1704 Woodgate LaneCity of Eagan
Eagan,
PERMIT
City of Eaan
Permit Type: Mechanical
Permit Number: EA097691
Date Issued: 01/10/2011
Permit Category: ePermit
Site Address: 1704 Woodgate Lane
Lot: 024 Block: 001 Addition: Woodgate 3rd
PID: 10-84602-240-01
Use:
Description:
Sub Type: e - Furnace
Work Type: New
Description: Furnace
Comments:
Questions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector,
952-445-2840
Josh McGuire
1424 3rd St N
Fee Summary:
ME - Permit Fee (Replacements) $50.00
Surcharge -Fixed $5.00
0801.4088
9001.2195
Total: $55.00
Contractor:
Benjamin Franklin Plumbing
1424 N 3rd St.
Minneapolis MN 55411
(612) 604-4285 X61
- Applicant -
Owner:
Lisa K Severson
1704 Woodgate Lane
Eagan MN 55122
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
443 Lafayette Road N.
St. Paul, Minnesota 55155
www.dli.mn.gov
1/25/2012
} MINNESOTA DEPARTMENT OF
LABOR & INDUSTRY
AIL
Sandra Severson
1704 Woodgate Ln
EAGAN, MN 55122
RE: .RES STAIR CHAIR LIFT
Site: /' Sandra Severson Unit 1
1704 Woodgate Ln
MN 55122
Dear Sir/Madam:
RECEIVED
JAN 2 7 2012
(651) 284-5005
1 -800 -DIAL -DLI
TTY: (651)297-4198
APPROVED FOR USE
Elevate ID# ELV-1006937
Minnesota Statutes Chapter 3266 provides that the Department of Labor and Industry, Construction Codes &
Licensing Unit, Elevator Safety Section, inspect and approve elevators and manlifts (endless belt lifts) before
they can be legally used in Minnesota. An Inspector from the Elevator Safety Section recently inspected your
facility and determined it meets requirements of the Minnesota Elevator Safety Code.
NOTE: Compliance with Minnesota Rules and the ANSI/ASME A17.1, Safety Code for Elevators and
Escalators does not necessarily assure compliance with the Americans With Disabilities
Act of 1990.
ALL ELEVATOR RELATED EQUIPMENT IS SUBJECT TO ANNUAL RENEWAL OF THE OPERATING
PERMIT: It the owner's responsibility to maintain and keep current with all tests in accordance with the
ASME A17.1 and the ASME A17.3. Frequencies for the required tests can be found in Chapter 1307 of
the Minnesota State Building Code. Failure to maintain and perform the required tests may result in
revocation of the annual operating permit. Operation of an elevator related device without a valid
operating permit may result in an issuance of a "stop order" from the department and possible penalty of
up to $10,000. For more information see our website at: http://www.dli.mn.gov/CCLD/Elevator.asp
Sincerely,
CONSTRUCTION CODES & LICENSING
"AK dute.
Tim Warren
State Elevator Inspector
c: ACORN STAIRLIFTS INC
Dale Schoeppner, City of Eagan Building Official
ElFormCE2
This information can be provided to you in alternative formats (Braille, large print or audio).
An Equal Opportunity Employer
443 Lafayette Road N.
St. Paul, Minnesota 55155
www.dli.mn.gov
1/25/2012
lt
MINNESOTA DEPARTMENT OF
ABOR $c INDUSTRY
Sandra Severson
1704 Woodgate Ln
EAGAN, MN 55122
RE: RES STAIR CHAIR LFT
Site: Sandra Severson Unit 2
1704 Woodgate Ln
EAGAN, MN 55122
Dear Sir/Madam:
(651) 284-5005
1 -800 -DIAL -DLI
TTY: (651) 297-4198
APPROVED FOR USE
Elevator JD# Ell( -1006938
Minnesota Statutes Chapter 326B provides that the Department of Labor and Industry, Construction Codes &
Licensing Unit, Elevator Safety Section, inspect and approve elevators and manlifts (endless belt lifts) before
they can be legally used in Minnesota. An Inspector from the Elevator Safety Section recently inspected your
facility and determined it meets requirements of the Minnesota Elevator Safety Code.
