603 Chapel Lane
CITY OF EAGAN 4 r 7
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 $
PHONE: 454-8100
BUILDING PERMIT Receipt # ✓
To be used for ADDITION Est Value $17,000 Date NOVEMBER 27 '19 85
603 CHAPLLL-LAN
Site Address Erect ❑ Occupancy
Lot ? Block 3 Sec/Sub. r "j't.ARK Remodel 11 Zoning
Parcel No. Repair ❑ Type of Const
Addition ❑ No. Stories
°C Name BILL KLOTZBALK Move ❑ Length
i AMF Demolish ❑ Depth
3o Address _ Int Impr. ❑ Sq. Ft.
City Phone Install ❑
o Name K . W . DAHM CONST Approvals Fees
ac~i OAKDALE AVE •
V < Address Assessment Permit 73 City W ST PAwh 4 5 -011 Water 8 Sew. Surcharge 61.25
a - Police Plan Review
F z Name Fire SAC
Address Eng. Water Conn.
e
< W City Phone Planner Water Meter
Council 10 15/8 Road Unit
I hereby acknowledge that I have read this application and state that the Bldg. Off. 11/20/8 Tr. PI.
Information is correct and agree to comply with all applicgble State of
Minnesota Statutes and City of Eagan Ordinances. 1 APC Parks
Var. Date 10/15/8 Copies
Signature of Permittee . 'i - Total $192.29
A Building Permit is issued to: K . td . DWI CONST on the express condition that
all work shall be done in accordance with all app0cable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
Permit No. Pw Holder Data Telephone M
Plumbing
HMA.C.
Electric
Softener
Inspection Data Insp. Comments
Footings 1
Footings 11
Foundation
Framing B
Roofing
Rough Plbg.
Rough Hig.
Insul.
Fireplace
Final Hig.
Final Ptbg.
Bldg. Final
Cert. Occ.
Deck Fig.
Deck Frmg.
Dewdbo Location:
Well
Pr. Dlsp.
CITY OF EAGAN 748
3830 Pilot Knob Road, P.O.,Box 21-199, Eagan, MN 551_ ZI
-PHONE: 454-8100
BUILDING PERMIT Receipt # -
To be used for Y Est. Value $1 io 500 Date JAN 26 19-90
Site Aildress 603 CHAPEL L'N
OFFICE USE ONLY
Lot 7 Block 3 Sec/Sub. SELIyARlC
Parcel No. Occupancy FEES
Zoning
W Name BILL KLOTZDACH (Actual) Const Bldg. Permit 35.00
o Address 603 CHAPBL LN (Allowable) Surcharge 1.00
City EA"N Phone 939-5665 # of stories
434-41656 Length Plan Review
=F Name TED WAGHTER Depth SAC. City
Address BOX 21046 S.F. Total
SAC, MCWCc
City EAGAN Phone 456--0412 S.F. Footprints -
On Site Sewage Water Conn
Name On Site well nVrw Water Meter
Address MWCC System -
X <W City Phone City Water Acct.Oeposit
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 A APPROVALS Road Unit
A Building Permit is issued to: TED WACNTER Planner Park Dad.
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. Bldg. Off. Copies
Variance TOTAL 36.00
Building Official _ t -
Permit No. Permit Holder Date Telephone Ar
WATER
SEWER /
PLUMBING ! ! C
H.V.A.C.
ELECTRIC
Inspection Date Insp. Comments
Footings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Final Plbg.
Const. Meter Pibg. Inspector - Notify Plumber
Engr./Plan
Bldg. Final
Deck Fig.
Deck Final
Well
Pr. Disp.
