4468 Whitetail Way
CITY OF EAGAN sffwm SERYICE pERM
3830 Pilot Knob Rwd p~µlT NO.:
P. O. Box 21199
Eagsn, MN 55121 DATE:- -
,
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~ Dcft of Irop.: Totol:
~ Insp.: QoM Poid: I
f I
CITY UF F4GAN WATER SERVICE PERJINT
3830 Pi{di Kno6 Road PERAAIT NO.: '~i 6~
P. O, $ox 21189 5 -19 - 86
Eapn, MN 55121 DATE: 1
Z~: F:1 No. of Unttr.
Ownw: Grand ~7aks
Addras:
Site446" WhitetaiL i'av 1ts B'• rawn Ni1ce
Plumber Valley Plti~l
MleW No.: Choror
15 . 00nc1
size: W,)Rc c , n , 00pa
''ws . so a
1 M~ h wasoM vok 60 ED-~ 156.00 Pd 'I'°
53.5
Tad: 0pr1 zneter
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ey v~•-- • oot. Pble:
Ooh of InsD.: l^4'(o - j 2,
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CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING RERMIT Receipt # i !
,
To be.used fo POOL Est. Value =100000 Oate JUt. 1 , 1991_
Site Address "62 Ygi'PE?wiL VI1Y
Lot I BIOCk SeC/Sub. FwM gIDCR OFFICE USE ONLY
Parcel No. occuaancy FEES
zoning -
W Name JIM & G1AZI AIEEA=D (Aclual) Const _ Bldg. Permil 117,
00
I Address 4"2 i1MITE?AIL LN (abwable)
0 City EAGAN PhOne 03-0218 # ot Stories Surcharge S_aA
Lenp 36t Plan Review
o Name pitE$'t'IG1i PQOL 6 FA?IO ~u, 18' snc, city
fi Address 245 EWSaLAW AV'E S.F. Total _
~ City ST PA1n• Phone 488-6726 S.F. Foolprints _ SAC, Mcwcc
F On Sile Sewage _ Waler Conn
QW Name
' On Site well - water AAeter
~ ~aAddfBSS MWCC System _
<W City Phone cnywater _ Acd. Deposit
" PRV Fequired _ S/W Permft
I hete6y acknowlege that I have read this application and state that the 9ooster PumP - S/yy Surcharge
IMnrmation is correct and agre9" to comply witfvall applicable State of
Minnesota Statutes and Ciry of EagaryOrdi~n", Treatment PI
Signature of Permitee APPROVALS Road Unit
n auiidiny Permic is tssued to: pRESTI(M lAiIO Plan^ef Park Ded.
on the express condition that aU work shall be done in cordance with all Cu+ridi
applicable State ol Minnesota Statutes and City oE Eagan Ordmances. gldy, pff. _ Copies
Building Official VManCe - TOTAL 122•00
,
PWmit No. PKndt Holdkr Daa TsWphone A~
WATER '
sEwea
PLUMeM
H.VA.C.
ELECTRIC
Inapktlon DaM kuP• Comrtwts
Footinps I / 4 c
Foundalion Framing
Roofing
RoupA Plbg.
Rough Htg.
Isul.
FireplaCe
Final Htg.
Orstel Test
Final Plbp. ptg. Indpecbr - Nofily pkmpar
COnst. MetAr
E^yrJPla^ - R
Bldg• FkW o G L
Dedc F1g.
Dedk Final /D 2 ' O
weu
P?. asp.
CITY OF EAGAN N2 117 7?
3830 PNot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 -
BUILDING PERMIT Receipt x
To be used for SF DtiyG/r'AK Est Value $61,000 Date APRiL 16 19 86
~}458 WHITF'I'AI:, wAY
Sfte Address Erect ~ Occupancy n3
Lot 4 Block 3 secisub. FAWN h1DGE Remodel ? Zoning R 1
Parcel No. Repair ? Type of Const u _
Addition ? No. Stories
GRAND OAKS DEVEL CO Move ? Length A n
Name
5UNRISE CT Demolish ? Depth
o Address 1881 Int. Impr. ? Sq. Ft
City ~AG~ Pnone 452-8934 Inateu ?
a SAMg Approvah Fees
= o Name
~ a Address Assessment Permit ~ 316.00
~ City Phone Water & Sew. Surcharge 30.50
Police Ptan Review 158. 00
~ W Name Fire SAC 575 . 00
~ a Address Eng. Water Conn. 500.00
City Phone Planner Water Meter 63.50
Council Road Unit 290.00
Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe Bldg.Off. 4/16/8 Tr.PI. I56.00
information is correct and agree to comply with all applicable State ot
Minnesota Statutes and City of Eagan Ordinancea. APC Parks
Signature of Permittee-,.' ` , - Var_ Date Copies Total 2,L~ t~ g• U O
GRr`~JD UAKS DEVL:L~''i.O
A Building Permit is issued to: on the express condition that
all work shall be done in accordance with all appficahle Stete oi Minnesota Statutes and Ciry ot Eagan Ordinances.
