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4856 Wellington Ctr Il C!ty otEtan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink Permit #: b \e3,\ Permit Fee: -?C%<PC) Date Received: Staff: J 2010 RESIDENTIAL BUILDING,PERMIT APPLICATION Date: I yI 110 Site Address: I+5(j2 LOQ I l CA -- Tenant: Suite #: RESIDENT / OWNER Name: 't r ++ ,, U..),-() �� "„,-.i) Phone: flit iia"' _4t9 L t. Address / City / Zip: 5 (.0 �J� i • _}.c:>I'� r CcsLfl 55! DD - Applicant D -Applicant is: Owner Contractor TYPE OF WORK Description of work: i� 5'f" Gas Construction Cost: PW r 00 Mufti -Family Building: (Yes / No ) CONTRACTOR Name: CI to-uotnj} ‘�� '441' ttO eLicense #: 9OC�U(��74: Address: 1 LG eirODt"C:z.d c� 1 Y City: YArC_O a -Y )_ State: 111 N Zip: 3C;-- Phone: 675'9 ` Contact: .) iGIL.4A=S Email: , ILk& / kLi' "1k(2th41 I►'i-e-t 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: CALL BEFORE YOU DIG. CalI 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. aopherstateonecall.ora 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 1 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 Applicant's Printed Name City otEaQan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink Permit #: Celt CY"a Permit Fee: 1 Date Received: Staff: ,112010 RESIDENTIAL BUIL DING PERMIT]APPLICATION Date: q V Site Address: 1� Lo CV+ Tenant: Suite #: RESIDENT / OWNER Name: kcdH _l amso F Phone:( )I —(08M5 K Address/City/Zip: L-15(0 \j34A1%(1kon e+\ EcirfI alIV 65I Applicant is: Owner rc Contractor TYPE OF WORK Description of work: I V Siatl 6-o s Multi -Family Building: (Yes / No ) Construction Cost: I -11..)(1), OO CONTRACTOR Name: [610i (19 �- i �C License #: Oroto374,3C0 Address: ! OD I G O'CIG42O LY -- City: state:0(10 Zip: )-35a Phone: jtr(-829PQClfrac7� net - Contact: Email: COMPLETE THIS AREA ONLY IF CONSTRUCTING ANEW 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: 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 undergrounrt utilities. www. gopherstateonecafl: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 accordance with the approved plan in the case of work which requires a review and approval of plan Applicant's Printed Name x Appli Page -1 of 2 CITY OFEItGItN` SEWER SERVICE PERMIT ~ 8830 Pllot_Knob Road c, ~ 1, P.O. Box$1198 PERMIT NO.: - Eagap; MN 55121 DATE: " Zonin9: pI No. of Units: 1 • Owner. To%lefson 31drs. Address: ' SiteAddress:` h'e inrtta7i Goiirt L r,1 i3ri*t~~ny `~tfi , Plumber. Cenz - R.yan ; -22 77_727 100.0Opc'. ~ 1 agree to comply with the Clty o1 Eagaa Connection Charge: 525 -0OPd ! Ordinances. Account Deposit: 15. OOnd ~ Permit Fee: 10. onp!, Surcharge: ; By Misc. Charges: Date of Insp.: Total: i Insp.: Date Paid: i CITY OF EAGAy Permit No: Qate: 4' 3"8 7 3830 Pllot K!iob Roud Meter No' 7 lqf 0 Size: 4/g P.O. Box :1199 Reader No: ~ ~ Date: - Eagan, MN 55121 Owner. i314rs . SiteAddress: 4'`I-Li ¢ton C',) lu r t 15 fi' rr:ttar-- t~ Plumber Conn.Chg: 525.00-pd Acct Dep: 15.00p1 Permit Fee: 10.00pd pe4nrP dlQy-IflS Surcharge: • S0pd -'ItBg~be'10 complxvYijh the City of Eagan Tr. Plant i,, ~i c~ d prdl~,aw~. LA\J1/ Meter. 7 nnU a QF ~CJ--~Sr Misc.: BY WATER SERVICE PERMIT ~ . CIT1f OF EAGAN - ~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PH O N E: 454-8100 BUILDING PERMIT Receipt # To be used for Est. Value Date Site Address OFFICE USE ONLY ! ! ` ~ On Site Sewage - Occupancy " Lot BIoCk SBC/Sub. MWCC System _ Zoning ParC@I NO. On Site Well _ Type of Const City Water _ (Actuaq ° a Name (Allowable) _ , * o( Stories 3 Address Length ° City Phone ' ' . . DePih S.F. Total , p NemB Footprint S.F. ~ ` Address APPROVALS FEES ~ Cit Phone Assessments _ Permit Water/Sewer Surcha?ge ~ yVj W Name Police _ Plan Review ~ _ ~ Address Fire _ SAC, City v Z Engt _ SAC, MWCC ~ W City Phone Planner _ WaterConn. Council _ Water Meter I hereby acknowledge that I have read this application and state Bldg. Off. _ Road Unit thattheinformatianiscorrectandagreetocomplywithallapplicable APC _ TreatmentPl State of Minneaota Statutes and City of Eagan Ordinances. Variance _ Parks Copies Signature of Permittee TOTAL A Building Permit is issued to: on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and Ciry of Eagan Ordinances Building Official , . Permit No. Parmit Holder Date TeIephone * . , , -Ptumbing H.V.AC. v ~ Electric Softener Inapection Date Insp. Comments Footings I y/7 Footings II Foundation Framing Roofing Rough Plbg. j ' 1-7 Rough Htg. ~ Isul. Fireplace ~ Final Htg. s,k-7 Final Plbg. 81dg. Final 7siy7 ~-c.1p, rc-a G Cert.Occ. Temp. LP Deck Ftg. Deck Frmg. Well Pr. Disp. r w~.y.~_>. ~ F . . . . . I i ^ -V -,r.ro.,~:;,'{7' , . . - • , rT. .t..v... . , nA . . • ~ ~ , . PERMIT # PLUMBING PERMIT CITY OF EAGAN RECEIPT N 72 9.2 L ~ 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: 454-8100 Site Address 1 BLDG. TYPE WORK DESCRIPTION Lot ;a Block SeGSub Res. New X Mult. Add-on y Name Comm. Repair ~ Address Otitier c City ` +Al t,Phone 2 2 ` RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL • Name =-Water Closet - $3.00 -.j-Bath Tubs -$3.00 Address ~ ~ - ; - Lavatory - $3.00 _ / - p City --T-Shower - $3.00 - -LKi!chen Sink - $3.00 FEES Urinal/Bidet - $3.00 COMM/IND FEE - 1% OF CONTRACT FEE ~-Laundry Tray - $3.00 - APT. BLDGS - COMM RATE APPLIES Floor Drains -$1.SD TOWNHOUSE & CONDO - RES. FiATE APPLIES ~-Water Heater -$1.50 i - MINIMUM - RESIOENTIAL FEE - $12.00 Whirlpool - $3.00 MINIMUM - COMM/IND FEE - $20.00 Gas Piping Outlets - $1.50 STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT) (ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00 BEYOND $1,000.00) Well - $10.00 Private Oisp. - $10.00 Rough Openings - $1.50 SIGNATURE OF PERMITTEE FEE: ~'I STATE S/C: - ' FOR: CITY O EAGAN GRAND TOTAL: ~z ~ . . 