4426 Woodgate Pt
Receipt MECHANICAL PERMIT Permit No.
CITY OF EAGAN Fee ~
I I~ ~ Fill in numbered spaces S/C
~ Type or Print legibty Tot "'c,)
1. Date-~ 2. Installation Cost
3. Job Address ~~02~0 wUo dLot f('~ Bik.(F~ Tract) ~
4. Owner 77
5. Contractor ~1~ n t e f ~P<.` ,h 2~1 IC 2,'Phone
6. Address
7. City -L- State J?12r1 - Zip S ~
T
S. Building Type: Residential ~ Commerciat O Institutional ?
9. Work Description: New ~71 Add O Alter El Repair ?
~ w
10. Describe Fuel Type
11. No. Equioment BTU - M. Ea. No. Equipment CFM
~ Forced Air Air Handling:
Mfg.
Boilers
Mech, Exhaust
Mfg,
Unit Heater
Mfg. Other
Air Cond.
Mfg.
~ Gas, Piping Outlets
12. 1 hereby certify that the above information is true and correct, and I agree to
comply wi a d~es governing this type of work.
Signed : for
Rou Final
Inspectio,t~s: Date Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
, i
Receipt y'~ ~ PLUMBING PERMIT Permit No.~ ~Z_
CITY OF EAGAN Fee
Fill in numbered spaces S/C
Type or Print /egibly
1. Date 2. Installation Cost Tot U.
/ f3. Job Address`7 T-~6 p(x/~ a4 "Lo Blk. ~ Trac~J~ i'f'~ LLrlj-~ti
7 /
4. Owner
5. Contractor .L/IZPl Phone y-7-2 ',13~~SJ
6. Address N Le~-
7. City State Ni? Zlp JJ~1--~a2
8. Building Type: Residential ~ Commercial ? Institutional ?
9. Work Description: New VI Add ? Alter ? Repair ?
10. Describe
11. No. Fixtures No. Fixtures
3 Water Closet Cesspool/Drainfield
/ Bath tubs Septic Tank
3 Lavatory Softner
Shower Well
/ Kitchen Sink
Urinal/Bidet Othei,~1~"~l ~X,CUC,
~ Laundry Tray -'e'/
~ Floor Drains
Drinking Ftn.
Slap Sink
Gas Piping Outlets
12. 1 hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
'
Signed : l' ' ` lC~.f for
Rough Final
Inspections: Date ' Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
. ~
, CASH RECEIPT
CITY OF EAGAN
. P. O. BOX 21-199
EAGAN, MINNESOTA 55121
~ I
~ DATE 19
R¢CEIYED n
AMOUNT
$
DOLLARS
oo
7
? CASH -aCHECK
/ I~
FOR / /~J ~I ? lJ L.V~J lfl~,
\l
FUNO GODE AIADUNT
1
Y
Than u
BY
/
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
CITY OF EAGAM SEWER SERVICE PERMIT
3830 Pilot Knob Road PERMIT
P. O. Box 21199 DATE: ~
Eagan, MN 551.1 No. of Units:
ZO?11~'1~•
QWtlef:
AAdress: ga e LA" eron
Site Address: 4~eI17'el
aCh
M
pC
Plumbee `
425.4U Pd
1syrN McomPil9 with tbs Cih of EG9an ConneCtion Char'De: --i~ .
.100
OrdiMntes. Acwunt Deposit: 10-
Pem+it Fee: .
