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1682 Boardwalk 2010-06-1413:06 » 651975 5694 P 112 V" Use or BLACK ink For Office Use I I q I I Permit J i 1 I City of Ea ca I Permit Fee: d 3830 Pilot Knob Road 1 I Eagan MN 65122 1 Date Received: is 15'-40 Phone: (651) 675-5675 I Staff:- I Fax. (651) 675-5694 r 2010 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 0 Site Address: bo a\ U a L Tenant; Suite M. RESIDENT 1 OWNER Name: I E' ltc.~ f.ap Phone: 1-n1Z Address / City / Zip [jtp. CONTRACTOR Name: It It il"Ah License Address: ~ City: State: Zip: Phone: 1 ~L(i~l Contact r Email TYPE OF WORK New _Replacement _Repair _Rebuild Modify Space Work in R.O.W, Description of work' ; PERMIT TYPE, RESIDENTIAL Water Heater _ Water Softener 4- Lawn Irrigation _ Add Plumbing Fixtures RPZ 1 „)f, PVS) Main - Lower Level) Septic System _ Water Turnaround New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes 340 State Surcharge) $30.50 Lawn Irrigation (includes $.50 Stage Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Tumaround` (includes $.50 State Surcharge) `Water Turnaround (add $166.00 if a 518° meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ 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, Out 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. r x cm, x Applicant's Printed Name Appllcan Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground -Rough-In -Air Test ,Gas Test _Final PERMIT City of Eagan Permit Type: Mechanical 3830 Pilot Knob Rd Permit Number: EA088777 Eagan, MN 55122 . Date Issued: 04/20/2009 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 1682 Boardwalk Lot: 9 Block: 3 Addition: Hampton Heights PID 10-31900-090-03 Use Description: Sub Type: e - Furnace & Air Conditioner Work Type: New Description: Furnace & Air Conditioner Comments: Quesetions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, (952) 445-2840 Fee Summary: ME - Permit Fee (Replacements) $50.00 0801.4088 Surcharge-Fixed $0.50 9001.2195 Total: $50.50 Contractor: -Applicant - Owner: Sedgwick Heating & Air Debra L Meyer 8910 Wentworth Ave S 1682 Boardwalk Minneapolis MN 55420 St Paul MN 55122 (952) 881-7739 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Applicant/Permitee: Signature Issued By: Signature Parcel Files Cover Sheet Unique ID: 1939 1682 Boardwalk 103190009003 INSPECTION RECORD CITY OF EAGAN PERK' TYPES 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued 12 p) (612) 581-4675 SITE ADDRESS: fi L 0 r. K s APPLICANT: 16 t4 0AI:OWA1 to wF t TER 1411. lS►1t PERMIT SUBTYPE: TYPE OF WORK: Ct11st1 -tt IHA1 f ELECTRIC Poradt No. Permit Holder Date Telephone # PLUMSM HVAC t"eatteft ow IMP. comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING FLOG AIR TEST R4UQH HEATING GAS SVC TEST P iNSUL GYP SOAM FIRS k Il _ ' AIR 'L PLSO Feral. tiTO TESTT BLDG FINAL ' BSMT R.I. BSMT FINAL DECK FTG DECK FINAL Cities Digital Quality Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 bDATE ry RE'CHIV ~ ' 0~ AMOUNT IL~' & DOLLARS - CASH too HECK x Fo FUND ` CODE AMOUNT i i i Thank You 65376 White--Payers Copy Yellow-Posting Copy Pink--file Copy E 1 7U_i ri, BLDG. 'P RMIT NO. 01-3210 -Bldg. Permit e,~ 01-3422 `Plan Check c) 01--3445 aurch. /Adm. 01-3446 SAC/Adm. 01-2155 Surcharge 17-3860 Road Unit 20--2275 SAC 20-3865 Water Conn. 20-3868 Water Trmt. ,20-3716 Water Meter 20-2252 Acct. Dep. U--u 20-3713 Water Permit /p 20-3743 Sewer Permit r ~'y 79-3866, Sewer Conn. 4 11-3855; Park Ded. i' i TOTAL s Iu '..'ry.~a.:~y~pr:.e~l4"-'~';•~';1°`+'gyA~F,',.s~,~t'Q?,A:;~Al.'<y.~!v~a'r+,:A+;:f~"~$;rr''~'7m~'1L~'r~~;"€,!'~t'.",~"At ~R"4'~"'a"'R. CITY OF EAGAN A Q -17559 ' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for BAS NT Est. Value $1,500 Date YED 27 1990 Site Address 1682 90 ALK Lot 9 Block 3 Sec/Sub.FAMPTOEI HEIGHTS OFFICE USE 'ONLY Parcel No, Occupancy FEES Zoning Name JAM Ot JUDY PETERSON (Actual) Const Bldg. Permit 3S•Ot~ W o Address 1682 BOARMALK (Allowable) Surcharge 1000 City ESAGA N Phone 681-9473 # of Stories _ Length Plan Review ZF Name Depth SAC, City 0¢ Address S.F. Total SAC, MCWCC City Phone S.F. Footprints On Site Sewage Water Conn ~ 8Q W Name On Site Well Water Meter !3 Address MWCC System M W City Phone City Water Acct. Deposit PRV Required S/W Permit I hereby acknowlege that I have read this application and state that the Booster Pump S/W Surcharge information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Treatment PI Signature of Permitee APPROVALS Road Unit A Building Permit is issued to: JUDY PETERSON Planner Park Ded. on the express condition that all work shall be done in accordance with all Council 5 applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies • Building Official Variance s TOTAL 36.3 Permit No. Permit Holder Date Telephone # WATER SEWER_ PLUMBING H.V.A.C. ELECTRIC , Y~~ Ali Cow POP Inspection Date nsp. Comments Footings I Foundation Framing i G S"l Rooting Rough Plbg. Rough Htg. (8 3l Isut. % I d✓(X Fireplace Final Htg. G ~/7 j 6 S Final Plbg, r /LS pL 2 Const. Meter Plbg. Inspector - Notify Plumber Engr./Plan Bldg. Final <G - Y' Deck Ftg. Deck Final Well Pr. Disp. CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MIN 55'121 ° ~ ~ ` . 