4711 PERMIT # .~r• ' • : MECHANICAL PERMIT CITY OF EAGAN RECEIPT # 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: '~ly a~ ~987 CONTRACT PRICE: PHONE: 454-8100 Site Address 4856 we n courr. BLDG. Ja&5=XX WORK DESCRIPTION Lot 5 Block Z Sec/Sub Res. New ~~Xx Britt+Lt~y 9th Addition ~ Name Ga=-Rvun Mult Add-on Comm. Repair -a Address 14745 sauth Rabert Trsi c City ROgeOouat, !4l Phone 423-1144 Other RSOAA FEES ~ Name RES. H1/AC 0-100 M BTU -$24.00 c Addre33 ADDITIONAL 50 M BTU - 6.00 p City Applo vil sM Phone - (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER "RMIT) - 1,50 EA. TYPE OF WORK COMM/IND FEE - 1% OF CONTRACf' FEE Forced Air 100 M BTU 24. APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLJES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M 8TU REMODELS - 12.00 Air Cond. M 8TU MINIMUM COMMERCIAL FEE - 20.00 Vent. CFM STATE SURCHARGE PER PERMIT - .50 Gas Piping Outlets # 1 BEYOND $1 pQ0) PERMIT PRICE GOES Other . FEE: 25 • 50 S/C: ~so SIGNAT E F PERMITTEE TOTAL• 26 •'00 FOR: CITY OF EAGAN . CITY OF EAGAN N2 13 5 0 6 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE: 454-8100 Receipt x~~ 7 a 7 _ Tobeusedfor SF DWG/GAR Est.Value $115,000 Date APRIL 22 19 87 SiteAddress 4856 WELLINGTON CT OFFICE USE ONLY 5 BRITTANY 9TH On Site Sewage Occupancy R3 Lot Block~Sec/Sub. MWCCSyatem Zoning Rl Parcel No. On Site Well Type of Const Ciry Water ~ (ACtual) V rc Name TOLLEFSON BllILDERS INC (Allowable) y w # of Storiea = Address 1 FAIRGREEN AVE 3 Langth ~ Ciry A.V. PhOne 431-1100 DeDth 3$ S.F. Total , p Name SAME Footprint S.F. ~a Address APPROVALS FEES ~ City Phone Asseasments Permit $ 548.50 ~ Water/Sewer Surcharge W W Name Police _ Plan Raview 274.25 ~ Fire SAQCity 100•~0 uz Address _ Engr. SAC, MWCC $25.00 aW City Phone Planner _ WaterConn. 595_(10 Council _ WaterMeter 67_(10 1 hereby acknowledge that I have read this application and state Bldg. Off. _ Road Unit 70S_(lp thattheinformatlaniscovedandagreetocomplywithallapplkable APC _ ireatmentPl ]910 n0 State of Minneaota Statutea d City of Eagan Q ina ce variance _ Perks Copies Signature of Permittee 70rpL 5 A Building Permit is issued to: T EFSON BGILDERS INC on the exDreas condition that all work shall 6e done in accordance with a I app a State of Minn otps a Statutes and Ciry ot Eagan Ordinances Building Offlcial ~c+LJ ~ 45(n .5o 2007 RESIDENTIAL MECHANICAL rExMiT nrrr.icnTiorr City Of Eagan 3830 Pilot Knob Road, Eagan NIN 55122 Telephone # 651-675-5675 . Please complete for: singie family dwellings & townhomcs/condos when pemiits are requi for each unit R natc -,7 Site Address ?e-, )")_,G'/ ~24/TZ~ .o'1 ~ Unit # PropertyOwner cJ 46 K SO/~j Telephone#( l) Contractor s~reec naaress ,~+a 1 v'%, aurnswille Parkway C;ty State 9NNVI118, MN 55337aip Telephone #(~S ~j- 0 7 7 Q~U t Bond 7/V JJ ~E.e 9 y/ 3 Expires: /-,-3v -Off The Appiicant is _ Owner -x Contractor _ Other Fire repair (replace burned ou[ appliances, ductwork, etc.) $ 90.00 This fee applies when extensive mechanical repairs are made to a building. Add-on or alteration ta existing dwelling unit $ 50.00 ~ furnace _Additional __~Replacement _ New air exchanger ~ air conditioner heat pump other State Surcharge $ .50 Total $ ~!J I hereby apply for a Residential Mechanical Permi[ and acknowledge [hat the infocma[ion is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with [he Mechanical Codes; that I understand [his is not a permit, but only an application for a peimi[, and work is no[ 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 appcoval of plans. Applicant's Printed Name ApplicanYs Signature RESIDENTIAL BUILDING PERMIT APPLICATION 1 v/ 5 CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 S 7 Z S 651•681-4675 New Conetructlon BeaulremeMa RematleVHeoeir NeaWremenfn • 3 registeretl sile surveys showing sq. iL of bt, sq.8. of house; and II rooted areas • 2 copies of plan (2006 maxlmum lot coverege albwetl) . 1 set ol Energy Calculalions tor heated add'Abns • 2 copies ot plen showing beam & window Stra&; poured found design, etc.) • 7 site survey tor exleibr adddions & decls • lsetofEnergyCakulatbns . IntlkateBhamesenedbyseptksystemforaddNOns • 3 coples of Tree Preservatbn Plan tl bt plafled afler 7/1/93 . Rim Joist DeNail Optbns Selection sheet (Dldgs wtlh 3 or less unNS) DATE VALUATION SITE ADDRESS VV i-2f-L ,17`I 4r, C~ MULTI-FAMILY BLDG _Y VN TYPE OF WORK ~-e- ro U9 FIREPLACE(S) _ 0_ 1_ 2 APPLICANT STREET ADDRESS rI~LP rP G{J[iS d'in.v2~ In-k- /fz,,y CIiY 6Nih-& ir,e.STATE /:)'1 ZIP ~f3y TELEPHONE # . Z-H '4Z,32LCELL PHONE # FAX # PROPERTYOWNER IC.Gt U<son TELEPHONE# COMPLETE THIS SECTION FOR uNEW, RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672 (d aubmission type) . Residential Ventilation Catagory 1 Worksheet Submitted • f~YWqqk~i t bmitted • Energy Envelope Calculations Submitted D ll ~ JUN 1 3 2002 Plumbing Confractor: Phone # Plumbing system includes: _ Water Softener _ Lawn Sprinkler ByFee:- Water Heater No. of R.I. Baths No. of Baths Mechanical Conhactor: Phone il Mechanical system includes: _ Air Conditioning Fee: $70.00 _ Heat Recovery System Sewer/Water Conhactor: Phone # I hereby acknowledge That I have read this application, state thai ihe information is correct andagrp"D comply with all applicable State of Minnesota Statutes and Ctty of Eaga Or ti nc . Signature of Appli OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4l02 % . 