Surchar0e:
Misc. CMr9"
By Tatol:
Date of lnsp•: pate Paid:
Insp.:
i
GITY OF EAGAN WATER SERVICE PE(RMIT
3830 Pilot Knob Road pERM1T Na.:
P. Q. ~?ox ~7199 ~--_-~v
Eagan, MN 55121 DHTE: 1
? I No. of Units:
T.oninfl:
Owner. ;e11182 Hpmes
AddfE55:
Site Addrcss: 4426 Wood ,ate Leaa L9 AI 'ri, eron
enze : cc 3
Plumber: 0.00 Pd
Meter No.: Connection Cherge: , F
qccount DePostt: p
Size: '
Permit Fee: p
Reader No.: Surchorge: 1 egeea to wn~phr will~ Ne Cih~ ~ EOg°" 63 . 00 pd meter
Mist. Chor9es:
Ordinanas. Total:
Dote Paid:
By Insp.:
Date of t~p.:
CITY OF EAGAN
3830 Pilot Knob Road WATER SERVICE PERMIT ~
~ i
P. O. Box 21199 PERMIT NO.:
Z-agan, G9f11 55121 DATE: 5-~- ° l' '
: ming: 1 No. of Untts: ~
Ovmer
yiT! AafB58:- `'^426 _ ~na
lumbe?: TZ6412r'EL
`lNeter No..~~i~$'~ ction Chorge: 470.00 pc; j
15.00 p d
Sixe: " Account Deposit:
D S 4 4,44 33 Permit Fee: 17 U(: pi
Reader No.:
1agree Fo ean the GitY of F.myon Surcharge: .50 pd .
Ordiea Misc. Charyes: 6 i.;(1 d ^ieter
Total:
gy Dote Paid:
Date of I p.: Insp.:
CITY OF EAGAN Remarks aIV 2~--b 7ls 3
,o,ddition TI$ERdN ADDITTON Lot 9 eik 1 Parcel 10-76400-090-01
owner street 4426 WOODGATE POINT stace EACAN IrIN 55122
Improvement Date Amount Annual Years ?5 Payment Receipt Date
STREET SURF. 370 1977 307.21 30.73 10 30-73 -.101-5-494 5-14-85
STREET RESTOR. 1981 953.23 190.65 5 -
GRADING
SAN SEW TRUNK Zql 1974 128.30 8.56 15 25.79
*SEWERLATERAL stu 1979 1483.09 98.87 15
791,00
WATERMAIN
* WATER LATERAL 5tub 1979 I~
WATER AREA 1477 128.22 8.55 is
51.36
STORM SEW TRK
S7pRM 5EW LAT ~ 1981 79.71 15.94 5 -o _
CURB & GUTTER
SIDEWALK
STREET LIGHT
ROAD UNIT 260.00 #42480 4-10-84
WATER CONN. 470.00 T'
BUILDING PER. 8958 e'
SAC
995-00
PARK
CITY OF EAGAN AT
• 3830 Pilot Knob Road. P.O. Box 21-190, Eagan, MN 55121 lr ? 8958
PHONE: 454-8100
BUILDING PERMIT Receipt aqt `f°~ ~j e J
fe 6e ww fer D4dG/GEA Est. Voiue 7, Dote :1PR I L 1 0 , 19 b 4
Site Address 4426 WOODGATE P`P. Erctt p` pccuponcy
Lot " Block 1 Slc/sue. TIBERON Alter ? Zoning
PercelNo. 10-76400-090-01 Repoir ? Fire Zone :itI
1Enlarfls ? Type of Const. jT
~1~ .
W Name Move ? # Stories
~ Address 76G f; pemelish ? Length 8
City Ar'PL`~ VP`T' Phone 432-0000 Grode ? Depth 4' Sq. Ft.
~ r ~r•T-. Approrals Fees
,o Name
~u Address Assessment Permit
u~ City Phone Woter & Sew. Surchar9e 3`' U
Police Plon check 167•00
~W Name Fira ~C 525.00
P~3 Address Enp. Woter Conn. 470.00
~W City Phone Plcnner Woter Meter 63.00
Council Road Unit 260•00
I hereby acknowledge that I hova reod this applicotion ond state thnt BIdg. Off.
the intormofion Is correct ond agree to comply with oll applicoble ; 1, c72
State of Minnesota Stotutes ond City of Ea9an Ordinonces. APC Total
Sipnature of Perrnittee
A Building Permit Is issued to: r.,i" ,,7vr. T?n t ~r: r ' on the express condition thas
oll work sholl be done in accordaxe with oll opplicable State ,of Minnesota Statufes and City of Eapon Ordinances.