2 ~ ~ 2 PHONE: 454-8100 BUILDING PERMIT Receipt# To be used for SF 13WG/GAR Est. Value $64,000 Date AUGUST 5 1>~~ Site Address 1682 BOARDWALK Erect Ix Occupancy R3 Lot 9 Block 3 Sec/Sub. IiAMLPTON HTS Remodel ❑ Zoning en Parcel No. Repair ❑ Type of Const. ~r Addition ❑ No. Stories Name FRO14TIER MIDWEST HOMES Move ❑ Length z Demolish El Depth - c Address 3908 SIBLEY MEM H Int. Impr. 11 Sq. Ft 4T City Es GAH Phone 454-0433 Install ❑ . c Name S Approvals Fees Address Assessment Permit F"--S25- .00 -City Phone Water & Sew. Surcharge 32 Police Plan Review 162.50 Au z Name Fire SAC 5 15 . f)O~li i Address Eng. Water Conn. . C3 t a W City Phone Planner Water Meter ---2-9-0 5th Council Road Unit ~ I hereby acknowledge that I have read this application and state thatthe Bldg Off. 7 24 8 Tr. Pl. 156.00 information is correct and agree to comply with aft applicable State of Minnesota Statutes and City of Eagan Ordinances. APC Parks / -Var. Date Copies---,,,,,, Signature of Permittee-__'/__ s' r ] f}4 {j(% Total- .74 A Building Permit is issued to: FRONTIER MIDWEST 40MS g on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes andt';City of Eagan Ordinances. Building Official Permit No. Pe",w Holder Data / Telephone # PIUMMA HN.A.C. Electric 50 5 y f--a- Softener Inspection Date Insp. Comments Footings 17 Footings 11 Foundation Framing Roofing Rough Plbg. U- ` Rough Htg.~ I Insul. l/`l Fireplace Final Htg. /Cam ~j Final Plbg. Zs~ Bldg. Final Cart.Occ. Deck Fig. Deck Frmg. Well Pr. Disp. i C > d. i l1d` r~~r PERMIT # MECHANICAL PERMIT RECEIPT # tie; r r f CITY OF EAGAN 10W86 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: CONTRACT PRICE: $1115.00 PHONE: 454-8100 to Site Address 1682 Boardwalk BLDG. TYPE WORK DESCRIPTION Lot 9 Block Sec/Sub WENZEL MECHANICAL Res. New Name Kennebec Drive 31500 Mult Add-on Address 4.52-1565 Comm. Repair c City Eagan Phone Other Name ron er ompan es FEES c Address 1151ey Memorial WY• RES. HVAC 0-100 M BTU -$24.00 City Eagan Phone 452-1565 ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 ` TYPE OF WORK ADDITIONAL 6 M BTU - 6.00 GAS OUTLETS - 1.50 EA. Forced Air 80,000 M BTU 4,00 COMM/IND FEE - 1% OF CONTRACT FEE Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00 f Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00 Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50 Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES XX 1.50 BEYOND $1,000.00) Gas Piping Outlets # Other FEE: S . 50 Cir -7 " CQ_ 50 SIGNATURE OF PERMITTEE S/C: TOTAL: $26.00 FOR: CITY OF EAGAN CITY OF EAGAN WATER SEMCE PEWff 3030 Pftt Knob Road 8053 P. O. ,B6( 21199 PERMIT NO.: _ Eagpi, MN 55121 DATE: Zoning: - No. of Units: Ownerc Frontier Yddwest Address: , Site e 1682 Boardwalk L9 B3 Hampton Heigh" Plumber Star Plumbing Meter No. 7f~, fo on Charge: S00.00pd 15.44pd Reader No.: CiFlt tullw 14.44pd Wok the ~ • E ' SOpd i egeee to pomp4 Ordinonop. 156.OM TPr 63.50ppd tester By Data Paid: _L~te a in ! r ~s _ Insp.: ~f 17-0 CITY OF EAGAN ONO Knob Road WAi'ER SERVICE PERlVII'r P• 0. Sox 21199 PERMIT NO.: f3i353 EaPk fNN 55121 DATE: Zoning: _ No, of Units: Owner: 7 ontier Midwest _ Addrew- Site IR2 Board~lk L9 B Hamp.tort ifel :its PknW*r: Star Plumbing Meter W.• Connection Charge: 50c'. Q(Pd size: 15.00 d Account Deposit: 0Reader No.: Permit Fee: 10.00pd "M b abowly WI& die City-of Began Surcharge: . 50pd Misc. Charges $5b_Q?~x3 Total: - SDpd ma r BY Dote Paid: Date of Insp.: Insp.: q CITY OF EACAN SEWER SEWME PEftff 3M Pilot Knob RoW 9205 P. O. Box 21199 ~ PERMIT NO.: Eagan, UN 55121 DATE: 40 -2 6 Zoning: RI No. of Units: 1 Owner: mut er Mldwst Address: Site' Address: 1682 Boerdwalk L9 B3 Ramptup ights Plunjber: Stag Plumbing 8-5-8156 $5375 100.00pd ! to +oar* vak !6e they of Eegaw connection avow. Account Deposit. , Pemdt Fee• ~{l :Qi);)A SurchoMe: • 511 BY Misc. Charges: Date of Insp.: Total: Insp.: Date Paid: 3 3 9 9 9 a3 o Request Date Fire No. 5(rin Inspection 9 / d? ❑ Ready Now Wilhero1 Readspector s C No y? AL I G licensed contractor 9 'Wner hereby request inspection of above electrical work at: Job Address (Street, oute No.) City Section No. Township Name or No. Range No. County Occupant (PRINT) Phone No. 1?) r so Power Supplier Address Electrical Contractor (Company Name) Contractor's License No. Mailing Address (Contractor or Owner Making Installation) 66)0 A orized Signature Uont,t(Owner Making Installation) Phone Number 4 IA/ 7~> ESOTA. S E BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul- MN 55104 - UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ~ EB-00001-08 I /O/ / ► See instructions for completing this form on back of yellow copy.