Building Official L
, - PwmM Na P'MmN Mold~r DMM TMpbom A
~ Pkimbing 22 37 j G
<
N.v.&c. 7-t>
In~p~ctlon Dab Inop. ConMNnb
Foo8np 1 Cy 8
FooUnosll
Foundatlon
' FnnMnq
RoWinp
Rouph PlbO.
Rouqh Nig.
Inwl. ~
Fkephco
FMUI Flly.
Fbal Vbg.
Bldp. Fbd
CMl Oee.
Dock Rg.
' Wek Frrnq.
1Nd
ft. ONp.
PERMIT # O 3
• i. / MECHANICAL PERMR RECEIPT # 60 Q- hCA y
~ . CIT1f OF EAGAN
3890 PILOT KNOB ROAD, EAGAN, MN 55121 OATE: S' a J-~ W
CONTRACT PRICE PHONE: 454-8100
Site Address BLp(3. TYpE WORK DESCRIPTION
Lot Block ` Sec/Sub ~
Res. ~ New ~
m Name Mult Add-on
y Address Comm. Repair
c City Phone pther
~ Name pEEg
c Address - RES. HVAC 0-100 M BTU - $24.00
p City Phone ADDITIONAL 50 M BTU - 6.00
ADD-ON AiR COND. 0-24 BTU - 12.00
TYPE OF WORK ADOITIONAL 6 M BTU - 6.00
, GAS OUTLETS - 1.50 EA
Forced Air M BTU COMM/IND FEE - 1% OF CONTRACT FEE
Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00
Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00
Air Cond. M BTU STATE SURCHAHGE PER PERMIT - .50
Vent CFM (ADD $50 S/C IF PERMiT PRIGE GOES
Gas Piping Outlets # BEYOND $1,000.00)
Other
FEE: ~ '
S/Q - , SIGNATURE OF PERMITTEE
TOTAL•
FOR: CITY OF EAGAN
7a 7 ~
PERMIT M
PLUMBING PERMIT RECEIPT #
CITY OF EAGAN
y v J 3a30 PILOT KNOB ROAD, EAGAN, MN 55121 DATE:
CONTRACT PRICE PHONE 454-a100
Site Add~ss y BTYPE WORK DESCRIPTION
Lot ~loCLl~ S Sec/Sub
~2 Res. ~ New ~
m Name " I` y P Mult Add-on
~ Addr i u c 14 L" Comm. Repair
c City Phone Other
NP. FIXTURES TOTAL
~ Name Water Closet - $3.00 ~ `
_3
c Address Bath Tubs - $3.00
p Ciry Phone y 5 J- g y~ y ~-Lavatory - $3.00
Shower - $3.00
~ Kitchen Sink - $3.00
FEES Urinal/Bidet - $3.00
COMM/IND FEE - 1% OF CONTRACT FEE _T~undry Tray -$3.00
MINIMJM - RESIDENTIAL FEE -$10.00 Floor Drains - $1.50
MINIMUM - COMM/IND FEE -20•00 Tyyater Heater -$1.50 ~
STATE SURCHARGE PER PERMIT - •50 Whirlpool -$3.00
(ADD $.50 S/C IF PERMIT PRICE GOES -'-Gas Piping OuUets -$1.50
BEYOND $1,000.00) Soitener - $5.00
weli - $10.00
Private Disp. - $10.00
3-Rough Openings - $1.50
SICa TURE OF PEQMITTEE FEE a, 'cu
STATE S/0 c,
FOR CITY OF EAGAN GRAND TOTAL• a S J
~ . - ..v r - ~ Y----..