Buildinq Officiol ~•y ` , -
;
Psrmit Na PKmit Hoidar Misc. Permit No. Holder
Plumbiny 35 5 kJ .Q V~ZCS! 6 t 4 y
H.V.A.C.
Wall
Water
Disp.
Sewer
Electrfc
Inapection Dste Insp. Other
Footin
gs
Foundation '
Framinq
Rouph Plbq. I %
Rouph HVAC
Inwlation
Final Plbp.
Final HVAC ,
Final
Watsr 1Describe Locetion:
VUell
Sower Pr. Disp.
CITY OF EAGAN
< 3830 Pilot Kno6 Road, P.O. Box 27•799, Eagan, MN 55121 N? 8958
' PHONE: 4548100
fiRIILDING PERMIT Receipt # V
Te be uwd for SF DWG/GAR Esr. Volue $67,000 Dme APRIL 10
SiteAddress 4426 WOOD~'iATE PT. Erect Occupancy R3
Lot 9 Block 1 cec/5u6. TIBERON Alter p Zonirg R1
Parcel No. 10-76400-090-01 Repair ? Fire Zone T1/A
~ Enlarge ? Type of Const. V
W Name GELHAR HOMES INC. Move p # Stories
Z Address 7668 W. 150TH ST. Demofish ? Length 4$
City APPLE VAL phane 432-0000 6rade ? Depth 46 Sq. Ft.-
SAME Approrala Feea
o Name
o'~' Address Assessment Permit $ 334.00
u~ City Phone Wuter 8 Sew. Surcharge 33 . 50
Police Plancheck 167-00
Name Fire SAC 53253 -00
Fw
Gw
Address Eng. WaterConn. 470_00
'W City Phone Plenner WarerMeter Fll-00
Council Rood Unir 960 00
I here6y acknowledga that 1 have read this application and stote ihat gldg. Off.
the inlormotion Is wrre<f ond agree to wmply with oll applicoble $1.852. 50
Stote of Minnesoto $totutes and City of Eogan Ordinances. APC TMOI
Slgnoture of Permittee
A Building Permit Is issued to: HA~ HOMES TNC on tha exOreu condition thnl
oll work shall 6e done in acwrdante ith all op limble of innewta Stat tes ard Ciry of Eagon Ordinances.
Building Official
~
ciZ+y pg EAMN Include 2 sets of plans,
,
1 Gertificate of Survey'&
gUILpING PE144iT APPLICATION 1 set c£ energy calculations.
I~ Valuation Date u'e b ~ 0 Y
<TO Be Used For
OLA~
Site Pddress VAD-42 (,?UO-~I:r~ OFFICE USE. ONLY
Irot ~ Elock Sec./sub. ri i3 'e Erect ~C occupancy 3
Parcel # : 7 ~ qf2) Alter Zoning ly I
Repair Fire Zone ~
Owner: En].arge _ 7'ype of Const. _
Nbve # Stories
Address: Deimlish Front ft•
Grade Depth ft.
City/Zip Code:
Phone FT:Es
Y~7 / APPROVAI.S
contractor: Y•° '1 ~ V S Assessments Peimit ~Q--
?4ater/Seaer Surcharge ~
Address: Police Plan Check-~7
City/Zip Code: Fire SAC 5.;;_ 5•
gng , water Conn. ' D,
Phone Planner Water Meter 63 "
Council Road unit zb a.
Asc1z•/ErxJ• : Bldg. Off.
Address • P.PC
CitY/Zip Code: _
Phone ?+OTAL l~ a' S a
This re9«st voiE I~ ` [j ~
18 rtpnths'^om 1 33b1 5
~a L
flequest Oale Fire No. Nough-' Inspec[ion
J( Hepu A? ~Reatly Now~'lYlifl Notity.lnspec-
' O, v es ?No dror When fleady
D-e ~censed Elec[rical Con ractor I hereby request inspaction uf above
? Owner eleetrical work imtalled at:
Sveet A ess. B x or Route No. City
'
ecvon o. 7ownship N e or Na . Range No. Couaty
n RINTI 7712
- l1 O D d
Power Address
~
Electdcal Con[ractor ~ ~OCK LA Aj~ Cypjr or's Licens~ .
