4860 Wellington Ct
G'TY OF EAGAN WATER SERVICE PERMIT
38. 0 Pilot Knob Rosd
P. O. Box 21199 PERMIT NO.:
Espen, MN 551,?,1 pATE;
Zoniny: No. of Units: 1
Owrwr To e_son B r rs.
Address:
i Sita Mdress: " We natan .,t.
I Plumber. `e li- Va~:
~ Mefer N.: -3 7V ro d 0 7 ( {S ~
~ Slu:
r No.:,1To70 y3 7 Tfl Fee:
~ 1r lr' of E'''RE~n _--0 -T- T `
Charon: _ I t c~r
BY COh Poid:
i Dote lrqp.: Insp,;
CITY OF EAGAN SEWN SEMCE PERMR
3830 Pilo* Knob Road .
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE:
Zonlrp: - ` No. of Unlts:
pN,rwr ~'oll~fson Aldr•;.
/lddrcss:
Site Addrou: 4F,E3 kC1:.{sgto
Plurnber. ~eu:.-H,v&T,
4-70 <,r
1 Nrw tr ~tibr wllU 1w CIlp of Msee Ca+rnctian Chonpr.
OrliMmam Aocount Depodt:
Pom* Fw:
Surcharpr a.i
By Mtsc. CMrp.s:
Doh of Insp.: Tofai:
Inap.: Dote Pold:
L~~--~t= - . . _ _ _
~
#;ITY OF EAGAN N' 2- 11774
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 BUILOING PERMIT Receipt # J
Tobeusedfor Sr U~CIG`''R Est.Value $144,000 Date A?RIL lU 19 86
Site Address 4860 WELL I NGTON C'P Erect CTh~ Occupancy R3
Lot 4 Block 2 Sec/Sub. BRIT1ANY 9T14 Remodel ? Zoning
Parcel No. Repair ? Type of Const.-~/
Addition ? No. Stories
a Name TOLLEFSCiV Bi,l]RS Move ? Lengtfi 64
= 12 617 FAIRGREEN AVE aemolish ? Depth 3 8
o Address Int. Impr. ? Sq. Ft
Ciry A• V• Phone 431-1100 Instail ?
= o Name Sr'-i~ ~ F Approvals Fees
~a Address Assessment Permit $ 543.U0
- City Phone Water 8 Sew. Surcharge 72.00
~ Police Plan Review 271. 50
F W Name ' Fire SAC 575.00
Address Eng. Water Conn. 500 • 00
~ W Ciry Phone Planner Water Meter 63.50
Council Road Unit 290.00
I hereby acknowledge that I have read this application and state that the Bldg. Off. 4/1 U 1 f's Tr. PI. 156 • uo)
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances. APC Parks
Var. Date Copies
Signature of Permittee Total $1 , 4 7 1. U G
~'r 5UA3 ~3LJ:<`~
A Building Permit is issued to: `1~ULL 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
.
• Parmlt No. PamH Holdor Dab TNephone k
Plumbleg , - ~ - KI-
H.y.A.C. • o~ 1-7
L Y 9I
El.aa1e $ • V C C,
Sotlener
Inspection Dab Insp. Commenfs
Footlngsl
Foodnysll
Foundstbn 7 ~ ~
Framin9 / !v~
Rooliny
Rouqh Plbq.
Rouyh Htg. ~
ll,Flreplac*
rnul. Flnal itty. ~
flnal Piby.
81dy. Final
Cwt. Occ. y . L1J `~y-~
~
r
Deck Ftq.
Dack Frmy.
WNI
Pr. Dlsp.
• PERMIT #
MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN . •
3830 PILOT KNOB ROAD, EAC+AN, MN 55121 DATE:
CONTRACT PRICE: PHONE: 454-8100
Site Address • ~ ' - gLpG, npE WORK DESCRIPTION
Lot ' ) Block Z Sec/Su
Res. New
y Name -'E- 1 ' Ntult - - Add-on -
`7..._
N ~ ~z Comm. Repair
c City - --ti Phone Other
Name FEES
3 Add~ess ~-4- -"7 4- RES. HVAC 0-100 M BTU -$24.00
p Cii~'{'"'`` / 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
~ 1- GAS OUTLETS - 1.50 EA.
Forced Air M BTU `-j COMM/IND FEE - 1% 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
Ve~t CFM (ADD $,50 S/C IF PERMIT P~IGE GOES
~ BEYOND $1,000.00) ~
Gas Piping Outlets #
Other
, , . FEE ' . L.~.; . _
1
S/C: SIGNATURE OF PERMfTTEE
TOTAL• ~ ~-•-~FOR: CITY OF EAGAN
' PERMIT # -7
, 4 PLUMBING PERMR , RECEIPT #
CITY OF EAGAN
.
~ 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE «
CONTRACT PRICE - • - PHONE: 454-8100
Site Addressv ~G& 6& 1 A16A BLDG. TYPE WORK DESCRIPTION
.t.
