4849 Wellington Ct
CITY OF EAGAN SWO sOVICE PUMIT
3830 Pilot Knob Road
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 pATE.
ZO"i^0' No. of Units:
Ownsr.
Addrcss:
Site Addrass: : ~ i 1: : ~ • - 'Pr
Plumber. -
~ NM to eampIr wilh !y Cky of impo Canrnctlon Ownpr ' f
OrnreseM. AcoDLirit Deposit:
Permit Fw:
Surchorge:
By MIS-- Charom
Dote of Insp.: Totol:
l^qx" Dob Poid:
CITY OF LAGAN WATER SERVICE PERMtt
3830 4ilot Krnb Rosd
P. O. Box 21199 PERMiT NO.:
Esgan, MN 55121 DATE:
toninp: - No. of Units:
VRf10r. ' i . . Sen
I'1Wnm.
$11! Addrlfi:
Plumbar.
Meter No.:.~
size: No.: o o ~ ' - ~r-r m tr a e: ~
ReodeW I .ow re o=py wkh ~1.~+~7~ §e*;7o.rr..~... r'.al: BY o Paid:
Date of Insp.: IrWP6;
CITY OF EAGAN ~r~
`
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 124 :,..L
~ PHONE: 454-8100
BUILDING PERMIT Receipt#i
To be used ior S~ )WGfGAR Est. Value $103,000 Date AUGU S'I' 12 , y g !3 ty
Site Address 4 844WELL I tJGTON COURT Erect 13 Occupancy 83
Lot I Block 2 Sec/5ub. PRITTANY 9'1'H Remodel ? Zoning RZ
Parcel No. Repair ? Type of Const
Addition ? No. Stories
¢ Name TOLLEFSON HLDRS INC Move ? Length a Q
= 12 617 FAIRGRFEN AVE Demolish ? Oepth
3 Address Int ImPr? S Ft
~ City A.V. Phone 431-1}`Q0 InstaU ? Q
o Name SAi,'r Approvals Fees
' 50
Address Assessment Permit ~ 440
50
~ City Phone Water & Sew. Surcharge '
Police Plan Reviewz~
F? Name Fire SAC 575.00
UX a Address Eng. Water Conn. 500.00
c W City Phone Planner Water Meter 63.50
Council Road Unit 290.00
Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe Bldg.Off. 8/22/86 Tr.PI. 156•00
information is correct and agree to compiy with all applicable State of
Minnesota Statutes and City of Eagan Ordinances. APC ParkS
Signature of Permittee ;4Var. Oate CopieS
Total $ . 96.75
A Building Permit is issued to: TOLLt:PS0111 BF,fJRS INC an the express condition that
all work shall be done in accordance with all applicable State o( Minnesota Statutes and City of Eagan Ordinances.
Building Official
PermN No. Parmit Hdder Dete TN*phone p
Plumbiny -7
H.V.A.C. MD(o5e
Electric
Soflener
Inspectfon Date Insp. Comments
Footings I
Footings 11
Foundatlon
Framing & ,
Rooriny
Rouyh Plbq. G` -I-0~ 3
RouyA Hty. jr-6-14
Inaul.
Ffreplaca
Final Htg.
.
Pinal Plby.
Bldq. Final
Cer1. Occ.
Dack F1q.
Deck Frmy.
Well
Pr. Disp.
~`~~•'.T('~~1 ~ .'tY, . : _r . t } . . . . . . . . . .
, PERMIT #
' . MECHANICAL PERMIT RECEIPT #
` GTY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE
CONTRACT PRICE: PHONE: 454-8100
Site Address ~ BLDG. TYPE / WORK DESCRIPT-ION Lot BI k ~ Sec Sub Res. ~ New ~
a) Name Z - Mult Add-on
~ Addr ~ 7~~ U' T Comm. Repair
c City ' Si'j'lT /f/s? Phone Otlier
Name FEES
~
c Address RES. HVAC 0-100M BTU -$24.00
p City Phone ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
TYPE OF WORK ADDITIONAL 6 M BTU - 6.00
GAS OUTLETS - 1.50 EA.
Forced Air 1062 M BTU COMM/1ND FEE - 196 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 SURCHARGE PER PERMIT - .50
Verrt. CFM (ADD $.50 S/C IF PERMIT PRICE GOES
BEYQND $1,000.00)
Gas Piping Outlets #
Other
FEE
S/C: • 5~~ SIGNATURE OF PERMITTEE
TOfAL• ' 6~2
FOR: CITY OF EAGAM
PERMIT #
PWMBING PERMIT RECEIPT # ~CiTY OF EAGAN ~~j
_ 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE /
CONTRACT PRICE PHOME: 454-8100
Site Ad ess ( t BLDG. TYPE WORK DESCRIPTION
Lot ~ Block 2- Sec/Sub ~ nnwc. .