`' Xi Below Work Covered by This Request ew /add Rep, Type of Building Appliances Wired Equipment Wired • Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other (specify) Contractor's Remarks 1,11 c4E<~ Compute Inspection Fee Below: Yl srr► # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Above 100 Amps Signs Inspector's Use Only: TOTAL _ 50 Irrigation Booms 6_ ~J~Cg/") Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MO S. I, the Electrical Inspector, hereby Rough-in Date % G certify that the above inspection has Final e been made. f0 OFFICE USE ONLY This request void 18 months from w 6 6 415, Request Date/ / ire No. Rough-in Inspection q led? ❑ Ready Now ill Notify Inspector Yes ❑ No When Ready? 10 licensed contractor ,owner hereby request inspection of above electrical work at: X Job Address (Street, Box or Route No.) City i- cg a Section No. Township Name or No. Range No. County X Oct (PRINT)~ Phone No. Power Supplier Address Electrical Contractor (Company Name) Contractors License No. an~~c~wn~~2 Mailing Address (Contractor or Owner Making Installation) A ized Sign ure (Con or/O ner Making Installato Phone Number C.~A- M ESOTA S TE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT G ggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION M ES-00001-07 ► See instructions for completing this form on back of yellow copy. / 66Z.15* `X„ Below Work Covered by This Request New Add Rep. TypeofBuilding Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other (specify) Contractor's Remarks.,q Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Above 100 Amps Signs Inspector' Use Only: bTOTAL Irrigation Booms j6 Special Inspection Alarm/Communication Other Fee I, the Electrical Inspector, hereby Rough-in Date '7 7 ; 49 certify that the above inspection has Final Date been made. _ '42 Ale OFFICE USE ONLY l This request void 18 months from ~ -7 ~t 6 11RIal. est DFire No. Roug. -i nspection Requi ?Ready Now Notifv. Inspec es C1 No or When Readv used Electrical Contractor I hereby request inspection of above Owner electrical work installed at: Str t Addr x or to No. City Section No. Township Name or.No. Range No. County Oc pan RINT) j Phone Po er upplier Address 1 Electrical Contractor (Comp n Name Contra to s License No. KENDRICK ELE tffl Ma1 il'n454UM e M staitation) z ig dt e i 'stallation) Phone Number MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT ' ^Gfiggs.Mi4W8V•Bldg. - Room NA 91 BE ACCEPTED BY THE STATE BOARD UNLESS PROPER INSPECTION FEE IS 1821 University Ave.. 3t. Paul, MN .55104 Phone (612) 642-0800 ENCLOSED. rrAL INSPECTION EB-00001-05 , or completing this form on back of yet low copy, 0c, ~ J , X"" Below Work Covered by This Request Building. -Appliances.Wired Equipment Wired. e nge Temporary Service Duplex Water Heater Ightihy Fixtures Apt. Building ryer Electric Heating Commercial Bldg. Furnace Si1o Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm. her (specify) them Specify) Other (Specify) Other Other Compute Inspection Fee Below k Fee Service Entrance Size # Fee Feeders/Subfeeders # Fee' circuits 0 to 200 Amps 0 to 30 Amps lo r 0 to 30 Amos Above 200-Amps' 31 toll 00 Amps 31 to 100 Amps Swimming Pool Above 100_An s Above 100_Am s Transformers` Irrigation Booms Partial-'Other Fee Signs Special Inspection B J TOTAL Special ~ V Remarks ~ FEE- Rough-in Date 1" the EI tri /r'0 r ►nspector, hereby certify that the above Final Daye~~ spection has been j made, this request void 18 months from RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN' 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Reauireme R.gmodogRemtiir Reaulmments • 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas • 2 copies of plan (20% maximum lot coverage allowed) • 1 set of Energy Caculatons for heated additionis • 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 site survey for exterior additions & decks • 1 set of Energy Calculations • Indicate if home served by septic system for adder • 3 copies of Tree Preservation Plan if lot platted after 711/93 • Rim Joist Detail Options selection sheet (bklgs with 3 or less units) _6c-' DATE VALUATION c:~>C"y SITE ADDRESS /4 4 MULTI-FAMILY BLDG _ Y TYPE OF WORK FIREPLACE(S) _ 0 _ 1 2 5-7- v/L- APPLICANT 557e zSl~ < STREET ADDRESSIIo x%a~e CITY~-(Z_5~_STATE/)*--l~ZIP ~1 TELEPHONE #6 52 CELL PHONE # FAX # (ol PROPERTYOWNER~e4 -e- TELEPHONE # COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672 (4 submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: Phone # 7Fee:(0 Plumbing system includes: Water Softener Lawn Sprinkler Water Heater No. of R.I. BaQ 1 No. of Baths C Mechanical Contractor: Phan y Mechanical system includes: Air Conditioning Heat Recovery System Sewer/Water Contractor: Phone # I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of E an Ord' Signature of Applicant OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4t02 OFFICE USE ONLY ❑ 01 Foundation ❑ 07 05-piex ❑ 13 16-piex ❑ 20 Pool ❑ 30 Accessory Bldg ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace 0 21 Porch (3-sea.) ❑ 31 Ext. Alt Multi ❑ 03 01 of_ plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) D 33 Ext. Alt - SF ❑ 04 02-piex ❑ 10 08-piex ❑ 18 