1987 BOILDING PERMIT 9PPLICATION - CITY OF EAGAAI SINGLE FAMILY DWELLINGS . INCLIIDE 2 SETS OF PLANS, 3 CERTIFICATES OF S[TIt9EY. 1 SBT OF ENERGY CALCOLATIOAS NOTE: ADDRESSES FOR CORNER LOTS - CONTR9CTOR/HOMEOANER MIIST DESIGPAYE WHICH ADDRESS IS DESIRfiD. NO CHANGSS WILL BE ALLOWED ONCS SIIILDING PERMIT IS ISSDTD. _ MpLTIPLE DWELLINCaS - RESIDENTIAL RENTAL ONITS FOR SALE t1NTPS INCLUDE 2 SETS OF PLANS, CERTIFIC9TE OF S09VSY - CHECK fiITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COhtM6RCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND • DOC) To Be Used For: Valuation: Date: Site Address OFFICE DSE ONLY Lot y~ Block On Site Sewage_ Oecupancy • MWCC System Zoning 2 1 Parcel/Sub On Site Well Type of Const City Water ~ (Aetual) Owner (Allowable) ~ ll of Stories Address Length (o ¢ Depth 3Y3 City/Zip Code S.F. Total Footprint S.F. Phone APPROV9I.S FEES ~ Contractor N Assessments Permit • Water/Sewer Sureharge 57 Address Police Plan Review 2l 4 Fi-re SAC, City (Oc>. City/Zip Code Engr SAC, MWCC 52 S Planner Water Conn 525 Phone Council Water Meter fo- l. Bldg Off Road Unit ''jOs Arch./Engr. APC Treatment P1 l O. Variance Parks Address Copies TOTAL o~ City/Zip Code Phone # v ~~,~2d = 2~v xJE) ~ 2- 41-0 ~ 2~ x 32 = 7~8 x cz = ~ Zr~ 2 0 ~ 33 (14 3~~ 6$ P~ . -7 ~ ROSE C P~aNNEes ° aedO~AHO sSUA7VfYORS C NG N6ERING E OMPANY, INC. . ~ 1000 EAST 1461A STREFT, BURNSVILLE, YINHESOTl1 55331 PH 432'5000 Cer-~i}~i ea~~ Surire y ~1Q4t ~GJ1,~,rp~=pn; LOT 5, BLOCK 2, BkirTqn/Y 97H A00IT/oN, DAKOTA COVNTY, MINNESOTA ~r„] UEN07E5 EXISTIN6 ELEVA7lUN (962. s ) DEAIOTES PROPDSED ELEVAT/ON lNDICA7E5 DIRECTION OF SURFACE DRAlAIq6E ~lrZ.83 = FINISNED 6ARA6E FLooR CLEVAT/DIV NOR-I'Fi oe~~ WECLlA16ToN , . SCALE ~ I" = 40' Q10-°'R=1- covRT 30" FRaNT BwLD1N6 ~5 . D, 50 SETBACK L 1 N E 5 l'ws Qy' ~y° ss6.zi~ l~l`q~ N34Ro4`k ~ l9 5~.~ ` ~ " tI LOT 5 ~ , . ~ • ~ L_u~i~ ~ 1 • 1 ~ . N ~ f • ~Q3~,2~~ L i ~J DRAlNA6E AND UT/L ITY EASEMEAIT I hareby certify that this ie a true and corract rapreeentation ot a tractot land as sho+m'and deecribed hereon.. Ae praparad by ma on thia /3ni day ot APZic~ , 19 97 . ' REViSED 4/3's-~ CIwNEf Houyf T{pE r ' I I , . 4 'CITY -0F BUILDINfi DEPARDIENT " • EXTERIOR ENVII.OPE AVERA(3E "U" C014PUTATION (To be auhmitted with building permit application) One or Two Family Dwelling Ovmer All Other 3ite Address Contractor TOLLe-6OA1 '~;uiLDw ZuC' , Date Phone P44)u 9- 99(0 LINEAL FEET OF EXPOSED WALL ~1E~ 'V'o2,Y-_~dfiE']"" Yt. above grade = 11 9019, 00~ TOTAL E7L°OSED 4YALL ARr^.A SQ. FT. 0?AQUE WI:LL COPiSTRUCITI01~: ~~U° Value x Area Detail I'~~M45~ "U" •v43 x Sq. FT.,/Zt?j, &L. 55,79 (ll)(A) reference a"' 'oU't .070 x SQ. FT. 134.00 = 13.13 (U) (A) from gi M o/ST "Uli , pq.p x SQ. FT. .00 &2 (tT) (A) flUll x SQ. FT. - attached - ~U~ sheets "Ult x SQ. FT. _ (U)(A) flUll x SQ. FT. _ (U) (A) WINDO'NS: "Ull Value x Area Make & TYPe luSvL. dSni~T npu x SQ. FT. Z b 3 =!0l.43 (U) (A) " " IIUII x S@. FT. _ (U)(A) n n nqn x SQ. FT. _ (U)(A) u n nUn x SQ. FT. _ (U)(A) DOORS: "Ull Value x Area :=[ake & Tyue ~-1ferj livE,vLi nUn .14- x SQ. FT. 47.00 e (U)(A) " " rA7i o "0" .48 n Sq. FT. Z-DO = Z°•1Lp (U)(A) n n aUn x S@. FT. _ (U)(A) a n npn x SQ. FT. _ (U)(A) TOTALS HdD•OO SQ. I'T. Z04. dZ (U) (A) AVERADE "Ult TOTAL (0)(A) VALUES 7o¢ Oz- _ . 1D7 DIVIDED BY TOTAL 67ALL AREA /900.0p AVERA(3E "U" , t5 r lesa for 1&2 family dwellinga ROOF/CEILINd: TOTAL AREA: M30.00 Detail reference ~~U~~ .OZI x SQ. FT. $1 3v = 38,4t-. (U)(A) from IIUII x SQ. FT. . (U) (A) attached sheete. °Uto x 8Q. F'P, _ (U)(A) Describe onenings flUff x 3Q, FT, - (U)(A) in roof. VIUlt X SQ. F+T. _ (U) (A) TOTAL (U) (A) VALUES DIVIDED BY _To?"hL5 lj6,;C, 5qfT 38•43 `urr~~'~ ~ TOTAL ROOF/CE J(} AREA ~$30.GT~ ~ ~~r AVERAC3E " .025 or ventileted roofs. t ~ . . GJo ~l~~~T ~~Qvyi ~'xPaS~ GJA~ q 5O X(5dtsotsot ~o~ 900. oo Wx ~sotsotsotso~ = 134:~~ fa rs-t . ~3 x ~a~~-Sar-SOrs'o~ 1(y(a. cr~ lt'~w~v w S ?oX 36e = 5, oo x f_ 5, o0 Zgx 3fo = ~a• oo X~_ (o. o0 ,?9x48 = S.ao X ~ = 7Z,oo ?o Xlva = 8.33 x Z4xlc~ = lo.oa x /2 = lZv.oo Z//.33 3° sTL • lt~/ y, t. - L8. o0 b° PaT?n = 4z,oo ql.oa JUE7 E,~o~Fh ws~[..c- ERuA~s 00 Wf?[-C. l, 9ao.oo 38x 32 = t ZIlv,oo G~55 ~~134.0o ZX 14 = z8,°o fP/~1 1/a~o,oo /zXld = /Zo,Oo '~b.c~'S L!l.a3 ~z•33 /S X ts = 95aoo '~nw5 91,00 " 4X4 = /(o.oo Z91. lv7~ l, 830. oo , ~ . a. --WALL SECTIO Determining "II" values at Roof, Wallp Rim, and Cottc. Block ROOF/CEILIN(3 (R) VAI,UE 5 i.) Interior Air x'i1m 0.61 2.) 5/81, ayp. sa. .56 , 3.) Insulation 4.J 5.) Exterior Air Film .61 (STILL) I 2 3 6 nqn _ 1/R= (9Z.j iOTAL M= *'793 ~ l n yrpt,L R VALUE 6.) Interior Air Film 0,68 q 7.1 1" GYP. Bd. .45 8.) Insulation rq,Dp . b7 10.) 