; r h 111-' a Res, CNew_'
~ Name Muft a,aa-o~
~
~o AddteJss~ 2 ~v • t' Comm. Repair
c Ciry knS~'m ~v?~~`~ Phone 1 / Other NO. FIXTURES 70TAL
Name Water Closet - $3•00 S..
c Addregs r=Bath Tubs -$3.00
~ C~ ; / . (//?r ~ e ~ Phone ~Lavatory - $3.00
Lshoyver - $3.00,'
~Kitchen Sink - $3.00 ~
FEES Urinal/Bidet - $5,00
COMM/IND FEE - 1% OF CONTRACT FEE T-Laundry Tray -$3.00
MINIMJM - RESIDENTIAL FEE -$10.00 J
MINIMUM - COMM/IND FEE . 20.00 ' Floor Draiqs -$1,5~
STATE SURCHARGE PEFi PERMIT _ .50 W ter HeA~er -$~1.50 .
(ADD $.50 S/C IF PERMIT PRICE GOES irlpool -$3.00 `
Gas PipinQ Outlets -~1.90
BEYOND $1,000.00) Softener - $5.00
weu - $10.00
Private Disp. - $10.00 i
j• ~ i~l " l~lr 1~l'j/ Rough Openings -$1.50
SIGNATURE OF PERMITTEE FEE ~ -
STATE SlC: $U
FOR: CITY OF EAGAN GRAND TOTAL: L
~ CITY OF EAGAN p
3830 Pilot Knob Ro PHONE: 454-6100 , ~9an, MN 55121 N 12422
BUILDING PERMIT Receipt# b~~3
To6ausadior SF DWG/GAR Estvalue $103,000 Date AUGUST 12 1g 86
SiteAddress 4849 WELLINGTON COURT Erect 99 occupancy R3
Lot 1 eiock Z Sec/SUb. $RITTANY 9TH aemodei ? zoniny Rl
Parcel No. Repair ? Type of Const. V.q
Addition ? No. Stories
a Name TOLLEFSON BLDRS INC Move ? Length4P
z 12617 FAIRGREEN AVE Demolish ? Depth46
o Address Int. Impr. ? Sq. Ft.
City A.V. Phone 431-1100 instau ?
=o Name SAME Approvals Fees
address Assessment Permit- ~g 440-.50
~ City Phone Water & Sew. Surcharge "1' S0
~ Police Plan Review~25
Fw nlame Fire SAC 575.00
Address 500.00
~ ~ Eng. Water Conn.
i W Ciry Pnone Planner Water Meter 63 . 50
Council RoadUnit 290.00
Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe Bldg.Off. 8/12/86 rr.Pi. 156.00
information is correct and agree to comply with all applicabie State ot
Minnesota Statutes and Ciry oy~agan Ordinanc s. APC Parks
~ Var. Date Copies $2,296.75
Signature oi Permitlee~'J~4 ~ Total
A Building Permit is issued to: TOLL SON BL RS INC on the express condition that
all work shall be done in accordance wit a appl'cableo ta of Min esota Statutes and Ciry of Eagan Ordinances.
BuildingOHicial i%.. ~4 4
h3~a~ RESIDENTIAL L11V y
BUILDING PERMIT APPLICATION
CITY OP EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Conatructlon BeautremeMS RemodeURapalr RenuiremeMa
• 3 repistered stte surveys showtng sq. tt. of bl, sq. M. of house; and II rooletl areas • 2 mpies of plen
(20%maAmumbtcoverageallowed) • isetofEnergyCalculetionsforheatetla0d8bns
. 2 copies of plan Siowing beam & window s¢es; pourea found tlesign, etc.) • t s0e survey for exterbr addttbns & tlecks
• 1 set of Energy Cakulatbns • Indkate N home seNed by septic system lor aOtlMbns
• 3 coples of Tree Presenatlon Plen N bt plebed atter 711/93
• Rim Joisl Delall Optbns selectlon Sheet (bldgs wAh 3 ar lass untts)
DATE VALUATION
SITE ADDRESS ~18"Y9~ n~ MULTI-FAMILY BLDG _ Y _ N
TYPE OF WORK 2P~?QcrF FIREPLACE(S) _ 0_ 1_ 2
APPLICANT . S;. b~ h,,,-. f-&Ci-Z ~
.a~.n~u~kip STATEZ&ZIP
STREETADDRESS 2Y CIN,
TELEPHONE #9_e3LV-1'irg/!~9.~ 4a CELL HONE # FAX # 9-2 -/-S5//
PROPERTYOWNER 6?0 -NAZ~CA 1, c/ce/rA{t-.S TEIEPHONE# el-6,Si-
COMPLETE THIS SECTION FOR -NEW- RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES'I670 CATEGORY I MINNESOTA RULES 7672
(J submission type) • Residential Ventilation Category 1 Workshaet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor: Phone #
Plumbing system includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00
_ Water Heater _ No. of R.I. Baths
_ No. of Baths
Mechanical Confractor: Phone #
Mechanical system includes: _ Air Conditioning Fee: $70.00
_ Heat Recovery System
Sewer/Water Conhactor: Phone # , ~ ~ ~ [ a {J ~ D
1 5 2002
I hereby acknowledge that I have read this applicaTion, state that The information is c rrect, and agree to com ly
with all applicable State of Minnesota Statutes and City of Eagan Or ina es.