1~~ V%
Mailing AtlJress IConvactor
uw~ er aki iort~
APPLE
Authorizetl Signamre IComractor/Owner Making installationl 'Phone Number
MINNESOTq STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs•Midway Bldg. - Noom N-191 BE ACCEPTEU BY THE STq7E BOAND
1821 University Ava., SL Pau6 MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (8121 297.2111 ENGLOSED.
~•~3~~ BEQUEST FOR ELECTRICAL INSPECTION es-ooooi.oa
' See insVUCtions for completiM this tarm on baek of Yellow copy. 6111liq
Q ~7 A 8 "'X" Be/nw Work Covered by This Request
A.Otil NeO~ Tvpe of 6uilGine ACVliancea Wired Eqvioment Wirad
Home Range Temporary Serviw
Duplex Water Heater f ightiny FixNres
Apt. BuilAing yer Electric Heatin
Commercial Bidy. umace Silo Unloader
Industrial 81Ag. Air Corditioner 8Wk Milk Tdnk
Farm otnnr oecr v Othcr (socr,ify)
t nr Vecify Other Oiher
ompute lnspectlon Fee Below
q Fae ServiceEnVanceSize k Fea Feeders/5ubfeetlers # Fee Gimuils
0 to 200 qm s 0 to 30 qm s 71• a to 30 Am s
Above 200 qm ps 31 to 100 qmps ,SOD 31 to 100 Amps
Swimminq Pool Above 100_Amps /i' Above 700_Am -
Trensformers Irtigation Booms q4~; e
Signs Specialinspection fle~rks .0()
I
flo u9h-in Oale I_ acbical
'f InsDeclar, ~ereby
cartiN thet the above
Final Dftqp CO inspection hes been
RtlsroQUaslvoidlBmonthatrom ?
HOUSE HEATING TEST RECORD ~ 0j ~j o( nh.t,,cn I,Gi`
ADDRESS APT. FLOOR C lY' SUBURB
OCCUPANT OWNER
HEAT LO55 DATE HTG. INST.
SOLD BY INSTALLED BY
Elachical Work By Gas Line By
TYPE OF HEAT GA _ FA HW _STEAM SPACE HTR. -UNIT HTRj,j ~OOTHER
GAS DESIGN ~~~C~q~'jEfiSl
MAKE MAKE OF BURNER
Model - Model 4 ~
Serial Maz. BTU Rating
INPUT MAKE OF FURNACE
Modei
/n~ CONTROLS
THERMOSTAT Heaf Plug Vent Size
Valre KIND OF LINER SIZE NONE
Limif Draft Hood Ragulamr
Limit Setting Qe2 FilTmrs Size Number
Fon $etting Chimney Location Insida Outside
Pilot Type~{/-~ Pe/7'// p~'~ T J?~i~~lc Ch{mney ConsTrucfion
i
Pilor Make
Pilot Model Smoke Bomb ' Wiring
Pilot Timing Draft Test Tag ~
L.W. Cut Off Door Presaure Lighting Inst. ~
O Dote Tested
Prossuro pereenf C2
Input CFH s~ Percent 02 ~ Company Testing ~/,/-(~'•~,{yq $tock Temp. /~Percent CO Name of Testar _~t_' f
Form 235
.EXTERIOR ENVELOPF~ hVE GE "U" COMPUTATION
~ G/. l< . .
~ OWNER
, . I
. .
-:~SITE ADURESS _ > _ . - •
6 . . ;.,,r _ . . . . . _ • .
~ . Z . . ~ . . . ' . ' . . ;
: - . . .
. CONTRACTOR - UATE PHONE• .
r , . _ . , . .
E
f •Determine working square footage of each.
~ . , •
. 1. Total exposed wa11 area IN`13.1s8 sq. ft. x•11" ~ 02.
