4434 Woodgate PtCity of Eaaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
Permit #:
9 wzi
Permit Fee:
3'55 00
Date Received:
Staff:
5-d-1/
2011 RESIDENTIAL
/PLUMBING PERMIT APPLICATION
Date: //D (/i/ Site Address:
Tenant: Suite #:
RESIDENT/OWNER
Name: PdCth4 4 Jayne uncieen Phone: (50.-1-307- 9O T
Address / City / Zip: -SEX I e cAS £ Y x f(/ e_-,
CONTRACTOR
�/
Name: f r-viQrS IthLicense #: WO I (:Q WC—
CAddress:
Address:q 1sn 0 3V LSeru t Cie.. of City: 6 ICQ (.A2
State: nil A Zip: K\ Phone: 703—asa--)--)c 0
Contact: Email:
TYPE OF WORK
X New Replacement Repair Rebuild _ Modify Space _ Work in R.O.W.
_ _ _
Description of work:
PERMIT TYPE
RESIDENTIAL
X Water Softener
Water Heater
Add Plumbing Fixtures (_ Main / _ Lower Level)
Lawn Irrigation (RPZ / PVB)
_
Water Turnaround
Septic System
New
_
Abandonment
RESIDENTIAL FEES:
$55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$35.00 Lawn Irrigation
$55.00 Add Plumbing
"Water Turnaround
$105.00 Septic System
$95.00 Fire Repair (replace
(includes $5.00 State Surcharge)
Fixtures, Septic System Abandonment Water Turnaround* (includes $5.00 State Surcharge)
(add $166.00 if a 5/8" meter is required)
New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) T
TOTAL FEES $ V
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.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work 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 approv of plans.
DISCI Ppefact-rdvn
Applicant's Printed Name
Olic: nt's Signature
I 411411A
FOR OFFICE USE.
Required Inspections:
Under Ground
By:
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CITY OF EAGAN 9792
3830 Pilot Knob Road, P.O. Box 2149, Eagan, MN 55121 ~
PH ON E : 454-8100 • ~
BUILDING PERMIT aeceiat #
Te M Ywd im FIREPLACE Est. Volus 2,200 Dote D.C'F.MSF.R 1 1 ,lq__BA
4434 ~400DGATE POINT
Slte Ad~i~pe I B S Erect ? Occupancy
Lot ~j Block ~/Sub. Remodel ? Zoning
Parcel No. Repair ? Type of Const.
Enlerge ? No. Stories
~ Name V~.RNON PITSF.NBF.RC;F:R Move ? Langth
= Address Demolish ? Depth SAME ~ Cky Phone 452-2782 Grade ? Sq. Ft.
Name JOHN HILL r1ASONRY ApprovOk FeO'
o
Address 911 W. 47TH Assessment Permit 1.50
~ City ~I'S Phone 8 2 4- 0 U 15 Woter E~ Sew. Surchorpe
Poliu Plan check
Gik
Name Firo SAC
Address Enq. Water Conn.
tW City Phone Plonner Woter Meter
Coundl Road Unit
I hercby oclcnowtedge that. I hove r this applicatio on stats thot gld9_ pry. Parks
fhe informotion is wrrect and oyr to comply -w opPlitcbla A~ Total
State of Minnesoto Stotutes and , ry of Eogo r 'ces. 40.00
Vef. Dete
Sipnaturc of Permittea
A Buildin9 Permit Is issued fo: JOHN HILL MASONRY an ths express condiHon Ihot
all work sholl be done in oaordoncs with oll applicable Stote of Mlru*soto Stotutes and City of Eopan Ordinonces.
,
Bufldinp Offlc{ul ~
Pwmk No. Permit Holdsr Dan
Plumbing
H.V.A.C.
Electric
Softarwr
Inspsetion Date Insp. Other
Footinps
Fou dation
Frsminy
Rough Plbq.
Rough HVAC
Inwlation
Fiml Pibp.
Final HVAC
Final
Cert/Occ.
Water ~ibe Location:
Wel I
Sswa?