Signalure of Applica
- •
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
1986 BQILDING PERFIIT APPLICATIOA - CI1R OF EAGAP
HOYE: ALL COATRACi08S HOST HE LICENSSD iiITH THE CITY OF EAGAN
SINGLE FAlIILY DiIELLIAGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEYo 1 SET OF ENERGY CALCULATIONS
MOLTIPLS DiiEI,LING3 - RESIDENTIAL BENT9L OeIIRS F09 S9LS QNITS
INCLUDE 2 SETS OF PLANS, CEHTIFICATE OF SDRVSY - CHEC[ HITH BLDG. DEPT.9
1 SET OF SNERGY CALCULATIONS
COMalERCI9i:
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
t SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$29000 LANDSCAPE BOND
To Be Used For: Valuation: An.50vn Date:
Site Address OFFICE IISS ONLY
Lot ~ Block p2- , Erect a Oceupancy K3
' Remodel Zoning --7
Parcel/Sub ^ Repair _ Type of Const
Addition # of Stories
Owner y., D m4 (~~T.~ Move _ Length ~
Demolish _ Depth
Address Int.Impr. _ Sq Ft
Install _
City/Zip Code
Phone APPROVAIS FEES
Contractor tveki L4.,- Assessments Permit yy~. 5
Water/Sewer Surcharge ~
Address Police Plan Review
Fire SAC ~j -
City/Zip Code Engr Water Conn
Planner Water Meter b
Phone - ~ Council Road Unit G
Bldg Off -j . Treatment P1 ~
Areh./Engr. APC Parks
Varianee Copies
Address 20TAI,
City/Zip Code
Phone #
NOTfi: ADDRESSfiS FOR CORNER LOTS - CONTRAC?OR/HOHEOiiNER lIDST DESIGNARfi WHICH ADDRfiSS
IS D&SIEED. NO CH9NGES iiILL BE ALLOiiSD ONCS BOILDING PERMIT IS ISSDED.
241~(o
5i5z
y6~:O
/Z'
768
7n 98 ~ ~c~~
~O 2
B'~K 52 PRGE- ¢2 :EFj
il O p E Tot_FFSo,~ BV IL
ENGiNEfi~ING CnesuLTtHO EH61NEffl5.
PIANHE9S and IAHD SURYEYOQS
COMPnNY, INC.
< 1000 US7 146:i S7RE_i, BLAHSYILL_°, YINH==07A 6=237 pH 4:2-UOp
CZZ cr3ze
ZQ4~1 ZCrz • LOT BLOC:C 2, BRITTAAIY 9TH ftDDITioN,
, - A4KOTA COw/'TY, MINNESOTA
<Y_77JM DEI.lOTES EXIST!lVG ELEVAT/C','.:C97P•° ) DEFJCTES PROPcSE::' EZEVA%!ON
~ InIDiCATES CiREGTION OF SURFACE DRAiMA6E
97P33 = FiNISHED 6AR46E FLOCR El,EVqT/oN
r. c.
97B. j ` W/a Y
(977.3) <; 9B ~ ~4e f
' 35 p6,. . C9~ T.c. ~
, \ h' = T
5 I \ ` '~9'. ' y» ~
` ~97s j S 8C° Oc'
~ 7s. op `~y„ ~ 97~ 3i
tfl
N (y7E.n /o .
N a I ~ ~~89' 1
nl l(~ /e~~ NF
o
0 7e.
977.Z
ti s ~
3 l
c' ~9~$ci o`y^ toP //~b'o ! I' G
oN1
4° e,
Lo-T ' %o ~
,
~ v
;v Csin's~ 3
q ~7B.o) f
Dk4ltiG4OE AuD \ N BCe 0P 3c, UT?LITY EASEMENT J ~ 03" zs"' y~J TC.
30' FRO/T BuaOnV6 SE7840K LIuC
Iher:hy cartify that ttiia ia a t:~se aad cor:YCt rapnaentatian ot a tract of
lind as aha+m'and deee^ibed hersen.• Ae praparsd by me an this _7fl1 day o[
~~sr . 19 Sb .
Rinn. liS, No. /G f
CITY OF BUILDINa DEPARTMENT
EXTERIOR ENVII,OPE AYERA(iE "Ulf COMPUTATION
(To be suhmitted with building permit applicatiott)
One or Two Family Dwelling `4-_ Ovmer
All Other Site Addresa
Contractor Toc~e-FsoA) FpVaeFS Zve, Date Phone
_ ; - -
f ~
LINEAL FEET OF E3{pOSED WALL 1(,t2OP~~~dar"'r'l' Yt. above grade = UJ5~ O0~
TOTAL EX°OSED WALL ARr.A Sq. FT.
