583 Allan Lane
03/18/2011 FRI 7:57 FAX 6514378831 1x002/002
Use BLUE or BLACK Ink
of ~PermitC
ity uI Permit Fee: j
3830 Pilot Knob Road I I
Eagan MN 55122 j Date Received: I
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 Staff: j
2011 MECHANICAL PERMIT APPLICATION
Date: 31p Q Site Address: Han an } ~-w
Tenant: ~ on. A Suite
RESIDENT / OWNER Name: )on Johnson Phone:
Address / City / Zip: 593 /M I 0 1 f..-il t 1.1
CONTRACTOR Name: one aLr License
Address: PDO Y N t i t i My► t[ City: Hn" WS
State: Zip: IEF~ Phone:
(Yvin
tAll fill Email:
Contact:
TYPE OF WORK New -Replacement Additional -Alteration Demolition
Description of work: wMalm aw'dild 0[ 1/&
NOTE Roof `mnuntad acid ground mounted ineehanic'l equipment is requirei# 2srbe'sctet3ned liy City
Code. Please contact the Mechanical trisector toi information onerrfttd~s¢reenln methods ,
PERMIT TYPE RESIDENTIAL COMMERCIAL
umace _ Now Construction Interior Improvement
y Air Conditioner Install Piping Processed
Air Exchanger Gas _ Exterior HVAC Unit
Meat Pump Under / Above ground Tank Install / _ Remove)
Other when installing/removing tank(s), call for inspection by Fire
Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$55.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge)
$95.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) $ TOTAL FEE
COMMERCIAL FEES:
$75.00 Underground tank installation/removal OR Contract Value $ x1%
$55.00 Minimum (includes State Surcharge)
Permit Fee
- If the Permit FFe is less than $10,010, surcharge is $ 5.00
If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee Surcharge
(i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge)
$ TOTAL FEE
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454.0002 for protection against underground utility damage. Cali 48 hours
before you intend to dig to receive locates of underground utilities. www.ggpherstateonecall.orn
1 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. o
x MI x rt.-
Applicant's Printed Name Appi nt's Signature
FOR OFFICE, USE Reviewed By: Rate:
Required Inspections: Under Ground Fougt: In,, Air Pest vas Seum Test InAoor Heat Final
Exterior HUAC Screening inspsttQn
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
,
SITE ADDRESS: 161 11 1 Of t APPLICANT:
IAN IAA i tltk
!u1 Y r Ii i .
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION TYPE DATE INSPTR INSPECTION TYPE DATE INSPTR.
rr, i
F
L
Permit No. Permit Holder Date Telephone #
ELECTRIC
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL , a
0 AN f- (4,-v _5 IS
FIREPLACE . /O` 13 S
U v 711 ,;,LA-L
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FIG
DECK FINAL
F
SEWER & WATER PERMIT OFFICE USE ONLY
I CITY OF EAGAN METER #~-T7~ PERMIT DATE 10/05./1.'[,
3830 Pilot Knob Rd.
Eagan, MN 55122-1897 CHIP # r S yD 7 PERMIT # 11 -77-71
/05S
METER SIZE qG B.P. RECEIPT #
ISSUE DATE~ , B.P. RECEIPT DATE 10/04/9c
DATE
X PRV _ BOOSTER PUMP
SITE ADDRESS ALLAY; LN PERMIT REQUESTED
LOT BLOCK I SEC/SUB N.ANOI: LAKE 2ND
SEWER_ WATER -TAPS
APPLICANT:
ADDRESS: - COMM/IND ;c RESIDENTIAL
CITY, STATE ZIP = NEW EXISTING
PHONE:
1~ A Lawn Sprinkler Meters are t ;rbe Installed
-~G~StiCkt, \1+~hn ~3~ ~
PLUMBER: Ahead oVDomesti el. ,On Water Line.
~
e'Deduct Meters.