Lot~ Block 2- Sec/Subr R'A ti'
Res. New ~
m Name Mult Add-on
fComm. Repair
Phone q,,e 'Other
Name!~- ~~f u~? ''<<' ' S FIXTURES TOTAL
Water Closet - $3.00
c Address/Z L ' ' ~ yc' ~ ~ Bath Tubs - $3.00
0 City A . /~1 ~c.J • Phone / Lavatory - $3•00
tShower - $3.00
FEES --~-Kitchen Sink - $3.00 '
Urinal/Bidet - $3.00
COMM/IND FEE - 1% OF CONTRACT FEE ~ >~_u
MINIMJM - RESIQENTIAL FEE _$10,00 Laundry Tray -~3.00
MINIMUM - COMM/IND FEE - ~.pp Floor Drains - $1.50
STATE SURCHARGE PER PERMIT _ ,50 LWater Heater -$1.50
(ADD $.50 S/C IF PERMIT PRICE GOES ~~hiripool -$3.00
4-Gas Piping OuUets - $1.50
BEYOND $1,000.00) Softener - $5.00
Well - $10.00
Private Disp. - $10.00
~Rough Openings - $1.50
SIC,NATURE OF PERMI, TEE - FEE
STATE S/C:
FOR CITY OF EAGAN GRAND TOTAL: `
I1 \ Si EUrl'I V N KLUOi_I) . . . r+. . . .
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued: r'''r
(612) 681-4675
SITE ADDRESS: 1111 s 111 1 APPLICANT:
• , , i . ~ ~ , i , ~ti..
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION D. .
~ ~
Permit Holder Date Telephone A
PLUMBING
HVAC
Inspectlon Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING ~/7 G
7
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
coNOUCTivirr
TEST
HYDROSTATIC
TEST
BSMT R.I. "
BSMT FINAL
DECK FTG
DECK FINAL
\
NO UTL;,I,TY S RVICE AVAILABLECITY OF EAGAN
BEFORE r/30/86 9830 Pilot Knob Road, P.O. Box 21-799, Eagan, MN 55121 N~ 11774
PHONE: 454-8100
BUILDING PERMIT Receiptn
7obeusedfor SF DWG/GAR Est.value $144,000 Date APRIL 10 1986
SiteAddress 4860 WELLINGTON CT Erect ~l Occupancy R3
Loc 4 eiock 2 secisub. BRITTANY 9TH Remodel ? zoning Rl
Parcel No. Repair ? Type of Const. V
Adtlition ? No. Stories
~ TOLLEFSON BLDRS Move ? Length 64
W Name Demolish ? Depth-3~Q
3 /+ddress 12 617 FAIRGREEN AVE ~nt ~mpr. ? Sq. Ft
0 City A•V• Phone 431-1100 nsta11 ?
a SAME Approvals Faes
a Name p
Address Assessment Permit~00
~ City Phone Water 8 Sew. 5urcharge
Police PlanReview2 71 . ~
Fi Name Fire SAC
Addres5 5~~•~~
~ Eng. WaterConn. 63.50
a W ciry Pnone Planner Water Meter 290.00
Council Road Unit
Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe gldg.Off. 4/10/86 rr.ai. 156.00
information is correct and ree to comply wit all a plicable Siate of
Minnesota Statutes and oI Eagan Ordi e. APC Pal'ks
.SignatureofPermitt Var. Date Copies Total $2•471.00
A euilding Permit is issued to: TOL'L FSON BLDRS on the express condition that
all work shall be done in accordance with all applicabl tate oi Minn sota 5 es and Ciry of Eagan Ordinances.
Bu'dding Official (Ddz.A- ~
31r
. ,
" • ` t J.. . 1 ' .
7
7985 BUILDZNG PERMI? APPLICATION - CITY OF EAGAN
NOTE: AI,1. CONSRACTORS MU3T BE LICENSED WITH THE CITY OF EAGAN
C0141ERCIAL SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS
& STRUCTURAL PLANS, 1 SET OF 3 CERTIFICATES OF SURVEY
SPECIFICATIONS AND 1 SET OF 1 SET OF ENERGY CALCULATIONS
ENERGY CALCULATIONS
$2,000 LANDSCAPE BOND
To Be Used For: Valuation: 44 0co Date:
Site Address -0 OFFICE USE ONLY
Lot Z Block _,2 ~ Erect X Occupancy 9•3
Remodel ~ Zoning R.~
Parcel/Sub Repair , Type of Const Q
Addition I! of Stories
Owner Like Move _ Length lo
• Demolish Depth 3a
Address Int.Impr, ~ Sq Ft
Install
City/Zip Cod . - -
Phone a- O APPROYALS FEES
Contractor Assessments Permit ~ 3.
Water/Sewer ~ Surcharge Z.
Address Police ^ Plan Review 'L."ll.s=
Fire SAC 5-15•
City/Zip Code Engr Water Conn Soo.
Planner Water Meter ('3
Phone Council ~ Road Unit 2 O.