0?&Q-UE Wf:I,L COPiSTF.U-ITIOIT: °Ull Val.ue x Area
Detail flUrl •O43 X S2. FT. 1297.4) 7 • 5$•79 (U) (A)
reference Q'' ~~U" . 048 x SQ. FT. I3¢.pp = 13,11 (U) (A)
from o/ST "U° 40 x SQ. FT._ !/olo,oo=(o,I (U) (A)
attached "Ux SQ. FT. _ (U)(4)
sheets "Ul' x 5q. FT, _ (U)(A)
"U" x SQ. FT. - (U)(A)
WINDO'NS: "Ull Value x Area
Make & Type /yyvL• C5rt1~T "Us) .4$ x Sq. FT. Z b 3 =JDl.43 (U) (A)
's ft IIUII x SQ. FT. _ (U)(A)
u of nUu x Sq. FT. _ 0)(A)
" " "U" x SQ. FT. = M(A)
DJORS: "Ull Value x Area
:•IF:ce & Type -5'l64!1L IA~.,vLo uUn x Sq. FT. ,DO =(0.06P (11)(A)
" " ~dTlo "Uto
.49 x Sq. FT. 2.00 = Zo.lCo M(A)
n n nUn x S@. FT. = (U)(A)
o u _ npn x Sq. FT. _ (U)(A)
TOTAI,S J900.00 Sq. r'T. ZoQ-• C>Z (U) (A)
AVERACiE "Ull
TOTAL M(A) VALUES dz- _
l y00.ap
DIVIDED HY TOTAL CdALL AREA *wellings
AVERA(3E ~~Ulf r less for 1&2 family ROOF/CEILINCi:
TOTAL AREA: ~S3O•00
Detail reference itUli OZ1 x Sq. FT. SJ 30 =3 (U) (A)
from IIUII x S@. FT. . (U) (A)
attached sheets. liUll x SQ. FT. _ (U)(A)
Describe ooenings foUll x SQ, FT. - (U)(A)
in roof. rlUit X SQ. FT. - (U)(A)
TOTAL M(A) VALUES DIVIDED BY 58~c~3 = rC~~ 1 3a ''$'`~'3
TOTAL R00T/3CE d(3 /'.REA /S30.GyJ
AVERAGE 'n .025 or ventilFted roofs.
00 •°Jl
oaOS'b - S2 x g~ ' oa'!6 rZ f 'z4oJ •I12 S,~''~4C7 ,o0'OZl = 4/ 7~ Z~ ao'~°1( l.!/!~ n
00 ' 8 Z ='6! X z °O'b~ f•~rxo~ 55~~
ao•o~/21 = 2~ X9E oa•oa6`I ~J`~/~7 ~,a~y~J
Do
~it/nb~ 7`1t~rY1 d3.wD 1:95
0012{7 ` ~ atl.bd a9
40 • !'z _ 'Zfgs - 716 41
00'87 = '~'4~v1 •71-so~'i
•riz
00•02/ ~ z! X ~ol = 4"Ixm
~~•S = r )e o~X ol
oo•ZL = b X oo•g =8-P xbr
00 •o~ = r x oo •OI =°J£ xie
X o0'$ _ C92 XOz'
l.sl ~
15Noa
-~j~c oa •ood~~ = Co~f~s'~-oS~°a`)X 0~'a 6
°rJ h
, . . , .
• • --WALL SECTIO
. ~ , .
Determining "II" values at Roof, Wallp Rim, and Conc. Block
ROOF/CEILINa (R) VALUE
5
1.) Ittterior Air P'ilm O.61
2.) 5/81, ayP. sa. .56
3.) Inaulation ~ 00
4.l
5.) Exterior Air Film .61
tSTILL)
1 2 3
6 „U„ _ ,/R_ ozr ioTAL (R)= 4(p,7S
~
, -
O WALL (R) VAI,UE
6.) Interior Air Film 0.68
q 7.1 i" GYp. Bd. .45
8.) Insulation Jq,Do
10. ) l~aso%nite ^ ~id~uing Z•~
.67
l0 11.) Exterior Air Film .17
l l
ifUll _ I /x= .043 ToTai. (s)= 23.01
~L RIM (R) VALUE
~
12.) Ittterior Air Film 0.68
130 Insulation 19•00
1 14 14.) 2'l Fir Rim Joist 1.88
15 15.) ~j~~ gult~T- gr7~ 2•Oq-
16.) Niasonite Siding .67
170 Exterior Air Film .17
_ o
, o • . . nUu = 1/R= .O~ TOTAL (R)= 7
4.¢¢
U~ . 0o !
~ FOUNDATION (R) VALUE
18.) Interior Air Film 0.68
!S 19.)
n 9 2~.) 12" Concrete Block 7.28
• a n ?0 22. )1??&ID lxXAx• 8•00
23.) Exteriar Air Film .17
e 0' r (go • nQn = 1/R= ? Oq8 TOTAL (R)= lD.J3
y
SPECIAL ASSESSMENT AGREEMENT
THIS AGREEMENT dated this CCTk day of October, 1988, between THE
CITY OF EAGAN (hereinafter called "THE CITY") and JAMES M. and NANCY
BRATULICH (hereinafter called "CIWNER") of 4849 Wellington Court,
Eagan, Minnesota.
