4565 Horizon CirCity of Evan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
Permit #: 9 7
Permit Fee:
Date Received: /
Staff:
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Chi /06/z of c, Site Address: 1 -1CeS" I Ci ( 0/10 Y141/1 �J 12.
Ct
Tenant: 114 Mick a U J V - e kasi //? � J
x s G x
Applicant's Printed Name Applicant's Signature !'
Use BLUE or BLACK Ink
Suite #:
RESIDENT / OWNER
TYPE OF WORK
CONTRACTOR
Name: V a. Lo J ce, v 2 fiC a_ id Phone: 12 rf 4 -(0
Address / City / Zip: S (- 5,. / CI � }2u4 0140' 5 23
Applicant is tr Owner Contractor
Description of work:
Construction Cost: 7 a
P CAti y' t t a 1 GC..
Multi- Family Building: (Yes / No t/ )
Name: License #:
Address: City:
State: Zip: Phone:
Contact: Email:
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:
TE: Plans and supporting documents that you submit are considered to be public information. Portions o
e Information may classified as non-public if you provide specific reasons that would permit the C ity to.
conclude that they are trade secrets.
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.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Page 1 of 2
City of Eaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
x t vlek K k h6.1d1
Applicant's Printbd Name
e
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 06 /Z57 200 q Site Address:
L/ 5 <5 flOY 3(7 4 Ci y
Permit Fe
Date Received:
C4 Staff:
537 z 3
Tenant: Suite
RESIDENT OWNER
TYPE OF WORK
CONTRACTOR
Name:�xelnes(av c4nnrk I�wc. ft-e O ArtIce Phone: 61Z Geto
Address City Zip: o 1 S 6 N om CC IA
Applicant is:
V Owner Contractor
Description of work:
Construction Cost: goo
.Qx AS aM CA
Multi Family Building: (Yes No
Name: License
Address:
City: State: Zip:
Phone:
Contact Person:
Energy Code
Category
(4 submission type)
Mechanical Contractor:
Sewer Water Contractor:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category 1 Minnesota Rules 7672
Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
Submitted Submitted
Energy Envelope Calculations Submitted
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:
Phone:
Phone:
NOTE: Plans and supporting, documents that you submit are considered to be Public "information-
the information maybe classified as non-public if you; provide specific reasons that would permit
conclude that they are trade secrets.
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
x
Applicant's Signa>Cure
1
4
Page 1 of 3
SUB TYPES
Foundation
Single Family
Multi
01 of Plex
Accessory Building
WORK TYPES
New
Addition
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25 100%
Census Code
of Units
of Buildings
Type of Construction
Reviewed By:
Fireplace
Garage
A Deck
Lower Level
Interior Improvement
Move Building
Fire Repair
Repair
0
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: Ice Water Final
Framing
Fireplace: _Rough In _Air Test _Final
Insulation
Meter Size:
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S &W Permit Surcharge
Treatment Plant
Copies
TOTAL
-ry
DO NOT WRITE BELOW THIS LINE
Porch (3- Season)
Porch (4- Season)
Porch (Screen/Gazebo /Pergola)
Pool
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Siding
Reroof
Windows
Egress Window
*Demolition of entire building give PCA handout to applicant
u7
Sheetrock
Final C.O. Required
X Final No C.O. Required
HVAC
Other:
Building Inspector
Pool: Footings
Siding: _Stucco
Windows
Retaining Wall
Erosion Control
69-4'
4 2 g b rd€
Storm Damage
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Demolish Building*
Demolish Interior
Demolish Foundation
Water Damage
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Air/Gas Tests Final
Lath Stone Lath Brick
5/ 1 9
Page 2 of 3
PERMIT
Permit Type: Building
City of Eagan
Permit Number: EA105002
Date Issued: 06/20/2012
Permit Category: ePermit
Site Address: 4565 Horizon Cir
Lot: 6 Block: 02 Addition: Ches Mar East 4th
PID: 10-17153-02-060
Use:
Description:
Sub Type: e-Siding
Construction Type:
Work Type: Siding
Description: House
Census Code: 434 -
Occupancy:
Zoning:
Square Feet: 0
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure
Comments:
maximum ventilation to attic. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes.
BL - Base Fee $4K $103.25 0801.4085
Fee Summary:
Surcharge - Based on Valuation $4K $2.00 9001.2195
Valuation: 4,000.00
Total:
$105.25
Contractor: Owner:
- Applicant -
Vyacheslav Raykhfeld
4565 Horizon Cir
Eagan MN 55123
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature Issued By: Signature
Ci1"1 S:AfdAN ATER SERVICE PERMIT
�t *nob Road PERMIT NO.: / - 41
Es ri4 to 55122 DATE: 7/17r
Zoning: I?IZ No. of Units: 1- c'upl
Owner: Joseph ?Miller Construction
Address:
Site Address: 4565 Morizoa. Circle L6 B2 CM East 4th
Plumber: Mc('uire mechanical
Meter No.: Connection Charge: 4 50 00 pd
Size: Account Deposit:
Reader No.: Permit Fee: 10.00 pd
i agree to comply with the City of Eagan Surcharge: .50 pc'
Ordinances. Misc. Charges: 60.00 pd meter
Total:
By •' Dote Paid:
Date of I nsp.: 3 -3 ( 3 Insp.:
CITY -ors EAGAN ��... .. _$(IV_ER_ PERMIT
3793,, Piet Oa Rood P RMIT NO.: 5 6- 3
Eases, MA 55122 `\ 4 \. D TE: - J .- z \. 3/17/83
:
Zoning: P11 . of Units: 1 ditp1 c:X
Owner: o ph mill ar i".pn tat - rtii ; t riiti-,r
Address: A /1
Site Address: 4565 Horizon Cirlce 1.6 132 CM East 4th
Plumber: McCtiri+. ianical
2/14/3 34380 f' ' 'N' 100.00 pd
1 agree to comply with the City of Eagan 4 Forigection Charge: 425.00 pd
Ordinances. Account Deposit:
Permit Fee: 10.00 pd
Surcharge: . 50 pd
By Misc. Charges:
Date of Insp.. D 1 C N Total:
Insp.: Dote Paid
•