4326 Woodgate Lane N
CITY OF EAGAN Remarks
Additior, Mal l ard Park Third Addition Lot 39 eik 2 Parcei #10 47252 390 02
Owner street 4326 North Woodgate Lane State Eagan, NIN 55122
C.
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. i
STREET REStOR.
GRADING
SAN SEW TRUNK
* SEWER LATERAL
WATERMAIN
* WATER LATERAL 1981
WATER AREA
STORM SEW TRK
* STORM SEW LAT 1981
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER,
SAC
PARK
INSPECTIUN RECORD ~
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road 'Permit Number: ~
Eagan, Minnesota 55122-1897 Date fssued:
(612) 681-4675
~1----ti~!
SITE ADDRESS: APPLICANT: IliiIliMATF t ANf 0 i•,nN
~ti11. 1 rf! li IirE?P tr~l, ,~t ~ ~
. ) i',:! l tAt,
PERMIT SUBTYPE: TYPE OF WORK:
~ ; {ar 41
~,1 1• ( i i~~<S•i I II ! ti~{ ii~i'i ii
INSPECTION D• • DA
~'filii 1hdl,'., t 1h1l~1
I
I
~ ~
Permit No. Permk Holder Dete Telephone N
ELECTRIC
I
PL.UMBING
HVAC
Inapection Date Inap. Comments
FOpTINGS
FOl/ND
FRAMING
ROOFING
I ROUGH
PLUMBING
PIBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
I FIREPIACE
I FIREPLACE
I AIF TEST
I FINAL PLBG
FINAL H7G
OASAT
7ES7
I ~ 6lDG FINAL
I I 9SMT R.I.
I ~
~ -SMT FINAL
I
nECK FTG- 7Y~~ ~ -
` CiC FINAL
I - -
~
INSPECTI4N RECORD
-CITY'OF EAGAN PERMIT TYPE: i+ i ra+,
3830' Pitot Knob Road Permit Number: '
Eaganr Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: I ~ e' APPLICANT:
i tiI ,I tii ~~t
IJnnlli;A fF i ANr N ta4
. ! ,ti~:;: ~ n~ r ;I li ,,.1 i ~I~,•~ • ~
PERMIT SUBTYPE: TYPE OF WORK: -
INSPECTION D• .
! 1)iiNli/11 s ~IN
. M i NQ I~ ~~iil 1 Ni,
1III HTlI1Ki I!Kf i,l A I 1
~tlli,ll I N E 11 I i,
il:, ~ t i 1;1~ t I h:+;i f
L ~
~
Pertnit No. Mrtnk Holdw Dob TNWphons i ,
ELECT 5 93'
• PLUMBING ~ 1^ U251
HvAC 9 9 ew- J
Inspwtlon Date Insp. msnta
FOOTiNGS ~ 01[. Oa ~e
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST . ~
ROUGH
HEATING LL~
GAsr ~
INSUL
GYP BOARD
FlREPLACE
FIHEPLACE
AIR TEST
FINAL PLBG f-II r- ~
/G
FINAL HTG y
TEST ORSAT I If ( f
BLD(3 FINAL ~
BSMT R.I.
BSWT FINAL
DECK FTG
DECK FINAL
I
I
~1
.
ri
. T. +
%ei.~tilicate of cccuvanc~.
(AM of wagim
M"artmat .f is.{ai"
This Certificate issued pursuant to dee rcquirements of the Unijonn BuildiRg Code
certifying that at du ti?ne af uswance this strWCturr was in compliance with rhe various
oidinancts of tkt City ngulating buildutg coestruaion or ust. For the following:
Use (bssificatios:'~ SF DW BWg. Permil No. ZCi~79
00-P-7' Type -B3'aL1 Z"UnE DWaid R.l TYPe Conu. IM
Owaer af BuiWioa T CC7l1RIR1X:Ti[yd AdLiss
smwws Ae&m 4396 t,mY`.Am t.ANF, MmH Lowi,y T. n?. TbLL.ARD PJIRK "i[iD
~ v
UalC: ~
BaidisL Oricial /i .
POST IN A CONSPICUOUS PLACE
` .
Address 4326 wmm.arF r aNF, Nnuna Zip 5512 2
Lot• - 3? Blk 2 Sub MALUM) PA-Ttx 3?tn
THESE ITEMS WERE / WERE NOT COMPLETE AT THC TIME OF THE FINAL INSPECI'ION.
Date: Yes No Inspector. ~
Final grade (6" from siding) ~
Permanent steps (garage) ~
Permanent steps (main entry)
Permanent driveway
Permanent gas ~
Sod/Seeded grass ~
TraiUcurb damage ~
Porch ?
Basement finish
Deck
Plcase verify with the builder the removal of mof test caps from the plumbing system and the shut-oK of watcr supply to
the outside lawn faucet before freeze potential exists.
