on _ # of Stories
Owner Move Length SO
Demolish Depth 48
Address Int.Impr. _ Sq Ft
Install _
City/Zip Code
Phone APPROVALS FEES
Contractor Assessments Permit 31C~.
Address Water/Sewer Surcharge 30•s- Police Plan Review I Sg _
1 Fire SAC S"1S,
City/Zip Code Engr Water Conn Soo.
Planner Water Meter l03- -Lb
Phone ~ Council Road Onit 29 O.
Bldg OfffjfVL Treatment P1 l S~o,
Areh./Engr. APC Parks
Variance Copies
Address 20T9L 7 p) ~
City/Zip Code
Phone ll
NOTE: ADDAESSES FOR CORNER LOTS - CONTRACTOR/HOlIEOWNER lIQST DESIGNATE UHICB ADDBESS
IS DESIRED. NO CHANGFS WILL BE ALLOiiED ONCE BQILDZNG PERMI2 IS ISSQED.
- . , ,j . ' •,L't .
' . • ~t: . , .'I: . ' , . ~ . . . ~ : . . •
, EXTERIOR ENVELDPEAVERAGE .'U' CDMPUTATTON
GRAND OAKS pEVELOPMENT COMPANY MODEL QAREA ; U U X AREA
. 1
kEOUIRED
1. TOTAL WALL AREA 1800 X.11 198
' • 2. TOTAL ROOF AREA 1196 X.026 31.096
ACHIEVED
AREA U U X AREA
A. WINDUW AREA 186.66 •.5 93.33
D. DOOR AREA 39.8 .077 . 3.0646
C. SLIDE OLASS AREA 13.44' .48 6.4512-
D. FIREPLACE AREA 0 0 0
E. WALL FRAME AREA 180 .041 7.38
F. NET WALL AREA , 1164.1 .049 57.0409
0. RIM JDIST AREA 119.52' .0436 5.211072
H. FOUND WINDOW AREA` O O 0 •
1. FOUNA ABOVE GRADE 96.48 .135 13.0248
3. TOTALSWALL AkEA. „ 1800 , 1B5.5026 , -
J. 6KYLITE • . '0' ~ ' . 0 ' O':
K. ROOF FRAME"' 119.6'~ `.032;3.8272.
L. NET ROOF AREA 1076.4• :025 '26.91
~
4. TOTAL ROOF AREA 11,96 . 30.7372 •
SUM 1.+2. . 229.096 "
SUM 3.+4. • 216.2398
SURVEYOR' , CERTIFICA?.TE ~ GRAND OAKS DEVELOPMENT C0.
~99 WHITETAIL WAY 911.6 -
~ N
N N
9098 .9109 911.45
~70. O S O70 311 _
%911.1 'p 912.7X
i.%y=3~~' o \
0
/ ~ -i ~ ~ , . 'y I / ~ -i ~ ~r.
914.16 14;fp1 X9K .93 L_ I I J
` 1I --'T% Q2.0
913.rX I IM N CiQ ~ M M I 3 N
14.6) a.o 00
W c~ O22.0 ~ m O
o a) aLC)
~a
p O PROPOSED (Ro N .
(V M. N HOUSE N O
\ n z
Z .
40.0
916.6 , X919.1 919.41 X I %920.0
p C914b~ ~9~~b) 0
p M
N M
LOT
~ SI 5
;
W I ~ '
L_0
K9z66 N75°~~ 5
g . .
0- . 633
\ L_~l I I
\
UENOTES'PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT 5ET SCALE: 1 INCH = FEET
• UENOTES IRON MONUMENT FOUND PROPOSED GARIIGE FLOOR FEET
X000.0 DENOTES EXISTING ELEVATI0N PROPOSED LOWEST FLOUR = 91 ZI FEET
(OU0.0) DENOTES PROPUSED ELEVATION PROPUSEU TOP OF BLOCK = 91 $,3 FEET
I HERE4Y CERTIFY TO GRAND OAKS UEVELOPMENT C0. TFIAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE 40UNDARIES OF:
Lot 17, Block 2, FAWPI RIUGE, according to the recorded plat thereof,
Dakota County, Minnesota.
AfIU UF TIIE LOCATION OF Fl PROPOSEU 6UILDING. IT DOES NOT PURPORT TO SIIOW IMPROVEMENTS.
OR ENCROACHMENTS, IF ANY, THEREUN. AS SURVEYED BY ME, OR UNUER P9Y UIRECT SUPERVISIUN,
TIIIS 28TH DAY OF MARCH , 1986.
SIGNED: JAMES R. HILL, INC.
[3Y :
HAROLU C. PETERSUN, LAND SURVEYOR
PIINNESOTA LICENSE N0. 12294
Pf10JECT N0. BUOK / PAGE JAMES R. FIILL, INC.