Bldg Offh7 ~ Treatment Pl (s(,,
Arch./Engr. APC Parks
Variance Copies
Address TOTAL
City/Zip Code
Phone #
~ZS ~b 1
a,-b ~ bzol . Z~ ~ Z~
02 X-b )
z?~~
r923 61)
~
. • -
i y
' o~-2
~3<~ _~LS a' c~~ = C~ ~ x 2 Z
CITY OF BUILDIN(3 llEPIIRTi•1LNT
EXTERIUR EITVF3,OPE AVERAGE IIU II COI-1PUTATION
'(To be subnti:tted tivith building permit application)
une or Two Family Dwelling Owner
A11 Other Sf.te Address
Contractor le7y.LEj 7-=-tV Date Phone
J,l:]!L;ILL P'PPT OF
E::6'OSED l7ALL ZC ~r.P.(- ft. above grade - .2i7 1 W,
TOTAL EXPOSED WALL AREA SQ. FT.
0?AQUE F'dALL COP!S'PRUCTION: "U'l Value x Area
lle tail- liUll • C~'~~ X SQ. FT. ''j ~uC. ZGs ` ' (U)(A)
nUn
r~•~erence O<1fS x S(~1. FT. 2iG^."LL= 'LI..IS> (U) (A)
from upn .Ca4~ X SQ. FT. L2J.C = Cf, 11 ~U)(A)
attaclted IIU" x Sa. FT. _ (U)(,)
skicets °U" x Sq. FT. _ (U) (A)
"U" x Sq. FT. - (U)(A)
ivII'WS?S: "U" Value x Area
Pivl:e & TYPe _/14L-,c'L: L!S.IjFtT npn • 10 x SQ. FT. 103. 'L) - 7.3:-z;Z (U) (A)
n u nun x SQ. FT. - (V)(A)n n nUll x SQ. FT. - (U)(A)
it " "u" x SQ. FT. - (U)(A)
ItJi)P, ; : "U'l Value x Area
iiclce Ce TY??e ~en- l6L'ei."C_' nUlt ,
e 14 x SQ. FT. SIc=.GC7 - 7. M- (U)(A)
n n _ PR"3JU °ut~_ a7 x SQ. FT. Ca0 = S?3:(I'~ (U) (A)
nUu x Sq. FT. - (U)(A)
"U" x SQ. FT. - (U)(A)
TOTALS 1-2, SQ, r'T. 1(r/e(o& (U)(A)
AVERA4E "Uli
7'O'PAL (ll)(A) VAI,UES
'0
_ 31
D1VIllIsD BY `POTAI, FlAI,L ARF.A 2J9c),.i3
A'JiJliAUL "U" ~5 br less for 1&2 family drrellinga
~
[?;;U F'/CEILIIJG :
ToTni AREA: 'aG= • ~
lletail reference ifUll r(7c'..~ x SQ . FT. C~- .3F'i (II)(p)
from liUll • X SQ• FT. s (U) (A)
t+Ctaclted sheets. °U11 x SQ. FT, o (U)(A)
Un~;cr:ibe onenings PIU"
x SA. FT, _ (U)(A)
in roof. nun x SQ. F.T. _ (ll)(A)
'co'rrL (u)(n) VALUES DIVIDED BY 27 35 ,707A ~2 lkt-2 7 3b'
'i'0'CAL ROOF/C, pRFA c 02.~
AV1sRAGE ~~O 25 for Lentillted roofe.
~
, ~t k7v~ ekC- T- A
C'-l~c_:~: C=7,~2~ i~• _
(11H 1~-9202) = l9~S.78
z l-)V f 2zfz7)
~c~7X ~qztqZt4)~ _ 83~ /S
7,c-v A
9y0.13*
~ ~:1x~4z~9z ~-q1t41~ = %ll~ La
I c:~v x !s = . /o
zW. zZ ~
•~':7~~?G;~~+-11I~ = zz~.9/~
MUD
7.~~ x4 = lv,'7 K S= $.f:lvo
lax ino = F?,.q k 3= ZS,Lp
r`l X4 S;O X (o = IBlOP
I Z X 9k; 4jo x L= f?.oo
3vxivc ~ o yt I /SloO
I Z X 7 z = in, o co
1:r r.~_~; /B~~Bv
~ .
