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1631 Walnut LaneCity of Eaali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) FIECENED 1011 Use BLUE or BLACK Ink For Office Use /�i7 Permit #: / Y/5 %b Permit Fee: Date Received: QQ-12. •r.l�~7 675-5694 Staff: 2012 RESIDENTIAL BUILDING PERMIT APPLICATION C • Date: 0'1- Cko - I L Site Address: 1DJ I VVGkir)LAI 1"-LAi )C- Unit#: RESIDENT / OWNER JCS c,K I401 ser\ Name: 1/160Kic Ott€ C-WC")t'YIeCwerS ! -SSaC, I --Z Phone: 65 -3Lj /3(x$" cJ 11 t Address/City/Zip: I/3' \4)c I Y t I_ Lok na. Applicant is: Owner X Contractor TYPE OF WORK Description of work: Ra p l a C e ct e ck '4 Pr i'Va. (a y Wal 1 Construction Cost 33 LA, -- Multi -Family Building: (Yes k" / No ) CONTRACTOR Company: i --t ftrE SCAl C St1 b ©t Contact: Lek/ / P`rL R.SC)A/ /� Address: 2.0605 C-)fv/ti be, City: PJB iC%, L»kL State:/v Zip: 6-53-72, Phone: (P f 2 " p %p o " 3 ,ot �7 License #: BC 2 I 5 Li 0 Lead Certificate #: Af AT -1/83 18 - I If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) In the last 12 months, Yes No If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: 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. 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.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 plans. 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. L.ARR y r -RsoAt Applicant's Printed Name Page 1 of 3 /6S( La (elc+ 10-41 ,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 DO NOT WRITE BELOW THIS LINE /G25.3e70 Fireplace Garage Deck Lower Level Interior Improvement Move Building Fire Repair Repair REQUIRED INSPECTIONS Footings (New Building) y Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: Ice & Water Final Framing Fireplace: Rough In Air Test Insulation Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width Sheathing Sheetrock Reviewed By: Final Siding Reroof Windows Egress Window Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building - give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O.. Required Final / No C.O. Required HVAC Gas Service Test Gas Line Air Test Other: Pool: Footings Air/Gas Tests Final Siding: Stucco Lath _Stone Lath Brick Windows Retaining Wall: — Footings Radon Control Erosion Control Building Inspector Backfill Final bliihomite) RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Chkit 7- I CA9 'i tA Page 2 of 3 City of Eaali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit#: /.5 f Q�I Permit Fee: 6 - v O. Date Received: Staff: 2016 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications. ( Date: - 3 -d--014 Site Address: f // ! I Ua Inst Tenant: Suite #: Name: Phone: Address / City / Zip: Name: 1 0 r t \i (And i License #: DD rtj Address: "Z 3 -cc, J City: AliN �e� y State: Zip: S3 3 Phone: 1=.1J ---1A, —L33 Contact: Email: New Replacement Additional Alteration Demolition Description of work: Fur ✓'• t ix rep j of et Mt( RESIDENTIAL 1\ Furnace Air Conditioner Air Exchanger Heat Pump Other COMMERCIAL New Construction Interior Improvement Install Piping Processed Gas Exterior HVAC Unit Under/Above ground Tank (_ Install / _ Remove) RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit, includes State Surcharge $100.00 Residential New, includes State Surcharge = $ TOTAL FEE COMMERCIAL FEES $60.00 Permit Fee Minimum $70.00 Underground tank installation/removal Surcharge = Contract Value x $0.0005 If the project valuation is over $1 million, please call for Surcharge Contract Value $ i6 c\--0 x .01 _$ _$ =$ Permit Fee Surcharge TOTAL FEE 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 C Son ah Applicant's Printed Name x Appli nt's Signature City of Eap 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 NA 102Q16 For Office Use �1 Permit #/: ( `74 v �` �\ Permit Fee: /,:? /y J Date Received:gig-- /4, Staff: 4 J 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date: - 1 S -ILO Site Address: f o$ I (it) ti in tlLL ✓1 a Unit #: Name: Kyle 5C1wl'YLD4oell Phone: 65!" 3353j-2553 Address / City / Zip: ((D 3 Lv41.1 vt LA lel rte Applicant is: Owner ..Contractor Description of work: (' Cp la c e !