ADDRESS: X"4 -2''0 R'`~ ~J Cred' V~/II,L NOT wen
CITY, STATE `~q a ZIP 6-4-775
PHONE: Z
I/AGREE TO PLY WITH CITY OF
OWNER: k S ''t S01`-E~j /EAGAN ORDINANCES Q
ADDRESS: 16670 FRANKLTV TX ~)UtT_`; 23")
CITY, STATE PRIOR LAKE, N .,N ZIP 55372
~ ,
SIGNATURE WHEN METER ISSUED
PHONE:
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
CITY OF EAGAN 18423
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 ;
BUILDING PERMIT Receipt # i
To be used for SF DWG/GAR Est. Value $102.000 Date OCT 3 19 90
Site Address 583 ALLAN LN
Lot S Block 2 Sec/Sub. MANOR LAKE 2ND OFFICE USE ONLY
Parcel No. Occupancy X-3 N-1 FEES
Zoning PD R-1
W Name R S H NOM68 (Actual) Const V-N Bldg. Permit 647.00
Address 16670 MANKLIN TR SE, SUITS 2 (Allowable) V-N sumnar a 51.00
City PRIOR LMM Phone 4410-6901 # of Stories s
Length Plan Review 420.00
ZF Name SAME Depth ~ snc, city 1~•~
OU00Address S.F. Total SAC, MCWCC 6w. 00
F City Phone S.F. Footprints
On Site Sewage Water Conn 625.00 '
U w Name On Site Well Water Meter 90' 00
v Address MWCC System - Acct. Deposit 30.00
W City Phone City Water
S /W Permit 3o•oo
PRV Required
I hereby acknowlege that I have read thi pplicati and state that the Booster Pump . 50
SM Surcharge
information is correct and a ee. to co with I applicable Slate of 252.00
Minnesota Statutes and City,~F~agan Or i ance Treatment PI
Signature of Permitee err.. APPROVALS Road Unit 355'00
A Building Permit is issued to: 8 1M )3E$ Planner Park Ded.
on the express condition that all work shall be done in accordance with all Council
applicable State of Minnesota Statutes and City of Eagan Ordinances. Blds Off. Copies
3,200.50
Building Official - Variance TOTAL
Permit No. Permit Holder Date Telephone #
WATER O [e / /d SO
SEWER
PLUMBINti~
&J. ~l~ ' ~ia8 9v ~O 00
H.V.A.C. 7(~C. t/9 90
ELECTRIC
Inspection Date Insp. Comments
Footings[ O~
Foundation fD ~d Q
Framing ~~'j 'f►C' ~S
Roofing
Rough Plbg. - Q
Rough Htg. ! ~9 $5 /ILf/
Isul. / CL
Fireplace
Final Htg.
Final Pibg.
Const. Meter Plbg. Inspector- Notify Plumber
Engr.IPlan
Bldg. Final _ rJLn
Deck Ftg.
De& Final
Well
Pr. Disp.
Address: 583 ALAN LANE Lot 5 Blk 2 Sec/Sub MANOR LAM 2ND
These items were/were not complete at the time of the final ccinspection.
DATE, DE~_ 28 1990 Yes No INSPECTOR: J
Final grade (6" from siding)
Permanent steps - garage
Permanent steps - main entry
Permanent driveway
Permanent gas
Sod/seeded grass Sri coy.,
Trail/curb damage s•
r[;~u
Porch
Basement finish
Deck
Please verify with the builder the removal of roof test caps from the plumbing
system and the shut-off of water supply to the outside lawn faucet before
freeze potential exists.