1` ~te ~idr .ing Z'~ tp 11.) Exterior kir Film .17 l1 'fUll - 1/a_ .043 ToTai. (R)=l3.of ~Z gIM (R) VALUE • ~3 12.) Interior Air Nilm 0.68 130 Insulation l4-00 14 140 2" Fir Rim Joiat 1.88 ~rr gWt~T- ~i7~ 2•O4 ~ 15.) 15 16.) Masonite Si ing .67 170) Exterior Air Film .17 . o _ d . , . nIIn = IIR= .O9-D TOTAL (R)= 74.4ff ~ FOUNDATION (R) VALUE 18.) Interior Air Film 0.68 lg 19. ) ~ 0rj~'• 9 21,) 12" ConcTete Block 1.28 ' s A ~ 22.) JOlfnlD 1X7''.yt~. 00 23. ) Exterior Air Film . 17 n I/x= .098 ToTAL cR>= 10.13 - - i~-- L~'tl~ !'?1 V y* APPI.IC:ATION UG~~ hJl (Xi.~ : ~•1 . * - - APPROVAL OF PERtdIT. * APPUCATION FOR PERMIT * * INSPELTION OF SE4ER A[ID/ct wam * 7TSS`TAT.TATTONS WII.L NOT BE SQIID- ~ LWM PERMIT ~ BEEN * SEWER AND/OR WATER CONNECTION * 11, - - . . y APPROVID. • • . * s • * ***~*t:+::*****~***~*:***#**t*,et++rti P ease Print ~ 1) PROPERTY ADDRESS: 7,~~i] / ~~~;,iyt~i./ ~~C~ LEGAL DESCRIPTION: t-or"' S, s~cE°j~~ ,;~~/~?Y ° (LotJBlock Subdivision or.Tax Parcel ID IF EXQSTING SIRCCIL'RE, DATE OF ORIGINAL B[,'ILDING PEE2MIT ISSL'ANCE: ' ~ n ear -PRFSENf 7ANING/pROPOSID LSE: (Nb M%YWCIAL/RETAIL/OFFICE eg~R-1 SINGLE FANIILY F-7 INID[.'STRIAL . R-2 DL~PLEX (7wv L~nits) ~ INSTZ'IL'TIONAL/GpVIItNMEN'p ~ R-3 70WNiOIISE (Three + Units) ( C~nits) R-4 APAR'IP'EzTP/COIIDChMINZUM ( Units) 2) ~ . NAP7E: TOLLF.FSON BUILDERS, INC. ADDRESS: 12617 Fairgreen Avenue CITY, STATE, ZIP:_ Apple Va11ey~ MN 55124 PHONE: 431-1100 • 3) • u ~For City Use . ~M: GENZ-RYAN PLUhiBING & HEATInG COMPANY Plumbers License: ADDRESS: 14745 South Robert Trail ~Active Ekpired ~ CITY, STATE, ZIP: Rosemount, MN 55068 . Not recorded PHONE: 423-1144 MASTII2 LICII45E# 1849M St~a ~Init aI A46y':i O..q19C . . . . . . NAME: . . , . . _ , . ADDRFSS: ' . CITY, STATE, ZIP: PHONE: 5) , ei i a:. ' ~e 1" YYa~ mN,EcrioN TO ci•'rY sE~aER ~ coN=iov zv czTr wATER p aiTM:R.-~. . 6) PLFr15E FIOLD AF'PP.OVFS] PF~'u41T FOR PICK-UP BY (-';;F OF APAVE ,r--V P1.E11SE MAIL APPRO1IID pEPNST 'IO 1, 2,~ 3 4, A?Y)VE pr (C1zc ie one) J ..L ELSI..2A [ 1. .FUH GI6rY U,E UivLY PERMIT # ISSLED Pd w/Bldg. Permit FEES: $ SEWER PERMIT (INCLCDE SORCHARGE) $ WATER PERMIT (INCLUDE SC'RCHARGE) $ WATER METER/COPPERHORN/OI:•TSIDE READER $ $ WATER TAP (INCLCDE CORPORATION STOP) $ $ SEWER TAP $ ACCOUNT DEPOSIT - SEWER $ ~S 0o ACCO[:NT DEPOSIT - WATER $ $ a C~ $ WAC $ ~ 2, S ' o n $ SAC $ $ TRL'NK WATER ASSESSMENT $ $ TRCNK SE[4ER ASSESSMENT $ $ " i:,:",'PERAL. BENEFIT/TRC'NK SEWER $ $ LATERAL F3EN°FIT/TRUNK WATER $ AP D o U $ l4A'i'ER TRERTMENT PLANT SURCHARGE $ $ OTHER: S $ TOTAL RECEIPT RECEIPT DOES DTILITY CONNECTION REQDIRE EXCAVA'PION T•."J 'e'C3LIC RIGHT OF R'AY? F--j YES IF YES, THEN A"P!~IRM:I~'." k'OR ;;'URK SJITHZN :rC13LiC Q ROADSVAY" MLST BE TSSCED BY 'I[iE E?1GINEERING NO DIVISION. LIST AS A CONDI'PION. SC'BJECT TO THE FOL,LOWING CpNDITIONS: ) . _ _ _ - _ APPROVED fiY: TITLE: ° .7' E --2 --'7--/-~-7 - 1D- ?5OQ~.- C) s0-~ok SPECIAL ASSESSMENT AGREEMENT THIS AGREEMENT dated this LI-16- day of October, 1988, between THE CITY OF EAGAN (hereinafter called "THE CITY") and LARRY R. and KATHLEEN A. JACKSON (hereinafter called "OWNER") of 4856 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; and WHEREAS, upon the completion of the improvements, THE CITY levied assessments basec3 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, did pay through the purchase price an amount su£ficient 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. Hratu7ich and Nancy J. Bratuiich, et al. glaintiffs, v. Vallev Glosings, et al. Defendants, Court File No. C7-88-3195, wherein the Plaintiffs have been awarded a Summary Judgment in the amount of $75,394.97 against the closer, Valley Closings, an assumed name; Valley Closings and Development, Inc., a ~ ~ Minnesota corporation; and Valerie A. Connor, aka Valerie A. Connor-Johnson; and WHEREAS, on October 6, 1988, the Eagan City Council did take action whereby the Council approved a 20-year assessment respread for the assessment against the OWNER's property with the understanding that this Agreement be executed by the OYJNER. NOW, THEREFORE, in consideration of the foregoing facts, the parties hereby agree as follows: 1. The OWNER, for themselves, their successors and assigns, does hereby covenant with THE CITY that should it eecover any amount of money from the litigation commenced in the District Court of Dakota County, styled J ames M. Bratulich, et al v. Val1ey Closings, et al, Court File No. C7-88-3195, that it will remit any and all sums received to THE CITY as a prepayment of the special assessments. 2. The OWNER, for themselves, their successors and assigns, waives any and all objections to THE CITY's right to re-assess the property for Public improvement Project 45R including any further notice which may be required in the future regarding the assessments, if for whatever reason the OWNER's payments thereof do not reraain current. Further, the OWNER waives any and all objections to the present re-assessments agreed to herein and the proceedings related thereto. 3. By execution hereof. THE CITY does agree to re-assess, over a 20-year spread, the assessments due against the OWNER's property, pursuant to Public improvement Project No. 45R at the same interest rate originally set out in the adopting Resolution. -2- 4. The OWNER hereby agrees that this Agreement may be recorded at the Dakota County Recorder's Office and the OWNER shall execute any and all documents necessary to implement the recording of this Aqreement. 