Deck ❑ 23 Porch (screened) q 36 Multi ❑ 05 03-plex ❑ 11 10-plex ❑ 19 ` Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-piex Plbg_Y or N ❑ 25 Miscellaneous ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish (Interior) ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Bldg. ❑ 42 Demolish (Foundation) ❑ 45 Fire Repair ❑ 33 Alteration ` ❑ 37 Demolish (Bldg)* ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement *Demolition (Entire Bldg only) = Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) Final/C.O. _ Footings (deck) Final/No C.O. Footings (addition) Plumbing Foundation HVAC Drain Tile Other Roof Ice & Water Final Pool Ftgs Air/Gas Tests Final Framing! Siding Stucco _ Stone Fireplace R.I. Air Test -Final Windows (new/replacement) Insulation Retaining Wall Approved By , Building Inspector - - - - - - - - - - Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total RESIDENTIAL 15 BUILDING PERMIT APPLICATION S 4 CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 I New Construction Reauiremea Remodel IRegaiEepulr merirts • 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas . 2 copies of plan (20% maximum lot coverage allowed) • 1 set of Energy Calculations for heated additions 2 copies of plan showing beam & window sizes; poured found design, etc.) . 1 site surrey for exterior addiflom & decks • 1 set of Energy Calculations . indicate if hone served by septic system for addlitions • 3 copies of Tree Preservation Plan if lot platted after 7/1/93 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) d6s DATE VALUATION SITE ADDRESS MULTI-FAMILY BLDG _Y' Ni TYPE OF WORK' FIREPLACE(S) _ ill 1 _ 2 APPLICANT SS'e W /nf C~o tit STREET ADDRESS CITY (ASP STATEZIP S"7 TELEPHONE # '~67 Co~S CELL PHONE # FAX PROPERTY OWNER J~A /07' yam- TELEPHONE # COMPLETE' FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I _ MINNESOTA RULES 7672 t Submitted (4 submission type) . Residential Ventilation Category 1 Worksheet Submitted • New EnerlCodee • Energy EnvelopeCal culations Submitted ~ ~ D ~ Plumbing Contractor:Phone # AUG O Plumbing system includes: Water Softener Lawn Sprin .00 Water HeaterNo. of R.I. B t s_-No. of Baths Mechanical Contractor: Phone # Mechanical system includes: Air Conditioning Fee: $70.00 Heat Recovery System Sewer/Water Contractor. Phone # I hereby acknowledge that I have read this application, state that the information incorrect, and agree to comply with all applicable State of Minnesota Statutes and City of Eag r ces. Signature of Applicant ---.......____d ....................._-----..__a OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received Not Required Updated 4/02 OFFICE USE ONLY ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-piex ❑ 20 Pool ❑ 30 Accessory Bldg ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi ❑ 03 01 of _ plex ❑ 09 07-piex [7 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt SF ❑ 04 02=piex ❑ 10 08-piex ❑ 18 Deck ❑ 23 Porch' (screened) ❑ 36 Multi ❑ 05 03-piex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-piex ❑ 12 12-plex Plbg_Y or N ❑ 25 Miscellaneous ❑ 31 New ❑ 35 Int Improvement O 38 Demolish (Interior) ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Bldg. ❑ 42 Demolish (Foundation) ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish (Bldg)* ❑ 43 Reroof 0 46 W indows/Doors 13 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) _ Final/C.O. _ Footings (deck) Final/No C.O. Footings (addition) Plumbing Foundation _ HVAC Drain Tile Other Roof _ Ice & Water Final Pool Ftgs Air/Gas Tests Final Framing Siding Stucco Stone Fireplace _ R.I. -Air Test Final _ Windows (new/replacement) Insulation Retaining Wall Approved BY Building Inspector - - - - - - - - - - - - - - - - - Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 029198 (612) 681-4675 Date Issued: 11/12/96 SITE ADDRESS: 1682 BOARDWALK LOT: 9 BLOCK: 3 HAMPTON HEIGHT'S P.I.N.: 10-31900-090--03 DESCRIPTION: (GAS) Building Permit Type FIREPLACE Building Work Type NEW Censuo Cade 434 ALT. RESIDENTIAL REMARKS: FEE SUMMARY. Base Fee $25.00 Surcharge .50 Total Fee $25.50 r Y CONTRACTOR: - A p p l i c a n t OWNER: WELTER HTG, RAY 18256867 MEYER DEBRA 4637 CHICAGO 1582 BOARDWALK MINNEAPOLIS MN 55407 EAGAN MN (612) 825-6867 (612)681-9459 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 Mn. Statutes and City of Eagan Ordinance, APPLICANT/PERMITEE SIGNATURE ISSUED W B I ATU E CITY OF EAGAN 3830 PILOT KNOB RD - 55122 1996 FIREPLACE PERMIT APPLICATION i 681-4675 DATE: DESCRIPTION OF WORK: CONSTRUCT NEW FIREPLACE: - WOOD BURNING GAS _ INSTALL GAS INSERT ONLY IN EXISTING FIREPLACE INSTALL GAS LINE ONLY IN EXISTING FIREPLACE OTHER: ROOM TO BE INSTALLED IN: 1 STREET ADDRESS: LOT BLOCK_ SUBD./P.I.D. APPLICANT: (circle one only) OWNER (~ONTRACTOR 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. PROPERTY Name: 20~ Phone 10d t r q q -~--q OWNER LAST FIRST Signature: Street Address: & -,to City: State: b1/1- I~ Zip: FIREPLACE Company:. Phone INSTALLER Signature: Street Address: ((9 C t License City: State: Zip: 1 GAS LINE Company: Phone INSTALLER Name: Signature: Street Address: L1 two 11 City: y y State: ylk1~ Zip: OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 14 Fireplace WORK TYPE ❑ 31 New ❑ 33 Alterations ❑ 32 Addition ❑ 34 Repair GENERAL INFORMATION Census Code. SAC Code REMARKS Chimney/flue must be inspected before concealing. a CITY OF EAGAN ND 17 5 5 9 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 P~iONE:454-8100 BUILDING PERMIT Receipt # 6 557a_ To be used for BASEMENT Est. Value $1,500 Date FEB 27 1950-- Site Address 1682 BOARDWALK Lot 9 Block 3 Sec/Sub. HAMPTON HEIGHTS OFFICE USE ONLY Parcel No. Occupancy FEES Zoning U5 Name JAMES & JUDY PETERSON (Actual) Const Bldg. Permit 35.00 o Address 1682 BOARDWALK (Allowable) 1.00 Surcharge City EAGAN Phone 681-9473 # of Stories Plan Review Length ZF Name SAME Depth SAC, City Oa Address S.F. Total SAC, MCWCC City Phone S.F. Footprints On Site Sewage Water Conn Fw Name On Site Well Water Meter L! 3 Address MWCC System Acct. Deposit aw City Phone City Water PRV Required S/W Permit I hereby acknowlege that I have read this application and state that the Booster Pump S/W Surcharge information is correct and agree to comply with all applicable State of Minnesota Statutes a ity of Eagan Or 'names. Treatment PI Signature of Permite - APPROVALS Road Unit A Building Permit is issued to: JUDY PETERSON Planner Park Ded. on the express condition that all work shall be done in accordance with all Council .50 applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies Building Official - Variance TOTAL 36.50 1990 BUILDING PERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MUL PLED L GS COMMERCIAL 2 SETS OF PLANS 2`SETS OF `PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For: ' I N ISH was l luation: Date: Z Site Address I L, ZGtr~dtUC OFFICE USE ONLY Lot Block - FEES Occupancy Zoning Parcel/Sub 41,64 , Actual Const Bldg. Permit ~"Prrr~S Allowable Surcharge o D Owner ~tx~e~YJi.: # of stories Plan Review Length SAC, City Address Jkp%a ~Cx~ d Depth SAC, MWCC S.F. Total Water Conn City/Zip Code E"0-0 rni,1 JS Ian Footprint S.F. Water Meter Acct. Deposit Phone On site sewage S/W Permit on site well S/W Surcharge Contractor Self MWCC System Treatment Pl. City water Road Unit Address PRV Park Ded. Booster Pump Copies City/Zip Code SUBTOTAL APPROVALS Penalty Phone Planner TOTAL Council Arch./Engr. Bldg. Off. Variance Address City/Zip Code Phone # t t 3830 Pilot Knob Ro dCTY OF i P.O. Box 21-,11 9, Eagan, MN 55121 ~ ~ A-5,; 5 240 PHONE: 454-8100 n BUILDING PERMIT Receipt# e41-1-4 6-' To be used for SF DWG/GAR Est. Value $64,.000 Date AUGUST 5 '166 Site Address 1682 BOARDWALK Erect ( Occupancy R3 Lot 9 Block 3 Sec/Sub. HAMPTON HTS Remodel ❑ Zoning PD Parcel No. Repair ❑ Type of Const.-S-n Addition ❑ No. Stories cc FRONTIER MIDWEST HOMES Move ❑ Length 40 W Name Demolish ❑ Depth o Address 3908 SIBLEY MEM HWY 47 EAGAN 454-0433 Int.lmpr. ❑ Sq. Ft. City Phone Install ❑ o Name SAME Approvals Fees V C Address Assessment - Permit City Phone Water & Sew. Surcharge i 32.00 Police Plan Review 162.50 ~Z Name Fire SAC 575.00 - X8 Address Eng 500.00 Z Water Conn. <m City Phone Planner Water Meter 63.50 Council Road Unit 290.00 Ihereby acknowledge that Ihave read this application andstate that the Bldg. off. 7/24/86 Tr. Pl. 156.00 information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinance APC Parks Var. Date Copies Signature of Permittee Total 2.10 4 . 0 0 A Building Permit is issued to: RONTIER MIDWEST HOME on the express condition that all work shall be done in accordance with all a i ble ate of Minnesota tatutes an Ci of Eagan Ordinances. Building Official SIGMA HO SE CERTIFICATE FOR; HOME euu nE NS SURVEYING LAND DEVELOPERS SERVICES' HEAL TURs 3908 Sibley Memorial Highway FRONT COMPANIES Eagan, Minnesota 55122 Phone: (612) 452-3077 MODEL: STAFFORD e ALE 10:401 .7 C7'r' x ~ LITII.t 'tY _ ESMT.S 7 !jf , ~1~ epos , o I o a ♦ / L0~° tit ~~,o Y' \ ` 2O ` kgyz.o of 10~0' to O 8 33 D,q~ 7,8,F>y I O Ile !va / ~2$a 8385 sss.a _ 'F' g s3-cz 2Q ~g a`,\\v~~E;~ltillUh~iDlllilt!!l~`/~yl L.~ PPS NE D. D k ro~e~ EGENQ PROPOSED GARAGE FLOOR ELEVATION= Su`fZ.O , 8 t3 O Denotes Iron Max,iment PROPOSED Top of Block ELEVATION- ` . Denotes Woad Hub Set PROPOSED BASEMENT FLOOR ELEVATION- 839.3 x 844.6 Denotes Existing Spot Elevation NOTE: Verify all floor heights with Final House Plans. SIPAr"N ) Denotes Proposed Spot Elevation Denotes Drainage Direction W11125 CERTIFICATIGYV _ I hereby certify that this survey, plan or report -PROPERTY DESCRIPTION- was prepared by me or under my direct supervision LOT 9 ,BLOCK 3 and that I am a duly Registered Land Surveyor HAMPTON HEIGHTS er the laws of the State of Minnesota. according to the recorded plat thereof, C~/tJ'gs. ~fzy ~Sre Date: Dakota County, Minnesota nn Wayne D. Cordes, Minn. ~Reg. No. 14575 eJiSeck : C a-w. , 061 eA `11LI8~o woo R S 1. 