PLUMBING PERMIT For Office Use Only
CITY OF EAGAN PERMIT #
CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT # G`
PRICE PHONE 454-8100 DATE:
Site Address CU C,444 K C RrA. BLDG. TYPE WORK DESCRIPTION
Lot Block e~_ Sec/Sub Res. ~t New
Mult. Add-on
Name c~ R T Comm. Repair
5 Address SU .A,v~ We Vr Other
City G Phone ` " 6E'/ RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
.S Q0 11
NO. FIXTURES TOTAL
Water Closet - $3.00 $
Name Bath Tubs - $3.00
21 Address C) q-400- Lavatory - $3.00 f: L
City c~ A, Phone Shower - $3.00 c-o i
Kitchen Sink - $3.00
Urinal/Bidet - $3.00
FEES Laundry Tray - $3.00
COMMAND. FEE - 1% OF CONTRACT FEE Floor Drains - $1.50
APT. BLDGS. - COMM. RATE APPLIES Water Heater - $1.50
TOWNHOUSE & CONDO - RES. RATE APLLES Whirlpool - $3.00
MINIMUM - RESIDENTIAL FEE $12.00 Gas Piping Outlets - $1.50
MINIMUM - COMM.IND./FEE $20.00 (MINIMUM -1 PER PERMIT)
STATE SURCHARGE PER PERMIT .50 Softener - $5.00
(ADD $.50 S/C PER EACH $1,000 OF PERMIT FEE) Well - $10.00
Private Disp. -$10.00
Rough Openings - $1.50
SIGNATURE OF PERM/fTTEE~ U. G. Sprinkler System - $12.00
PERMIT FEE:
FOR: CITY OF EAGAN STATES SlC: - 0
GRAND TOTAL: 'j
CITY OF EAGAN Remarks
Addition SELMARK ADDITION _ Lot 7 Blk parcel 10 67100 070 03
603 Chapel Lane Eagan, MN 55122
Owner Street State
Improvement D~'te Amount Annual Years Payment Receipt Date
STREET SURF. 197+ 600.00 60.00 lO Paid
STREET RESTOR.
GRADING
SAN SEW TRUNK 1 0 53,00 212 2 Pal
~E SEWER LATERAL 1971 1013,55 6 2 P
WATERMAIN
* WATER LATERAL 197-
20
WATER AREA
STORM SEW TRK 1984 397.00 26.47
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 11-16-71 220.00 493Q BUILDING PER.
SAC 24o.oo 4939 11-16-71
PARK
04- 677er
6 6 3 9 7 c oclo
Request Dale ' Fire No. Rough-in Inspection
R wired? ❑ Ready Now ill Notify Inspector
s ONO hen Ready?
I ❑ licensed contractors owner hereby request inspection of above electrical work at:
Job Address (Street, Box or a Na) city
Section No. Township N e or No. Range No. County GYi
Occupant (PRINT) Phone No.
yeot s s~
Pow 6r Supplier Address
O
Eleonoal Contnagio r Company Name) Contractors License No.
sling Addew (Contractor or Owner M ng Installation) `
Authoriz Signature ( h or/Ow MAd n nstal f Phone Number
4 _
MINN A STATE BOARD OF ELECTRICIIY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room 8-173 BE ACCEPTED BY THE STATE BOARD
1621 University Ave., St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0600 ENCLOSED.
/s U REQUEST FOR ELECTRICAL INSPECTION AMMA E~S-00001-m
.11
See instructions for completing this form on back of yellow copy. C Ct ~ `f~
F 66397 "X" Below Work Covered by This Request
NeA Vi Rep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Healer Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Other (specify) Contractors Remark .
sm{r,~sh
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 Inspectors Use Only: TOTAL _ SG7
Irrigation Booms 0
Special Inspection
Alarm/Communication
Other Fee
I, the Electrical Inspector, hereby Rough-in Date
certify that the above inspection has Final oat
been made. sl(
OFFICE USE ONLY
This request wid 18 months fmm
This request voi L
Request Date Fire No. Rough-in Inspection
r'') Rep tred? ~ROady Now pq;ailI Notify. Inseec-
OL - 6, - Yes ❑No for When Ready
Licensed Electrical Contractor 1 hereby request inspection of above
Owner electrical work installed at
_
Street Address, Box or Route No. 1,1+A)0 City
3
9
bimlion No. Township Name or No. Range No_ County
Occupant (PRINT) Phone No.