PERMIT 0
PLUM81NCi PERMIT RECEIPT #
GTY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE
CONTRACT PRICE PHONE 4544100
Site Address, • " ' ' ' BLDG. TYPE WORK DE3CRIPTION
Lot - ' A Block v Sec/Sub
Res. New
94 m Name Mult Add-on
~ Address Comm. Repair
~ c CityJ~~ t~ Phone ~ Other
r ~ ~ ~ NO. FIXTURES TOTAL
Name Water Closet - $3.00 $
2 Addres.s ° Bath Tubs - $3.00
p City Phone ? ' ? Lavatory - $3.00
Shower - $3.00
FEES Kitchen Sink - $3.00
COMM/1ND FEE - 1% OF CONTRACT FEE Urinal/&det -$3.00
MINIMUM - RESIDENTIAL FEE - 510.00 Laundry Tray - $3.00
Floor Drains -$1.50
MINIMUM - COMM/IND FEE - 20•00 Water Heater -$1.50
STATE SURCHARGE PER PERMIT - Whirlpool -$3.00
(ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping OuUets - $1.50
BEYOND $1,000.00) ~Softener - $5.00
Well - $10.00
Private Disp. - $10.00
_Rough Openings - $1.50
SIGNATURE OF PERMITTEE FEE
STATE S/C:
FOR CITY OF EAGAN GRAND TOTAL:
CITY OF EAGAN Remarks
Addition FAWN RIDM ADDMON Lot 4 Rik 3 Perce, 10 95900 10.40.,09-03 ~
Owner street 4468 Whitetail Way State Eagan, NA( 55123
Improvement Date Amount Annual Years Payment Receipt Date i
STREET SURF. 1951 229.35" 11.47 Z STREET RESTOR, f 1984 499.46 49.95 10 I
GRADING 1981 61.26 4.08 15
SAN SEW TRUNK ' 5 19$1 205.44- 10.27 20
SEWERLATERAL 19$1 33.07 1.65
Smer Iateral S 71/ 1981 23.57-~ 1.18 20
WATERMAIN
WATER LATERAL 19$1 43.67, 2.1$ 20
WATER AREA J-Z 19$1 20rj. 44- 10.27 20
Water Lateral 1981 27.68~ 1,38 39
STORM SEW TRK 1985 557.79 - 37.19 15
STORM SEW T / 1984 222. 51 22.25 10
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
9UILDING PER,
SAC
PARK
fNSffe`TION RECORD~ ^ . .
CITY OF EAGAN PERMIT TYPE:
u,
3830 Pilot Knob Road Permit Number: '
i l ,~i: ~ •i i
Eagan, Minnesota 55123 Date Issued: ~
(612) 681-4675
SITE ADDRESS: APPLICANT:
!:lAY
~f I~~ ; ~ i,~,, i 1 ~ ,
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION DA
• D.
t~ ~ iif r~ I I,~~i
f~ J
' wnnn No. Pe.mn twide. Dats Tekphone M
s/w
" PLUMBING
HVAC
ELECTRIC 84~ F ~
~ ELECTRIC
I Inspwtion Dab Intp. Commsnb
Footingsl
Foundation
Framinp ~
Roofing
Rdigh PIb9• 3
Rough Fltg.
Isul.
Flreplace
Fnel Htg.
Orsat Test I
Flnal Plbg. Pibg. Inspector - Nptify Plumber I
Const. Meter ~
I ErgrlPlan +
~
BIdg. Final
Declc Ftg.
Dedc Rnal
WeN
Pr. Disp.
~ - - -
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: r:"
3$30 Pilot Knob Road Permit Number.
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675 ~
SITE ADDRESS: APPLICANT: ~
~.t, s: I1111 i l l il ! 1 4JAY ilI I fl ~I~~ ! 111 f 1'I AI f
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION D, • DA I
~
f 1?r1 !'I F1~ t
I
,
~
I
i
~ ~
I ~
Permit No. Permit Holder Dste Telephone # I
. S/VY
' PLUMBING
HVAC
ELECT
ELECTRIC
Inspection 06h Insp. Comments ~
Footings I
Foundafion
Framing
FlooFing
Rough Pbg.
RouBh Htg.
Isul.
Flreptace Sf Z 7J y ~
Flr?al Fltg.
Orsat Test
(
' Final Pk>g. Plbg. lnspector- Notify Plumber
I Caret. Meter
~
EngrlPlan
i
Bidg. Final
Dedc flg.
Oedc Final
Well
Pr. Disp.
I
I
~ - ~
CITY OP EAGAN N~p 11777
' 3a30 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 Gl
BUILDING PERMIT Receipt#
7o be used tor SF DWG/GAR Est. Value $ 61 ,000 pate APRIL 16 19 86
Sitenddress 4468 WHITETAIL WAY Erect IN Occupancy R3
Lot 4 Block 3 Sec/Sub. FAWN RIDGE Remodel ? Zoning Rl
Repair ? Type of Const V
Parcel No.
Addition ? No. Stories
a Name GRAND OAKS DEVEL CO Move ? Lengih-4r4
~ 18 1 SUNRISE CT Demolish ? Depth--qo-
o Address Int. Impc ? Sq. Ft
CiTy EAGAN phone 452-8934 Install ?