Pr. Disp.
cinr oF EAGAN
3795 Wle* Knob Raoa Eayan, MN 55122 •
PHONE: 454-8100
BWLDING PERMIT Receipt #
Yo bo wad for Si DWrfGAF. Est.Value a61'0'•30 date A~i,`ust 11 ~g .~'i3
Site Address 4434 Woodgate Point Ercct T;-3
~ 1 Tiberon lst ~ ~cupanc~y
Lot Block 5ec/Sub. Alter ? 2oning ~
Parcel # 10 76400 0$0 Ol Repoir ? Fim Zone ~
Enlarfle ? TYPe oF Cor~st.
m Nome D2nAis Ce Si' move
? #k Stories
Z Address Route Z demalish Q Length -
~ ci t.icGreFor Phone432-0000 (Office) Grade p DepthSq. Ft.
°C Nome Owner Appeoyals Fees
z~ 7688 17. 150tn St. (Office) Assessment Permit i, ' tju
o~ ~Addreu '
C~t r':;~p1e Valley Phone 432• OOOC Woter & Sew. Surchorge 15~.70
Police Plon check
~W Name Firo SAC 525.00
Address Enp. Water Conn. 1:5 ~
V ~
<W Ci Phone Plonner Woter Meter 777 ~
Council Rood Unit 2 -5 • 1. )
I hereby acknowledge that I have read this application and stote thot Bidfl. Off.
the intormotion is correct and agree to comply with oll upplicoble T.~o~ S1739, State of Minnesota Statutes ond City of Eagan Ordinnnces.
Sipnoture of PertniKee BErTilift
1
A Butlding Pennif Is Issued to: on the express conditian thni
oll work sholl be done in occordonte with oll appliwble Stnw of /lpaesoto Statutes ond City of Eayan drdinonces.
BuNdinq Officiol
~
x
a
~
~
~ N w $
~
r `w c- 1
•E 60 p
~
Raceipt -7 2PLUMBING PERMIT Permit No.
CITY OF EAGAN
~I Fee Fi/J in numbered spaces S/C ~
Type or Prin t legibly Tot. J L)._ ~
1. Date 10/24183 2. Installation Cost
3. Jobiddred?ss WOOd dt@ P&t V Blk. ~ Tract~
4. Owner Denny GeLlhar
5. Contractor Wen2el MPCh_ Phone 452_1.~~.-_
s. Address 3600 Kennebec Dr
7, C;ty Eagsn State Mn zip 55122
8. Building Type: Residential 11 Commercial O Institutional O
9. Work Description: New 61 Add 0 Alter ? Repair ?
10. Describe
11. No, Fixtures No. Fixtures
Water Closet Cesspool/Drainfield
' Bath tubs
Septic Tank
~ Lavatory Softner
~ Shower Well
~ Kitchen Sink
Urinal/Bidet Other
~ Laundry Tray water heater
Floor Drains SpOSd
Drinking Ftn. di5hWdSher
Slop 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_: : . for
Rough Final
Inspectioris: Date Insp. Date Insp.
This is you? permit when numbered and approved.
Approved . CITY OF EAGAN 454-8100
~-s~-
Rsceipt ' MECHANICAL PERMIT Permi~No. ~
CITY OF EAGAN ~
j Fee
Fill in numbered spaces "~S/C
TyQe or Prinf legibly 'Tot r'
1 'DJate 2. Installatirit ! /
~Job Address Loti~Blk. 1 }Tract T
4. Owner
5. Contractor Phone r `C`
6. Address `
7. City J S GI State +.Zip
8. Building Type: Residential ~ Commercial ? Institutfonal O
9. Work Description: New ~I Add ? Alter O Rejair ?
10. Describe Fuel Type f'~ '+_r•
11. No. Eauioment STU - M. Ea. No. Equipmert CFM
/ Forced Air Air Handling:
Mfg. ~ L ~ '
Boilers Mech. Exhaust
Mfg.
Unit Heater _
-r'
Mf9• ; Other
Air Cond.
Mfg.