2. Total roofJceiling area IZ.la~1 sq. ft. x•026_~ Z~
. Total exposed wall ared above floor = 1 5 5 Z
a. Total wa11 window area 4,31
b. Total door area 3 8' .
. c. Total sliding giass door area . 89
d: Total fireplace wall area 4 6 e. Total wall framing area (average 10%)...:........ I'Z3"'Llo .
f. Total net wall area above floar Iio9 .N 3 •
g. Total rim joist area !o W~ 8`F .
Total exposed foundation area = l 5p $N ,
h. Total foundation window area .
1. Toal net foundation area above grade ,
- Determine "U" value of each wal] segment. •
a. 1WS,31 X IlLll 13 = ?,95
b. 38 X "ut, ,13 = S.iS
~ C. gg x„~„ , 5 = 4 4
a. 48 X „ull
e._ M3,ZLo xflu° , o?!o = ~1 ~310
t. Ilaq.43 x,lu° , 045 = y9.9Z .
9. i oW ,g4 x„u„ loq = y, 1
n. y X „u,. .5 = z
i. 1 y lo.g4 XloU" ~ bSL = Z~O~
3 . ~ Lo a.....Tota1 = l Z~OZ.
Tf item 03 is the same as, or less than item '1, you have met the intent
of SBG 60C5(c)2.
_
;
, • , ' : , , ' •
' Total exposed roof/ceiling area I Z lc9
` Total gross roof/ceiling area = I 2 bq .
j. Total skylight area
k. Total roof/ceiling framing area 1 Ze~q
1. Total net insulated roof/ceiling area....... ~Ly 2,1
Determine "U" value for each roof/ceiling segment.
• . . X lfull ~
k. 121o~y x loull ,oi`F' = 3.0
~ NZ $lUu ~ ~Z.Z:. = 2 S• IZ u
4 Z ..........Total
If total of #4 is the same as, or less than #2, you have met the intent of
SBC G006(01. • •
. . '
To utillzed the total envelope system method, the values.established by the
sum of items 03 and N4 shall not be greater than the sum of itens 91 and #2.
. + 2. _
3. + 4. _
MATERIALS Therm. Resistance "R"
Eztarior Air
Siding MateTial -45
8heathing _"7
Insulatiou 116
Sheetroqk .45
Interiox Air , bg
5tuda '
Rim
Conc. Blks.
' _ . ~ .
S 1 G MA W.O. No. l17-8s aK. 1/48
SURVEYIiVG Certificate For:
SEFIVICES GELHAR HOMES
3908 Sibley Memorial Nighway
Eagan, Minnesota 55122
Phone: (612) 452-3077
~
~O Bi}V~TOy N.S:P fosement Pbr Bk. 62 Mlac. Record Fb. 437
N-B °-44'41"E
_ _ _ 9q0{
9i9d tl _ G ~ - - _ . - \ - ~
O ~ O.a:naqe f U1di1y Ea+enr~) ~ ~
7 \ ~ `
g ~
O
o \
o~ L 0 T 9 `il-
cV I
O I \9~
O
~ e "o..;,.•ee,~.
~ \4; ".•_-~-e~ta.
z ~ \s
~ ` \y
I 4e O
\ \ ~ ^o `C~ N•
•
S~O C~~ 9x5.'I Q`oQa~ ry~ \y W
~ p\ 410.5 / y~ r
h•\ k Mt° o \
. ~
\ J
d~ \~1 A.~~ ~V Y~O I. `IN
r: ~ \ Conc. CurE
/O . . . _
0=3 05'28"
SCALE : t inch = 40 fee[
. I
~ 1~IOOD~ATE
O Denotes iron monument k9°'.o
x9210 Denotes Existing Spot Elev. ~o'~~
Denotes Drainage Direction
o Denotes wood hub
* BEARINGS SHOWN ARE BASED ON ASSUMED DATUM *
PROPOSED GARAGE FLOOR ELEV. = 939.0
PROPOSED Top of BLoek.ELEV. = 939.3
PROPOSEll BASEMENT FLOOR ELEV. = 932.2(wal.kout) PROPERTY DESCRIPTION
Lot 9, Block 1, TISERON 1ST ADDITION;
according to the recorded plat thereof,
Dakota County, MN.