, o Name SAME Approvals Fces
0a Address Assessment Permit $ 316.00
~ Ciry Phone Water S Sew. Surcharge 30 . 50
Police Plan Review 158.00
Fw Name Fire SAC 575.00
~E5 nddress Eng. WaterConn. 500.00
<w City Pnone Planner Water Meter 63.50
Council Road Unit 290.00
Iherebyacknowledgethatlhaveceadthisapplicationandsfatethatthe gldg.Off. 4J16 86 Tr. PI. 156.00
information is correct and agree to comply with all applicable State of
Minnesota Statutes and Ci y of Eag 3dinances APC Parks
r ~ Var Date Copies
SignawreofPermittee" ~ Total $2,089.00
OA DEV
A Buildmg Permit is issued to: RAND on the express condition that
all work shall be done m accordance with all~vppljlc~le State of Minnesota Statutes and Ciry of Eagan Ordinances
Bwlding Official
RESIDENTIAL
BUILDING PERMIT APPLICATION
'S14 CITY OF EACAN
3830 PILOT KNOB RD, EACAN MN 55122
651 •68'f •4675
New Constructlon Reauiremenb RemodellReoair Recuirements
• 3 mgistered srte surveys showing sq. A. of lot, sq. ft. of house; and all roofed areas . 2 copies of plan
(20°h maximum lot coverage allowed) . 1 set of Energy Calculations (or heated addilions
. 2 copies of plan showing beam 6 window s¢es; poure0 found design, etcJ . 1 site survey for extenor additioru & decks
• 1 sel ot Energy Calculations . Indicate if home served by septic system for additions
• 3 copies of Tree PreservaUon Plan rf lot platted a6er 711193
• Rim Joist Detail Options selecLon sheel (bldgs with 3 or less umis)
DATE VALUATION tt S_
~
SITE ADDRESS W h:(e--rz14 MULTI-FAMILY BLDG Y N
TYPE OF WORK I~a k~ (le ,firt4~' )42 ~cr~i¢~~~ FIREPLACE(S) _ 0 _ 1 _ 2 Si1
~..~=~5 av~ '~cv s.e
APPLICANT SELA ROOFING & REMODELING, ING <tc~k~Q(X-,_ (X~Q~ v«y ~ Q
4190 E3E6E~13L-V ~
STREET ADDRESS ST. LOUIS PARK, MN 55416 CITY STATE_ZIP
TELEPHONE q!o CELL PHONE # FAX #
PROPERTY OWNER &Y1 ZQ-~Cc\ TELEPHONE # ~L6 ~S_- 64 -7 cI
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RUL6S 7670 CATF.GORY l MIVNL•.SOTA RULLS 7672
(d submission type) • Residen6al Ventilation Category 1 Worksheet Submitted . New Energy Code Worksheet Su6mitted
• Energy Envelope Calculations Submitted
Plumbing Contractor: Phone #
Plumbing system includes: Water SoRener Lawi Sprinkler
Water Heater No. of R.I. Baths
vo. of Baths By
r
Mechanical Contractor: Phone #
Mechanical system includes: Air Conditioning Pce: $70.00
Heat Rccovcry Sys[cm
Sewer/Water Contractor: Phone #
- ° ° °
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 Ordinances.
SlgnatureofApplicanf
~
OFFICE USE ONLY
Certificates of Survey Received , Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFICE USE ONLY
0 01 Foundation ? 07 05-piex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 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 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? OS 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Stortn Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demalish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type af Const W idth
REQUIRED INSPECTIONS
_ Footings(new bldg) _ FinaVC.O.
_ Footings (deck) _ FinaVNo C.O.
_ Footings (addi[ion) _ Plumbing
Foundation H V AC
Drain Tile Other
Roof _[ce & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (newlreplacement)
_ Insulation _ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
W ater Supply & Storage
S8W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
- ~ -
3~"~ ~ 1 1 1986 BIIILDING PERlQT APPLICATION - CITY OF EAG9N
60TE: ALL COATRAClORS MUST BE LICEIVSED WITH THE CITY OF EAGAN
SINGLE FAlIILY DTiELLIAGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SUAVEY, 1 SET OF ENERGY CALCULATIONS
MQLTIPLfi DiiELLINGS - RFSIDENTIAL BENTAL UNITS FOR SALB ONITS
INCLUDE 2 SETS OF PLANS, CERTIEICATE OF SIIRVEY - CHECH AZTH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMAfERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For: cgx-- Valuation: Date:
Site Address J( OFFICE USE ONLY
Y y( Gv~ ~:0
Lot ~ Block Erect ~ Occupancy I`3
8emodel _ Zoning (Z•I
Parcel/Sub Repair Type of Const _2=
Addition # of Stories
Owner Move Length -4:T-
Demolish _ Depth 4$
Address Int.Impr. Sq Ft
Install
City/Zip Code
Phone ?PPROVAI.S FEFS
Contractor Assessments Permit ~Ito,
n Water/Sewer Surcharge
Addcess QK a<.t.r.,~,td~. Police Plan Review 50.
Fire SAC S
City/Zip Code C?~ Engr_ Water Conn 50e>
Planner Water Meter (0 3.S-0
Phone Council Road Unit 290
Bldg Off f Treatment Pl 15(0.
Arch./Engr.. APC Parks
Variance Copies
Address SOTAL 7-
City/Zip Code
Phone 0
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOHNER MQST DESZGNATE iIHICH ADDRESS
IS DESIRED. NO CH9NGES WILL HE ALLOiiED ONCE BOILDING PERMIT IS ISSIIED.