White - City copy Yellow - Resident copy Pink - Contractor copy
CITY OF EAGAN NO 18423
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt # (4,
To be used for SF DWG/GAR Est. Value $102,000 Date OCT 3 1990
Site Address 583 ALLAN LN
Lot 5 Block 2 Sec/Sub. MANOR LAKE 2ND OFFICE USE ONLY
Parcel No. Occupancy R-3 MM=1 FEES
Zoning PD RR1
X Name R S M HOMES (Actual) Const VN Bldg. Permit 647.00
a Address 16670 F ANKT TN R SE, SUITE 23 (Allowable) Surcharge 51-0
0
City PRIOR LAKa Phone 440-6901 # of Stones
Length 48, Plan Review 420.00
Name SAME Depth 40' SAC. City 100.00
oa Address S.F. Total SAC, MCWCC 600.00
City Phone S.F. Footprints _
On Site Sewage Water Conn 625.00
W Name On Site Well Water Meter 90.00
Ego Address MWCC System X
V City Phone City Water X Acct. Depose 30.00
PRV Required 8 S(W Permit 30.00
1 hereby acknowlege that I have ad th a4H d stale that the Booster Pump S/W Surcharge .5
0
intonation is correct and re o m y licable State of
Minnesota Statutes and Ci f gan naTreatment PI 2 - 0Signature of Permitee APPROVALS Road Unit 355.00
A Building Permit is issu to: S M Planner Park Dad.
on the express contlrtion hat all work shall be done in accordance with all Council
applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies
0
Budding Official Ni q ei 0~4 Variance TOTAL 3,200.5
1990 BUILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS 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 - CuNTRACTOR/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. 6EP 1 y'
To Be Used For: '5'~k txvv~ Valuation: Date: II(t~~1O
610c ~ &Lt AN yE
Site Address /OZ( OFFICE USE ONLY
Lot 5e Block FEES
MRt~t R L VS ZtNb Qb~ Occupancy 2-3 M-1
Zoning FC 52-I
Parcel/Sub Actual Const V-N Bldg. Permit G~~,DO
Allowable Surcharge '5,0
Owner # of stories Plan Review 42o,v~)
Length L~g SAC, City O D
Address Depth SAC, MWCC 00,40
S.F. Total Water Conn bu,
City/Zip Code Footprint S.F. Water Meter 90,0 J
Acct. Deposit 30,00
Phone On site sewage- S/W Permit 30,x0
~p On site well S/W Surcharge t~
Contractor R5.`th F~w.fS MWCC System ✓ Treatment P1. Z 2,C~
~p ` City water Road Unit 3 ,00
Address W)o t24&L } D si .7~+tt W PRV Park Ded.
Booster Pump Copies
City/Zip Code C2b2 `01e- 553-2a SUBTOTAL
APPROVALS Penalty
Phone ' 1 r~c! a1 Planner _ TOTAL ITO
G/r~'. Council
Arch./Engr. ` Vyls- Bldg. Off. q
Variance S 9~
Address
City/Zip Code
Phone #
' 7
G ArZ.c~~
~Y 22= yy~
IZXZZ- 26N
~a4 X /5= lbSGo
Z 4
b x I ~ ~ ~sy
1332 x ly = f g
N ou.5~
1'~2 K 3g= 5 ~ .
'`i21 X51= ~z4'll
101 6099
RS~r ,yo~E~
ENROBE
r
G NC RING `p A x n10 ANU siURY6VORs O/
~roMPANY, INC. ~•~t
`,~,.,,...T 148111 STREET, BUflNSY11 t E, MINNESOTA 66331' PH 4St-`J000
, IVUU EAS
Certificate ofi Survey
Legal Descriptlon : /..or 5, wc& e, molne zAKE VIP 14,007'10N
pAV& A CW"IrY, M/NNESoT,4.