5. The OWNER hereby agrees that this Agreement shall run with the affected land and binds the heirs, successors and assigns of such land. The undersigned have read and understand the above Agreement and hereby bind themselves to it in all respects. OWNER: THE C TY OF EAGAN n LARRY R. JACKSON Its: Maor ATTES : KATHLEEN A. JACKSO L~,AL Its: Clerk STATE OF MINNESOTA) ) ss. COUNTY OF Ko, ) On this a6-T4, day of 010o\7er , 1988, before me a Notary Public within and for said County, personally appeared VICTOR L. ELLISON and E. J. VanOVERBERE to me personally known, who being each by me duly sworn, each did say that they are respectively the Mayor and Clerk of the City of Eagan, the municipality named in the foregoing instrument, and that the seal affixed in behalf of said municipality by authority of its City Council and said Mayor and Clerk acknowledged said instrument to be the free act and deed of said municipality. MARILYtl L WUCNEAPFEN6Q ~ ~ NO7ANY P06LIC - ~11NNESOTA 7tNtary Ub~. 1C DAKOTA COUNTY ~ty Comimssion Ezp Fen 8. 199g 3 . 1 . STATE OF MINNESOTA) ) ss. COUNTY OF DAKOTA ) On the L? day of October 988, appeared before me, a Notary Public, LARRY R. JACKSON hus cuL f RATHLEEN A. JACKSON, who did sign the foregoing inst ent. No ary Public u STATE OF MINNESOTA) W~~'R1m atvx pm ) s s . M~ mnemre„ ~ ~ COUNTY OF DAKOTA ) On the -d79ay of October 8, appeared before me, a Notary Public, KATHLEEN A. JAC , RY R. JACKSON, Who d'd sign the foregoing instrumen Nota y bl ic , THIS INSTRUMENT DRAFTED BY: McMENOMY & SEVERSON, P.A. 0 ~ 7300 West 147th Street ~ ~ P.O. Box 24329 Apple Valley, Minnesota 55124 (612) 432-3136 MG D -4- TRANSUiIlTAL Date: _ 519 /8(c Engineerin9 DePartment To: KEL-L~rt HAU~,rF- ~ City of E :gan 3830 PILOT KNO$ ROAD EAGAN, MINNESOTA 55121 Fram:- (612) 454-8100 Re: UTILvrM "SEME\ITS Lo"7S SfCn ,&-aGK Z- RR1VAlM J F-NGLOSED ptRE 74E SI bNED ERS~MC/V"rS Fn~ T#AE Ps1300v-~ NoTED LDc-A'fioNl . PLE~cSE tt~VE t}}c-5a- Tr---C-0zDED wiTN TNE GourJTY AtND Le'T US ?(Now Wt}E+l -TFt?s ftAs '8c-AF-PJ UTILITY EASEMENT THIS INDENTURE, maae ana enterea into this aay of 1986, by and between BRITTANY ESTATES, INC. and JOHN BROWN as Grantors, ana the CITY OF EAGAN, Dakota County, Minnesota, as Grantee, WITNESSETH WHEREAS, said Grantora, in consiaeration of One Do11ar ($1.00) and oiher gooe ana valuable consideration, to it in hand paid by the said Grantee, the receipt whereof ia hereby acknowleagea, aoes hereDy Grant, Bargain, Convey ana Warran[ to said Grantee, its auccesaors ana assigns, the ` utility easements situate in Dakota County, Minnesota, as follows: Permanent Easement That part of Lots 5 ana 6, Block 2, Brittany 9th Aaaition, Dakota County, Minneaota, lying 10 feet each side of the following described centerline: Commencing at the southwesteriy corner of saia Lot 6; thence southeasterly aiong the common line of saia Lota 5 ana 6, a aistance of 80.00 feet;thence deflect to the right 29 degrees 00 minutes 00 seconas to a point of intersection with the survey line-arainage easement line as shown on the plat of BRITTANY 9TH AD?ITION, and there terminate. The siAe lines of said easement to be lengthenea or shortenea to terminate on said survey line-drainage easement line and the platted right of way line of Wellington Court. Temporary Construction Easement That par[ of Lots S and 6, Block 2, Brittany 9th Adaition, Dakota County, Minnesota, lying 25 feet each siAe of the above aescribed centerline. Temporary easements incluaea herein shall expire no Later than December , 31, 1987. The Grantee ahalt have the right to ao whatever is necessary for the enjoyment of the rights herein granteA, including the right of clearing the right-of-way of ingress ana egress to ana from saia tract of lana ana over ana across said easement only for the purpose of laying, maintaining, opera[ing ana repairing said utility lines. By accep[ance of these easements, the Grantee agrees that it shall replace any shrubs or soa removed by it in the exercise of its righta hereuntler to as near the conaition which exiated immeaiately before such righta were exercisea as is reasonably possible. ~t \ . . i IN WITNESS WHEREOF, the parties hereto have hereunto aet their hanas ana , seals the aay and year first above written. BRITTANY ES S, INC. ' B Y: Ite ~ By; Its ~ Joo Brown STATE OF MINNESOTA) ) sa. - COUNTY OF DYW-0TA ~ ; On this ZnD aay of Mq\( , 199Ly before me a Notary Public _ within ana for said County personally appeared QkRL Vi• ana to me personally known, who, being each by me duly sworn that they are respectively the PhP.51bP i'r ana of the Corporation named in the foregoing instrument, and that the seal affixea to said instrument is the corporate seal of said corporation, and [hat said instrument was signetl ana sealea in behalf of said corpora[ion by authority of its Boara of Directors ana said P~-g~JpykIT ana - acknowleagea said instrument to be the free act ana ~ ~deed of '`h',~i~~ ~ < CkRRIE E. SYBRA'T ! NOiAnY PU~f~4(; $41y{ic8(1~A ~ v MY COPdPd SS~ON EXPIFE3 523-90 ~ y Public ~ GGGGV V GVG"Y~'/~%CY~~~YGVV~~ STATE OF