WHEREAS, THE CITY had by public project planned, developed and
constructed local improvements through Public Improvement Project No.
45R, benefiting the property held by the OwNER; ana
WHEREAS, upon the completion of the improvements, THE CITY
levied assessments based on a five-year assessment spread against the
property; and
WHEREAS, the OWNER, in the process of purchasing his home
located on the above-described address, clid pay through the purchase
price an amount sufficient to pay the levied special assessments; and
WHEREAS, through a set of circumstances still under
investigation by the County Attorney's Office, the closer involved in
the sale and purchase of the above-noted address collected funds in
escrow but has failed to pay the special assessments as they became
due; and
WHEREAS, the OWNER in conjunction with six other property owners
have filed suit in the District Court in the County of Dakota, State
of Minnesota styled James M Bratulich and Nancv J. Bratulich, et al.
Plaintiffs v Valley C7osings et al Defendants, Court File No.
C7-88-3195, wherein the Plaintiffs have been awarded a 5ummary
Judgment in the amount of $75,394.97 against the closer, Valley
Closings, an assumed name; Valley Closings and DeveloFxnent, Inc., a
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OP EAGAN
3830 PILOT KNOB RD - 55122 y_-]-~
~ 651-681-4675
New Consfructlon ReaulremeMs Remodel/Reoalr Reauiremenis
? 3 registered sMe surveys showing sq. ft. ot lot, sq, k. of house 2 copies ol plan
and all roofed areas (20% maximum lot coveraae allowed] 1 sei of energy calculatlanz for heaTed addHions
> 2 copies ol plans (show beam 8 window sfzes; poured fnd. design; efc.) 7 ske suney for euterior addRion: 8 decks
: 7 set of energy calcula}Ions : 3 coples of tree preservaHon plan B lot plalfed afler 7/11/93
DATE: 4-23"gc1 CONSTRUCTI COST: loc'
DESCRIPTION OF WORK: 2 r- 2- P CYJ~
STREETADDRESS: WE.P) lnJC 4013 G
LOT: ` BLOCK: SUBD./P.I.D. n~~
Name: Ct+C,~ iio'S JCx~ Phone#:
PROPERTY last ptrst
OWNER StreetAddress: (~8'4cj We1I~ ~c.~ G
City C.Q.~,°G.,'- State: 1"Y)Zip: '5~5 IZ,Z
a-o
Company: ~ 11 P - ~ rio ~C Phone
(area code)
CONTRACTOR
SfreetAddress:~oq55 J V 6p" S( LJ License#20 / ~5 Exp.~~~ 2c~S
C(ty L 2 VC~~ State: 0~/..l Zip:
ARCHITECT/
ENGINEER Company: Name:
Telephone area code ( )
Street Address: Registration
City State: Zip:
Sewer 8 wafer Iicensed plumber (reaufred }or new constructlon onlv):
Penalty applles when address change and lot change is requesfed once permit Is Issued.
I hereby acknowledge that 1 have read this application, aFate thaf fhe Informatfon is correct, and agree to comply with all appllcable
State of Minnesofa Sfafutes and City of Eagan Ordinances.
Signature of Applicanf:
OFFICE USE ONLY
APR 2 6 1999
Certificates of Survey Received _ Yes _ No
BY:
Tree Preservation Plan Received _ Yes _ No _ Not Required
2000 BUILDINC PERMIT APPLICATION (RESIDENTIAL)
3830 PILOT KN B RD - 55122
'
857-887-4875
I
Hew ConalnieHon ReadrartieMa Remodet/Reoalr Reauirements
? S ropistaretl tlfe wneys sIwwlnp tq. R o( bt, sq. 6. of house 2 copfes of plan
antl ¢H rooled areas l20% mmdnwm lot covemae allowedf 1 set W energy caleulaHOns for healad odcUflona
D 2 coples d Wrnu (ahow beam S wlMbw sixes: Poured tntl. tlesipn: etc.) 1 dte wrveY for ebattor adtllHOnS 3 tlecks
r 1 tetdaneryytadcWaHOnt
D 3 CoWes oi hee prewrvaflon plan H lot pialled aflar 7/1 /93
DATE: D a/I qbwO CONSiRUCTION COST:
DESCRIPTIONOFWORK: -Fjn;<k BaSerriehT
SfREETADDRESS: ygLI'i We lli na+on C.our+, Ea4an, m10. 5,51aa-a21o6
LOT: ~ BLOCK: ~ SUBD./P.I.D.O:
w/P C600Asao-sSio
Name:"R RflTI.II.IC!-I Scarne5 Phoneu: &51) y59-95(0(0
pRppERjy lasl Fiiaf
OWNER SheetAddress:ySyR Wellinq+on Ca"rt
~IIY E aAan Stme: MN zip: 55iaa-a'7"
- Company:q~~ Phone
(area code)
CONTRACTOR
Sfreet Address: License # Exp.