3'~;.00
I'7S,00 -k
yzo
,~.L ~~"LZ. = f1 fz
Lzy,y/
~r WAW~S 1~3;eo ~~~93 ~5x>q- ~ zic
:R"'z-~y 1>s;oo 7 X lo = 7z~
Lp 4
. . --WA~L SECTIO
• Determining "0ll, valuea at Roof, Wall, Rims and Conc. Block
ROOF/CEILIN(i (R) VALUE
5
1.) Interior Air r'i1m 0.61
2.) 5/811 ayp. sa. .56
30 Insulation 45_rr
A/W 4.J
5.) Exterior A1r Film .61
(STILL)
~ 2 3
nUa = 1/R= r02,1 iOTAL (R)= 9(s•'. J~;
l ,
O p)pI,L (R) VAI.UE
6.) Interior Air Film 0,68
7.) 1" GYP. Sd. .45
80 Insulation )CJ;C?o
9. ) Px~ic-( - ~)TC Z: c9
10.) Masonite Siding .o']
~p 11.) Exterior Air Film .17
1
nUII = 1/R= P04:2' TOTAL (R)= I3.4~l
-~J RIM (R) VALUE
1
~3 12.) Interior Air Yilm 0.68
130 Insulation 19,i'f'
14 14.) 211 Fir Rim Joist 1.88
1 15 15.) PL,i+-T-,PatC l;c~V
16.) Maeonite Siding .67
170 Exterior Air Film .17
. o
. l~510 TOTAL (R)= Zd ~~Q._
, o • . . nUn = 1/R=
~
I
~ FOUNDATION (R) VALUE
18.) Interior Air Film 0.68
lg 19.}
21 • ' )
1211 Concrete Block 1.28
' e n 1a 22.) ~~Cv11~ C'c'
23 23.) Exterior Air Film .17
n " L
npn : 1/R= , Q~~ TOTAL (R)= ~O, j~
. ; '
` . --WAi.L SECTIO
Determd.ning feU!t values at Roof, Wallp Rimt and Conc. Block
ROOF/CEILINQ (R) VALUE
1.) Interior Air !'i1m 0.61
2.) 5/810 oyp. Bd. .56
3. ) Ineuletion 44o0
4.J
50 Extefiior. Air Film .61
(STILL)
I 2 3
6 "pu a IIRe ibTAL (R)= 49.70
~
O Wp1,L (R) VALUE
6.) Interior Air Film o,68
9 7.) 1,' arp. sa. .45
8.) Insulation 17.vo
9.) Z-56e, 8vtL1-PiT6' 2.0¢
10.) l~lasonite Siding .67
t0 11.) Exterior kir Film .17
1
' oUiI = 1/R= .013 TOTAL (R)=Z3.ol
~
RIM (R) VALUE
120 Interior Air kilm 0.68
13.) Insulation 19.00
~ Ig ty.) 211 Fir Rim Joist 1.88
~ 15.) ZS/3z'' Bvrcr-Rrm- Z.oq
15 160 Maeonite Sidina .67
170 Exterior Air Film .17
n ,
. d... uUn IIR= ~tjq,l7 TOTAL (R)=Zj.g/
o~ FOUNDATION (R) VALUE
18.) Interior Air Film o,68
lg 19.)
n r>6 g~' • ~ ) 1211 Concrete Block 1.28
' e n ?0 22.) PGIb /ti15vL. 8•00
23.) Exterior Air Film . 17
e
uUn e IIR= r$ TOTAL (R)=
• ~
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EACAN MN 55122
651-681-4675
3. ~
New Construction RenuiremenM RemodellReuair Reouirements
• 3 regrsterea site surveys stwwirg sq. tt. of;o6 >q. k. of house; and all roofeC areas • 2 copies of plan
(20% maximum lol coverage allowed) • 1 set of Energy CalcWalions fcr heated additions
• 2 copies of plan showing 6eam 3 window sizes; poured found aesyn, atc.J • 1 site survey for axtenor adtlitions 8 Cecks
. 1 set of Energy Calculations • Indiw[e if heme serveA 6y seplic system for adGitions
• J copies of Tree Preservation Ptan if lot platted aRer 717i93
. Rim Joist Delail Options selecuon sheet (61dgs wiU 3 or less units)
DATE VALUATION
SITE ADDRESS 0 WeI//IUdO A! 01• MULTI-FAMILY BLDG _Y _N
TYPE OF WORK ::k-Sfp Z, FIREPLACE(S) _ 0_ 1_ 2
APPLICANT AQ~6 k4 6&IZIDeS -E-M c- .
STREET ADDRESS IP SDo ~LW06ca Sr CITY~r iS et STATEflIry ZIP SS~7(p
TELEPHONE#QSZJ2G'$663 CELLPHONE#612'biR 'ds"3b FAX# 9~r`q7,4 `0(a0
PROPERTYOWNER''ri/Yl mATI'lec- TELEPHONE#
COMPLETE THIS SECTION FOR "NEW° RESIDENTIAL BUILDINGS ONLY
Energy Code Cate9orY - NIIVNESO'f.\ R[iI,ES 767U C.\"CF:GOR~' l NIIVOee:,90-00
(v submission type) • Residential Ventilation Category 1 Worksheel Submitted • Ne C
• Energy Envelope Calculatlons Submitted Plumbing Coniractor. Phone ~ Plumbing system includes: 4Vat
cr Softener [aNatt Sprinkler WaCer Hea[er _ No. oF R.I. Ba[hs
v o. oF Baths
Mechanical Conhactor: Phone #
blcch:ujic.il scstcm includc,: _ Air Coiidilioning Fcr. :$70.00
Heat Rccoven' Sys[cin-
Sewer/Water Conhactor. Phone #
-
. to - comply
- application - , state that ihe f mation is «ect, and . agree .