1
\ • . . ' ` . .:'l: . , ' • EXTERIOR ENVEL'DPEAVERAGE 'U' COMPUTATION
GRAND OAKS DEVELOPMENT COMPANY ~
MODEL Q AREA ; U U X AREA
. ti
kEQUIRED
1. TOTAL WALL AREA 1800 X.11 198
2. TOTAL ROOF AREA 1196 X.026 31.096
ACHIEVED AREA U U X AREA
A. 41INDtlW 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 190 .041 7.38
F. NET WALL AREA . 1164.1 .049 57.0409
0. RIM JOIST AREA 119.52' .0436 5.211072
H. FOUND W I NDOW AREA 0 0 0
1. FOUND A60VE ORADE' 96.48 .135 13.0248
3. TOTALy WALL AREA 1800 185.5026
J. 6KYLITE, O ' O':
K.ROOF FRAME"' 319.6.032-3.8272:
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
- . >
I
w.,:~„
- PERMIT
~ CITY OF EAGAN -
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55123 Permit Number: 022363
(612) 681-4675 Date Issued: 10 / 2 8 J 9 3
SITE ADDRESS:
4466 WHITETAIL WAY
LOT: 4 BLOCK: 3
FAWN RIDGE C(~/ISGj
P.I.N.: 10-25800-040-03 I
' 10 pI9~
DESCRIPTION:
~
Bu'ildingrPermit Type BASEMENT FINISH
8uilding l'Jork Type ALTERATION
, A
i
. a.
NN
~
REMARKS:
SEPARATE PLUMBING & ELECTRICAL REQUIRED
FEE SUMMARY:
Base Fee $35.00
Surcharge $.50
Total Fee $35.50
CONTRACTOR: OWNER: - Applicant -
HANCOCK RANDAL
4468 WHITETAIL WAY
EAGFIN MN
(612)946-0046
I hereby acknowledge that I have read this application and state that the
infiormation is correct and agree to comply with all applicable State of Mn.
Statutes and City of Eagan Ordinances.
~ 44e:l~eel-
WTEE SIGNAMFM ISSUE BY: SI TURE
REACTIVATE _ ~`~~(~L~~~I CIIY OF EAGAN
PEkt417 # 993 BUILDING PERMIT APPLICATION
0 C T 2 1 1aa3 3 681-4675
~S
SINGLE 5 MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural E structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month.
in which request is made, 2) address is changed or 3) lot change i,s requested once permit
is issued.
Date (Dc'Ioloe Y /2 1_ / IJ93 Yal uation of work
Site Address: 446 A l~n ~~ef~i; 1 Wo' v
fT0.EET iUl7E /
Tenant Name: (commercial only)
v-I:OT BLOCK ~ SUBD.~~~ &k~~ P.I.D. N
Descri tion of work: rnPrl'f Ki~ktK
The applicant is: 01 Owner ? Contractor ? Other (Dtccribe)
Name I-61(o(ly ?~GivY~a ~ Phone ~S6 ~707 ~1b~
Property usT FIasT °Ig6'0096(woVK
Owner Address 4468 wkrk2~-kci 1 (4/&4
STREEi C7E Y
City FGSGdd State MN Zip S~/Z`'
„ Company " Phone
C011tt'BCtOP Address License N Exp.
' City State ZiP
Company Phone
Architect/ ,
Englneer Name Registration fI
Address
City State Zip
Sewer 3 water licensed plumber . Processing time for
sewer 8 water permits is two days once area has been approved.
I hereby acknowledge that I have read this ap lication and state that the information is
correct and agree to comply with all appli.cab /State o innesota Statutes and City of
Eagan Ordinances.
Si9nature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE ~
O 01 Foundation ? 06 Duplex ? 11 Apt./Lodging 016 Basement Finish
O 02 SF Dwg. 0 07 4-Plex ? 12 Multi. Misc. ~O 17 Swim Pool
[1 03 SF Addition ? 08 B-Plex ? 13 Garage/Accessory O 18 tomn./Ind.
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace O 19 Cown./Ind. Misc.
O 05 SF Misc. ? 30 Multi. Add'1. ? 15 Deck ? 20 Public facility
O 21 Miscellaneous
WORK TYPE
Ej.31 New ? 33 Alterations O 35 Tenant Finlsh O 37 Demolish
/p 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Lonst. (Actual) ' Basement sq. ft. MWCL System
(Allowable) lst Fl. sq. ft. Lfty Mater
UBC Occupancy -fZ 2nd F1. sq. ft. PRY Required
Zoning Sq. Ft. total Booster PumP
/ of Stories Footprint Sq. ft. F1re Sprinkler
Length On-site well Census Code
Depth On-site sewage SAC Code
/
APPROVALS o
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS '
O Site 0 Footing ;U Framing ? Insulation
? Wallboard ~ final ? Draintile O fireplace
Permit Fee 3., 00 wimcia,: $
Surcharge .5C
Plan Review
License "
MWCC SAC
City SAL
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAL %
SAL Units
PERMIT
~ CITY OF EAGAN
3830 Pilot Knob Road PERMITTYPE: surLoiNc
Eagan, Minnesota 55123 Permit Number: 021821
(612) 681-4675 Date Issued: 0 8/ 2 5/ 9 3
SITE ADDRESS:
4468 WHITETAIL WAY
LOT: 4 BLOCK: 3
FAWN RIDGE
P.I.N.: 10-25800-040-03
DESCRIPTION:
(GAS)
B-uilding)_Permit Type FIREPLHCE
Building W'ork Type NEW
% >
~
CC~I,'J,~~
ii,_ ul._~JL• . . .