/ nN / I efl in S si/R T/o .-1.5 A CC70 C/L / y Construction Cost: 1i / t7 0 Multi -Family Building: (Yes / No ) Company: 6 RenN/U A N Proper -Ii € 3 Contact: c) OE gfC.V1 V) G%r\ Address: ('S (o g0 Fr. sk POr ✓14- a SE -City: Prior La I{ State: MN Zip: 55b1 Z Phone: e/Z4l6j'(PPP Email: LJOP.CiiP..r7rIA✓l & /4/6../-/S.7. COss7 Resident/ Owner Type of Work Contractor License #: ►JG .3/31 LI I D Lead Certificate #: If the project is exempt from lead certification, please explain why: 1UA `It'1O15 r 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. 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. 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. Exterior work authorized by a building permit issued in accordance with the Minnesota S > Building Code must be completed within 180 days of permit issuance. x (le NfLgioNIA-1\) Applicant's Printed Name Page 1 of 3 /69'si Z -n. DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation _ Fireplace Single Family Garage Multi Deck *- 01 of Plex Lower Level WORK TYPES New Interior Improvement Move Building Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25% 100% Census Code # of Units # of Buildings Type of Construction Fire Repair epair ovO e 39 1 Porch (3 -Season) Exterior Alteration (Single Family) Porch (4 -Season) Exterior Alteration (Multi) Porch (Screen/Gazebo/Pergola) _ Miscellaneous Pool Accessory Building Siding Reroof Windows Egress Window Demolish Building* Demolish Interior _ Demolish Foundation Water Damage *Demolition of entire building - give PCA handout to applicant Occupancy ,ZRL- / MCES System SAC Units City Water Booster Pump PRV Fire Suppression Required Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Roof: _Ice & )plater _Final Framing 30 Minutes 1 Hour Fireplace: _Rough In _Air Test _Final Insulation Sheathing Sheetrock Fire Walls Braced Walls Shower Pan Reviewed By: Meter Size: Final / C.O. Required Final / No C.O. Required HVAC Gas Service Test Gas Line Air Test Pool: Footings Air/Gas Tests _Final Drain Tile Siding: Stucco Lath _Stone Lath _Brick Windows Retaining Wall: Footings Backfill _ Final Radon Control Fire Suppression: Rough In _Final Erosion Control Other: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL 73 -' Page 2 of 3 VILLACEAOF EAGAN WATER SERVICE PERMIT Not Knob Road PERMIT NO.: 1450 Eagan, MN 55122 DATE: 4/26/74 Z.ohing: PUD No. of Units• Owner: WO0ddate, New SOriZOn Howes Address: Site Address1629 31 litatlnut Lute & 1640-42 Hickory Lane Plumber: ThOMMOO PlUabif CO' Meter No.: Connection Charge: Size: Account Deposit. Reader No.: Permit Fee• 10'00 pd I agree to comply with the Village of Eagan Surcharge: .S0 pd Ordinances. Misc. Charges: Total: By Date Paid: Date of Insp.: Insp.: VILLAGE of EAGAN SEWER SERVICE PERMIT 3795 P' " Knob Road PERMIT NO • 2210 Eag , MN 55122 DATE• 4/26/74 rung: P[iD No. of Units• Owner: Woodgate, New Horizon was Address: Site Address: 1629-51 Walnut Lane it 1640-42 Hickory Lane Plumber- Thompson Plumbing Co. I agree to comply with the Village of Eagan Connection Charge: Ordinances. Account Deposit: 00 pd Permit Fee; 10. Surcharge: .50 pfd By: Misc. Charges - Date of Insp.: Total: Insp.: Date Paid- City of Eagan PERMIT IP1' City of Eaan Permit Type: Building Permit Number: EA140386 Date Issued: 12/14/2016 Permit Category: ePermit Site Address: 1631 Walnut Lane Lot: 028 Block: 003 Addition: Woodgate 1st PID: 10-84600-03-280 Use: Description: Sub Type: Windows/Doors Work Type: Replace Description: One Window/Door Census Code: 434 - Zoning: Square Feet: 0 Construction Type: Occupancy: 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 Fee Summary: Valuation: 500.00 BL - Base Fee $500 $40.00 Surcharge - Based on Valuation $500 $0.50 0801.4085 9001.2195 Total: $40.50 Contractor: Minnesota Rusco 5558 Smetana Dr Minnetonka MN 55343 (952) 935-9669 - Applicant - Owner: Kurt A Schwarzbauer 1631 Walnut Lane Eagan MN 55122 (651) 353-2853 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