1 1986 BUILDING PERMIT APPLICATION CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN COMMERCIAL 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 $2,000 LANDSCAPE BOND To Be Used For. Valuation: Date: Site Address OFFICE USE ONLY Lot Block Erect Occupancy - Remodel Zoning Parcel/Sub Repair Type of Const Addition # of Stories Owner Move Length - Demolish Depth Addres oInt.Impr. Sq Ft Install City/Zip Cod Phone - APPROVALS FEES Contractor MONT M ANIM Assessments Permit 905 3908 Sibley Memorial Highway = Bldg: E Water/Sewer Surcharge Address W„ WIN 6612h Police Plan Review •5~b Fire SAC City/Zip Code Engr Water Conn 500 Planner Water Meter Gr Phone Council Road Unit ;inFo Bldg Off Treatment P1 Arch./Engr. APC Parks Variance Copies Address TOTAL City/Zip Code Phone NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. EXTEMOR VIVELOPr AVCRAi-ir '•tt" COMP117A r(RI HFc ' - - f)ATr' •_~.r SITE A00RE. SS: PHONE: CONTRACTOR: _~C;y~J''t Oetermine working square footage of each 1. Total exposed wall area ....._sq. ft. x ,1; 2. Total roof/ceiling area.... _ d Sr ft, x .025 = Total exposed wall area above fl nor=- l-1LIZ;t~ a. Total wall window area _ 7 CZZ' b. Total door area - C. Total sliding glass door arcs Z d. Total fireplace wall area e Total wall framing area (average 10%) f. Total rim joist area........... . •L~ g• net wall area above h. wall area above floor i• wall area above floor . j frame wall area at foundation Total exposed foundation area= i~__ 5 k. Total foundation window area....... 1. Total net foundation area above grade Determine "u" value of each wail s_ginent (e.g. window, door, each separate-wail Section) • a• 1 ZS X „L,,, b. g X ,.U„ 4s . C. X „U„ _ e. X UU18 211 • f. Q X ..U., g. ~g I ~0~2 X "U" .h. X "ut$ • t X uUu . J X must If item #3 is the, X "U" as, or less than-i X ,.U.. 4 { S = ^5 #1, you have met_.t l• C j intent of SBC..6006 Total _ rxc,-:ior Ervclcpc Avcragc "L"' Comjluc.1t:ion Ptiga 2 of 4 Total oxpaacd roof/ceiling area C (p m. Total skylight area . n. Total roof/ccilinc; framing area (average lOt) I p(, 0. Total net insulated roof/ceiling area /4 Determine "U" value for each roof/ceiling segment M. "U•• n. 1 0 Co x "U., o. x 4 Total If total of u4 is the same as, or less than 92, . you have met the intent of SBC 601,16 (c) 1. Alternate Buildinq 3nvelooe Design To utilize the total enveloee 'syst`ze method, the values established by the s-= of items 143 and #4 shall not be greater than the sum of items 1#1 and #2. 1. Z I Co UC'i + 2. --ter j C41 , S 3 + 4. Z-)' 7 3 = LD PLAQ L. r~jS L FT, EXPOSt=D WALL qu L L_ I • v s ~r r - S ~T, 5 WALL AR-EA lac. ~S X ,S = 7> Z•ds 1,30 X S = a ~.0. - 7VC 1::uLL.X..B = 1101 F, 4v :r S~ ~t L(~lc~ ~ v Ito W DW5 ~1 D R. Z~2 2. q l 3 f-w lc-- CP = 3Gw lob ?A-r'i o D(-4 Za Go _ Z S . H4, u u -f- 2/84L CITY OF EAGAN APPLICATION FOR PEIP-MIT SEWER AND/OR WATER CONNECTION (PLEASE PRINT) 1) PROP= ADDRESS: 1682 Boardwalk, Eagan, MN. 55121 LEGAL DE`3=1 TICN: Lot 9 Block 3 Hampton Heights (Lot/Block/S,isicn or Ta.% Parcel I.D. Nt3nber) IF ST. DATE OF ORT_GyIaL E ILD`G 'PEI; ISJUANC : PP°Sr ^ ^`711:~:/ParOPV,C~ USE: X R-1 $TZ:GLc. EP~IITTV 13 R-2 CUP== (7.-;0 U=LTS) ❑ R-3 TOG.Z&M1SE (TT= L UNITS) ( UNITS) L ❑ ice.-mot ht'cii =,:T/CC'=.,1INIr:M ( L'NIT S} ❑ CCi•n1ERCT_=iLIRE'~AIT,/OFFIC ❑ It.LST.:IU,L ❑ L`JSTI i v i'TONAL/Gu V~14F ~;j+ 2) APPLI= (PLEASE PRINT) Frontier Midwest Homes Corporation ADDRESS: 3908 Sibley Memorial Hwy. Bldg. E CITY, STATE, ZIP: Eagan, MN. 55122 PHONE: 454-0433 3)1, PLc-M' NIVME= Star Plumbing (PLEASE PRINT) FOR CITY USE ONLY ~ZS PLUMBERS LICENSE: PDD-~.~ S: 1018 Mound Springs Ter. = Active CITY, STATE, ZIP: Bloomington, MN. 55420 Q Expired H.)irn 77 Not of Record PHONE: 884-4149 PLUMBER LICENSE # 3329 Starr :nit- 17--4) OCMCPA`]T/CrviTm (PLEASE PRINT) Nc%ME: Peterson, Jim & Forslund Judy ADDRESS: 9901 Harrison Rd. CITY, STATE, ZIP: Bloomington, MN. 55431 PHONE: 831-1097 5) INDIC;%TE WHICH PERMIT IS BEING REQUESTED: g[ CCNNECPION TO CITY Sal-ER Please mail gold copy to CONNECTION TO CITY WATER Wenzel Mechanical 3600 Kennebec Dr. Q crnmR (PLEASE DESCRIBE) Eagan, MN. 55122 6) umic az: PLZ%SE HOLD APPROVED PERMIT FOR PICK-Up BY ONE OF ABGVE PLEASE :•7LI APPS PEa%1IT TO 1, 2 3, 4 AEOVE (Circle one) 7) SIC.~,'IL'RE: DATE: July 18 , 1986 V _ CITY OF E A G A i tUrw, PAWoV NT of FEE AT TIM W * APPLICATION DOES NOT CONSTITUTE z* APPROVAL OF PERMIT. >F APPLICATION FOR PERMIT INSPECTION OF SEWER AND/OR WATER • Ir II ATIONS WILL NOT BE SCHED SEWER AND/OR WATER CONNECTION mm umm PERMIT HAS BEEN >f " APPROVED. x• (-Please Print 1) PROPERTY` ADDRESS: LEGAL DESCRIPTION: (Lot/Block/Subdivision or Tax-Parcel . ID ) IF EXISTING STRLY-MME, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: PRESENT ZONING/PROPOSED USE: (Month/Year)- COMMERCIAL/RETAIL/OFF ICE 0 R-1 SINGLE FAMILY Q INDUSTRIAL R-2 DUPLEX (Two Units) n INSTITUTIONAL/G NT R-3 TOWNHOUSE (Three + Units) ( Units) R-4 APARTMENT/CONDOMINIUM ( Units) 2) ( :.r NAME: ADDRESS: CITY, STATE, ZIP: PHONE: 3) NAME: For City Use Plumbers License: ADDRESS: 0 Active i CITY, STATE, ZIP: Expired Not recorded PHONE: MASTER LICENSE# St Initial 4) .t -T1 r• 1~. NAME: ADDRESS: CITY, STATE, ZIP: PHONE: -5) Vol& n CONNECTION TO CITY SEWER Q CONNECTION TO CITY WATER OTfm 6) • 1 E] PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE - - [3 PLEASE MAIL APPROVED PERMIT TO 1, 2, 3, 4, ABOVE (Circle one) 7) n • I• • • 7~ ::r M•i• • NPR 1 i 1 ~1 • t• S1- L-- w .FOR :CITY USE ONLY PERMIT # ISSUED [ , . , " oe--1a r~ - , Pd w/Bldg. Permit FEES: $ $ SEWER PERMIT (INCLUDE SURCHARGE) $ A01150 $ WATER PERMIT (INCLUDE SURCHARGE) $ 11J O $ WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ f S 00 $ ACCOUNT DEPOSIT - SEWER $ $ ACCOUNT DEPOSIT - WATER $ $ WAC $ S7J. $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ 7 SG) $ TOTAL 4-`37a RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? YES 'IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: /1,11 11 C APPROVED BY:4 TITLE: L DATE : A) Use BLUE or BLACK Ink For Office Use G, • I ~ ~I I ~ of Wan ~ Permit - I IV.11 I I I Permit Fee: .,6~0I 3830 Pilot Knob Road I Eagan MN 55122 1 Date Received: Phone: (651) 675-5675 j staff: Fax: (651) 675-5694 2010 RESIDENTIAL pPLUMBING PERMIT APPLICATION Date: Z Z l O Site Address: ! ~OIL. "4~OaAX::k , & I k4V y' Tenant: CW-- Suite RESIDENT / OWNER Name: iJ e K c-c" Phone: - qj 7 Address / City / Zip: 6 d rZ datPCU)ak CONTRACTOR Name: < Q In'~ License &b.5' Address:7e 6 / sI S/`r S City: wey-~ I~Gc State. Zip: 3~ 7 Phone d LS s~ Contact: ~Gt Email: TYPE OF WORK _ New Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W. Description of work: PERMIT TYPE RESIDENTIAL Water Heater !/Water Softener Lawn Irrigation Add Plumbing Fixtures RPZ PVB) Main _ Lower Level) Septic System Water Turnaround _ New Abandonment RESIDENTIAL 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 $166.00 if a 5/8" meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) J $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) ,-dam TOTAL FEES $ CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowled that t is information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I and tend th 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 ap v plan in the case of work which r view efrd-approval of plans. X - x A lic nted Nat Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In Air Test Gas Test Final SEDGWICK HEATING & AIR CONDITIONING CO. HEATING JOB NO. 8910 WENTWORTH AVENUE SOUTH MINNEAPOLIS, MN 55420 • ,(952) 881-9000 TEST RECORD ~J~ 3 ADDRESS bwk)'41-'e- CITY ` E 6A ~ MAY 16 Zn UOn OCCUPANT OWNER 1;)ehg SOLD BY INSTALLED BY MAKE MODEL v / SERIAL NO. cJ /'_T INPUT THERMOSTAT VENT SIZE VALVE TYPE OF LINER LIMIT a LINER SIZE O LIMIT SETTING FILTERS: SIZE l' NU E/RFAN SETTING ( WIRING a PILOT TYPE TEST TAG IGNITION MODEL LIGHTING INST. PILOT TIMING u d DATE TESTED PRESSURE 7' L~ PERCENT CO, I7 COMPANY TESTING V ' w INPUT CFH t~V PERCENT 02 STACK TEMP. PERCENT CO _~NAME OF TESTER FORM 235 (REV. 11/89) FORM DISTRIBUTION: WHITE COPY - JOB FILE YELLOW COPY - CITY PERMIT City of Eagan Permit Type:Building Permit Number:EA108721 Date Issued:01/07/2013 Permit Category:ePermit Site Address: 1682 Boardwalk Lot:9 Block: 3 Addition: Hampton Heights PID:10-31900-03-090 Use: Description: Sub Type:e-Windows/Doors Work Type:Windows/Doors Description:House 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, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - Debra L Meyer 1682 Boardwalk St Paul MN 55122 Beissel Window & Siding Co 1635 Oakdale Ave W St Paul MN 55118 (651) 451-6835 Applicant/Permitee: Signature Issued By: Signature City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK I... For Office Use It Permit #: w Permit Fee: / q 7 v2 V Date Received: Staff: 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 6/14/2016 Site Address: 1682 Boardwalk Unit #: J Resident/ Owner Name: Deb Meyer Phone: 651-206-4848 Address / City / Zip: 1682 Boardwalk Eagan, MN 55122 Applicant is: Owner ✓ Contractor Type of Work Description of work: Replace existing deck per drawings provided. Construction Cost: $15,500.00 Multi -Family Building: (Yes / No ✓ ) Contractor Company: Lindus Construction Contact: Josh Trebil Address: 879 Highway 63 City: Baldwin State: WI Zip: 54002 Phone: 800-873-1451 Email:losh@lindusco.com License #: BC007644Lead Certificate #: NAT -58924-2 If the project is exempt from lead certification, please explain why: Built in 1986 In the last 12 months, Yes No 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? If yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Fire Suppression Contractor: Phone: 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 Minneso a State Building Code must be completed within 180 days of permit issuance. Jessica Olson Applicant's Printed Name X (Mk) nt's Signature Page 1 of 3 /6g v- o (iti I DO NOT WRITE BELOW THIS LINE / 7 '/ SUB TYPES Foundation Single Family Multi 01 of _ Plex WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100% y) Census Code # of Units # of Buildings Type of Construction Fireplace Garage Deck Lower Level Interior Improvement Move Building Fire Repair Repair REQUIRED INSPECTIONS Footings (New Building) ?