(5y-!) DENOTES EXISTING ELEVATION'
(q 4s. s) DENOTES PROPOSED ELEVATION
INDICATES DIRECTION OF SURFACE DRAINAGE
'74SX5 o FINISHED GARAGE FLOOR ELEVATION
'740,76--= BASEMENT FLOOR ELEVATION
149,G7.= TOP OF BLOCK ELEVATION
SCALE , V - 3d
(9 y3.3) ,
N 89%z47" E6 _ (649
ORA/A/A6EAND f ( i 1 n
U7-1 l-ry E 4sEMEivT 5 ~iJ y 1 L_ I ro
L T
kA~
CUT-1, sew* +~s3`
p Mp _
rN
O I Iz.~
}
~I 6ARAi-E µ4`.o)
4 O q
lo.oo lZ.on 8 Q
\
GFZ[>iVT BUILO/nl6 I ~ LW' ~ g}') r Im v
$FTjPAGVC.' L / NE o
g•N~.~ del ~
9 yc, a /_~+n
26.70 G= .g ~ ~ / (9a~.s CK ~6G
N89°x4•`47" A°l7°'14'ab"~ '7 t=29, R
V c~ .
Q.BaJ. .
ALLAN I
(~~a +c3~ NE
A
147
AEOURED
I hereby certify Ihat this is a true and correct representallon of a trod of lond as shown
y and described hereon. As prepared by 'me an 11118, 2 *4 day of 'rf ,14 ~
n
Mhm, ftetl• No.
TOTAL F.nz
EXTURIOR ENVEWPE AVERAGE "U" CO.MPUTATIO11
OWIJCR
siTE ADDW1SS C~"--
CONTRACTOR _A S M A Me5 S ~N L
DATE 1 < KD PIIONE W -G9o/ -
Determine working square footage of each.
1. Total exposed wall area /B yam. O sq. ft. x .11 = c~03..J
/38yo sq. ft. x .025
2. Total Goof.ceiling area
r
k'.
Total exposed wall area above floor = /8 y8 O
• a. Total wall window area
b. Total door area y/.
C. Total sliding glass door area 31• Y _
d. Total fireplace wall area a
e. Total wall framing area (average 10%) ley, 8
f. Total net wall area above floor
g. Total rim joist area /3 a, o
Total exposed foundation area
h. Total foundation window area Q
1. Total net foundation area above grade /d Z.'~
Determine "U" value of each wall segment.
b. 5/1. G X ..u.. o710
d. o X ..u.. - e O
e. X ..U..
/30. o ;...U.. Oyu
/d2•S/`-- , 083 ..B .S
r ~
3 ................................._...Tota1
If item q3 jr the same as, or les!; than item ql, you Lave mer ehc intent
of sec 6006(c)2.6W" a3 r9G 9J< ~4~e 8/ X03 3
Off}. Sda GOGL ~r/ 1
Total exposed roof/ceiling area
j. Total skylight area O
Y.. Total roof/ceiling framing area (average 101) _/3B•Y_
1. Total net insulated roof/ceiling area /?y
Determine "U•" value for each roof/ceiling segment.
j• X U.. D = O
k. /38. 5i x "U" OaS = S
1. 1d:2 1o X .'U-
4 / _ ~lo •
......Total = p 7
If total of 44 is the same as, or less than 112, you h/ayyy2e met the intent of
SBC 6006 (c) 1. J. .2 ` I V. b, -7~ A#- -t~
~ 5i3L 4ou 4 (e l
Alternate Building Envelope Design
To utilize the total envelope system method,.the values establish-.d by the
sum of items 93 and q4 shall not be greater than the sum of items ql and 02.
1. X03. 3 +
CITY USE ONLY
LOTT~J BL RECEIPT
SUBI7-~ RECEIPT DATE: sl-cc~-919 b
C. 1998 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN /3K 7
3830 PILOT KNOB RD
EAGAN HN 55122
(612) 681-4675
Date:
Complete this section only if you are installing HVAC in single family, townhomes or condos under
construction and not owner /occupied
• HVAC: 0-100 M B T U $ 24.00
ADDITIONAL 50 M BTU 6.00
• Gas outlets (minimum of one required @ $3.00 ea.)