Gas, Piping Outlets i
;
12. I hereby certify that the above information is true and correct;and I agree to
comply wit4;all ojdinan n5Fodes governing this type of wprk.
Signed : ~ for ~
~
Rough ~ Final
Inspectiop's: Date Insp. Date Inop.
.
This is your permit when numbered and approved. li
Approved CITY QF EAGAN 454-8100
CASH RECEIPT
' CITY OF EAGAN
' 3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
R6C tl V iD ,
P110M
AMOUNT $ I
~ DOLLARS
ioo
? CASH ? GHECK
Y
FOR
FUND CODE pMOL1NT
Tha You
BY
J White-Payers Copy
Yellow-Posting CopY
Pink-File Copy
CITY OF EAGAN Remarks IA , '
Addition TIBERON ADDITIQN Lot $ Rik 1 Parcel 10-76400-080-01
Owner street 1733 WOODGATE LIWE OT state EAGAN MN 55122
4434 1VOODGATE POINT
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. ~jl0 19~~ 307.21 30.73 10
STREET RESTOR. 141981 953.23 190.65 S 381.33
GRADING
SAN SEW TRUNK 1974 128.30 8.56 15 42.89 A012682 8-31-83
* SEWER LATERAL stvkV5 1979 1483.09 98.87 15 988.74 WATERMAIN
* WATER LATERAL $tub 1979 15
WATER AREA 1977 128.22 8.55 iS 68.44 AOIZGSZ 5-31-53
STORM SEW TRK
STORMSEWLAT io 1981 79.71 15.94 5 31.89 A012682 8-31-83
CURB & GUTTER
SIDEWALK
STREET LIGHT
RO IT 250.00 37994 8-11-83
WATER CQNN. 450.00 it It
BUILDING PER, 8379
SAC p tf
PAR K
i
ciTY 07 EAGAN SEWER SERVICE PERMIT
3830 Pilot Knob Road pE~IT NO.:
P. O. Box 21199 DA~:
Eagan, MN 55121 1
Z~ing: _ No. of Units:
•.ii
Owner: '
/lddress:
sire Ada?ess: woo~ 4te E't L3: BI Tiberon lec
L~~rsen louble fce
Ptumber: • • kiv P
- 425.0~ pd
I ~w to oen~plp wNh fw Ciyi aF la9on Connection Charpe:
Ordimnees. hcwunt Deposit:
Permit Fee:
i . ~
Surchor0e:
ey Misc. Charoes:
Dote of Insp.: Total:
Doft Pald:
I nsp.:
f
CITY nF E.~ ~AN WATER SERVICE PERI~NT
3830 rilot Knob Road PERMIT NO.:
P. p. Box 21199 DATE: 12 7-,'
Eagan, MN 55121 Na, ~ Units:
Zontnfl: r l C.elhar k~Omes
Owner:
Address:
4434 Wood ate Yt L8 B1 Tiberon lst
Site Address: ,}enz P L n = '
Plumber. 454•00 pd
~nnedion Chorgs:
Meter No.: /cceunt peposit:
Size: ~lfl s~ci
Permit Fee:
Reader No.:
1 yne eo aomvh wak M• Cihr of gav°" Surchorqe: 60 .00 nd meter
Misc. Charo"
Or/iw~noM. Totol:
pcte Paid:
BY Irap.:
pate of Insp.:
cirr oF Enc,AN N° 8379
• 9795 Pilet Knob Road Eagan, MN 55112 •
PHONFt 454-8100
~ BUILDING PERMIT 2eaipt
Te bs wad for SF DWG/GAR Est. Value $61,000 pOLe August 11 1 q 83
Site Address 4434 Woodgate Point Erect gg pccupancy R-3
Lot $ Blxk 1 Sec/Sub. Tiberon lst Alter ? Zoning lpD R-1
Porcel # 10 76400 080 Ol Repoir ? Flre Zone NA
Enlarga ? Type of Const. Vn
s Name Dennis Gelhar Move
Z ? # Stories
Address Route 2 Demolish ? Length 30
~ ci McGregor phone432-0000 (Office) Grade ? Depth 60 Sq. Ft._
rc No~ OwRei APVro.ala Fees
0
ot Address 7688 W. 150th St., (Office) Asseumenr permit 31 .00
u~ Clt Apple Valley phene 432-0000 Weter &$ew, Surchorge 30.50
Police Plan check 158.00
G~ Name Fire SAC 525.00
z-~ Address Enq. WaterConn.450"00
<W p phone Plonner Woter Meter 60,00
Council Rood Unit 2$0.00
1 hereby oGknowledge thot I hove read this opplication and state that Bldg. Off.