Cify State: Lp:
ARCHIiECT/
ENGINEER Company: Name:
Telephone t: ( )
Sfreef Address: Regisfra8on Y:
qy State: Zip:
Sewet/water licensed plumber (ff installina aewer/waterl: Ptane ( I
I hereby ocknowledye lhaf I have read this application, date thaF Ihe ~fortr~aNon cortect. and agree to canply wilh aG aPp~ble State
M Minnesota Sfafutes and CNy ol Eapan Ordinances.
. .
Signature ot Ap nY. ~
OFFICE NLY
CertiflcaUes of Survey ReCeived _ Yes _ No FEg 1 [y
Tree Preservation Plan Received _ Yes _ No _ Not Required t~v
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
0 01 Foundation ? 07 05-plex ? 13 16-plex O 21 Porch (3-sea.) ? 31 Ext Ait- Multi
O 02 SF Dwelling O OS OB-plex O 17 Garage ? 22 Porch/Addn. (4-sea.) O 33 Ext Ait - SF
? 03 01 of plex O 09 07-plex ? 18 Deck O 23 Porch (screened) ? 38 Muid
E3 04 02-plex ? 10 08-plex X 19 Lower Level ? 24 Storm Damage
? 05 03-plex ? 11 10.piex Pibp _Yor_N ? 25 Miscellaneous
O 06 04-plex O 12 12-plex ? 20 Pool ? 30 Accessory Bidg.
woRK rrPe
? 31 New O 36 Move Bidg. ? 43 Reroof
? 32 Addition ? 37 Demolish (Bldg)' ? 44 Siding
33 Aiteration ? 38 Demolish (Interior) ? 45 Fire Repair
O 34 Repair ? 42 Demolish (Foundation) ? 46 WindowsJDoors
' Give PCA handout to applicant for demolition permit -
GENERAL INFORMA770N
SAC Code # of Stories sq• ft•
No. of Units Length sq. ft.
No. of Bui?dings Width Footprint sq. ft. Const. (Actuai) Basement sq. ft. Census Code ~
(Aliowable) Main level sq. ft. , MC/ES System
UBC Occupancy sq. ft. City Water
Zoning sq. ft. Booster Pump
PRV
Fire Sprinklered
MISC ELLAN EOU31 NSPECTIONS
? Stucco/Stone
APPROVALS
Planning Building 04- 1jEngineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S!W Permit
SNV Surcharge
Treatment PI.
Park Ded. '
Trails Ded.
Other ;
Copies
Total:
SAC Units
% SAC
L J gL ~ CITY USE QNIY RECEIPT
/
i-
SUBD. RECEIPT DATE:
PERMIT # J 6 b~ b
2000 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PIIAT HINOS RD
EAGAN, NIII 55122
651-681-4675
Please complete far: ? single famity dwellings
? tawnhomes and condos when permits are required for each unit
9 backflow preventer for underground sprinkler system
FIXTURES EACH # TOTAL
Alterations o existing dwelling - minimum fee $ 30.00
Fin:s~
kfadeffa4+
Bath tub $ 3.00 x = $
Floor drein 3.00 x = $
Gas piping outlet ' minimum - t 3.00 x = $
Hot tub/spa 3.00 x = $
. Kitchen sink 3.00 x = $
Laundry tray 3.00 x = $
Lavato 3.00 x = $
Septic System newlrePurbished • requires MPC Ifc. 75.00 x = $
Se tic System abandonmem 30.00 x = $
RPZ new installationlrepaidrebuild 30.00 x = $
Rou h openin 1.50 x = $
Shower 3.00 x = $
Underground sprinkler if dwelling is under construdion 3.00 x = $
Underground sprinkler if enisting dwelling 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $
Water softener if dwelling under conaWction 5.00 x = $
Water softener N existing dwelling 30.00 x = $
Water tumaround 30.00 x $
State Surcha e .50 $ .50
TOtal $ 36. ?O
Reminder. Call for inspections of alteratlons, i.e. water heaters, water softeners, etc.
- -
-
I hereby adcnowledge that I have read this applicafion, sqte that the information is corred, and agree to compy wkh all appticable City of Eagan oidinanoes.
It is the applicanPS responsibility to notity the properly owner that the City of Eagan assumes no liabiliry for any damages caused by the City tluring its
normal operational and maintenance aUivilies to the hacilities wnsUUCted under this permit within City propeRy/right-of-wayleasement.
SITE ADDRESS: We //619Aen ~aCt~ef, E0-~ s,an ~ M4J ssia~-m?~6~
OWNER NAME: : e afiNfS M. &~Til.tiCN TELEPHONE#: lD?'rI y5oZ- ~I'~lolo
(ARFA CODE)
INSTALLER NAME: ~ TELEPHONE
(AREA CODE)
STREET ADDRESS:
CITY: TA L ZIP;n, ,T
~o
ATURE OF PERMITTEE -
~.:I T'1( C~ F~ A G/~ N r.~;r Pn~L..:. ~ r G.