REMARKS:
FEE SUMMARY:
Base Fee $25.00
Surcharge $.50
Total Fee $25.50
CONTRACTOR: - APplicant - sT. I.IC. OWNER:
HEAT-N-GLO FIREPLACES 18900758 0002960 HANCOCK RANDY
3850 W HWY 13 4468 WHITETAIL WFlY
BURNSVILLE MN 55337 EA6AN MN 55123
(612) 690-0758 (612)456-0707
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 Mn.
Statutes and City ofi Eagan Ordinances.
L ~
APPLICANT/PERMITEE SIGNATURE ISSUED B SIG ATURE -N
REACTIVATE _ CITY OF EAGAN a!o'
PERMIT # 1993 BUILDING PERMIT APPLICATION 2s50
J
681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAI 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date 'y / /`i / ff Valuation of work
Site Address: 11-1167R 6I/Ir-~~~6 ~/eu.
STREET SUIiE M
Tenant Name: (commercial only)
LOT ~ BLOCK ~ SUBD.~XL~_ ~J U f P.I.D. M
Descri tion of work: Adtki6 (p U% - 2d,
The applicant is: ? Owner ? Contractor ? Other (Deseribe)
Name iJ l:r pd'nd'a Phone 1~5~ "D ~U7
Property LAST F3RST '
Owner Address M&tt-t~' l kz-4
STREET STE M
City State /71 It) Zip SS/Z_3
Company Gr~ '~U'Z)~ Q<< Phone
Contractor AddressJ~~~ d/ln/ z~ License # Exp.3 3' 4~-
City I)~ G-~.L State A4 ~J Zip
Architect/ Company Phone
Engfneer Name Registration N
Address
City State Zip
Sewer & water licensed plumber . Processing time for
sewer & water permits is two days once area has been approved.
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: JZ Cc. L24--
• - OFFICE USE ONLY
BUILDING PERMIT TYPE
~ ~
„ ~Firni,sh
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging O 16~„B ~<Fement^
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ?j17 Swim`~ool
0 03 Sf Addition 0 08 8-Plex ? 13 Garage/Accessory ? 18 Comn./Ind.
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace O 19 Comm./Ind. Misc.
? 05 SF Misc. O 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility
? 21 Miscellaneous
WORK TYPE
? 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MWCC System
(Allowable) lst F1. sq. ft. City Water
UBC Occupancy 2nd fl. sq. ft. PRV Required
Zoning Sq. Ft. total Booster Pump
N of Stories footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code
Depth On-site sewage SAC Code
APPROVALS
Planning Building Assessments
Engineering Variance
REGIUIRED INSPECTIONS
? Site ? Footing ? Framing ? Insulation
? Wallboard ? Final ? Draintile ? Fireplace
Permit Fee v,iuoc;m: S
Surcharge
Plan Review
License
MWCC SAC
Gity SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC %
SAC Units
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) ~ ~ CITY OF EAGAN
Gq\Aap 3830 PILOT KNOB RD - 55122
\a 651-681-4875
New ConafiucHon ReaWremenh Rertadel/Reoalr Reaulremenh
> J reylsAarod Lte wrveys ahowiny p. R. of bf, sq. R. of house 2 coples o1 plan
and yg rooleC areat (20% maxlmum lot coveraae allowed) 1 sef of energy calcWaNOns tor heatetl addiHOns
> 2 coples of plans (show beam a window fizes; poured hM. deslqn; etc.) 1 s0e wrvey lor extedor addiHOns d tlecks
> 1 set ol eneryy calculatlons
> J coples ol hee Presenaflon plan If lot plaMed afler 7/1/93
DATE: S- U V SL~/~ . Crd
CONSTRUCTION COST:
DESCRIPf10NOFWORK: ~d~ ~ f~~ C1-Al)S2 ceM~.f' Gcc-t'4C~
yy(a ((,U0.U ~
STREET ADDRESS:
LOT: ~ BLOCK: ~ SUBD./P.I.D. FG Wh ~ A rI a el
j
Name: a r) Ze &c Phone Y:(D S( -c-(OS- C1 ~ 7~
PROPERTY wst Flrat
OWNER
Sfreet Address:ro-~iNUISL
ay CA--n srate: v~ zip: SS~ z~
SELA ROOFING & REMODELING, INC.