-r- ~-7 n
Po w uPPlier Address ~~.~f (1
i / 'Y'S e7 2-'
Elec ntractor (Co ny Name) Contractor's License No.
d i/ C
Address (Contractor or Owner Making Ircrei
i J
A t orized Sig t 1 ntractor ner ~ i Installation) Phone Number
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. -Room N-191 BE ACCEPTED BY THE STATE BOARD
1821 University Ave., St. Paul, MN 85189 UNLESS PROPER INSPECTION FEE IS
Ph.. 16121 297.2111 ENCLOSED.
p '1 I( REQUEST FOR ELECTRICAL INSPECTION ER-W001 -a
' See instructions for corcoletirg this form on hack of "U- copy.
~-2' 4 a "X" Below Work Covered by This Request I i r6
Add Rep. Type of Building Appliances Mired, Equipment Wired
Home Range Temporary Service
Duplex Water Heater Lighting Fixtures
Apt Building Dryer Electric Heating
Commercial Bldg. FUrrlace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm Other specs Other (Spocify)
t peciry Othe. Oahe.
ompute Inspection Fee Below
p Fee Service Entrance Size k Fee Feede(srSUbleeders a Fee Circuits
0 to 200 Amps 0 to 30 A 04 r? 0 to 30 Am is
Above 200 Amps 31 to 100 Amps 31 to 100 Amps
Swimming Pool Above 100_Amps Above I00_Amps
Transformers Irrigation Boons Partial•'Other Fee
Signs Special Inspection TOTAL
Remarks
FA.12 ~~r y l~ c'~ A T ' n!
Rough-in ( Date
- the
z pn/3' t' Inspecto, hereby
certify that the above
Final ( gTyr1' C G inspection has been
' ~i~rfzac O mode. lJ
/his request wid iB months from .R ,r /A; ic:W 0 'L / N'i P. •r J ; J~ li fll v ,
CITY OF EAGAN NO 17468
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt # C.
To be used for BASEMENT Est. Value $1,500 Date JAN 26 19-9Q_
Site Address 603 CHAPEL LN
Lot 7 Block 3 Sec/Sub. SELMARK OFFICE USE ONLY
Parcel No. Occupancy FEES
Zoning
a Name BILL KLOTZBACH (Actual) Const Bldg. Permit 35.00
o Address 603 CHAPEL LN (Allowable) Surcharge 1.00
City EAGAN Phone 939-5665 # of Stories
454-8658 Length Plan Review
o Name TED WACHTER Depth SAC, City
io
304 Address BOX 91096 S.F. Total - SAG MCWCC
City EACAN Phone 456-0412 S.F. Footprints
On Site Sewage Water Conn
r
:w Name On Site Well Water Meter
Address MWCC System
a W City Phone City Water Acct. Deposit
PRV Required Sna Permit
I hereby acknowlege that I have read this application and state that the Booster Pump S1W Surcharge
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of E an Ordinnes. Treatment PI
Signature of Permitee'/ ~L~P-P APPROVALS Road Unit
A Building Permit is issued to: TED WACHTER Planner Park Dad.
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. Bldg. Olf. Copies
Building Official 7) 1q d I f~..CI Variance TOTAL 36.00
EAGAN TOWNSHIP
l BUILDING PERMIT 10 2600
Owner Eagan Township
Address (present) ....y__.... C _e er -e4-,.-~-J Town Hall
-AP Builder
Date
Address
DESCRIPTION
Stories To Be Used For Front Depth Height Est. Cos! Permit Fee Remarks
f 3B'' err ~6 &Z LZI ov !a r ,s..+C` t~ Z it J--...z.
LOCATION s.
Street, Road or other Description of Location Lo! Slock Addition or Tract
This permit does not authorise the use of streets, roads, alleys or sidewalks nor does it give the owner or his agent
the right to create any situation which is a nuisance or which presents a hazard to the health, safety, convenience and
general welfare to anyone in the community.
THIS PERMIT MUST BE 19EPT ON THE PREMISE WHILE THE WORK IS IN FROG SS.
This is to certify. that ...................~-~9..:.__...... haspermission to erect a...• upon
the above described premise su ect to the provisions of the Building Ordinance for Eaga Townshi adopled April 11,
1955.