• State Surcharge: .50
• TOTAL:
Complete this section only if you are remodeling, adding to, or repairing existing single family dwellings,
townhomes, or condos. Note: Mechanical permit is not required for alteration/add-on to ductwork in
existing residential units; but is required for the following: /
Install furnace V Install air conditioning
Install air exchanger, i.e. Vanee system, etc. Other
Minimum fee applies to all remodel or add-ons of existing residences $ 20.00
State Surcharge
Total: 20.50
SITE ADDRESS: P99 1111W ~an2
OWNER NAME: ° t7G7 5/va/o, PHONE 41 9-- .W O
INSTALLER NAME: f Aho t PHONE #:Y
STREET ADDRESS: 1 1X1 U J Q
CITY: STAZT: II ZIP: ~S3 ~v
)AATURE OF PERMITTEE
JS/FORMS BLD/MECH PERMIT (RES) . 1998
CITY USE ONLY
L _ BL RECEIPT*
SUBD. RECEIPT DATE:
1998 MECHANICAL PERMIT (COMMERCIAL)
CITY OF RAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for all commerciallindustrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE: CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: I% of contract price OR $25.00 minimum fee, whichever is greater.
Processed piping - $25.00
CONTRACT PRICE x 1%
PROCESSED PIPING
PERMIT FEE
STATE SURCHARGE (S.50 per $1,000 of permit fee due on all permits.)
TOTAL
- - - - - - - - - - - -
SITE ADDRESS:
OWNER NAME: PHONE
TENANT NAME (IMPROVEMENTS ONLY):
INSTALLER:
ADDRESS: PHONE
CITY: STATE: ZIP:
SIGNATURE OF PERMITTEE CITY INSPECTOR
_ CITY OF EAGAN PERMIT ck4q OqQ 3830 Pilot Knob Road PERMIT TYPE: BUILDING
Eagan, Minnesota 55122-1897 Permit Number: 0 2 6 5 3 4
(612) 681-4675 Date Issued: 10/12/95
SITE ADDRESS:
583 ALLAN LANE
LOT: 5 BLOCK: 2
MANOR LAKE 2ND
P.I.N.: 10-47276-050-02
DESCRIPTION:
(WOOD BURNING)
Build int~,_Permit Type FIREPLACE
Building Wxrk Type NEW
t
REMARKS:
FEE SUMMARY:
Base Fee $25.00
Surcharge 50
Total Fee _$25.50
CONTRACTOR: Applicant - ST. LIC.
OWNER:
STOVE & FIREPLACE GALLERY 18981174 20032080 UREXLER GREG
1278 COUNTY ROAD 42 563 ALLAN LN
BURNSVILLE MN 55337 EAGAN MN 55123
(612) 898-1174 (612)452--1635
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 Ordinances.
APPLICANT/PERMITEE SIGNATURE ISSUED BY: SIG ATURE
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: B U I L D I N G
3830 Pilot Knob Road Permit Number: 0 2 6 5 3 4
Eagan, Minnesota 55122-1897 Date Issued: 10 / 12 / 9 5
(612) 681-4675
SITE ADDRESS: L 0 T: 5 BLOCK: 2 APPLICANT:
583 ALLAN LANE STOVE & FIREPLACE GALLERY
MANOR LAKE 2ND (612) 898--1174
PERMIT SUBTYPE: TYPE OF WORK:
FIREPLACE NEW
DESCRIPTION (WOOD BURNING)
INSPECTION TYPE DDATE INSPTR. INSPECTION TYPE DATE INSPTR.
ROUGH-IN FINAL
z
CITY OF EAGAN fi. r
19BUILDING PERMIT APPLICATION
W4 681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, I copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date Valuation of work 149(f Q
Site Address:_ _5`3~ QrL(~,q Lin.