- thaf ° I have read this -
I - hereby - acknowledge -
with all applicable State of Minnesota Statutes and City of Eag Or in nces. ,
Slgnature of Applicanf • " ~ " `
OFFICE USE ONI.Y
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
FERMIT
.CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: a u z Lo= N G
Eagan, MinneSOta 55122-1897 Permit Number: m 3 3 0 0 9
(612) 681-4675 Date Issued: 0 8/ 2 6 J 9 8
SITEADDRESS: 486e WELLING70N CT
LOT: 4 BLOCK: 2
BRITTANY 9TH
P.I.N.: 10-15008-040-02
DESCRIPTION: REROOF/sTORM DAMA6E
,
Bukl;dxn'g,Permit Type STORM DFlMAGE
Bt~iiding Wark Type REPAIR
,0en&us Code 434 ALT. RESIDENTIAL
.
~
~i
~
ti~~ IN~.V v
Yt
t.t
. C. S ~ r t. .
REMARKS:
FEE SUMMARY:
RpCT p Applicant - sr. Lzc. OWNER:
A~~~ RbOF9N~i 18950040 20139140 MATHRE JIM
1444 CLIFF RD E 4860 WELLINGTON C7
BURNSVILLE MN 55337 EAGHN MN 55122
(612) 895-0040 (651)837-5551
S hereby acknawlQjdge that I have read this application and state that the
infarmation is ctlrrect and agree to comply with all applicable State of Mn.
i Statutes and City o-f Eaqan tJrdinancess
APPLICANTIPERMITEE SIGNATURE , -~+`SUED BY: SIGN TURE
,
- 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
. ciTY oF Enaex
3830 PII.OT KNOB RD - 55122
e81-4675
q~
New ConshuGion Reauirements RemodeURecair Reauirements g- d-L
? 3 registered sde surveys ? 2 copias of plan
? 2 copies af plans (inGude beam 8 window sizes; poured tnd. tlesign; etc.) • 2 site surveys (exterior additians & Eecks)
? 1 energy ealeulations ? 1 energy wlaladona for heated a0ddions
? 3 copies of Vee preservation plan H lot platted after 7/1/93
require0: _ Yes . _ No
DATE: L 6 4~3 CONSTRUCTION C05T; ~ C-DO Z
DESCRIPT ' N OF WORK: ~ ~G (2 IL DC'ii~ - ~Tf ~?Z /Yl ~lll1'1QQlr'
STR ADDRESS: ~I/~iCDC GlJS.1I 1AQ16n C,~ _
LOT: ~ BLOCK: ~ SUBDJP.I.D. a-L~ ~ q~4,
Name: f I I Q-T h ~~L J(~ P6one 2~5,5-;5/
PROPERTY Lsst First
OWNER UQ l
Sueet Address: 1 O /,n6 / I % !2 ld Ct
City c-n State: Zip:
Company: f--Uot ( 1 Iq Phone D'ly
CONTRACTOR
License # L~
Street Address: qLl "'?J- t--I- 12-ti- ~~lyn
City ()/,1imjSStare: L Zip:
ARCHITECT/
ENGINEER Company: Phone
Name: Registration
Street Address:
City State: Zip:
Sewer & water licensed plumber (new construction ony): . Penally applies when address chang
and lot change is requested once permR is issued.
I hereby acknowledge that i have read Mis application and state that the infortnation is coRect and agree to ply with alt pplicabl
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
I . . ~r~o~;~~ ~ -
OFFICE USE ONLY
Certficates of Survey Received _ Yes _ No aU~' ~ J~~
Tree Preservation Plan Received - Yes - No _ Not Requir d
LI i Y«~=.. L~~ulaf~J 4.Jl':,. .ia:trv!` T,~
y*. APPLICIIR'ION DOFS N(7i' COISi'I'i1[6%E *
APPROVAL OF PFTthIIT. *
:
APPLICATION FOR PERMIT ; *
nNsrDCriorr oF sEwEt AND/oR mTm *
IISSI'AT7ATTONS WIIL I3D'P BE SC7o)-
~:SEWER AND/OR WATER CONNECTION *«ID UMtL PERMT HAS BM *t
. 3 • * APPRaVE9. •
. * *
* rt
* •
*
*****~~,r********t**~:##::**:::,rt+xi:
P ease Print ~
1) PROPERTY ADDRESS: A&4f~,f./~,~k
LEGAL DESCRIPTION: j.07' Wl, `~f Q -
Lot lnck Subdivision or Tax Parce 7ID )
IF EXISTING SlRC'Cl[.'RE, DATE OF ORIGINAL BL'II,DZIC PII2MIT ISSL'ANCE: ' -
i
_ ' (NbR EAL
PRESENr ZONING/PROPQSID LSE:
C] M%tMERCIAL/RETAII,/OFFI(E OfR-1 SINGLE FAMILY :
0 IDIDC'S'IRIAL Q R-2 DLPI.EX (ZWO Onits) '
~ INSTIZS,'TIONAL/GOVIIWqEN'r R-3 ZOWNHOL'SE (Three + Units) ( Units)
. ~ R-4 APAR1TgNP/CONIDOD'LTNIUM ( Units)
2) -
NAPIE: TOLLEFSON BUILDERS, INC.