I hereby certify that this survey, plan or repor[ wes prepared by me or under my
direct supervision and that I am a duly
Registered Land Surveyor under the laws
of [he State of Minneso[a. .
WMm o. .l,~r~z._
Wayne D. Cordes, Minn. Reg. No. 14675
April 10, 1984
Lr/ S u ~
r~ I 2/84
~
~ I CITY OF EAGAN
~ l APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTIODT
(PLEASE PRINT)
1) PROPEFCPY ApDRESS: 4426 Woodgate Pt
T,Ft'nT• DESCRIPTION_ Lot 9 Blk 1 Tiberon lst
(Lot/Block/Subdivision or Tax Parcel.I.D. Ntmber)
IF ~IST='-~;, STP,L,Cm,2F, A.- 0= ~or;-_^••,`~ ~'.."r..-. c--',•.tST
~.~~i; dG ~ , . .
PRESEVT Z^NPX;/PROPOSf~J LjSE: El R-1 SINGLE FAMILY
? R-2 DLTPLEC ('IFO i]NITS) .
? R-3 TOWNHOUSE (THREE + iJNITS) ( UNITS)
? R-4 APARZS=/COPIDCMINIUM ( UNITS)
? CCnqERCIAL/R'PAII/OFFICE
p IIMUSTRIAL ~
? INSTI'i4JTIONAI,/G(TVEPkZUNT
2) AppI,ICAN'r (PLEASE PRINT)
j.gAME; GELHAR HOMES
ADDRESS: 76Aa w_ lsnrr, sr e/r; Fd,'na xPairy
Cm, STATE, ZIP: Apnlo valloIr. Mn SSl d
PHONF: ,
3) pLtZMER NPIAE' ~ PLEASE PRINT) FOR CITY USE ONLY - .~.7 PLIIMBERS LICENSE:
- ADDRESS: 3gpD KENNEBEC DNIVE. EAGAN. MINN. 55122 .
• 452•1565 ~ Attive
CITY, STATE, ZIP: Q Expired
MA~FER Hot of Record PHONE: PLUMBER LICENSE A+_QO1445MZ L' O
a nitia '
q) OCCjpANr/OWNER (PLEASE PRINT) .
NAME: GELHAR HOMES '
ADDRESS: same as #2 ~
CITY, STATE, ZIP:
PHONE: ~
i
5) IIVDICATE WHICH PERMIT IS BEING REQUESTEp: j
~ CONNECPION TO CITY SaIER ~
~ CONNECTION TO CITY WATII2
~ OTIiM (PI.FASE DESCFtIIIE)
6) INDICrITE ONE:
? PL,FASE fiOID APPROVID PERMIT FOR PICK-UP BY ONE OF 11BOVE
~ PLFASE MAIy APPROVID PERI~IIT 'iU 1. 2, Cri 4 AECA7E
ER
(Circle one)
7) SIQaTUREcti-'r7/;i
0,472, DATE:
77 ~
.
.e ~ew_aeeis~i. a+.~.r•rAtsr ir r~ fs.wasawaa+i+i idk i.iwn.~~~+!~ i!!k!!*Y?+i,~!~l 1'it!! J.!! ~FUK•".sa v
~ .
F O R C I T Y U 5 E O N L Y '
PERMIT ° ISSUED
FEES: $ SEWER PE?2MIT (PICLUD: SUP.CHARGE)
$ WATER PERMIT (INCLUDE SURCHARGE)
$ WATER METER/COPPERHORN/OUTSIDE READER
$ WATER TAP (INCLUDE CORPORATION STOP)
$ SEWER TAP
$ ACCOUNT DEPOSIT - SEWER
$ ACCOUNT DEPOSST - WATER
$ WAC
$ SAC
$ TRUNK WATER ASSESSMENT
$ TRUNK SEWER ASSESSMENT
$ LATERAL BENEFIT/TRUNK SEWER
$ LATERAL BENEFIT/TRUNK WATER
$ OTHER
$ TOTAL 7.-` 7
$ /•~c-•~ '--d AMOUNT PP ID/RECE7P2"J.#
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGiiT OF WAY?