/7
.......f Per .........0...-2 ."~..'c:!-'_J:...
hairman f ;wT n Board Building Inspector
S~/rn ae%
7-3
TOWN OF EAGAN
3795 Pilot Knob Road
Eagan, Minnesota 55122
PERMIT NO. 168
The Board of Supervisors hereby grants to R'aY N. I•Telter Hetting Co.
of 1637 Chicago Ave. So., Mpls. 551107
a HEIkTING Permit for: (Owner) Sally Compar{y
at 603 Chapel Lane, Eagan 55121
pursuant to application dated
12/30/71
Fee Paid: $19.50 Dated this 3rd day of ja}luesv , 197;.
(Had a credit due.)
Building Inspector
7,-3
S¢~
TOWN OF EAGAN
3795 Pilot Knob Road
Eagan, Minnesota 55122
PERMIT NO. 176
The Board of Supervisors hereby grants to Thompson Plimbing Go,
of 12201 Mi n'tetcnka Blvd., Unnetonka 55343
a PLUMBING permit for: (Owner) Sallty GompaPy
61 61 , 625
at Eagan 55121 pursuant to application dated
12/6/71 & 12/13/71
Fee Paid: $20.00 ea. Dated this 14th day of December , 1971
-Rotal $100.00
2,50 s/c
Building Inspector
4L
,SIP
MINNESOTA VALLEY
12:w c.12TM AVCFVE SOUTM ausesvILLE. wIHHESOTI W76 G ,tJ
F
r
f
i I E
I
~rai~arJ~ air„/ !/fi/'ty Eos:=.rie~f
r a I
,00W hl ✓QO
~ v S I
j 6D. a0
r 131 Ira-,
L
O JJa,qodes wan inmonswnf
=G'T /l ~~OCF~ .3 SE~L~~~I.d?K . ~AdoT~I c dU!✓Ti' /✓lif~r✓,
Al
I
1 ,.,"y.ertafy thot this is a true and ...rear represents tian 1V1Scaes02a valley sugycyors fY
cf u s„rvoy of th. 6oundarim of the above d...Nbed Iand, 2poinCz.'st Cora,
p //1 F
and ui Yne le<ution of o i l Svildiny s , thereon, and u i l v i a l ule by --r ~ f ✓ ~ / ~ ' ~ ' • , ~ ~ L S
en<ru oc hrocnts, if uny, Irom or on ..id lond.
s survcyea by me ehis!2_day of Minn. &/s: n ~-vt A.O. 1971 ,t°y Cam. NO.
7-3 gd~
MASTER CARD
• LOCATION a k,
OWNER
STRUCTURE AND
LAND USED AS
Issued To
Permit No. Issued Contractor Owner
BUILDING Z d Q I7 ^ n
PLUMBING r~L
CESSPOOL - SEPTIC TANK
WELL
ELECTRICAL
Of 111-
HEATING
GAS INSTALLING
SANITARY SEWER 9
OTHER ~r ~f~M1
OTHER
. Approved
Items (Initial) Date Remarks Distance From Well
FOOTING SEPTIC
FOUNDATION -/V CESSPOOL
FRAMING I //l~'l IL TILE FIELD FT.
FINAL
ELECTRICAL DEPTH
HEATING OF WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD 91
1
PLUMBING
WELL
SANITARY SEWER d1
.
Violations Noted
on Back
COMMENTS:
CITY OF EAGAN
r+. 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N 0 11363
PHONE: 454-8100 570 ~f
BUILDING PERMIT Receipt#
To be used for ADDITION Est. Value $17,000 Date NOVEMBER 27 tg 85
Site Address 603 CHAPEL LANE Erect ❑ Occupancy
Lot 7 Block 3 Sec/Sub. SELMARK Remodel ❑ Zoning
Parcel No. Repair ❑ Type of Const.