Company: 4100 EXCEISIOR BLVD. phane p; Z (1~3
tvf. LUUIS PAftK, MN 66416 (area code)
COMRACTOR ID NOOOmO
Sheet Address.' Llcense M Exp.3-3
City Stafe: Zip:
ARCHITECT/
ENGINEER Company: Name:
Telephone ( )
Sheef Addre9s: RegishaHon q:
City State: Zip:
Sewer/water licensed plumber (if installina sewerlwaterl: Phone (
I hereby acknowledpe Ihat I have read this applkafbn, dafe Mwt Ihe Infortnatbn Ls rteef, and agree to comply with a0 app0eable StatE
of Minneaota Statutes and CHy of Eapan Ordlnances.
Signaiure ol Applicant
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
\
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? Ot Foundation ? 07 OS-plex ? 13 16-piex ? 21 Porch (3-sea.) 0 31 Ext. Alt - Mutti
? 02 SF Dwelling ? 08 06-plex O 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Aft - SF
? 03 01 of _ plex ? 09 07-piex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 04 02-plex ? 10 08-plex ? 19 Lower Level ? 24 Storm Damage
? 05 03-plex ? 11 10-plex PIDg _Y or _ N ? 25 Miscellaneous
? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bldg.
WORK TYPE
? 31 New ? 36 Move Bidg. ? 43 Reroof
0 32 Addition ? 37 Demolish (Bldg)' ? 44 Siding
? 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair
? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors
' Give PCA handout to applicant for demolition permit
GENERAL INFORMATION -
SAC Code # of Stories sq. ft.
No. of Units Length sq. ft.
No. of Buildings Width Fcotprint sq. ft.
Const. (Actual) Basement sq. ft. CEnsus Code
(Allowable) Main level sq. ft. MC/ES System
UBC Occupancy sq. ft. City Water
Zoning ' sq. ft. Booster Pump
PRV
Fire Sprinklered
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
SIW Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
SAC Units
% SAC
/99
CITY USE DNL.Y
~ . BL .
, , . . . `i.....,, ~`...i!~C~'.. . „
~"i[JBA. , , • . , ~;.~~s...... . , ~~~~r~.~" , .
, 1993 PLUMBING PERMIT (RESIDEIV'I7AL)
CIT'Y OF EAGAN
3830 PII,OT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNNOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTT.
- - - -
NO. FIXTURES _ n~-- FACH TOTAL
~~u.~
SHOWER Vl (S~ 3,00
WATER CLOSET 3•00
BATH TUB 3.00
LAVATORY 3•00
- KITCHEN SINK 3•00
LAUNDRY TRAY 3.00
HOT TUB/SPA 3•00
WATER HEATER 3.00
FLOOR DRAIN 3•00
GAS PIPING OUTLET • mmimum - t 3.00
ROUGH OPENINGS 1.50
WATER SOFTENER 5.00
PRIVATE DISP. • DalXry.lic. 15.00
U.G. SPRINKLER • eome unaer mmt. 3•00
ALTERATIONS • to edstin8 15.00
WATER TURN AROUND 15.00
STATE SURCHARGE .50
TOTAL: l S. S O
STTE ADDRESS:
S ~%~COG
OWNER NAME: BailtcL
INSTALLER: &xcn
ADDRES5:
CITY: ; STATE: ZIP CODE:
PHONE
~ S GNATURE OF P RMITTE
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1993 PLUMBING PERMTT (COMIIIERCIAL) '
CI'TY OF EAGAN
3830 PII.OT KNOB RD
FAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR ALL COIvIlMERCIAUINDUSTRIAL BUILDINGS. ALSO FOR MULTI-
FAMILY BUI__DINGS WI-IEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING Ull-:I'.
_ NEW CONSTRUCTION
ADD ON
REPAIR
WORK DESCRIPTION:
CONTRACT PRICE: $
FEE: I% OF COA'TRACf FEE.