( Footings (Deck) Footings (Addition) Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width Foundation Roof: _Ice & Water _Final Framing 30 Minutes 1 Hour Fireplace: _Rough In Air Test _ Insulation Sheathing Sheetrock Fire Walls Braced Walls Shower Pan Final Siding Reroof Windows Egress Window _ Exterior Alteration (Single Family) Exterior Alteration (Multi) _Miscellaneous Accessory Building 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 Suppression Required 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: Reviewed By: $ t , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant ., Copies TOTAL '// Page 2 of 3 //oda �o�rz�caaI SIGMA SURVEYING SERVICES 3908 Sibley Memorial Highway Eagan, Minnesota 55122 Phone: (612) 452-3077 x H -,OSE CERT I F I CATE FOR; HOME BUILDERS 411111111111111111111111111111. LAND DEVELOPERS jorANSMITIMMEMia REALTORS FRONT COMPANIES MODEL: STAFFORD L c. r -? Pito k\ 8/33 $38.5 838.8 • Denotes • Denotes x 844.5 Denotes („ sem 1 Denotes Denotes -LEGEND - Iron Monunent Wood Hub Set Existing Spot Elevation Proposed Spot Elevation Drainage Direction -PARTY DESCRIPTIOV- LOT 9 ,BLOCK 3 HAMPTON HEIGHTS according to the recorded plat thereof, Dakota County, Minnesota I 1 CORDES 14675 PROPOSED GARAGE FLOOR ELEVATION= S`fZ.O PROPOSED Top of Block ELEVATION= 84Z:3 PROPOSED BASEMENT FLOOR ELEVATION.. 839.2 NOTE: Verify all floor heights with Final House Plans. -SUIWEYORS CE ?TIFICAT101- I hereby certify that this survey, plan or report was prepared by me or under my direct supervision and that 1 am a duly Registered Lard Surveyor et- the laws of the State of Minness`i IOC. f / �•L �e✓tJ`Q,_aDate: �<z8C. Wayne D Cordes, Minn. Reg. No. 175 Moctert 8/1z,186 C�. PERMIT City of Eagan Permit Type:Building Permit Number:EA153815 Date Issued:01/24/2019 Permit Category:ePermit Site Address: 1682 Boardwalk Lot:9 Block: 3 Addition: Hampton Heights PID:10-31900-03-090 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations 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: 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 - Debra L Meyer 1682 Boardwalk St Paul MN 55122 (651) 206-4848 Window Concepts Mn 291 Eva St St Paul MN 55107 (651) 905-0105 Applicant/Permitee: Signature Issued By: Signature (-For Office Use ` i I �� P11Permit#: a .1 E AG A N - Permit Fee: Crb leo Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 JUL 01 Z!!iy (651)675-56751 TDD: (651)454-8535 I FAX: (651)675-5694 Staff: buildinginspections ancityofeauan.com • 2019 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: tplLAD201-1SiteAddress: '�QDa OQ Tenant: c°"1 .v 4 Suite#: Reslden`tGOWliiert Name: . ►� ('Y)f4 /\ Pho f ?b6 — 11 `'at �`}.4 Address/City/Zip: to 1?).DayteL4,0a4-e_ Cetv"-ivwj-s-7-),z, Name: License#: Contractor Address: City: State: Zip: Phone: Contact: Email: Type;of Work —New _Replacement _Repair _Rebuild Modify Space _Work in R.O.W. Description of work: W er Heater Lawn Irrigation ( RPZ/_PVB) Water Softener Add Plumbing Fixtures ( Main/_Lower Level). Description Septic System Description: New Connection to City Water from Well Abandonment RESIDENTIAL FEES $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation (includes State Surcharge) $60.00 New fixtures, adding or removing piping (includes State Surcharge) $60.00 Septic System Abandonment $100.00 New Residential (fee collected with Building Permit) $115.00 New Septic System (includes County fee and State Surcharge) $60.00 Connecting to City Water from Well* + $290 for Meter and $190 for Radio Read = $540 *Sewer&Water Permit also required for connection charges TOTAL FEES $ llyn`/1 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 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 www.citvofeauan.com/subscribe. 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. h06-°/17--- x //11'6gAt'46(2.- • Applicant's Printed Name Applicant's Signature Page 1 of 2 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA166529 Date Issued:01/19/2021 Permit Category:ePermit Site Address: 1682 Boardwalk Lot:9 Block: 3 Addition: Hampton Heights PID:10-31900-03-090 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$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 - Debra L Meyer 1682 Boardwalk Saint Paul MN 55122--123 Tony's Appliance 2090 County Road 42 West Burnsville MN 55337 (952) 435-2442 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA178496 Date Issued:08/22/2022 Permit Category:ePermit Site Address: 1682 Boardwalk Lot:9 Block: 3 Addition: Hampton Heights PID:10-31900-03-090 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations 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: 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 - Debra L Meyer 1682 Boardwalk Saint Paul MN 55122--123 (651) 206-4848 Window Concepts Mn 291 Eva St St Paul MN 55107 (651) 905-0105 Applicant/Permitee: Signature Issued By: Signature