Addition ❑ No. Stories
w Name BILL KLOTZBALK Move ❑ Length
3 Address SAME Demolish El Depth
0 454-8658 Int. Impr. ❑ Sq. Ft
City Phone Install ❑
o Name K.W. DAHM CONST Approvals Fees
00 Address 1269 OAKDALE "E Assessment Permit 122.50
.50
E city W ST PA; 457-0113 Water & Sew. Surcharge
Police Plan Review 61.25
Will z Name Fire SAC
ma Address Eng. Water Conn.
a w City Phone Planner Water Meter
Council 10/15/8 Road Unit -
I hereby acknowledge that lhave re ad Ns application and ate thatthe Bldg. ON. 11/20/8 Tr. PI.
information is correct and agree to yQ/m ly wit appli Is State of
Minnesota Statutes and City f a rdi ces. APC Parks
' Var. Date 10 /1 S /8 Copies~
Signature of Permittee Total -
A y Z
A Building Permit is issued to: K. W. DAHM CONST on the express condition that
all work shall be done in accordance with all ap able State Minne ota Statutes and City of Eagan Ordinances.
Building Official ~Q-C D
1985 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
To Be Used For: fJ,O///oh. Va/luation: P~(flIt "I Date:
Site Address 3 GA hl7e OFFICE USE ONLY
Lot Block ~ Erect Occupancy
Remodel Zoning
Parcel/Sub Repair Type of Const
JJ Addition E( # of Stories
Owner / LAX Move Length
/ Demolish Depth
Address Lea ~ AAp16 /q k(? Int.Impr. Sq Ft
Install
City/Zip Code rA ti
Phone APPROVALS FEES
Contractor it , ~k• Assessments Permit z.5
,~6 /0 Water/Sewer ' Surcharge 5L
Address y, Police ' Plan Review (o i..6
Fire SAC
City/Zip Code A-e'I_ /4 1,4/ S'J-lf Engr Water Conn
Planner Water Meter
Phone l~rJ QCouncil io• 5 5 Road Unit
Bldg Off-~5lreatment P1
Arch./Engr. APC Parks
Variance ~ Copies
Address TOTAL
City/Zip Code
Phone B
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 - 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: Valuation:
Date:
Site Address 6,63~ i ISoo OFFICE USE ONLY
Lot 7 Block A FEES
Occupancy
Zoning
Parcel/Sub f p ~nr,lati~ Actual Const Bldg. Permit 35,00
Allowable Surcharge p0
Owner rote # of stories Plan Review
'!s Length SAC, City
Address 6 Depth SAC, MWCC
S.F. Total Water Conn
City/Zip Code C& .,j S ! Footprint S.F. Water Meter
0
4 5W-g- Acct. Deposit
Phone qrb- i, 9 3 -S (per On site sewage- S/W Permit
On site well S/W Surcharge
Contractor MWCC System _ Treatment Pl.
City water Road Unit
Address I PRV Park Ded.
Booster Pump Copies
City/Zip Code SUBTOTAL
APPROVALS Penalty
Phone Planner TOTAL
Council 0ZU /~cctL (D__~ Bldg. Off. =2S
Variance
Address / d `rr /p
City/Zip Code ~ -,x, °7-rs `y' .SJ.21
J
Phone # ~h~
2004 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date 3 1 r I O q
Site Street Addressnn l0 C m l n, Unit #
Property Owner t
i~ I K 10T Z beck, Telephone # (&S 714- StD'A
Contractor F~Xrrv\IoAYn p 1t Telephone# (t5i ) 4la3-- 78;kLj
Address r7,163 f5e~dw ~e la ~e City crhi' State ti zip JSU
The Applicant is: _ Owner contractor -Other-
Alterations to existing dwelling $ 50.00
-Add fixtures to rooms, excluding water softener and water heater
-Septic System Abandonment
-Water Turnaround (add $121.00 if a 518" meter is required)
Other:
Water Softener I Water Heater $ 15.00
I replacement _ additional
Lawn irrigation System RPZ_ new - repair -rebuild $ 30.00
State Surcharge $ .50
Total
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete
and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approved.
Applicant's Printed Name Applicant's Signature 1
~V .
i~
rj S 2004 RESIDENTIAL BUII,DING PERMIT APPLICATION
/ City Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New construction Reguiremen6 Remodel/Repair Requirements "i.