ADDRESS: 12617 Fairgreen Avenue"
CITY, STATE, ZIP: Apple Valley MN 55124
PFiO.JE: 431-1100
3) • ~ For City L~se _
NA`'E: GENZ-RYAN PLUMBING & HEATING COMPANY P1LUnberS License:
ADDRESS: 14745 South Robert Trail . ~Active
i CITY, STATE, ZIP: Rosemount, MN' 55068 Expired
Not recorc?~,d
PHONE: 423-1144 MASTER LI(ENSE$ 1849M Staff In`t al
4) sea ~ ia~• ^
NAME: - • '
ADDRESS:
CITY, S"fATE, ZIP:
PHONE: .
5) en i' ~ m'• • DI . . _I • a~ q. yq. ~
~ COD][g'.CTION TCY CITY SEWER CpNNExTION TO CITY WATII2 ~ OQYER .
6) pEF-p„gE HOI,D APPROVID PMMIT 'r'OR PICK-C'P BY ONE OF ABC3VE
~ PLEASE MAIL APPROVID PERMIT TO 1. 2 4, AHOVE
(Ci.rc e one)
7)
F-37 :/y Y: ~/Y:~ 1:1:1 tdl~fl_~j 10 . • •,0 1~'4 • I: D~ • 7yyi'J~ r; 1 I~...~t"~ ~ .~'~'+~~'•`O,CL, • J~ B' I': j •,'~9
~Y 10. i' e ~ • • I ,.'T !!T'r "'rG 1. '-r^^T-_"'(_~ ~T -a. ~
. F'OR CITY USE ONLY •
PERMIT # ISSUED
7 2.3f ~ -
Pd w/Bldq. Permit FEES:
$ $ ID- S~ SEWER PERMIT (INCLL'DE SURCHARGE)
$ $ WATER PERMIT (INCLL'DE SCRCHARGE)
$ $ WATER METER/COPPERHORN/OL'TSIDE READER
$ $ WATER TAP (INCLL'DE CORPORATION STOP)
$ SEWER TAP
$ ACCOUNT DEPOSIT - SEWER
$ /.~•C~7 ACCOONT DEPOSIT - WATER
$ cJ . co rD • . S • wr,c '
$ 5`7s-~od $ sAc
$ " $ ' TRUNK WATER ASSESSMENT
.
$ $ TRONK SEWER ASSESSMENT
$ $ ` LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRL'NK WATER
$ k~?n • C173 $ WATER TREATMENT PLANT SDRCHARGE
i a..
$ $ OTHER:
$ TOTAL : .
63 7a 3
RECEIPT RECEIPT
DOES C'TILITY CONNECTION REQUIRE EXCAVATION IN POBLIC RIGHT OF WAY?
F--j YES IF YES, THEN A"PERMIT FOR 4iORK L9ITHIN PLBLIC
Q . ROADWAY" MUST BE ISSOEIZ BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SOBJECT TO THE FOLLOWING CpNDITIONS: .
.APPROVED BY:
TiTLE:
&DATE:I
R&CARD OF'COMPLAINT
D6TE:
COMPLAINT TAKEN HY: NAME:
Y
ADDRESS: ~/0'1~;d
PHONE NO.:
COMPLAINT:
ACTION TAKEN: 35
Q--~.
COMMENTS:
. A.~vy_ - ~ -Y~^^ ~ `p1~~~i1'~ c•E~~
v
TYPE OF BUILDING:
LEG9I, DESCRIPTION:
~ SIGNED:
;
J4- tSoDB - QLLO-
SPECIAL ASSES$MENT AGREEMENT
H£ V
THIS AGREEMENT dated thisex, v day ot October, 1988, between THE
CITY OF EAGAN (hereinafter called "THE CITY") and BRYAN L. and
STEPHANIE RUSSELL (hereinafter called "OWNER") oi 4860 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 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, did pay through the purchase
price an amount sufficient to pay the levied special assessments; ana
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 aadress 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. Bratulic and Nangy J. Sratulich. et al.
Plaintiffs, v. Vall@y Glosings, et al. Def endants, 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
DAKOTA COUNTY MINNESOTA
: RECEIPT FOR PAYMENT OF PUBLIC IMPROVEMENT ASSESSMENTS
RECEIPTNO.C 01 C,7p~
DATE
NAME:
ADDRESS:
DESCRIPTION:
~
~i
iCOTS / ~ ~ !Cc ~ l
DISTqIC7 C PL0.T J~~C PpRCEL NO. CMECK DIGIT MUNICIPALITY
f 12-131 114.18)
119411 I22-231 C'
120;
IMPROVEMENT D%P' AUD = INT,FROM TO ORIGINAL AMOl1NT PRINCIPAL INTEREST TOTAL PAID
Z 77G'.
I
~
~
~
(37.361 (37-40) ,
I41.50) I51-60) I.