STATE SURCIIARGE $.50 FOR EACH $1,000 OF p£RMYf FEE
MIIvIhfUAf FEE S 25.00
CONTRACT PRICE X 1% $
STATE SURCHARGE $
TOTAL $
SI1'E ADDRESS:
TENANT Iv'AME: STE #
OVVIr'ER NA111E:
W STALLER:
ADDRESS:
CI11': STA1'E: ZIP CODE:
PHONE
FOR•
CI'IY OF EAGAN APPLICANT
*xwxxxxxxxxxaxxxxx~..R.r..x.:.x>x.x M
*f NOTS: PAYMmI' OF FT-7 AT TIME OF *
. C I T Y O F E A G A iV *APPLICnTTOri ooFS Wr oorSrrlvrE ;
APPROVAL OF PERMrr. *
APPLICATION FOR PERMIT * *
* iNSencrroiv oF sUM Arro/OR WAxER *
*f iNTrar.r.a'rIONS WII.L NOT BE SQgD- *
SEWER AND/OR WATER CONNECTION ~ULED UWM PMMT HAS~ :
* APPRdVID. w
* r
r *
s *
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*****~,~,r*:**~**+x*+*++r**+**~t:r*xtt*
P ease Print
1) PROPERTY ADDRESS: ~-j ~ ,
LEGAL DESCRIPTION:
Lot Block Subdivision or Tax Parcel )
IF EXISTING STRLY,Z[]RE, DATE OF ORIGINAL BLILDING pERMIT ISSL'ANCE:
~ (MOn Year)
PRESENf ZONING/pROPOSID L'SE:
~ C0NI9ERCIAL/REPAIL/OFFICE ~ R-1 SZNGLE FAMILY
F7 iNDUSTRIAL ~ R-2 DL~PLEX (2t.o Units)
INSTII[,'TIONAL/GOVERIZi3Sf ED R-3 ZOWNHOC'SE (Three + Units) ( Units)
~ R-4 APAR'IMENTl:NIONI ( Units)
z ~ ~ D 4P
NaME: Qca v1 S
ADDRESS:_
CZTY. STATE, ZZP:_ I~%, dY a 10 PHONE:
3) J For City Use .
NAME' Plumbers License:
ADDRESS:_ ~ l 7) 4'1 P Actired
~P
~ CITY, STATE, ZZP: y q,~, 5 r 3 S a rot recorded
PHONE: MASTER LICENSE# Sta Initial
4) ' ~..ni~~
-NAME:
ADDRFSS:
CZTY, STATE, ZIP: '
PHONE: .
-5) v ~ r• • : ~ • o~ - a~
~ CONNF.CTION 'IO' CZTY SEWII2 ~ CpNNECrZON TU CITY WATER ~ 0'I'FID2
6) PI.EASE HOLD APPROVED PERMIT FOR PICK-OP BY ONE OF F1BOVE
~ PI.FASE MAIL APPROVfD PERMIT TO 1, 2, 1&; 4, ABOVE
o (Circle one)
7) 94/L
' ' '1" • li' I" M t ' 11 • I' N • ~ ' 101' D Y71' JI• 1 ' :1' • • D• • ~ Tw_
lyiyjer. l v' M: ••NJ~ I 1 1 ~I' a• • C M1 .
.-FOR CITY USE ONLY
PERMIT # ISSUED
~VZ S S /9~~4K
Pd w/Bldg. Permit FEES:
$ $ /,G S C% SEWER PERMIT (INCLUDE SURCHARGE)
$ $ /D- S G' WATER PERMIT (INCLUDE SORCHARGE)
$ ~3, S n $ WATER METER/COPPERHORN/OLTSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ /S U $ ACCOUNT DEPOSIT - SEWER
$ ~S•O ti $ ACCOC'NT DEPOSIT - WATER
$ .~i C1 O• v-z~ $ WAC
$ ,6 7O D $ SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TR[iNK WATER
$ $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ ~ 3~ Y~ S U $ TOTAL
/ 6-2- S 3
RECEIPT RECEIPT
DOES ITILITY CONNECTION REQUIRE EXCAVATION IN P[JBLIC RIGHT OF WAY?
~ YES IF YES, THEN A"PERMIT FOR WORK 6VITHIN PUBLZC
Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITZON.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY: Ap-t-t~-yL.~.
TITLE:
DATE:
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- -
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4468 Whitetail Way
Lot: 4 Block: 3 Addition: Fawn Ridge
PID:10- 25800- 040 -03
Use:
Description:
Sub Type: e- Windows/Doors
Work Type: Windows/Doors - New/Replacement
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264 -4777
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Applicant/Permitee: Signature
- Applicant -
Construction Type:
Occupancy:
Carbon monoxide detectors are required by law in ALL single family homes.
Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
$88.50
$1.50
Total: $90.00
Owner:
Terry A Kinney
4468 Whitetail Way
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
0801
9001
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
Building
EA090618
08/11/2009
ePermit
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA121239
Date Issued:03/20/2014
Permit Category:ePermit
Site Address: 4468 Whitetail Way
Lot:4 Block: 3 Addition: Fawn Ridge
PID:10-25800-03-040
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.
St Paul Plumbing Heating Air St Paul Plumbing Heating Air
640 Grand Ave
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 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 -
Terry A Kinney
4468 Whitetail Way
Eagan MN 55123
St Paul Plumbing & Heating
640 Grand Ave
St. Paul MN 55105
(651) 228-9200
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA143877
Date Issued:06/30/2017
Permit Category:ePermit
Site Address: 4468 Whitetail Way
Lot:4 Block: 3 Addition: Fawn Ridge
PID:10-25800-03-040
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
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 within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Terry A Kinney
4468 Whitetail Way
Eagan MN 55123
Sela Roofing Remodeling
4100 Excelsior Blvd
St. Louis Park MN 55416
(612) 823-8046
Applicant/Permitee: Signature Issued By: Signature