3 registered site surveys showing sq. ft. of ht, sq. it. 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, eta 1 site survey for additions & decksN
1 set of Energy calculations Addition - indicate if on-sde septic system
3 copies of Tree Preservation Plan if lot platted after 711193
Rim Joist Detail options selection sheet (bldgs with 3 or less units
Date S ! Construction Cost
Site Address
h 0,X71 L(1 g 1 /v ~ `;Z Unit/Ste #
rJCt/
Description of Work J = g (l f 0A 4 8
Multi-Family Bldg - Y -X N Fireplace(s) - 0 - I - 2
Property Owner all, 12-, &4- Telephone # (Ce 6 0.,5-1
`BPaS !
Contractor S ;-.v Q
Address City
State X) Zip 4 Telephone #
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculations submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y - N If so, 25% plan review
fee applies.
Licensed Plumber Telephone # ( )
Mechanical Contractor Telephon
Sewer/Water Contractor Telephon Il M
I hereby apply for a Residential Building Permit and acknowledge that the inf accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; 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.
4~e. ~
Applicant's Printed Name Applicant's Signature
OFFICE USE ONLY
Sub Types
❑ 01 Foundation ❑ 07 03-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 (screen/gazebo) ❑ 36 Multi Misc.
❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage Cdwri~ t2 f ~~~i~
❑ 06 04-plex ❑ 12 12-plex Plbg_Y or_ N ❑ 25 Miscellaneous IY>i2 i3Gw tv„~qdw
Work Types
❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish Interior ❑ 44 Siding
❑ 32 Addition ❑ 36 Move Building ❑ 42 Demolish Foundation ❑ 45 Fire Repair
❑ 33 Alteration ❑ 37 Demolish Building* ❑ 43 Reroof f'l 46 Windows/Doors
❑ 34 Replacement 'Demolition (Entire Bldg) -Give PCA handout to applicant
Valuation §CTy Occupancy /3-3 MCES System
Census Code 3y Zoning City Water -
SAC Units Stories - Booster Pump -
# of Units - Sq. Ft. - PRV -
# 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 -Brick
Fireplace _ R.I. - Air Test - Final Windows
Insulation Retaining Wall
Approved By: , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
A
EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR SEWER SERVICE CONNECTION
DATE: November 16, 1971 NUMBER 908
OWNER:Selmark Address 603 Chapel Lane, Eagan 55121
PLUMBER Thompson Plumbing Co. TYPE OF PIPE Heavy Cast Iron
DESCRIPTION OF BUILDING
Industrial Commercial Residential Multiple Dwelling No. of units
Location of Connections: Connection Charge 210.00 pd 11/16/7.1
Permit Fee 10.00 pd 12/14/71
.50 pd 12/14/71 s/o
Street Repairs
Total
Inspected by:
Date
Remarks:
By.
Chief Inspector
In consideration of the issue and delivery to me of the above permit, I
hereby agree to do the proposed work in accordance with the rules and
regulations of Eagan Tmmship, Dakota County, Minnesota
By
Thomson Plumbing Co.
12201 Minnetonka Blvd.
Please notify when ready for inspection and connection and before any portion
of the work is covered.
EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR WATER SERVICE CONNECTION
Date: November 16, 1971 Number: 40750 3 ~]~Jm~VC1L
Billing Name: Selmark Site Address: 603 Chapel Lane, Eagan 55121
Owner: sane Billing Address
Plumber: Thaznpson Plumbigg r.
Location of Connection Meter Size6 Can notoP g. 220.00 d. 11/16/71
Permit Fee 10I.00 pd 12/11/71
Meter No
~e e'--a~v Meter Reading Meter Dep. .50 pd 12/14/71 s/a
Meter Sealed: Yea_ Add'1 Chg. 60.00 pd 12/14/71 Mtr
NO Total Chg.
Inspected by
Date
Building is a: Remarks:
Residence xx rr 1f jt rJ.l, r
Multiple No. Units
Commercial
Industrial By:
Other Chief Inspector
7
In consideration of the issue and delivery to me of the above permit, I
hereby agree to do the proposed work in accordance with the rules and
regulations of Eagan Township, Dakota County, Minnesota.