Contact engineering division at 681•4645 beforc working in right-of-way or installing underground sprinkler system.
White - City Copy Yellow - Residem Copy Pink - Coniractor Copy ~
9~.; Y-Z Yff
aeaues~ oata . p~re N R014n_1n inpsc^~ ian Reamreo insomjon Ome~ Tn RouBhln ,
(1'ou musl caA MsOactor wtien reatly) ~ qeaEy Now~ Will Nobty InsOectar
Yes ? No Dete RaeC
. ensed contractor ? owner hereby request inspection of a6ove electrical work at: Job AoOress ( veev eo. or Rome No,) Ciy
3 2
SecUOn No Townsnip Name or No Range No Coonty ~
OccupeM (PRINTJ Phone No
Power SuppL¢r AtltlR55
Elepncal Comractor ICOmpany Namel 1w'^ Gomractor4lmer,y~,~Jg~O~
AA1KE EL.E~+ ~.ta o
Mmeo9 aod~ s ~ om~acm~ o~ owhe. makiny mstauauon) APpL.E VALLEY MN 55124
ORIDA tANE
4u:nonzetl Si turp ~Comranorr0 lAakmg Inslal lion~ ~ Pbona Number 431-6364
MINNESOTA STpTE B LECTRICITY THIS MSPECTION qE0UE5T WILL NOT
Grlgps-MiCway BICg - Room 5-173 BE ACCEPTED BYTHE STATE BOARD
1821 Univarsity Ave.. St. Peul. MN 55104 UNLE55 PROPER INSPECTION FEE I$
Vhone(611) 802-0500 ENCLOSED.
ye~/lrs REOUEST FOR ELECTRICAL INSPECTION ee.ooooi
~ j
/ ? See insimcuons br com0letmg Ih,s form on back of yellow copy i.i~..~s~ i/(b~
N57029, "X" Below Work Covered by This Request ~r`ti~ ~
e Add Rep. Typeol8uiltling qppliancesWired EquipmeniWiretl
Home Range Temporary Service
Duplez Water Heater EleChiC Hea[ing
Apt Butlding pryer Load Management
CommJlndustrial Furnace Other (Spec'Ay)
~ Farm Av Conditioner
OlnerlsueaM Comractork Remarks:
Compu(e Inspection Fee Below:
# Other Fee # ServiceEniranceSize Fee,. 8 Circwis/Faetlers Fe9
ISwimming Pool 0 ro mps xp 10 100 Amps
Trensformers Above200_Amps Above100_Amps
Sgns Inspeclor's Use Only: TOTAL
Irrigation 8ooms ~ • ~(f
Special Inspection
Alarm/Commumcalion THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 78 MONTHS.
I, the Electrical Inspector, hereby Rougn-in ~ ~ oaie/ yr
certify ihat ihe above inspechon has - ~ oa~e F
been made j - j
OFFICE USE ONLY
Tnis reqoest vaia lB months Imm
PERMIT ~ .
~ C11'Y OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 0 2 6 2 2 2
(612) 681-4675 Date Issued: 0 8/ 16 / 9 5
SITE ADDRESS:
4326 WOOD6ATE LANE N
LOT: 39 BLOCK: 2
MALLARD PARK 3RD
P.I.N.: 10-47252-390-02
DESCRIPTION:
Building Permit Type SF DWG
Building Work Type NEW
UBC Occupancy` R-3 U-1
~ Construction Type V-N
Zoning R-1
Building I.ength 58
Building Width ` 48
Building stories 2
Sqiiare Feet ~ 1,852
REMARKS:
PRV S& W PLBR - MCDONALD PLBG
FEE SUMMARY:
VAIUATION $125,000
Base Fee $1.012.25 MISCELLHNEOUS $1.892.50
Plan Review $354.29 Total Fee $4,171.54
Surcharge $62.50
SAC $850.00
sac % iaa
SAC Units 1
Subtotal $2,279.04
CONTRACTOR: - Applicant - sT. LIC. OWNER:
T C CONST INC 14693723 0001076 T C CONST
19784 KENNICK AVE 19784 KENNICK AVE
LAKEVILLE MN 55044 LAKEVILLE MN 55044
(612) 469-3723 (612)469-3723
I hereby acknowledge that 2 have read this application and state that the
information is correct and agree to comply with all applicable State of Mn.
5tatutes and City of Eagan Ordinances.