Paitl Befoie Certification ~(77=4) Piepayment C(7I= 5) PaiC in Full i(78 = 1) Par[ial Paid C (18 - 2)
~PREPARED BY NORMA B. MARSH, COUNTY AUDITOR gy.
PREPARED 8Y MUNICIPALITY OF: By;
7. v ~ L
If poyment is mode by check, this is not a alid receipt until chetk is paid.
This Receipt does mvinclude
(NAME) ihe installment certified to pOSTED BY: DATE
the 19 taxes,.
.ti,... ,.r.., I
ll~~Jf ~ PLiJMBING(RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Please complete for: Single Family Dwellings
Townhomes and Condos when pemrits aze required for each unit
Date~/-f ~ /-43
Site Address P4 L,/AJ(' 2~64) Unit #
Property Owner Telephone # (
Contractor ~
Address
State Zip Telephone # V-5~.-~~~
The Applicant is _ Owner ~ Contractor _ Other
Septic System New _ Refurbished Submit 2 sefs of plans and MPC license $ 100.00
Includes County fee. Additional consultant fees may apply.
Alterations To ExisHng Dwelling Unit, Including $ 50.00
_ Adding fxtures to lower levels or room additions, excluding water softener and water heater
_ Abandonment of septic system
_ Water turnaround 5/8" meter if needed -$121.00)
Other:
_ RPZ _ new installation _ repair _ rebuild $ 30.00
_ Lawn irrigatton system
~ Water softener _ Water heater $ 15.00
~ replacement _ addilional
State Surcharge $ 50
Total $
I hereby apply for a Residenual Plumbing Permit and aclmowledge 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 Plumbing Codes; that I understand tlns is not a
permit, but only an application for a perxni[, and work is not to start without a permit; that the work will be in accordance with the
approved plan in the ca e of work which requires a review and approval of plans.
/ v~~
ApplicanYs Printe ame plicant's Si ure ~r
2007 RESIDENTIAL MECHANICAL rExMiT arrr.icaTiorr
City OfEagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for. single family dweilings & townhomes/condos when permits are required for each unit
Date 7
Site Address O 4(/2 //j r21 e~• Unit #
~7-/^ ~ /
Property Ow¢er ,s- Can ` ec.i- 2~4- Telephone #(Ce~ Z) Z- 7 2 - O O 9 9
Contractor ANGELL AIRE. INC
12253 Nicallet Avenue South
Street Address Bumsville, MN 55337 ~ city
Te ep one: -T4G-5zuu-
State FBX: 952-746-5202 Zip Telephone )
Bond Q SuS 073 Expires: ~'0
The Applicant is _ Owner T-
>o Contractor _ Other
Fire repair (replace burned out appliances, ductwork, etc.) $ 90.00
This fee applies when extensive mechanical repairs are made to a building.
Add-on or alteration to existing dwelling unit $ 50.00
~ furnace _Additional ZReplacement _ New
air exchanger
~ airconditioner
heat pump
other
State Surcharge $ .50
Total $ ~'U • 5-0
1 hereby apply for a Residential Mechanical Permit and acknowledge that [he information is complete and accurate; that the work will
be in conformance with the ordinances and codes of the Ciry 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 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.
,e~P''1 A~ 0.0
Applicant's Printed Name Applica t's Signature
1
2007 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWCton Reouiremenls RemodeVReoair Reouiremen5 Office Use Onlv
3 regatered site surveys shovring sq. ft. of lot, sq. ft. d house; and all moFed areas 2 copies of plan shwring footlngs, beams, jouMS CeA M Survey Recd _Y _ N
(20%maicimumlolcoverageallowed) . 1 e51tofEnergyCalculatlonsforheatedadNLOns SalsRepM ~_Y _N
7 Sdis RepoA'rf proposed bwlding is ro be placed an disNrbed sofl D 1II~ jo dditbns & decks Tree Pres Plan Recd YN,
2 copies oF plan showing bemn 8 vAndow s¢es; poured fand design, etc. Atl~~~aFI-i~Bl4epbc sysfem Tree Pms Requlred _Y _ N
isNOfEneigyCalwiations On-site5ep6c5ystem _Y _N
3 copies d Tree Preservahm Plan H IM plattad aRer 711N3
RimJoiatDetallOp6msselectlonsheM(6uJdhgswM3wlessunits) OCT I 5 2007
Mnnegasro mechanical venBlation Porm
Plans are considered ublic information unless ou state the are trade secret and the reason.
Date io / 1S- /6-7 1 Construction Cost M:0
Site Address &(oo W C.l. t' !^i )rK Unit/Ste #
Description of Work 'a
Multl-Family Bldg _ Y~ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner Telepnone # W ) (otl - `/S`l - 36? 7
Contractor ~]C~O.I-+-i ) ~
Address s6~)0 C~;J (K5tl" 54- CitY ez-vei~--~-
state zip r-txl Telephone ) 99~7-
5~37 ~
COMPLETE THIS AREA ONLY IF CON8TRUCTING A NEW BUILDING
- Minnesota Rules 7670 Ca[eeorv 1 _ Minnesota Rules 7672
Energy Code COtegory . Residential Venfilation Calegory 1 Worksheet • New Energy Code Worksheet
(4 submission type) Submitled Suhmitted
. Energy Envelope Calculalions Submitted
In the last 12 monihs, has the Ciiy of Eagan issuetl a permit for a similar plan based on a master plan?