fhe informalion is carrect and ogree to comply with oll applicable $1789.50
Stute of Minnesoto Stotutea and City of Eagon Ordirwnces. APC Total
Signoture of Permittee
e s e ar
A Building Permit is issued to: on fha express candif{on thni
oll work shall 6e done in accordunce with a11 oppliwblef Mi sato Statutes and City of Eagon Ordirwncet
Bulldinp OfHcial
;
1-tq CITY OF EAGAN Include 2 sets of plans,
1 site plan w/elevations &
gUILDING PERNLPP PPPLICATION 1 set of energy calculatlans.
~ _ - ( O ~ ~'J
Valuation Date
1
To Be Used For b1a H~t`
Site Address ~ I.Doo `4 ~bi Yt~t- pFFICE_ U` SE ONLY
Int ~ Block ~ Sec. /Sub. 4~ Fxect x Occupancy 3
Parcel to 7tD C7L,) C g''f~ CD` Alter Zoning
Repair Fire Zone
~E M1V~t'S ~ ~ k e` ~ ~~Je _ TYIe of Const.
Oaner: Nbve # Stories
Address: ~o~~-ti- ~ I~blish Front ft.
City/zip Coc1e: bACGf`@% Y` 5~-7(g0 Grade Depth ft'
Phone Y 3a ~CX~C~C3 ~~C~ p,pPROVALS FEES
Assessments Permit :3
-
Contractor: u~ o'l F r r9ater/Sewer Surc7CCh:eck
Pddress: (a$~ W, iSv+ Plan City/Zip Code: Fire SAC 5~
Eng. Water Conn.
Phone Planner Water Meter 0_
Council Road Unit 25L) ~
psch./Fng.: Bldg. Off. '!o'I
AddYess: APC
City/Zip Code: ('7
- TOTAL
Phone
~M(3rl ~O OWrCE_ kddrICss wherl dokiF - Cav'el~ tiA(s9m_ 44tt.(46cK-
Thisreques[void~D-q 3`t oZy
18 months from 7, S_Q
W
in Inuer.tion
Rpq t oate Fire No. Reough- ~
Rqmre fleadY Now I NotitY ~~suec-
~ y. ~NO tor When Readv
ensed ElecbIcal Convncmr I heraby requast insvection uf ebove~.
? Owner elechical work installed aL ~
Streef , Box or Houte No. Cfty Q
r~i!
a o. Townshio Name or No. ftnn No. County
'
Zko P 1 lJ 04Z-~
O u0ant IPflINTI Pho e No.
~J N ' . L '
Powei$up011er~ - /~tldr ~
%
i 'xi •cwv
Elecvical Convactor a 1iNoC Cnn acmr's License No.
I~ E 512~ .
Mailinp AdJress ICOntra errpG ~il
wimrnj
LE V "
Authorized Signature 1 nhacror/Owner Making Insmllationl Phone Number
THIS INSPECTION HEQUEST WIIL NOT
MINNESOTA STATE 90ARD OF ELECTXICITV
Griggs-Midwey BIdB• - poom N-191 BE ACCEPTED BY THE STATE BOAHD
VNLESS PqOPEfl INSPECTION FEE IS
7821 Universiry Ave., St. Peul, MN 65104
1~~11 1o I.ll ENCLOSED.