L ~
J) u :r,(_ 1 M,A-
APPLICANTIPERMITEE SIGNATURE ISSU D B SIGN URE
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
JLL2111995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
New Construrlion Reauliements RemodeVReoair Reauirements
? 3 rogbteied site surveys ? 2 eoPies W pian
? 2 coDies ot plons (YwGude beam 8 win0ow s¢es; pouroC fid. design; etc.) ? 2 sita surveys (erterior atltlitions 8 decks)
? 1 enerpy calwlations ? 1 energy calculations for hoated adddions
? 3 Copies of Uee Dm+eNaGOn plan H lot platted elter 717/93
iequired: _ Yes No
DATE: aLzz-25- CONSTRUCTION COST:
DESCRIPTION OF WORK: l'~o M4
STREETADDRESS: 4 z O ~ CCGt'
LOT BLOCK ~ SUBD./P.I.D.
PROPERTY Name: 0~'S~ Phone
OWNER
Street Address•
/ i
City: LoK~ci. State: Zip:
CONTRACTOR Company: Phone
Street Address: License
Ciry: State: Zip•
ARCHITECTI Company: Phone
ENGINEER
Name: Registration #Street Address,
City: State: Zip:
Sewer & water licensed plumber: &G (>'C7/7 a~~ . penalry applies when address change and lot
change are requested once pertnit is issued.
I hereby acknowledge that I have read this applicatlon 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 RECEBV I,D
Certificates of Survey Received Zs /,N o AUG 0 7 1995
Tree Preservation Plan Received Yes v No
OFFICE USE ONLY '
BUILDING PERMIT TYPE • ~ '1 ^
0 01 Foundation o 06 Dupiex o 11 Apt./Lodging o 16 Basement Finish
&~-02 SF Dwelling o 07 4-plex ? 12 Multi Repair/Rem. 0 17 Swim Pooi
0 03 SF Addition o 08 8-plex ? 13 Garage/Accessory o 20 Public Facility
0 04 SF Porch ? 09 12-plex o 14 Fireplace ? 21 Miscellaneous
0 05 SF Misc. 0 10 = plex o 15 Deck
WORK TYPE
cr'431 New ? 33 Akerations o 36 Move
0 32 Addition o 34 Repair o 37 Demolition
GENERAL INFORMATION
Const. (Actual) 0-N Basement sq. ft. SyZ MC/WS System
(Allowable) N Main level sq. ft. City Water 0~
UBC Occupancy -i sq. ft. G g8 Fire Sprinklered
Zoning 2- sq. ft. t°z3 PRV Y~s
# of Stories 2 4, 4i»~r sq. ft. Booster Pump
Length 5"0 sq. ft. Census Code.
Depth 418 Footprint sq. ft. -z, SL SAC Code o/
Census Bldg ~
y'' Census Unit i
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: g ~ 2~ o 0 0-
Surcharge
Plan Review
License ~ - ,s7y
MCNVS SAC ZPS x
City SAC 1(o x~141 i'/Y <yx ~3Z~
Water Conn.
s f 2 x/J~
Water Meter Gy
Acct. Deposit sx ~.73
SNV PertnR fPry~c
S/W Surcharge y x ~ L _ g L n~NL
Treatment PI. f`
Road Unft 2 i z x s"~ ' - /z
Park Ded. r' y~ /.5 x ti 6 ;
Trails Ded. (oS, ~ fo23 x
Other
Copies &7 Z
BxZ`i ~ Total: 63°
~b~ xrY ' iy
°k SAC ZO
SAC Units 3 7, (S Z / ~ ~(c =
2 O 51
~6 ~
. ...t. . . I . . nR) . . . . :7:nir~:
pA CONSUITINb tN31N!lllf N432-300o
AO~iF PIqNNEIIf un0 LqND 3UBCT NO69~7.D/ N~IN@ERIPIC~ e~K z2e OM PA Pl~i, I N C• PAaE cBIA STREET, BURNSVILLE, MINNESOTA `
CERI'IFICATE OF SURVEY
Legal Description:lor 39 a Ave AYa..~e 751M
D,4KOrA co~.v~Y il~lin~iciE~r,4
, , (1112) DENOTES EXISTING ELEVATION
, ( 9 41 -o) DENOTES PROPOSED ELEVATION
INDICATES DIRECTiON OF SURFACE DRAINAGIE
~41, ~ = FINISHED GARAGE FLOOR ELEVATION
934 29 = BASEMENT FLOOR ELEVATION
143,67 = TOP OF FOUNDATION ELEVATION
scaLe . aa APDRS~5,S : 4326 NoeN LvMP6~1~ l.t/E
B~GI /y1AQK :/sT /YIf1 fAST 4rCoT 35 gl.OeK Z. E
r ° 930. b9 5a
,mY,
ID
lr'o lf-u o V oM IJ_)A~ L MNERIlVG DEPT.
~r. kACaAN
REVIEWED
V,J0~
3Y
9..45 ° 3N
r 3: ' D, ~Z 3 3~ DAT6
po~ . .