86454 161 /1, Planners / Engineers / Surveyors FILE NO. 8200 Flumbotdt Avsnu• Souttl
FOLDER Bloomington, nnn. GG431 012-004-3029
. ***#*****~#*******#*!1Y*****t#*~***t
. ' - CITY OF EAGAN * ~ ~F~ ~ TIM °E' :
,*t APPROVAL OF PII2MIIT.
APPLICATION FOR PERMIT :
. * itasrncrzorr oF sEWM nrro/ox MkTM ~
. *f TwTATaATTONS WIId• bX7P BE SCHED- '
SEWER AND/OR WATER CONNECTION ~~M UWM PmMLT HAS BEEN ;
* APPRdVID. >
r
r
. * * * * *,r * x x w+* w,r * * r * 3 * k * * * *,t,r+,t ~ ~ i
P ease Print)
1) PROPERTY ADDRESS:
LEGAL DESCRIPTION: j - j ~ (j ~ ~ W
Lot Block Subdivision or Tax Parcel ID )
ZF EXISTZNG STI2CCMME, DATE OF ORIGINAL MIILDING PERNLIT ISSL'ANCB:
PRFSENP 7ANING/PROPOSID CSE: (Mon Yearl
COAfMEItCIAL/REPAIL/OFFZCE ~ R-1 SINGLE FAMILY '
f-I IDIDC'STRIAL r-I R-2 DCPLEX (Two L~nits)
~ INSTI'IL'TIONAL/GOVIItfAg7NT ~ R-3 20AT1fi00SE (Three + Units) ( Cfiits)
. ~ R-4 APARTMENP/COAIDOMINIUM ( Units)
2) r*E: G (4 n C~G
aooxESS:
CITY, STATE, ZIP: ~a-ri Q YI /~2 I?
PHONE:
3) • u NAME. / For City Ose .
/ =j~~~~ ` Plumbers License:
ADDRFSS:~ (o( O C~~ P I1 lG h P tired
~ CITY, STATE. ZIP:~O r'~O Yl ~ ~ Not recorded
PHONE: L(-0 / n7 IMASTER LI(EIVSE#
St~tial
NAME: ~
_ a,DDxFSS:_ Alj ~
CITY, STATE, ZIP:
PHONE: •
5) ~ r: : o • o~ a.
~ CONNECI'ION 70 CZTY SEFTER CpNNECrION 1U CITY WATER ~ Q'PHII2 .
!5$+
6) ~ r• r 1:3 PI,EASE HOLD APPROVFD PERMIT FOR PICK-UP BY ONE OF F1BOVE
go~ PLEASE MAIL APPR PERMiT 20 1. 2, & 4, pBpVE
(Circle one) '
7) r r u• - ~-~L,~ C~
~L r.~ L~ - S~
• 01' M ~ • I' N' I:• ~ h Y~1• •~y
1 ' ~ • • . ~ ~
•n: •~1J~i.`t u r - r•. . ' D~
_ _ _
. FOR CITY USE ONLY ° PERMIT # ISSC'ED
73 7 7 e/ 2
Pd w/Bldg. Permit FEES:
$ $ lL` • S L SEWER PERMIT (INCLUDE SORCHARGE)
$ $ WATER PERMZT (INCLUDE SC'RCHARGE)
$ I 3.~ $ WATER METER/COPPERHORN/OC'TSIDE READER
S $ WATER TAP (INCLL'DE CORPORATION STOP)
$ $ SEWER TAP '
$ ~SG-C $ 'ACCOUNT DEPOSIT - SEWER
$ ~ S•l~ $ ACCOONT DEPOSIT - WATER
$ $ WAC
$ S 7,57 U O $ SAC
$ $ TRUNK,WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
, $ $ ' LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$ /S l•(J O $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ ~ 32- $ !Z TOTAL
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
F__j YES IF YES, THEN A"PERMZT FOR WORK WITHIN PUBLIC
Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITZON.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY: ~`L%~,Ei ~C•~-tc~y1
TITLE:
DATE : ~//2- .S /f
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA144266
Date Issued:07/19/2017
Permit Category:ePermit
Site Address: 4465 Whitetail Way
Lot:17 Block: 2 Addition: Fawn Ridge
PID:10-25800-02-170
Use:
Description:
Sub Type:Reroof & Siding & Windows/Doors
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and house wrap and leave on site.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 12,000.00
Fee Summary:BL - Base Fee $12K $221.25 0801.4085
Surcharge - Based on Valuation $12K $6.00 9001.2195
$227.25 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 -
Joseph A Schaubschlager
4465 Whitetail Way
Eagan MN 55123
(612) 812-7312
Gene's Of Apple Valley Construction Inc
17660 Kettering Tr
Lakeville MN 55044
(952) 892-0060
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA152431
Date Issued:10/15/2018
Permit Category:ePermit
Site Address: 4465 Whitetail Way
Lot:17 Block: 2 Addition: Fawn Ridge
PID:10-25800-02-170
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 -
Joseph A Schaubschlager
4465 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