REQUEST FOR EIECTRICAL INSPECTION es-ooooi.oa
' See insvuaioes tor comolatine this torm on back af Vellow cooY•
" X~_3A W'oi,t HeYed by This Request 3 I ~ Zq
H d Reo. Tvoe oi 8uilding APOliancns Wiretl Equiomadt Wired
Home Raii9e Temp6rary Service
Duplex Water Heater i[in Fixtures
Apt. Building Oryer Electric Heatin
Commercial Bldg. urnace Silo Unloader
Industrial Bldy. Air Conditioner Bulk Milk Tank
Farm oc er orci v etnEr Isu.dfvi
t er uecify Other Other
Compute lnspectran Fee Below
p Fee ServicaEnhance5ize h Fea Faeders/5ubfeeders k Fea Circuits
U to 200 Am s 0 to 30 Am s 1 to 30 Am s
Above 200 Amps 31 to 700 qinps / 31 to 100 Am
Swimming Pool Above 100_Amps Above 700_Amps
Transiormers Irrigation Boomis Partial-'Dther Fee
Signs Special Ins
TOTAL FEE
Ramsrks ~IO
,
- 4 2 Roueh-in Date
-L I, the Elactricel
~ FY ~~s0ectoq hereby
certify that the above
Final ~ tle3 mspection has been
made.
n
Thls reaueal voltl 18 months from
~ CITY OF EAGAN NO 9782
3830 Pilot Knob Road, P.O. Box 21-189, Eagan, MN 55121 ~
- PHONE: 454-8100
~ BUILDING PERMIT Receipt #
Te M wed hr FIREPI;ACE Est. Value 2,200 Date DErFMRFR 7 1 , 19--"
SiteAddress 4434 WOODGATE POINT E.ect ? occupancy
Lot *8 81ock 1 ~eclSub. TIBERON ].ST Remodel ? Zoning
Parcel No. Repair ? Type of Const.
Enlarge ? No. Stories
m Name AZERNa~N .RI'i'SEIdERR('ER Move ? Length
Z Address CAMF Demolish ? Depth
City vnone 452-2782
Grade ? Sq, Ft. O Name
TOHN HTLL. NLASONRY ADVrovals Faes
Ot Address 911 W. 47TH Assessment Permit 38.50
VF- City MPLS phone 824-001 5 Water & Sew. Surcharge 1. 50
~ Police Plan check
w Name Fire SAC
FW
Address Erp. Wofer Conn.
~W City Phone Planner WoterMeter
Council Road Unit '
I hereby ocknowledge fhct I hove d this apDlication cn stata fhat gld9, pry. Parks
the information Is corre ond o r e to wm~Ly opplicable AP~ Totel 4~.00
Srote of Minnesota Stat t s and iry of ESgan' ry ces.
Var. Date
Siqnature of Pertninee r~~ •
A Building Permit Is i d to: JOHN HILL MASONRY on tha express condition thoi
all work sholl be do n occordancp5-~~'it~h ~nll oDV/I/'./n)~ble Sfate of Minnewto Sfatutes and Ciry of Eagan Ordinonces.
Buildinp Officiol /~.6Y::L~
, . .
-1
ETSTJM ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN
kT:) INC LUDE 0 SETS OF PLANS,
CERTIFICATES OF SURVEY
SET OF ENERGY CALCULATIONS
sed For: ~ ' Valuation: ° 1. L U Date: 1217
.
Site Address: a ~17~J; • •
Lot:1~ B1ock:~5ect/Sub: Erect: Occupancy:
Parcel Remodel- Zoning:
Repair: Type Of Const:
Owner: ~ 7lt ~r ' Enlarge: _ # Stories:
~FN sEh Move: Length:
Address: u c;c:---/l~~F Demolish: Depth:
City/Zip Code: (=-c~•A/ Grade: Sq. Ft.:
Phone 3-2 - 7c~'Z
`
Contractor:
Address
Assessments: Permit: 3
City/Zip Code: ~ 5~5 y Water/Sewer: Surcharge:
Police: Plan Rev.:
Phone Fire: SAC:
Engr.: Water Conn:
Arch./Eng: Planner: Water Meter
Address: Council: Road Unit:
Bldg. Off.: Parks:
City/Zip Code: APC:
Phone#= Variance:
` ~
. - • ,
~
~ ForbJflce`~se ~
~ Permit#: ~
Clt of EaoaIl
Y b I Pertnit Fee:
3830 Pilot Knob Road
Eagan MN 55122 j Date Received: j
,._.:_..._.._.,._...P.hone:(651)675-5675
I Stafh-....._..