,*t APPLICATION DOFS NOT (XJ:~PI1STiE +
APPROVAL OF PII2MT, ~
r
APPLICATION FOR PERMIT
INSPFX.TION OF SEWh12 APID/OR M.1II2
TTl','TATJ.ATIONS W]SS. NDT SE SQi@- *
SEWER AND/OR WATER CONNECTION +11, UWM PER1,1IT IW
' . • * APPROVFD. *
µ r
. * ~
**,t t*,t**at*ie*,t~ r**** *,t,t#,tt**~* ***te*,r*
lease, $rint
1) PROPERTY ADDRESS: Kj
LEGAL DESCRIPTION: C .
. Lot Block Subdivision or Tax Parce D
IF EXISTING SPRCCIL~RE, DATE OF ORIGINAL B[.'ILDING pERMIT ISSCANCE: '
PRESED7P ZONING/PROP0.SID C'SE: (Mon )(ear
~ mPIQ2CIAL/REPAIL/OFFICE R-1 SZNGLE FAMILY '
~ IDIDC'STRIAL ~ R-2 DOPLEX (Ttwv Units)
ZNSTI'IL'TIONAL/GOVERDp•g,'NT E] R-3 TOWrIIiOC~SE (Three + Units) ( tfiits)
. ~ R-4 APARTMENT/CONIDOMINICTM ( [fiits)
2) ~
NAME: TOLLEFSON BUILDERS, INC,
ADDRESS: 12617 Fairgreen Avenue
CITY, STATE, ZIP: Apple Valley, MN 55124
PHONE: 431-1100 3) • For City Use
GENZ-RYAN PLUMBING & HEATING COMPANY Plumbers License:
ADDRESS: 14745 South Robert Trail ~.t3ctive
E7cpired
CITY, STATE, ZIP: Rosemount, MN 55068 Not recorded
PHONE: 423-1144 MASTER LI(ETTSE# 1849M S~ta i t al
4) oaa o..i~ia~•
NAME: ADDRESS: • .
CITY, STATE, ZIP:
PHONE: •
5) ~ m• ~ m: : ~t •~o w~
~ CONNE(.TION T0 CITY SEWEE2 ~ CpNNECrION TO CITY WATER C] ryi'HER~. •
6) PLEASE HOLD APPROVID PERMIT F'OR PICK-UP BY ONE OF ABOVE
~ P E O F•RMIT TO 1, 2 41 ABOVE .
(Circ e one)
7) ~
, • a7: e . ~ r. a a o r oo • o• o ia• . n i• s. ao r
N•r. ao • 6.'.. 1 : o-a•n •,t+~r ~
~ i : a' ~ • eo , i • ~ e . .
.FOIR CITY USE OiVLY "
PERMIT # ISSUED '
Pd w/Bldg. Permit FEES:
$ $ (.!i-i~v SEWER PERMZT (INCLUDE SURCHARGE)
$ $ WATER PERMIT (INCLODE SURCHARGE) $ (G 3~ ~ ~ S WATER METER/COPPERHORN/OCTSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOONT DEPOSIT - SEWER
$ $ ~ -(J ~ ACCOUNT DEPOSIT - WATER
$ ~OCi.00 $ WAC
$ $ SAC
$ $ • TRLNK.WATER ASSESSMENT
$ $ TRC'NK SEWER ASSESSMENT
t
$ $ " LATERAL BENEFIT/TRL'NK SEWER
$ - $ LATERAL SENEFIT/TRUNK WATER
$ -d $ WATER TREATMENT PLANT SURCHARGE
.
$ $ OTHER:. '
D D TOTAL
~54,7
RECEIPT RECEIPT # -
DOESUTILITY CONNECTION REQUIRE EXCAVATIaN IN PDBLIC RIGHT OF WAY?
F---j YES IF YES, THEN A"PERMIT FOR WORK LVITHIN POBLIC
ROADWAY" MUST BE ISS[7ED BY THE ENGINEERING
EJ NO DIVISION. LIST AS A CONDITION.
SOBJECT TO THE FOLLOWING CpNDITIONS:
APPROVED BY:
~ •
TITLE: .
~DATE:
DAKOTA COUNTY MINNESOTA
RECEIPT FOR PAYMENT OF PUBLIC IMPROVEMENT ASSESSMENTS C~~ ~.G ~
DATE- - / ~ CyO RECEIPT N0.
~ f
NAME; /C "~~L~•. -~Gl.LQ -
ADDRESS:
DESCRIPTION:
?
~
~C oT5 / ~ 9
OISTRICT en PLAT PARCEL NO, CNECK OIGIT J MUNICIPA~ITY
112-13) (1i-181 (19-2U 122231 1247
IMPROVEMENT DiP - A110 ' INT. °6 iROM TO ORIGINnL AMOUNT 7RINCIPAL INTEREST TOTAL PqID
770. 6 Ie 77e,, ~ A S ~
~ Z
I]].36) f37-001
(61_50) (51-601
Paid Before Certification Ei (I7=14) Plepayment El (77= 5) Paitl in Full (18= 1) Partial Paid
. U(78=2)
.