STREET SUITE #
Tenant Name: (commercial only)
LOT J) BLOCK SUBD. P.I.D. #
6
W L 1W 3
Description of work: ` ck. ce "C Wcp r-
The applicant is: ❑ Owner R] Contractor ❑ Other (Describe)
Name Greo, ~)sedipr- Phone X15;-/435-
Property LAST FIRST
Owner Address 3-83 fA L L L&,
STREET r tot' #
City ~4-Cn~ State rtot, Zip 3
Company Phone 8~T-4e ~q
Contractor Address /2,74 L4_k'1 C-/-, License #,P003.20 ~a Exp.
City State MA, Zip 5~533~
Architect/ Company Phone
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
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.
Signature of Applicant:
r
OFFICE USE ONLY -
BUILDING PERMIT TYPE ^g....±' '
❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish
❑ 02 SF Dwg. ❑ 07 4-Plex ❑ 12 Multi. Misc. ❑ 17 Swim Pool
❑ 03 SF Addition ❑ 08 8-Plex ❑ 13 Garage/Accessory ❑ 18 Comm./Ind.
❑ 04 SF Porch ❑ 09 12-Plex ❑ 14 Fireplace ❑ 19 Comm./Ind. Misc.
❑ 05 SF Misc. ❑ 10 Multi. Add'l. ❑ 15 Deck ❑ 20 Public Facility
❑ 21 Miscellaneous
WORK TYPE
❑ 31 New ❑ 33 Alterations ❑ 35 Tenant Finish ❑ 37 Demolish
❑ 32 Addition ❑ 34 Repair ❑ 36 Move
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MWCC System
(Allowable) 1st Fl. sq. ft. City Water
UBC Occupancy 2nd Fl. sq. ft. PRV Required
Zoning Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code
Depth On-site sewage SAC Code
Census Bldg
APPROVALS Census Unit
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
❑ .Site ❑ Footing ❑ Framing ❑ Insulation
❑ Wallboard ❑ Final ❑ Draintile ❑ Fireplace
Permit Fee valuation: $
Surcharge
Plan Review
License
.mwrr car
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC %
SAC Units
RESIDENTIAL
BUILDING PERMIT APPLICATION "OD
t(-~3 oa
CITY OF EAGAN coda
3830 PILOT KNOB RD, EAGAN MN 55122
651.681-4675
New construction Reoutremems RemodetrAeoalr Requirements
• 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all rooted areas 2 copies of plan
(2V. maximum lot coverage allowed) • l set of Energy Calculations for heated additions
• 2 copies of plan showing beam & window sizes; poured found design, etc.) 1 site survey for exterior additlons & decks
• 1 set of Energy Calculations Indicate tt home served by septic system for addlti
• 3 copies of Tree Preservation Plan r lot platted after 7/1193
• Rkn Joist Detail Options selection sheet (bldgs with 3 or less units)
DATE A)C';I QI,~fC VALUATION
SITE ADDRESS S~ 3 UI Lane MULTI-FAMILY BLDG _Y 1-,N
AIR- _ 2
TYPE OF WORKZec - FIREPLACE(S) _ 0
APPLICANT I~Cr
STREET ADDRESS S13 AIlam, Lary CITY V- ACA STATEf1WZIP S'SI
TELEPHONE # CELL PHONE # &S-11 7-7 S db7 S FAX #
st--43~"d mod'
PROPERTYOWNER TELEPHONE#bSI-'I Sa-We
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ MINN EAPR2 ~
(J submission type) • Residential Ventilation Category 1 Worksheet Submitted • New ub d
• Energy Envelope Calculations Submitted i.
Plumbing Con tractor: Phone # Plumbing system includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00
Water Heater _ No. of R.I. Baths
No. of Baths
Mechanical Contractor: Phone #
Mechanical system includes: Y 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 is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Q
Signature of Applicant -,v
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
OFFICE USE ONLY
❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 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-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF
❑ 04 02-plex ❑ 10 08-plex 18 Deck ❑ 23 Porch (screened) ❑ 36 Multi
❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage
❑ 06 04-plex ❑ 12 12-plex 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 _2 1a?a Occupancy 1 li - U/I- MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs 7 Length Fire Sprinklered
Type of Const 1/0\) Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ Final/C.O.