Fax:(651)675-5694 i I
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
~
Date: Site Address:
Tenant: Suite
RESIDEN OWNE Name: Phone:1_;!q0:~:7+: :
Address / City! Zip:
Applicant is: ~wner ontractor
TYPE OF WORK Description ot work: R99400~
Construction Cost Multi-Family Building: (Yes _ I Nd6j
AcCONTRACTOR Name: License ti: ~,~o .246
Address:
City. State: Ml_ Zip: ~
Phone: L7I -'ml ~v'b~ Contact Person: N1tY1/V14[S
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
C8t290fy Submitted Submitted
(4 Submission type) • Energy Envelope Calculations'Submiqed .
In the last 12 months,~has the City of Eagan issued a permit for a similar plan 6ased on a master plan7
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical ConVactor: Phone: ,
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit.are consldered fo be utilic lnformation: Portlons ol;
the information may be classified as non-putil/c if you pro"vlde speci7ic reason that would perml( the City to
"conclutle that the~ are frade se rets. . e~
I hereby acknowledge ihat this Information is complete and accurate; lhat the work will be in o ormance h the ordinances and codes of the City of
Eagan; Ihat I understand this Is not a permit, but only an application for a permil, and wo not to sta without a permit; ihat Ihe work will be in
accordance with the approved plan in ihe case of work which requires a review and approval f I ns.
X~Q,nror~~
Applicant's Printed Name A can Si ature
. , Page 1 of 3
~ ~
PERMIT # '-l - ~ U ts-o RECEIPT DATE:
2002 $ESIDEN'f1a~L PLUMBINfi PEIiMIT APPLICA1'ION
crrY oF EAsAx
3$30 PILOT KNO$ I{D
P.AfiAN, MN 55122
651-687-4675
Please complete for: single family dwellings, townhomes and condos when permits are required for each unit,
backflow preventer for irrigation system
~A VVf~C.N~'6~ 1 ,
SITEADDRESS: 4~~T POI1'~T
OWNER NAME: :/1CJU(/?Sm, FI'C(,!1 K TELEPHONE #:If>t _33~.aS 22
(AREA CODE)
INSTALLERNAME: IH. P. ApaWDNk-S TELEPHONE#: (p51`3Ia6"64
ODE)
STREET ADDRESS: 3~i70 J~D DD 2p (ARER C
cIn: Fri ran, STATE: MIV ZIP: 51 2.
_ SEPTIC SYSTEM, newlrefurbished (requires two sets of plans and MPC license) $ 100.00
includes $40.00 County fee
Note: Additional consultant fees may apply
. MODIFICATION/ALTERATION TO EXI5TING DWELLING UNIT, INCLUDING:
_ Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00
_ Abandonment of septic system.
_ Water turnaround - existing dwelling unit 5/8" meter if needed -$118)
Other.
- ~
0 7~~17 !
_ RPZ: new installationlrepair/rebuild AUG 3 I~~ $ 30.00
_ lawn irrigation system 1
IIY--
ReplacemenUadditional: _ water softener ~ water heater $ 15.00
State Surcharge $ 50
Total $ S'1 SD
1 here6y acknowledge that I have read this application, statethatthe information is correct, and agree to complywith all applica6le City of Eagan ordinances. It
is the applicanPs responsibility to notify the property owner that the City of Eagan assumes q lia6ility for n damages caused by the City during its normal
operetional and maintenance adivities to the Bcilities constructed under this permit ' in property i t-q y/easement.