, ~ 3Zg, ~o ° 9~8•~
o~'~P~ R° "a~• ~~5 MuB- 3oFr. Fzo,,rT
"TBACK L1NE
e
o't~ti' 1'o ` r139ycA18,72
~ ~4~ 7 q133 , -°-q 42
q¢7~
I~5 EX/5T/N6
6Aop:ic ~5.n
00 ~to
~94~'~
.9~a'~
\ ~•~,~~,33 ~ ~ ~
. i
Ko'ff5 `37•3~ 6$ N
~ ~ ~ V~ ~~1' ~Npo'/'~ 1 ^ '
_ - , o ~ . ; S, s~„ ~ ~ o E- '
o r 3 x ~
L .
.
' b9414I/16E AniD
UT/L/TY
93s s,
• , g'1°'~~ BZ' 2a024~ ~35.5~
I hereby cartiPy that this'is a.true and correct repreaentation of a tract of
land_ as shown and described hereon. As prepared by me this Q-'TMi day of
--~uloUST , 19 9S • , X~:-, 8_v-9s : z4~ ~co;~. ~Minn. Req,. No. 16085
, . ~LOT SURVEY CHECKLIST FOR RESIDENTIAL
W W BUILDI PERMITAPPLICATION
PROPERTY LEGAL: ~ ,3'
6 ~
DATE SURVEY:
LATEST REVISION:
6 = Z ,
DOCUMENTSTANDARDS
? • Registered Land Surveyor signature and company
? • Building Permit Applicant
0~'C E3 • Legal descriptlon
ai-'13 13 • Address
M"~U ? • Norfh arrow and scale
?0 o • House type (rambler, walkout, splRw/o, splR entry, lookout, etc.)
? • Directional drainage arrows wifh slope/gradient %
o ? ? • Proposed/epstlng sewer and water services & invert elevatlon
o~J 0 • . Sireet name _
? ? • Ddveway
ELEVATIONS
xis6
13 ? • Sewer service
0 ? • Property comers
0-~ ? ? • Top of curb at the drNeway
• ElevaBons ot any epstlng adjacent homes
Pro s
~o ? • Garage floor
41.-,0 ? • Frst floor
~g ? • Lowest exposed elevatlan (walkouUwindow)
~4~y ? • Property comers
o 13 • Front and rear of home at ttie foundation
PONDING AREA Cf aoolicablel
13 • Easement line
C, o ! NWL
? o~O • HWL
~ r~9 • Pond#designaBon
~ 9~0 • Emergency Overflow Elevation
/ DIMENSIONS
~ ? ? • Lot IinesBearings & dimensions
cl • Right-of-way and sUeet width.(to back of curb) •
~~Cl ? • Proposed home dimansions tncluding any proposed decks, overhangs greater than 2',
porches, etc. (.e. all sVUCtures requiring permanent toodngs)
G-1~0 0 • Show all easements of record and any City utilities within those easements
6-'Cl ? • Setbacks of proposed structure and sideyard setback of adjacent ebsting sVuctures
(0 Cr'o • Retaining wall requirements y
Reviewed:
N e / te
Juy 1995
. `
35 15125 1 1 ~4t150 m ~ y12t70,~IIt80l 25 \
36 ~ c~ 16t30 y.6.Z1 ) ~ ~ n- m" 9190 \ 24 -
.1 6 3 4 2
. 37 , o17t20i ~~3p4~_16 ~ _~4
o H iH-17 7MH-1,5 N ' N 18tOSh d'
~ 710'
4~.4TgL .BPe* ;
rr) ~ MH-14
R
(~7.D6'` B~~G.V a BOX 4858., ~.l.P
~
H-18 3 f 8 x6 TEE
a,p1.P
'aq0„ 8" 6"TEE 8 HYD. BxHYDEE a, C~
9tp ~
8"x6"TEE & HYD.
9t60
<
~ave .
WOODGATE- LANE
MH 20 ~ -
- 94 .87
H-19 ~
~ 85 CONSTRU TION PROF LE
~ H-I g . - - ;
34.21 MH-17 MH-16 . 93 .I
.
932.43 934 31
- l -
~
I q 2po
C! i Y O{ -EAGA 5 R E
fti DOLS i~l07' GU/!;
f', C C U ~ I d A C Y pF
qrILITY LOC,.I'~TION$ 250 -g p C_ ~
, -
~';;,-ts-Fvn}
,.,..'dil N PURPO ES 0NLY' AND
L ° ; -
~..IfVG IT SHOULD 17^,: 3 8 PVC-0.43 ?o
ON THE SI o
~
~ ~ , - - - -
I ~ - I
w I ,~o° N
. t19 N 0 ai ~ ~ lD
tv MO I . nl~
t ~ . . UNi . O~ U.)