Footings (deck) Final/No C.O.
Footings (addition) _ Plumbing
Foundation _ RVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Figs _ Air/Gas Tests -Final
- Framing _ Siding _ Stucco _ Stone
- Fireplace _ R.I. -Air Test -Final - Windows (new/replacement)
- Insulation - Retaining Wall
Approved By 1-Z' 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
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PERMIT
City of Eagan Permit Type: Building
3830 Pilot Knob Rd Permit Number: EA085465
Eagan, MN 55122 . Date Issued: 08/21/2008
(651) 675-5675~~~ EPermit Category: ePermit
www.ci.eagan.mn.us lflflUl tflflLLL
Site Address: 583 Allan Lane
Lot: 5 Block: 2 Addition: Manor Lake 2nd
PID 10-47276-050-02
Use
Description:
Sub Type: e-Reroof Construction Type:
Work Type: Replace
Description: House & Garage
Census Code: 434- Occupancy:
Zoning:
Square Feet: 0
Comments: If there is no ice protection inspection prior to final, you must meet inspector with ladder and flat bar. Pictures are not
acceptable in lieu of inspections.
Fee Summary: BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
Valuation: 3,000.00
Total: $90.00
Contractor: -Applicant - Owner:
Property Claim Solutions LLC Gayle R Johnson
4655 Nicols Rd, Suite 202 583 Allan Lane
Eagan MN 55122 Eagan MN 55123
(651) 994-2028
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
PERMIT
City of Eagan Permit Type: Building
Eagan. Permit Number: EA095244
Date Issued: 08/04/2010
OR Permit Category: ePermit
41 it~ of E3
E
Site Address: 583 Allan Lane
Lot: 5 Block: 2 Addition: Manor Lake 2nd
PID: 10-47276-050-02
Use:
Description:
Sub Type: e-Windows iDoors Construction Type:
Work Type: Windows Doors-New ; Replacement
Description: House
Census Code: 434- Occupancy :
Zonin,:
Square Feet: 0
Comments: Improvements to the home require smoke detectors in all bedrooms. If altering window openin,s, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes.
Fee Summary: BL - Base Fee S3K $88.50 0801.4085
Valuation: 3.000.00 Surcharge - Based on Valuation S3K $1.50 9001.2195
Total: $90.00
Contractor: - Applicant - Owner:
Renewal Andersen Gavle R Johnson
1920 County Road C West 583 Allan Lane
Roseville NIN 55113 Eagan NIN 55123
(61)264-4777
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 Cite of Eagan Ordinances.
ApplicantiPermitee: Signature Issued Bv: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA121841
Date Issued:04/16/2014
Permit Category:ePermit
Site Address: 583 Allan Lane
Lot:5 Block: 2 Addition: Manor Lake 2nd
PID:10-47276-02-050
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and house wrap and leave on site.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 8,000.00
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 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 -
Gayle R Johnson
583 Allan Lane
Eagan MN 55123
Property Claim Solutions LLC
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA144997
Date Issued:08/18/2017
Permit Category:ePermit
Site Address: 583 Allan Lane
Lot:5 Block: 2 Addition: Manor Lake 2nd
PID:10-47276-02-050
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Gayle R Johnson
583 Allan Lane
Eagan MN 55123
(952) 828-7914
Property Claim Solutions Llc
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA166929
Date Issued:02/12/2021
Permit Category:ePermit
Site Address: 583 Allan Lane
Lot:5 Block: 2 Addition: Manor Lake 2nd
PID:10-47276-02-050
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
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: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 -
Donald L Tste Johnson
583 Allan Ln
Eagan MN 55123
Minnesota Rusco
5010 Hwy 169 N
Brooklyn Park MN 55428
(952) 935-9669
Applicant/Permitee: Signature Issued By: Signature