NOTE: Compliance with Minnesota Rules and the ANSI/ASME A17.1, Safety Code for Elevators and
Escalators does not necessarily assure compliance with the Americans With Disabilities
Act of 1990.
ALL ELEVATOR RELATED EQUIPMENT IS SUBJECT TO ANNUAL RENEWAL OF THE OPERATING
PERMIT: It is the owner's responsibility to maintain and keep current with all tests in accordance with the
ASME A17.1 and the ASME A17.3. Frequencies for the required tests can be found in Chapter 1307 of
the Minnesota State Building Code. Failure to maintain and perform the required tests may result in
revocation of the annual operating permit. Operation of an elevator related device without a valid
operating permit may result in an issuance of a "stop order" from the department and possible penalty of
up to $10,000. For more information see our website at: http://www.dli.mn,gov/CCLD/Elevator.asp
Sincerely,
CONSTRUCTION CODES & LICENSING
Tim Warren
State Elevator Inspector
c: ACORN STAIRLIFTS INC
Dale Schoeppner, City of Eagan Building Official
ElFormCE2
This information can be provided to you in alternative formats (Braille, Targe print or audio).
An Equal Opportunity Employer
WATER SERVICE PERMIT
PERMIT N0 • 1900
I2i DATE:
Zoning: I�( No. of Units: 4
Owner: NS L1 ri On l� WOOdgatl III
Address:
Site Addre: 1700`02-04_06 Woodgate Lane
ss
Plumber: P n Plumbing OD.
12/12/75
3` 141 °7t
Meter No.:Connection Charge: 640.00 pd
Size: Account Deposit: 10.00 billed
Reader No.: Permit Fee.
1 agree to comply with the Village of Eagan Surcharge.
.50 billed
Ordinances. Misc. Charges:
/f -76 Total:
By Date Paid:
Date of Insp.: Insp.:
YUAN OF EAOAN SEWER SERVICE PERMIT
3795 Pilot Knob RoadPERMIT NO •2657
Eagan, MN 55122 DATE: 12/12/75
Zoning: RII No. of Units: 4
Owner: New Horizon Home Wbodgate III
Address:
Site Addre: 1700-02-04-06 1ibodgate Lane
Plumber ssPlOgibing CO•
I agree to comply with the Village of Eagan Connection Charge • 1700 00pd
Ordinance. Account Deposit:
Permit Fee: 10.00 bi.11ed
Surcharge: • S0 billed
BY Misc. Charges.
Date of Insp.: Total:
Insp.: Date Paid:
Da
City of Eaftail
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651)675-5694
Use BLUE or BLACK Ink
1
i For Office use
IPermit#:
I Permit Fee:
Date Received:
t ?)
{ Staff: ((J! if'''�
a5
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
X3 Site Address:
Unit#:
J
Name: Phone:
Address / City / Zip:
Applicant is: Owner '7( Contractor
Description of work: S l
Construction Cost: • i000 Muni -Family Building: (Yes ! No —)
Company: - I t r\ e r Cof\i-f eksk 1 Yl 131 Contact: A
Address: C) 01/4nrli e -S PtVe PJC-. city: C) i' 5-e-
State: Mf\J Zip: 553(02.. Phone: ts \2. 32_1- (01 1,49
License #: S) C, 41 t a 2 t Lead Certificate #: - 315— kt) - 401461
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
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:
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 the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Cali 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.9opherstateonecall.orn
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 pians.
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.
x Anr o C tope k,J-ems 1(t-e.tt
Applicant's Printed Name
x
Applicant's Signature
Page 1 of 3
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2013 RESIDENTIAL BUILDING PERMIT APPUCATION
Ma Miaow
GCfMPL-E'i'E INS AREA
MN F CONSTRUCTR1G A
In the past 12
heath* City arsons iesued a Mara similar p n based on a mavhse team?
Yes No dyes, dale and add of master pare — --
Licensed Pier'
Meettanicad Com.....
Sewer & Water Com
Piwae:
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