A URE OF PERMITTEE 1102
SIGMA
SURVEY1NG Certificate For:
SEFlVICES GELHAR HOIUIES
3908 Sibley Memorial Highway
Eagan. Minnesota 55122
Phone: (612) 452•3077
I
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ry~'da15o48'83° ----;~;;22.39' `t ~
D ~q 73.00, R=265.32 fi9°44!37"W - N -
~_----.LANE_
PROPOSED GARAGE FLOOR ELEV. 939.5
PROPOSED TOP OF SLOCK ELEV. 939.8
PROPOSED BASEMENT FLOOR ELEV,--936.3 SCALE: linch= 40 fee
, o Deno[es Iron Monument Set
a Deno[es Wood Hub Set
PROPERTY DESCRIPTION x93°' Denotes Existing Spot Elev.
Lot 8, Block 1, TIBERON 1ST ADDITION, -4- Drainage Direction
according to [he recorded plat thereof,
Dakota County, Minnesota.
. •
I hereby certify tha[ this survey, plan
or repor[ was prepared by me or under my
direct supervision, that I am a duly
Registered Land Surveyor under [he laws
of Lhe State of Minneso[a.
Wayne D. ordes, Minn. Rge. No, 14675
DATE: August 9, 1983
PHILLIPS PLAN SERVICE
1000 E. 746ih St., Suite lop
Burnaville, MN. 55337 f~~ A
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ONISR ADDS$S9 PHOId
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LINE1L l86T' OF SIPOSSd YALL. 13 q. 00 ?oTAL sQ. iR. oY sxYOSSD xILL ~~Sq.50
TOTOL SQ. P!. Qt OLd33 0$0'~ I 3~. 3 1
IN. . . ~ •
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TlPS 08 I18ULATION IY itALLS F. G 3 a s T 3{h 0' THICB
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TlPS OF I1S[TLATIOt II aI40088
p8• VALBS.
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REFEREYCPs OPEYINC3 to.
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DIVIDED BY T[YfAL WALL ARLA
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1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122 Q9
1651) 681-4675 ~ - ~ - ~
New Construction Requirements Remodel/Repair ReQUirements
? 3 registered site surveys ? 2 wpies of plan
? 2 wpies of plans (include beam 8 window sizes; poured fnd. design; etc.) ? 1 site surveys (ezterior additions & decks)
? 1 energy calculations ? t energy calculafions for hea[ed additions
? 3 wpies of Vee preservation plan if lot platled after 7/1193
required: _ Yes _ No
DATE: ~A - Z O~ CONSTRUCTION COST, YO(D 521
DESCRIPTION OF WORK: 1^f V-oe,k j-ea< mC4 Ac.,ti,-c~j
STREET ADDRESS: W LI 2) U CL%o:2rP4'~eAc_ 1F+
LOT: ~ BLOCK: ~ SUBD./P.I.D. tA.J' (3 N:unc:_- gO,-. Y.K~----- Phouc N:
PROPERTY L~i Firsc
Q4Wi 1:R
Strccl Address _Z_q ~i~ L,'~L-- 4
City SlaLC: Gip' -
Comp:wy:------ Yhocie ff: v 7 ~ (
coN'riz~c rox CUSTOM CONCEPTS CONSTRUCTION 'J~I
Street Address:____ Irccnse #,~,~=Lo` /IExp• U G
7;StfQ~-CLiFF-RLT.----
_
City BURNSVILLE, MN 55337 _ . SLa«: Zip:
- - - -
ARCHITECT/
ENGINEER Company:---- Yhone
N:une:------------------------------------- Rcgistritiott
Strcct Address:----
CitV Slate: ~ip'
Sewer & water licensed plumber (new construction only): . Penalty applies when address
change and lot change is requested once permit is issued.
1 hereby acknowledge that I have read this application, state that the information is correct, and a ree jjz~ 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 =RZFVE
Tree Preservation Plan Received _ Yes No Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 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. Census Code
(Allowable) Main level sq. ft. SAC Code
UBC Occupancy sq. ft. Census Units
Zoning sq. ft. Census Bidg
i# of Stories sq. ft. MC/WS System
Length sq. ft. City Water
Width Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MCNVS SAC
Ci!y SAC
Water Conn.