PREPqRED BY NORMA B. MARSH, COUNTY AUDITOR 8Y:
PREPARED BY MUNICIPALITY OF:
^ C
If payment is made by check, this is not o alid reteipt until check is paid.
This Receipt does no indude
fNqME1 ihe installment certified to pOSTED BY:
the 19 1 Taxes.. DATE
~
J,~~A~
2006 RESIDENTIAL PLUMBING PeRnnir,aPPLicarioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date / NO
Site Street Address 2qq 1 ^f ~ Unit #
Property Owner yYl Telephone # (051)
Contractor W' YI Telephone# (WI) .~(oq-I34Q
Address ~~Q City Ci, State-2:1N Zip SSra 5
The Applicant is: _ Owner ~ontractor _Other
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-built $ 10.00
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures. This fee includes installation of a water softener and/or water
heater at the same time. If you are insfalling onlv a wafer softener and/or water
heater, do not complete this section; move to the nex[ sec[ion and check the
appliance(s) you are installing.
_Septic System Abandonment
_ Water Turnaround (add $130.00 if a 518" meter is required)
Other:
Water Softener T Water Heater $ 15.00
_ new Y-~ replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
StateSurcharge $ 50
3
I Total ~uL $ ri -6 L)
I hereby apply for a Residential Plumbing Permit 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 the plumbing codes; [hat I
understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in
accordanc with the approved plan in the event a plan is required t be reviewed and approved.
Applicant s Printed Name Applic nYs Signature
City of aaii
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651)675-5675
Fax: (651) 675-5694
Date: 31-2-t tIO
Use BLUE or BLACK Ink
Permit #: 9'33
v 1
Pemut Fee: �0 e `CD
2010 MECHANICAL PERMIT APPLICATION
LOW\ ;�!rc CT
Site Address:
Tenant: Suite #:
J
RESIDENT / OWNER
Phone: 65k ' nog -
Name: 43A-4:1/4-.) t, \L-k-.erV\M 32
og'Address/City/ZZiip::
i
Address / City / Zip:4gq 1 iklwt C efin. tf\f\ 55I -1 -1 -
L.'LCONTRACTOR
CONTRACTOR
Name: 1?)5�1 !,S 11 +Mb ii"\ ITXk.CW\Cke #`*t tC.-t- L:
Address:Matta( f\ ;}/1.� City: SV�\
�°�>vY..�
State: MO Zip: bZ' Phone: \` 2_2.Oe 1li11
Contact:\vy U VA}
mail: CeoiN'n,aoc,S Lon
TYPE OF WORK
New 'S, Replacement Additional Alteration Demolition
Description of work:
OTERoo ki•� , . andxg�roup�m�ounted (rtechanical,equipmen�t is requir:- . creeen d by Cit
ode. PPlease con act theeMechanicalInspector for, information onpermitted<screening'methods
PERMIT TYPE
RESIDENTIAL
Fumace
COMMERCIAL
_ New Construction Interior Improvement
\( Air Conditioner
_ Install Piping Processed
Air Exchanger
Gas Exterior HVAC Unit
Heat Pump
_ Under / Above ground Tank ( Install / _ Remove)
Other
"" When installing/removing tank(s), call for inspection by Fire
Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$50.50 Minimum Add-on
or alteration to an existing unit (includes
burned out appliances, ductwork, etc.) (includes
$.50 State Surcharge)
$.50 State Surcharge) $ 50 TOTAL FEE
$90.50 Fire repair (replace
COMMERCIAL FEES:
$70.50 Underground tank
$50.50 Minimum (includes
installation/removal OR
State Surcharge)
surcharge is $.50.
increases by $.50 for each
Permit Fee requires a $1.00 surcharge).
Contract Value $ x 1%
_ $ Permit Fee
- If Permit f12 is less than $1,000,
= $ Surcharge
- If Permit Fee is > $1,000, surcharge
$1,000 Permit Fee (i.e. a $1,001-$2,000
= $ TOTAL FEE
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.nooherstateonecall.orq
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 a •ante
with the approved
'plan
' in(the case of work whicltrequires view and approval of plans U
App cant's Printed Name
Applicant's Signature
_Air Test z 1. as <Service,TTes
Exterior,
Screening Inspection
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA157521
Date Issued:08/23/2019
Permit Category:ePermit
Site Address: 4849 Wellington Ct
Lot:1 Block: 2 Addition: Brittany 9th
PID:10-15008-02-010
Use:
Description:
Sub Type:Reroof & Siding & Windows/Doors
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and house wrap and leave on site.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 15,000.00
Fee Summary:BL - Base Fee $15K $265.50 0801.4085
Surcharge - Based on Valuation $15K $7.50 9001.2195
$273.00 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 -
Steven W Klemm
4849 Wellington Ct
Eagan MN 55122
Krech Exteriors Inc
5866 Blackshire Path
Inver Grove Heights MN 55076
(651) 688-6368
Applicant/Permitee: Signature Issued By: Signature