I;?;1'EPIOP .F,IJ'1rELOPE AVERAQE „Ur' COMPUTATION
,
OWNE}i " ~~(7 /'P;~,~ ~y~~ ~ •
SITL AfJDRk: ~r ~ _C?_F?'~~~
1dJL~~~ l' ~ , , - r ~ I • c ~
CONTRACI't)R DATE PHONE
Ue1;ez^mine woi•king square footage of eech. •
0
1. Total cxposeQ wall area. eq. ft. z .11.
2. Total roor/cetling area..... 1L"7%' sq. rt. x.oZSo .
Total exposed wa.1]. nre[i xbbve floor
a. Total wa11 window area
b. Totul cloor area, .
c. Total s3.i3ing,glsss door arett......
. d. Total 1'i'replace wa11 area.......... e. Tota.]: wa.ll. framing area (average
f. Total raeL' wall nr•ea ahove floor /
' (A L
g. To'i;a.l. .r5.m ;f oiaf: area . . . . . . . . . . . . . . . /.Ui t 1
'1'o":al exposed i'oundaLton area - 72, h. ToLr.? 2•oundation wir,dou Area........ - 1. Tv!:al rse~L foundnt;ion area aUove grade...,.. ,
~
1:ei.er;n.i.ne "U" vrlue of each wall •segnent.
. , , x „U„
' , ~i~
b'-------- xflUii 0
~i
r. . x n U n ~
X ,!Ulf
.
r, ' .:!i x ntJn ij ' i ; .
. i ~ a.
, i
11~ ~
• r
, IlUu
X
~i • ,!_C? ' x ,iU
_ - ~
}l. X ~lUn ~
x n U n
l ;
3. ....................Total
If itnm z'3 :Ic: •tiiw sarne ns, ar• J.eari than item N1, you have met Che
intent oi' SEC; 6006 (c)2.
~
_..r . . . . _ _ .
~~n»~* _ . , . .
. . . . ~
.
• - ti„ ,
- -
~ ip t0
. . M - _ . . . . .
~ . • ~ _ _ .
O
; O N . . f- N . . . . . . . . .
~ + + . . . . .
O~ . . . . . . C1
~
Y SEE`
U ABOVE
BuRiE~ gY ~
2 vEvFI.aPER 33 g N
-co 34 14t150 ~ o
15125
16t30
36 ~oa~Mkl-16 '
. 37 ~o0i7t2o~ H-17 ~ 3 •
-Q N I 8 t O5 h~r
.40 38 P ' L
21 t20; ~ 39 w ~19t00~ 31.6'
` yw ^20t20 H-I N
S 0 P . 8,~~
~ ,
s' 8 6 TEE 8 H7
. epp
-20 MH-19
8"x6"TEE & HYD.
~ 9 HYD. WE,
U wd" mm 'W WOO D GATE L
~ 7 +oe .d~ mm.
y -
:
MH 20
" 94 .87
I H-19
- - ~
- - - -
~ ~ H-(8
~ 34.21
~
I
-t------ - 12- ..'.8 ~26 ~I - L---r---
THE CI7" 0F EACaAfV )OES i16't ii.,;f.; 2pp .8 p VC.
7HE ACPURACY 0• UTII_ITY f.Q~A7i0C~3 I Z'5 L3=.:-
.f~VLD/ar ~LEVATIOf~:'. YHI~i C: , ','0R
- ~ . . , ,
P'r-_F„s0~6) USIfUG IT SHO!'L!,
. IZrOR?; t~,i f0~1 O~f TH = ~i~"~.
tD
I ~
o v
~ ~
. . , . . ..s~
' Total expoeed roof/ceiling aren
. Total groen raof/ceil:tng aran R
J. Total ekyllght area....... k. Total roof/oeiling framing flrsa...
1. Total nat,ineulated roof/ce111ng area~~'~~~"-
0
Determina "U" value for na.ch roof./ceJ.15.ng r~~grnont:.
J. ~ X ifU,i
. .
k•_ ~i 1~r',= x
. .
X MUn
. , ,
4. ....................................rotal
If total of N4 is the same as, or l.eon L-han Yr..u nr.-EC ;uc;t the intent
of sBC 6006 (c) 1.
To utilize the total envelope aystem method, L-he •r;~1tn;•~: e:sL'at,lishad by
the gum of itema N3 and-94, aha1.1 noL t» grexter- thrr;n ,;he r;,_iirtc: af items
11 and I2,
1 • -I 2 .
Materlals Therm. Resicstance
Extnrior Air
Siding Material
Sheathing
Inaulation
Sheetrock
Intarior Air
Studa
Rim 41
Conc. Blka.