Water Meter
Acct. Deposit
SNV Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
°/a SAC
SAC Units
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PERMIT
Permit Type: Building
City of Eagan
Permit Number: EA105770
Date Issued: 07/30/2012
Permit Category: ePermit
Site Address: 4434 Woodgate Pt
Lot: 8 Block: 1 Addition: Tiberon 1st
PID: 10-76400-01-080
Use:
Description:
Sub Type: e-Siding
Construction Type:
Work Type: Siding
Description: House
Census Code: 434 -
Occupancy:
Zoning:
Square Feet: 0
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure
Comments:
maximum ventilation to attic. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes.
BL - Base Fee $4K $103.25 0801.4085
Fee Summary:
Surcharge - Based on Valuation $4K $2.00 9001.2195
Valuation: 14,635.00
Total:
$105.25
Contractor: Owner:
- Applicant -
Window Concepts MN Adam R Sundeen
990 Lone Oak Rd #114 4434 Woodgate Pt
Eagan MN 55121 Eagan MN 55122
(651) 905-0105
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.
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA122812
Date Issued:05/20/2014
Permit Category:ePermit
Site Address: 4434 Woodgate Pt
Lot:8 Block: 1 Addition: Tiberon 1st
PID:10-76400-01-080
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
April Desmith
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 -
Adam R Sundeen
4434 Woodgate Pt
Eagan MN 55122
Cedar Valley Exteriors Inc
3369 Coon Rapids Blvd
Coon Rapids MN 55433
(763) 755-2221
Applicant/Permitee: Signature Issued By: Signature
r
For Office Us
t , Permit#:
Ilk EAGAN
" Permit Fee:
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff:
buildinginspections@cityofeagan.com
2018 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit#:
,5,5e:1,4.'4•01504,414 p , Name: - 6. Phone 'B\
FAir oAddress/City/Zip: 4
f, wia
fey4*
ff�F ;r
0 Applicant is: Owner �Z Contractor
' f
"� 1„ Description of work: < •Qi1 .4Th S 1, 5
�J 1: o ,1 Construction Cost:;� J' to r Multi Family Building: (Yes /No >( )
�rN cLt), \n Contact:
�, V ? V \
� s- Address:*-R \! City:
tt4
l 55 l CSS 1 b-9 t
s ,'��- � ' ��,,f State:�lY�Zi �'� Phone: I:
License#: �l S
�(����� ��Tj Lead Certificate#:��- � %C-1
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: WPhone:
,(8 `.# i# 4r 4•g� , az s o
;r e .,' �4r
/4 : "1 f
.
You
may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeagan.com/subscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
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.org
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work 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. v�p
x �.��,�,(�c-1 -\c\A`D- Cl x \'• Gr�.rlsu✓\�rr� . ^►„�
Applicant's Printed Name App icant's Sign ure
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA153499
Date Issued:12/26/2018
Permit Category:ePermit
Site Address: 4434 Woodgate Pt
Lot:8 Block: 1 Addition: Tiberon 1st
PID:10-76400-01-080
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 - Residential Additions, Alterations
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: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 -
Adam R Sundeen
4434 Woodgate Pt
Eagan MN 55122
(651) 307-9064
Window Concepts Mn
291 Eva St
St Paul MN 55107
(651) 905-0105
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA177530
Date Issued:07/07/2022
Permit Category:ePermit
Site Address: 4434 Woodgate Pt
Lot:8 Block: 1 Addition: Tiberon 1st
PID:10-76400-01-080
Use:
Description:
Sub Type:Fireplace
Work Type:Wood Burning Fireplace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 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 -
Seth Daniel Heyduk
4434 Woodgate Pt
Eagan MN 55112
(763) 257-4526
Chimney Doctors
P O Box 240722
Apple Valley MN 55124
(952) 888-5252
Applicant/Permitee: Signature Issued By: Signature