0 YES IF YES, THEN A"PERMIT FOR WORK WITHIN
~ PUBLIC ROADWAY" MUST BE ISS[JED BY THE
NO ENGINEE??ING.DIVISIQC;. LIST F,S A COP.DI--
TION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:~Gf .L~- ~
DATE :
.e ss~.¦s ia~ia ~~~s~ w~ w~sE~se~ w~ ~ w~ re~~ ~ w~+wtw~a s~ ~'T t!! s~
City of Etall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
ti,f3PWeViA
Permit #: (2.t.-19/
Permit Fee:
Date Received:
Staff:
0, CO
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: //0,7 docilgak
Tenant: Suite #:
RESIDENT / OWNER
Name: MilIA
Address / City / Zip:
Applicant is:
CCOOM'C'Ndgone:
:/% tecoot,,cile
Owner X Contractor
TYPE OF WORK
Description of work:
Wreld &Ad.& /co/rtio cOloo
ea,
14
eW5^1,
Construction Cost Sr, 0
Multi -Family Building: (Yes / No ()' )
CONTRACTOR
Name: /2/ ea/ 4i ev'irt7 01 A/71004/, License #: 9V 9/F
Address: o? 5-02a 5- /7//rhtitry e City: 1a/6o ie
State: 1"),'1 Zip:
Contact: 54eue-
Phone: 6477— 96 V —,0? 4/ 93
Email: 64-e
6re c, I dtikier icor orer174,04 4,7"
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes _No If yes, date and address of master plan:
Licensed Plumber:
Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor:
Phone:
NOTE: Plans and documentssupporting„that Yeqe ubm1tere,..'cPnseidceriecasdretoboens thp4blaict winformation.
Portions of
the may cieself-edas non-public if " 7 prrtvide .specific
the City to
conclude that they are trade secrets
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.orb
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.
x Sieti€ C4a, /Az?
Applicant's Printed Name
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA108025
Date Issued:11/13/2012
Permit Category:ePermit
Site Address: 4426 Woodgate Pt
Lot:9 Block: 1 Addition: Tiberon 1st
PID:10-76400-01-090
Use:
Description:
Sub Type:e-Reroof
Work Type:Reroof
Description:House
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 .
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 -
Estelle R Moore
4426 Woodgate Pt
Eagan MN 55122--242
Austad Construction
182 A Ryan Ln
Little Canada MN 55117
(651) 482-0070
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA138599
Date Issued:09/07/2016
Permit Category:ePermit
Site Address: 4426 Woodgate Pt
Lot:9 Block: 1 Addition: Tiberon 1st
PID:10-76400-01-090
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 -
Estelle R Moore
4426 Woodgate Pt
Eagan MN 55122--242
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA153315
Date Issued:12/10/2018
Permit Category:ePermit
Site Address: 4426 Woodgate Pt
Lot:9 Block: 1 Addition: Tiberon 1st
PID:10-76400-01-090
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
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 -
Estelle R Moore
4426 Woodgate Pt
Eagan MN 55122--242
(612) 669-4517
Air Rite Heating & Ac Inc
6935 146th Street West, #3
Apple Valley MN 55124
(952) 683-1900
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA171413
Date Issued:08/16/2021
Permit Category:ePermit
Site Address: 4426 Woodgate Pt
Lot:9 Block: 1 Addition: Tiberon 1st
PID:10-76400-01-090
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Fixtures
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (miscellaneous)$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 -
Estelle R Moore
4426 Woodgate Pt
Eagan MN 55122--242
Preferred Plumbing
6400 High Point Trail
Prior Lake MN 55372
(952) 447-5761
Applicant/Permitee: Signature Issued By: Signature