,
. .-It PERMIT
~ CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 0 2 s 0 3 2
(612) 681-4675 Date Issued: 0 6/ 21 / 9 6
SITE ADDRESS:
4326 WOODGATE LANE N
LOT: 39 BLOCK: 2
MFlLLARD PARK 3RD
P.I.N.: 10-47252-390-02
DESCRIPTION:
FUTURE PORCH
Bailding Permit Type DECK
~Building "Work Type NEW
~r-'CensuS Code-'-~, , 434 RLT. RESIDENTIAL
2 ~
. I
j-
~
~ ID
REMARKS:
FEE SUMMARY:
Base Fee $45.00 '
Surcharge $.50
Total Fee $45.50
CONTRACTOR: OWNEP' - App icant -
TOLL FSON CHRIS
4326 WOODGATE LANE N
EAGAN MN
(612)454-7306
I hereby acknowledge that I have read this application and state that the
informatian is correct and agree to comply with all applicable State of Mn.
Statu e nd City of Eagan Qrdinances.
t
A PLICA ERMITEE SIGNATURE ISSUED RE
~ CITY OF EAGAN n
3830 PILOT KNOB RD - 55122 ' S V
1996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
6814675
New Conslruction Reauirements RemodeVReoair Reauirements cqa13
b
? 3 registered site survays ? 2 copies of plan
? 2 copies of plans (inGude beam 8 window sizes; poured ind. design; etc.) ? 2 site surveys (exterior addrtions & decks)
? 7 energy calcvlalions ? 1 energy calculalions for heated additions
? 3 wpies of tree preservation plan if lot platted aRer 717l93
requir d' Yes No
DATE: ~1b CONSTRUCTION COST:
DESCRIPTION OF WORK:
ST ET ADDRESS: Ik W6cQtl 1rY,\ 1)
LOT 7 BLOCK SUBD./P.I.D.
PROPERTY Name: arisj~ e i3,ar ~ Phone L1vova
OWNER I\~~l
Street Address: 48 R c h
City: oh State: ~ \ Zip: ~1, 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: Penalty applies when address change and lot
change are requested once permit is issued.
I hereby acknowledge that t have read this application and state that the inf f, atiq ' correct and agree to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances. 1 ~ 1
Signature of Applicant:
?
OFFICE USE ONLY
J~ r•, ti u 9jys
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received Yes No
OFFICE USE ONLY ~ . -
s 1
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging o 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
0 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 _-plex Gfl~15 Deck
e,W94r- 6/yX/d~
WORK TYPE
Zy d 4ctcs
w4-3~1 New ? 33 Alterations ? 36 Move (3 rpr',-')
~/0 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MCIWS 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 o/
Census Bldg /
Census Unit ~
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MC/WS SAC .
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
gr May-25-96 02:14P Tokhetm SeleS - 7ollefsan 612-686-4598 P.OI
i coes~t~~~~ ~NO~~aes TC r'ONST.Pc~'Tio.v
ROAE .tn en/ ND {UFV4YO"
Pie'rpaiec~ Ho. 6977•O/
N3INEEAIN(3
eooK 22B
COMPANV, INC• ppQ~ 3R
` woo R.ar 14e1h Innin, OVRND`/Ill[, YI44ClO7A aemn r, ~~¢•aooo
CERTIFICATE OF SURVEY
Legel Descrlptlon:.LOT 3s a~,~ ,eo a&,e awlao
176dOTA COUV7T~~.v,vFS272.
(3~iX) DENOtES EX1S71N0 ELEVATION
(941.0 ) OENO7ES PROPOBED ELEVATION
(NDICAI'ES DIflECTION OF 6URFACE ORAINAOE
9f/.53 = FINISHEO OAqAOE FlOOA ELflVAT10N '
M• Z = 9ASEMENT FLOOR ELEVATION
943,no = TOP OF FOUNOATION EIEVATiON
scAie : r.3v A"ESS 4326 it~O.F:f/ l.ti4.47-v LONE
89Wq AfAac : isT MN 8457 ar mr 35 9u^eX 2.
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tl+NE =
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1~' ~ ~ D • . o f°'s
'aJ. L\ ~ ~5 e 34) F7: FeoAJT
5cre4uc LItiIE
~~y' 'B' ye 0 L' 1 6X157/N$
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6~ AND V~
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~3 .
..heceby cectlfy thet thie ie e true and correot repreaentetion oP~ tract of
arid ae ahoan end described haraoii. Am pcepared by ma thie Qdey bF
ltlnn. Reg. No. 1605
.
. .