_ Y X_ N If yes, date and address of master plan:
Licensed Plumber Telephone # ( . J
Mechanical Contractor Telephone )
Sewer/WaterContractor Telephone#( J
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will 6e in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; 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 oFplans.
CA_A ,.J C~,v`-
Applicant's Peinted Name ApplicanYs Signature
DO NOT WRITE BELOW THIS LINE • '
Sub Tvpes
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace 13 27 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 Otof_plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.) ? 33 Ext.Alt - SF
? 04 02-plex ? 10 OS-plex 2EC 18 Deck ? 23 Porch (screenlgazebo/pergola) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-p1ex ? 12 12-plex ? 25 Miscellaneous -
Work T es
31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addi6on ? 36 Move Buiiding ? 42 Demolish Foundation ? 45 Fire Repair - ? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacemenl *Demolition (Entire Bldg) - Give PCA handout to applicant
DOSCI'IptlOfl: Water Damage _ Yes
Valuation o L7 Occupancy OL&J/ MCES System
Plan Review 100% or 25%
Census Code ~ Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bidgs Length Fire Sprinklered
Type of Const Width
REQLTII2ED INSPECTIONS
Footings (new bldg) _ Sheevock
c Footings(deck) FinaUC.O. .
_ Footings (addition) 7X FinaUNo C.O.
_ Foundation HVAC
_ Drain Tile O[her
Roof _ Ice & Water _ Final _ Poo] Ftgs _ Air/Gas Tests Fina]
_ Framing _ Siding _ Stucco Lath _ Stone Lath _Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
_ Insulation _ Retaining Wall
Approved By: j 2--- , Building Inspector
Base Fee
Surcharge O~~
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Tatal
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~ ~ONS~LP~N~ ENGINEEI~S, PREPARE~ 8Y ME OR UNDER MY OIPECT ~ ~ . . . . ~ . ~ ~~['1~6'"~A~R~V ~~~i'7,.~~~. .D FOR: .
. . . PL~NNEAS ~fld LAND ~U~UE~ORS SUPERVISIOH Ak NA~T I pM . - R LY . . . . ~ . . . . . . . DRAWN UATE . ~ . . . . . . . ~ REGISTERED ~.~F , (,J~,1~.`~`~~`J . ~ ~ ~ . . . - . T'~„ `r°'~-~'~ ~ ~ .
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. I ~e ~ ~ .:n d,S~:',t,l~ N0. DATE BY REMARKS . . . ~ . , ;::ii,;. OAT ~ • EG.MO.Ira ~~~D~~4 ; , ° REVISIONS UILDERS
~nnn CACT ~46th STRF~T ~UR____,_N$~pLL.E, MIN{dES07A 55337 PH 432-3000 " -
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.
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p . . . ~DAT 86.N0,~~~~ ~ H0. DA7E BY . REMARKS ~ . , . , -(.y
~..,_tS10~EAS7-L4~Ih sT.aF~T,.._BURNSVILLE, MINNESOTA 5533?' PH 432-3Q00 ' . REV~sIONS , ~
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4860 Wellington Ct
Lot: 4 Block: 2 Addition: Brittany 9th
PID:10- 15008- 040 -02
Use:
Description:
Sub Type: e- Reroof
Work Type: Replace
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Comments: If there is no ice protection inspec
acceptable in lieu of inspections.
Fee Summary:
Valuation: 3,000.00
Contractor:
Apex Roofing & Siding
944 Oriole Dr
Apple Valley MN 55124 -0000
(952) 891 -1919
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Construction Type:
Occupancy:
on prior to final, you must meet inspector with ladder and flat bar. Pictures are not
Owner:
James C Hewitt
4860 Wellington Ct
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
$90.00
Issued By: Signature
Building
EA083517
06/12/2008
ePermit
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
h all applicable State
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PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA110454
Date Issued:05/13/2013
Permit Category:ePermit
Site Address: 4860 Wellington Ct
Lot:4 Block: 2 Addition: Brittany 9th
PID:10-15008-02-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
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.
Kris Oien
3670 Dodd Rd
Eagan, MN 55123
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
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 -
James C Hewitt
4860 Wellington Ct
Eagan MN 55122
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA178189
Date Issued:08/03/2022
Permit Category:ePermit
Site Address: 4860 Wellington Ct
Lot:4 Block: 2 Addition: Brittany 9th
PID:10-15008-02-040
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:
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 -
James C & Jean M Hewitt
4860 Wellington Ct
Saint Paul MN 55122--276
(612) 272-0099
Legacy Restoration Llc
15350 25th Ave N, Suite 114
Plymouth MN 55447
(763) 354-7660
Applicant/Permitee: Signature Issued By: Signature