MINNESOTA) ) ss COIIVTY OF~DiYk ) On this day of OM , 19';L, before me a Notary Pubiic within and for saia County, personally appearea IpuAl gV'DioVI [o me personally known to be the person aescribea in and who executed the foregoing instrument and acknowleageU that he exe te the same as h free act ana aeea. TftIS DOCUMENT DRAFTED BY: Not y Public ` Hauge, Eide & Reller, P.A. 1200 Yankee Dooale Roaa - Water View Office Tower, Suite 303 Eagan, MN 55123 (612) 456-9000 EXEMPT FROM STATE DEED TAX STAMPS : ' CERTIFICATE OF SURVEY ~ FOR Yo~~FSON OJiLDCR~ KURTH SURVEYING INC. IIIEPEBY CERTIfI' TIUT fNIS iypVET, VLAN. OR pLYOqT YW pREMREO 4002 JEFFERSON STREET N.E. DYME OR YNDER Yl'OIRECT SUPERVISIOM AMDTMAT 1 Ay A WLY COLUMBIA HEIOHTS MINNESOTA 55421 REGISTFRED LAN~ UNDIE Ft`TNI,NE STATE OF YIMNESOTA. 812-700-9769 DATE ~ 17 ` SCALE 1"- 'SO' MINNESOTA REGISTR TION NO. 16113 o- IRON MoNUMENT ~ 111D1CO.TES VL7~1'TE3~ FJ~SET~E1dT L1ti1E - IKDICATEfb ~ O~ F1EW Ea.SC.MENT'O~ V1 El„..\xlCa7 Ot~t ~ ~ - f?aD~CATeS L1M1T oF 4tEW p~,RMANe.~'c- ESri O - tuD~c.A.TeS L~1A~T op `cEY~DORA.RY . GQJSTRLIC-T\ON r.p~S~MCTVT COlS,S-T ~T'COR' ~ ~ . . o ~`P C) (P- . ag~ a~ . \ ~ ~ , ~ / cr • 1 ~ „ 9 ~ 1 /•v~Q' d ~ ~,w Q ~ a- °p 1 / `9 /41 d ~s N N 610 IQ',c,1 w ~z•s~ c~ BR\~CTAN`( 9T IAA9171T\O'~l. DAKO~A COU.N'CY~ M\~ln1ESOZ'A. SKGL:.T ~OF 3 Sr3.ECT~ DAKOTA COUNTY MINNESOTA RECEIPT FOR PAYMENT OF PUBLIC IMPROVEMENT ASSESSMENTS RECEIPTNO.C 01-C7C~" I~ DATE O , NAME: ADDRE55: ~ DESCRIPTION: i' ~ .C o rs i ~ / ~ f DISTqICT ~ PL0.T J~~C J( PARCEL NO. CNECK DIGIT MUNICIPALITV C/ 112-131 (IC-tBl It9-211 122-231 (24, ~ IMPROVEMENT DiP - AUD INT, FROM TD ORIGINAL AMOUNT PRINCIPAL INTEREST TOTAL PAID / 2) 770.4~ /0 + ~D S ' i (2]-36) 137-40t 101-501 (51-60) Paid Beforo Certification ~(77=4) PieDayment (77 = 5) Paid in Full (76 = 1) Paitial Paia J(78 - 2) PREPARED BY NORMA B MARSH, COUNTY AUDITOR gy. PREPARED BY MUNICIPALITY OF: By; . ^ C If poyment is mode by check, this is not a alid reteipt until check is paid. This Receipt does no include (NAME) }he installment certified-to POSTED BY: OATE the 19 L taxes,. I 1 PERMIT # ~ 1 1 ) RECEIPT DATE I c,V i . USIDENTIAL PLUM$1N6 PEfiMiT APPLICATION - . : . . crrY oF EAsm 3830 Pu.or Krros gn gasM, aix 55122 651-681-4675 Please complete for: ? single family dwellings 9 townhomes and condos when permits are required for each unit ? backflow preventer for irrigation system SITE ADDRESS: 995LP WE I I I Yl IApYl C-LL OWNER NAME: : KQAl IePXI J oC~'.S G I'1 TELEPHONE l0 88 ~ 8 5`~ (AREA CODE) INSTALLER NAME: OY"O.\ 11 p YU P m i TELEPHONE STREETADDRESS: VIQ~J~J P- (AREA CODE) CITY: w1 ~_e' u I It ~ STATE: M 1 V ZIP: 5rJ D~ Place a check mark next to the ermit work t e New residential dwelling unit under construction and not owner/occupied $ 90.00 ~ Add-on, modification or alteration to existin dwelling unit, including: $ 50.00 • abandonment of septic system . new installation/repaidrebuild of RPZ r I • lawn irrigation system • water tumaround Natureof work: f Y1SL 7 R.I1 (NCA-"FC'i1- h-2 a4by- Septic System, new/refurbished - $ 225.00 • includes County & Consulting Inspector fees • requires MPC license State Surcharge $ 50 Total ~ Reminder: Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc. I hereby acknowledge lhat I have read this applicalion, state that the information is correct, and agree to comply with all applicable Ciryof Eagan ordinances. It is the applicant's responsibility to noti(y lhe property owner Ihal the City of Eagan assumes no liability for any damages caused by the City during ils nortnal operalional and maintenance activities to the facililies consWCted under this perm4SIGNA operty/ri9htof-way/ ~ ent. E OF P MITTEE Up dated 1101 i ~ Cll1~y 01 ~ ry-A~~n j Pertnit#: iJo2 3~ I 11U ~ ~l I I ~ V~ 3830 Pilot Knob Road Pertnit Fee: `Jv i I Eagan MN 55722 i QQJ ~ ~ Phone:(651)675•5675 Oate Received: ~ I Fax: (651) 675-5694 I, StaH: I 2008 RESIDENTIAL PLUMBING PERMIT APPLICATION oate: 7`~J'02~ SiteAddress: C'(7 •.Ea a-"` c ~ Tenant: vat+t2eA^`J0.GILSOti Suite#: RESIDENTlOWNER Name: V0.ttAtePM -,.IaCVSGin Phone:(0~ 1 (000 854'8 Address/City/Zip: We1tik -&)L4 C+. G0. a~ CONTRACTOR Name: -t)Ya.ivt Prp -RUcaloii,43 License#: ~(e) 4(o f 'J"PM Address: 8U 1rJ" 20Qt~,5t . w. ciry: Lu.~-P.vittP. state: MtJ ziu:5504tF Phone: 9-9Z4&ct (19 QRq Contad Person: V04N TYPE OF WORK _ New X- Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W. Descri tion of work: PERMtT TYPE RESlDENTIAL ~ Water Heater _ Water Softener Lawn IrrigaGon Add Plumbing Fixtures ~ RPZ PVB) I Main _ Lower Level) Septic System _ Water Tumaround New Abandonment RESfDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround' (includes $.50 STate Surcharge) 'Water Turnaround (add $136.00 if a 5/8" meter is required) $100.50 Septic System New ($10.00 per as buiR) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace bumed out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ Jr' b. 5 Q I hereby acknowledge that Nis information is complete and accurete; that Ne work will be in confortnance with fhe ordinances and codes of the City Of Eagan; that I understand this is not a permit, but only an application for a pertnit, and work is not to start without a permit that the work will be in accordance vrith Ihe approved plan in the case of work which requires a review and approval of plans. x ,VPbOr[L(n L-A.