CITY USE ONLY ?'97~
L ~ BL RECEIPT
SlTl3tTY ' l0.X~Q/~d~ ~R~R. 03 ~ DATE:
1995 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681 -4675
Please complete for: ~ single family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES EACH NO. TOTAL
Shower 3.00 x 2 = _
Water Closet 3.00 x 3 = Cl
Bath Tub 3.00 x 1 = 3
Lavatory 3.00 x .3 = R
Kitchen Sink 3.00 x = 3
Laundry Tray 3.00 x 1 = 3
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x = _3
Floor Drain 3.00 x
Gas Piping Outlet * minimum - 1 3.00 x = 3
Rough Openings 1.50 x =
Water Softener 5.00 x =
Private Disposal * Dakota cty. iicense 20.00 =
U.G. Sprinkler ` home under const. 3.00 =
Alterations ' to existiny 20.00 =
Water Turn Around 20.00
STATE SURCHARGE .50
TOTAL U a. S°
SITE ADDRESS: o CZ-) odd iia ~p
OWNER NAME: ~G co ~sL
INSTALLER NAME: Tz: r' VVI1 n i~r-
STREET ADDRESS: ~0'vy CI. l n n.2(~. cQ«.I
CITY: ~ct.rwt`nq ~.e,n STATE: Wl ~ ziP:
PHONE (
$ ~Q 6FP~=RlOf~4 ~n
r •
CITY USE ONLY
L BL RECEIPT
SUBD. DATE:
1995 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: w all commercial/industrial buildings.
• multi-family buildings when separate permits are pQt required
for each dwelling unit.
DATE: CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION ADD ON REPAIR
DESCRIPTION OF WORK:
FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per
$1,000 of permit fee due on all permits.
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL
SITE ADDRESS:
TENANT NAME: STE. #
OWNER NAME:
INSTALLER:
ADDRESS:
CITY: STATE: ZIP:
- PHONE
51GNATURE:
APPLICANT CITY OF EAGAN
CITY USE ONLY
L ~2 BL ~ J RECEIPT
% 9a 9 9S
SUB . aXll.an.Lf' DATE:
1995 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
V--Plew construction Add-on furnace
Add-on air conditioning Add-on airexchanger, i.e. Vanee system, etc.
Date:
FEES
? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00
? HVAC: 0-100 M BTU 24.00
Additional 50 M BTU 6.00
? Gas Outlets (minimum of 1 required @$3.00 each) 2 6 ff
? State Surcharge .50
TOTAL :-?8 .`-t
SITE ADDRESS:- - / 3 &-zJ42
~
OWNER NAME: C, PHONE
~
INSTALLER NAME:!'~ S7 SI~~~ S-L~ e
STREET ADDRESS: ~ ~ ~ ~ ~ ~
CITY: STATE:ZIP: S~
PHONE (~lZ) SD~i~
r •
cirr use oNLv
L BL RECEIPT
SUBD. DATE:
1995 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? all commercial/industrial buildings.
? multi-family buildings when separate permits are ~t required
for each dwelling unit.
DH'i E: C~hT2;C T P41CC:
WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: ~ $25.00 minimum fee pt 1% of contract price, whichever is greater.
. Processed piping - $25.00
• State surcharge of $.50 per $1,000 of permit fee due on all permits.
CONTRACT PRICE x 1%
PROCESSED PIPING
STATE SURCHARGE
TOTAL
SITE ADDRESS:
OWNER NAME: TELEPHONE
TENANT NAME: (IMPROVEMENTS ONLY)
INSTALLER:
ADDRESS:
CITY: STATE: ZIP:
PHONE
SIGNATURE:
SIGNATURE OF PERMITTEE CITY INSPECTOR
LOTV~I BLOCK J-- SUBfS.7~
RECEIPT # 34-0 DATE
1996 CITY OF EAGAN
IRRIGATION PERMIT (FOR BACKFLOW PREVENTER)
COMMERC AL INSTALLATIONS: FORM MUST BE COMPLETED BY LICENSED PLUMBER
Date: v '1 Commercial GPM
~ Residential (boulevards) GPM
Existing residential
Area/address to be irrigated: ~IN
Installer. \_~~~~~`lt~SoY~ Ownero Plumber ?
Street address: 1~ v V~LL- L
City, state & zip code: ~ Phone 1I, 'k- 1\~ b
Owner Name•
Street address:
City, state & zip code: Phone
Irrigation contractor, if different than installer:
Telephone
I hereby acknowledge that I have read this application, state that the information is correct, and agree to
comply with all applicable City of Eagan ordinances. It is the applicant's responsibility to notify the property
owner that the City of Eagan assumes no liability for any damages caused by the City during its normal
operational and maintenance activities to the facilities constructed under this permit within City
property/ri ht-of-way/easement.
~~nc C
Applicant's sig ture Title
Approved by: Date:
PRV ? Yes ? No New service ? Yes ? No
Meter Size & Cost
~
Fees due: ~0 i Calculated by: ~ l•
~,'G/~I k~ S 7 2d-
6 ~ F`r 19 ~
PROCEDURE FOR IRRIGATION SYSTEMS - 1996
An irrigation permit j~ required - please contact Protective Inspections at 6814675.
Fees
Commercial project: $25.50 irrigation permit to cover installation of backflow preventer.
$50.50 water permit fee only if new service is installed.
$300.00 per tap if installed by City.
Residential project: $20.50 irrigation permit to cover installation of backflow preventer.
$50.50 water permit fee if new service is installed.
$760.00 per connection - WAC.
$396.00 per connection - water treatment facility.
Existing residence: $20.50 irrigation permit to cover installation of backflow preventer -(not
required if backflow preventer previously installed).
Meter charge: If gallons per minute are less than 25, a 1" meter will be required at a cost of
$182.00. If gallons per minute are po.Ce than 25, a 2" turbo with strainer will
be required at a cost of $822.00. This information is to be supplied by the
designer of the system.
-
No meter will be sold before all sewer and water inspections are complete on a new service. If new
service lines are not required, one check may be written for meter and permit costs. Receipt will be coded
to 20-3716 (meter portion only) with pink copy forwarded to Utility Billing Clerk.
The installer is to contact Protective Inspections at 681-4675 for inspection of the inside water line and
backflow preventer. The Public Works Department may be reached at 681-4300 for water turn-on and set
and seal of the meter. Inspection hours are 8:30 a.m. to 3:30 p.m. Monday through Friday. Requests for
A.M. inspections should be made on the preceding work day. Requests for PM inspections will be accepted
until 12:00 noon.
2006 RESIDENTIAL MECHANICAL rERmiT nrrLicaTioN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single lamily dwellings & townhomes/condos when permits are required for each unit
Date 9 7 / DIO
Site Address 9- 3 z Lo vi W D 0 d~ 01 I G Lh Unit #
) 4 U 5- S 3l ?J
Property Owner P'1 f hoVd / K dlV KI Yl1l 01 ~I Telephone 4( lv 5 )
~
Cantractor I I'CoV1 V1 0 V S O t~ e H uin V
Street Address e19U~- VtV vVl I llI oo S+. City NiC-h V1(h $
State Zip 55 0 3?, Telephone
Bond Expires:
The Applicant is _ Owner ~ Contrac[or _ Other
Add-on or alteration to existiog dwelling unit $ 30.00
~ furnace _Additional Z/Replacement New
' ~
_ airexchanger
air conditioner
' St h~
_ heat pump b'006 I)l
1 ~
othe(
L'!_` I
State Surcharge S .50 50
To[al $
I hereby apply for a Residential Mechanical Pertnit and acknowledge that the information is complete and accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a
permit, but only an application for a permit, and work is not to start without a permih, that the work will be in accordance with the
approved plan in the case of work which requires a review and approval of plan
~ P,sS v I.a v,~ v e vi c r, ~~04
Applica 's Printed Name Ap ant's igna[ure
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4326 Woodgate Lane N
Lot: 39 Block: 2 Addition: Mallard Park 3rd
PID:10- 47252- 390 -02
Use:
Description:
Sub Type: e- Reroof, Siding & Windows/Doors
Work Type: Reroof, Siding, Windows /doors
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 9,000.00
Contractor:
New Life Contracting Inc.
2478 Hillwood Dr E
Maplewood MN 55119
(651) 274 -6943
PERMIT
City of Eaan
BL - Base Fee $9K
Surcharge - Based on Valuation $9K
Total:
Applicant/Permitee: Signature
- Applicant -
Construction Type:
Occupancy:
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.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
$177.00
$4.50
$181.50
Owner:
Richard D Kintigh
4326 Woodgate Lane N
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
0801
9001
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply
of Minnesota Statutes and City of Eagan Ordinances.
h all applicable State
Issued By: Signature
Building
EA088888
04/27/2009
ePermit
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA117273
Date Issued:10/16/2013
Permit Category:ePermit
Site Address: 4326 Woodgate Lane N
Lot:39 Block: 2 Addition: Mallard Park 3rd
PID:10-47252-02-390
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 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 -
Kelly Kintigh
4326 Woodgate Lane N
Eagan MN 55122
Sela Roofing Remodeling
4100 Excelsior Blvd
St. Louis Park MN 55416
(612) 823-8046
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA168944
Date Issued:05/10/2021
Permit Category:ePermit
Site Address: 4326 Woodgate Lane N
Lot:39 Block: 2 Addition: Mallard Park 3rd
PID:10-47252-02-390
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
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 -
Kelly Kintigh
4326 Woodgate Ln
Eagan MN 55122
(651) 308-2002
Controlled Air
21210 Eaton Ave
Farmington MN 55024
(651) 460-6022 X253
Applicant/Permitee: Signature Issued By: Signature