(Sbt,+ x ApplicanPs Printed Name plicant's Sign ure FOR OFFICE USE x r'y "y~~1~ ~BYIBLIJBf~.~By i ORe. ~ ~ :.~'r,G~Xtaz ~t'~tuM14 t»~''~3€ 'Rn.`'Y=~~ " e~ w '~r"2 1~~~ Rec~mred Inspec6ons LJnd'efGround`'-,~~2qugt~ ~~~Fina~ City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4856 Wellington Ct Lot: 5 Block: 2 Addition: Brittany 09th PID:10- 15008- 050 -02 Use: Description: Sub Type: e- Windows/Doors Work Type: Windows/Doors - New/Replacement Description: House Census Code: 434 - Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Krech Exteriors Corporation 5866 Blackshire Path Inver Grove Hgts MN 55076 (651) 688 -6368 Applicant/Permitee: Signature PERMIT City of Eaan BL - Base Fee $3K Surcharge - Based on Valuation $3K Total: $90.00 - Applicant - Construction Type: Occupancy: Owner: Larry R Jackson 4856 Wellington Ct Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are required in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector. $88.50 0801.4085 $1.50 9001.2195 I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply with all applicable State Issued By: Signature Building EA085892 09/08/2008 ePermit úî ÿþ þýý üûÿûú ùýýÿüøê ùã ä þýö ýüûúùø÷ö õ üúùø ÷ ÷ö õ ôöõóøò ñü ü ðìüøù ïÿ ýîü òø ëò ò îü ò û ò êé ÿööøÿ þé é òÿ ý øêé é øé ê ûòè îü ûùö ÿéòùò ê íæðåæääêäêä õù ýü æêãêã çüðþê ôó öòñ øø óö ùóÜ ãüùó÷ äâ÷ÿ ó ë ôð ÿ ô àâßâ ûùöÿë øø é ò ÿ òøùöøøûý é ýü ùé ÿì ê øøõ òýÿü üùýÿü 21 Mar 2014 8:07AM CedarValley FAX C!ty of Eaao 3530 Phot Knob Road Eagan MN 55122 Phone: (651) 675.5675 Fax! (681) 07546694 .64 7637555390 p.2 Use BLUE or BLACK Ink For ONIoo Use Perms #: 131)(4‘e Penns Fee: 105- 'a5 Date Received: 3/ D i /'9 - Staff: 2014 RESIDENTIAL BUIL ING PERMIT APPLICATION oiq 9lte Address; -/5 S Q iib. /1 Name: c A 1 Phone: Address / City 1 Zip: Applicant le: Owner k Contractor Description of work; Construction Cost Unit a: rra)s-rat- n.G1anginjroAng.. J Multi-Femlly Building: (Yes _ 1 No.i,_) rrr Company .! elk .+ s IA/1k N.A. Contact: 1 X IAA. Address: ,-33(01 ep-D4/pt.eds. este City: (?,& tai S / State: ki/IJ Zip: - Phone:7b3 •7Z - 4Zo LIe.nse #: Be T7CWT.- O Lead Certificate #: If the project Is exam et from lead certlfic ton, please explain why: (see Page 3 for additional Information) �S fT I S •.�.tL 4 ' `i ..� / i / .lit, COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan Issued a perhtlt for a similar plan based on a master plan? Yes �No If yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone; Phone: 0•10,►WJio� aha"ii+dk�r±e pMi U � iS�rie, ..:rl.J.��.,...,m.::WyIr ��`R' w MW MFR CALL BEFORE YOU DIG. Call Gopher State One CeII at (851) 454.0002 for protection against underground utility damage. Call 48 hours before you Intend to dig to receive locates of underground utilities, yyww.000herateteonacan,orp I hereby acknowledge that thls Information* complete and accurate; ithat 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 le not to start without a permit; that the wont will be In eCcordance with the approved plan In the case or work which requires a review and approval of plans. exterior work authorised ris by a building permit issued In accordance with the Minna, : tab II g Coda must be completed within 180 d of permit e. �,MAIi l• phcant'a Printed N ptifieY4�T 11C.� Name Page 1 of 3 5 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA131596 Date Issued:06/26/2015 Permit Category:ePermit Site Address: 4856 Wellington Ct Lot:5 Block: 2 Addition: Brittany 9th PID:10-15008-02-050 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Larry R Jackson 4856 Wellington Ct Eagan MN 55122 Burnsville Heating & Air Conditioning 3451 West Burnsville Parkway, Ste. 120 Burnsville MN 55337 (952) 894-0005 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA144707 Date Issued:08/07/2017 Permit Category:ePermit Site Address: 4856 Wellington Ct Lot:5 Block: 2 Addition: Brittany 9th PID:10-15008-02-050 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door 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: 500.00 Fee Summary:BL - Base Fee $500 $40.00 0801.4085 Surcharge - Based on Valuation $500 $0.50 9001.2195 $40.50 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 - Larry R Jackson 4856 Wellington Ct Eagan MN 55122 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature lI ' r For Office Use ,O ,' .0 • OHIVE Permit#: �/0 C/ E AGA N DRAB 1 3 202Permit 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: buildinoinsoectionstcitvofeaaan.com 2020 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 3/12/2020 Site Address: 4856 Wellington Ct., Eagan MN 55122 Unit#: Name: Charlotte Glidden and Tom Carlson Phone: 763-260-3080 Resident/ 4856 Wellington Ct., Eagan MN 55122 Owner Address/City/Zip: g g Applicant is: f✓ Owner Contractor Type of Work Description of work: Adding interior walls and 4 doors in partially finished basement. Construction Cost: $6,000'00 Multi-Family Building:(Yes /No ) Company: Contact: Contractor Address: City: State: Zip: Phone: Email: License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: f � I ' 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: Phone: NOTE:Plans and supporting documents that you submit are considered to be public Information. Portions of the information may be classified as non-public If you provide specific reasons that would permit the City to conclude that they are trade secrets. 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 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.000herstateonecaii.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 will be in accordance with the approved plan in the case of work which requires a review and approval of plans. xCharlotte Glidden / Tom Carlson x Applicant's Printed Name Applicant's S gna DO�:dOT WRITE BELOW THIS LINE q .;c, i 1`/l- ' k1/ l'l 1 - / O6 / SUB TYPES Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) ,_ Single Family — Garage _ Porch(4-Season) _ Exterior Alteration(Multi) _ Multi _ Deck — Porch(Screen/Gazebo/Pergola) _ Miscellaneous 01 of_Plex — Lower Level — Pool _ Accessory Building WORK TYPES _ New ) Interior Improvement _ Siding _ Demolish Building* _ Addition _ Move Building _ Reroof _ Demolish Interior Alteration — Fire Repair _ Windows _ Demolish Foundation _ Replace _ Repair _ Egress Window _ Water Damage _ Retaining Wail *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation 3, goo.oo Occupancy nu-- 1 MCES System Plan Review jC Code Edition 'Zesi 5 TQC SAC Units (25%_100%x ) Zoning 12- I City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction V B Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: -, Footings(Deck) Final I C.O.Required ti Footings(Addition) X. Final/No C.O.Required Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood Roof:_Ice&Water _Final Pool:_Footings _Air/Gas Tests _Final Framing 30 Minutes iC 1 Hour Drain Tile Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS jC Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression: Rough In Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: "(---.7 ...---1----- ,Building Inspector RESIDENTIAL FEES Base Fee 1a4L 4 ',"v t' s IN o C' Rsvvit Surcharge � ) - ;�I�L'��fi5c1 W� T i�t 5kc d Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Radio Meter Read Copies TOTAL Page 2 of 3 r PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA160961 Date Issued:04/27/2020 Permit Category:ePermit Site Address: 4856 Wellington Ct Lot:5 Block: 2 Addition: Brittany 9th PID:10-15008-02-050 Use: Description: Sub Type:Residential Work Type:Alteration Description:Basement 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 - Charlotte Glidden 4856 Wellington Ct Eagan MN 55122 (763) 260-3020 Dean's Professional Plumbing 7400 Kirkwood Court N Maple Grove MN 55369 (763) 428-1321 Applicant/Permitee: Signature Issued By: Signature 05/08/2020 12:47 PM 17637108184 -*16516755694 pg 1 of 1 • r •4%ft. E AGA N • r i r For OMce We / //((///Y(��//''� •••,. ••.• Pernik N: j //10 �1b Peewee: ,6 - 061 C- 0- 76 3830 PILOT KNOB ROAD(EAGAN,MN 55122-1810 Date Received: CC (651)675-56751 TDD:(651)454-85351 FAX;(651)675-5694 Email:buNdinoinsoecionsecitvoleaoan.corn Commercial Plan Submittal:polanstiikitvoteaoan.com Static: 2020 RESIDENTIAL MECHANICAL PERMIT APPLICATION kn Cf Date: 5 �-� Site Address: �g�4' L�P�tuL Tenant: / Suite 8: Resident/Owner . Name:Cn t_,rl c.b(rl/dd j _Phone: 7103.244 -3030Address I'Cily/zip: 55j? ' Name: Q11 S f/3 4v S S IO'fioI License S: ine3065l�8 Contractor Address: 7 40 0 P-1 r 1600 n d AL lo City: in/J ie 4,five, State:i r ►/y Zip: C,,53G,4 Phone: .7/0 Contact: Email: u c&GO/bl av 1S• CD in RESIDEN L _Furnace _Air Conditioner Permit Type _rut Exchanger . _Heat Pump Other 1 n l�Cf77r1 7 ^�New Replacement Additional Alteration Demolition • Type of WO*. Description of work: Otinye RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit,includes State Surcharge $100.00 Residential New,includes State Surcharge =S TOTAL FEE You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an enroll update on the City's website at www.citvofeaaan.comisubscribe. I hereby acknowledge that this iniorrrhation 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 r/L L20,TUS " Appi nt's Printed Name Appli s Sig FOR OFFICE.USE Required Inspections: Reviewed By: Dab: :,,_Underground Rough in Air Test Gas Service Test in-floor Heal Final PERMIT City of Eagan Permit Type:Building Permit Number:EA169378 Date Issued:05/24/2021 Permit Category:ePermit Site Address: 4856 Wellington Ct Lot:5 Block: 2 Addition: Brittany 9th PID:10-15008-02-050 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. 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. When a weather barrier is installed or Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - Charlotte Glidden 4856 Wellington Ct Eagan MN 55122 (763) 260-3080 Legacy Restoration Llc 15350 25th Ave N, Suite 114 Plymouth MN 55447 (763) 354-7660 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA178611 Date Issued:08/25/2022 Permit Category:ePermit Site Address: 4856 Wellington Ct Lot:5 Block: 2 Addition: Brittany 9th PID:10-15008-02-050 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the water damage. Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after started. 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 - Charlotte Glidden 4856 Wellington Ct Eagan MN 55122 (317) 752-6815 Legacy Restoration Llc 15350 25th Ave N, Suite 114 Plymouth MN 55447 (763) 354-7660 Applicant/Permitee: Signature Issued By: Signature