Thomps lambing Co.
Please notify the above office when ready for inspection and connection.
RESIDENTIAL
BUILDING PERMIT APPLICATION a g,-
CITY OF EAGAN
3830 PILOT KNOB B RD
RD - 55122
N30
651-681-4675
New Construction Requirements RemodelfReoair Reguirementt
• 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 healed additions
• 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 additions
• 3 copies of Tree Preservation plan Slot platted after 711193
• Rim Joist Detail Options selection sheet (bldgs with 3 or less units) £
DATE VALUATION J - ~ 1-7 it JOB SITE ADDRESS
IF MULTI-FAMILY BUILDING,, HOW MANY U TS?
PROPERTY OWNER Uj 1 11 +7
1
TYPE OF WORK FIREPLACE(S) _ 0 _ 1 _ 2
APPLICANT Ov - DQR CVr PHONE# 743-75j-gq SS
ADDRESS I Z 22 u ZIP CODE G 5
I.-
PAGER # CELL PHONE # (o(Z'S-50 -0 14I FAX# 763-757-'USr
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 p ~ T ~ ~ T ~ D
(check one) - Residential Ventilation Category 1 Worksheet Sub i d
- Energy Envelope Calculations Submitted
MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted By
Plumbing Contractor: 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: _ Air Conditioning Fee: $70.00
Heat Recovery System
Sewer/Water Contractor: Phone #
All above information must be submitted prior to processing of application.
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 O i ances.
Signature of Applicant 64m0Q)
Certificates of Survey Received _ Tree Preservation Plan Received _ of cr
t 1/01
V
PERMIT
City of Eagan Permit Type: Building
Eagan. Permit Number: EA093840
Date Issued: 05/06/2010
OR Permit Category: ePermit
41 it~ of E3
E
Site Address: 603 Chapel Lane
Lot: 4 Block: I Addition: Hoeft
PID:10-33300-040-01
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 Willimn hlotzbach
1920 County Road C West 603 Chapel Lane
Roseville NIN 55113 Eagan NIN 55121
(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
Use BLUE or BLACK Ink
I For Office Use
of Ealln Permit
V I Permit Fee:
- I
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff: I
I I
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 63,13_ )ui SiteAddress: 0`3 "~i C i Ce, I°c-, 6C,jCdv
Tenant: Suite
RESIDENT / OWNER Name: yoCr(i Phone:
Address / City / Zip: ry C) j cke ae) L Cam,
Applicant is: Owner Contractor
TYPE OF WORK Description of work: f2 - 5 ~+VA L-1
Construction Cost: Multi-Family Building: (Yes No X )
CONTRACTOR Name: k<tr-ez License DO.S~3 A '7 q
Address: S~SU 9)ea[c PC, - A City: 7j i u?,r 6-iz'-e-
State: MN Zip: J a U7~ Phone:
Contact: TUVN -Sin X Email:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
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 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. wwwgopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understan~ is 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 he app ed plan in the case of work which requires a review and approval of plans.
X ` X
A 13'cant's Printed Name Applicant's Signature
Page 1 of 2
PERMIT
City of Eagan Permit Type: Building
Permit Number: EA106135
Date Issued: 08/14/2012
Permit Category: ePermit
Site Address: 603 Chapel Lane
Lot: 4 Block: 1 Addition: Hoeft
PID: 10-33300-01-040
Use:
Description:
Sub Type: e-Reroof Construction Type:
Work Type: Replace Description: House & Garage
Census Code: 434 - Occupancy:
Zoning:
Square Feet: 0
COn1111entS: If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are
not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes.
Fee SUn1111ary: BL -Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195
Valuation: 4,000.00 Total: $105.25
Contractor: -Applicant - Owner:
Krech Exteriors Inc William Klotzbach 5866 Blackshire Path 603 Chapel Lane
Inver Grove Heights NIN 55076 Eagan MN 55121
(651) 688-6368
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.
ApplicanvFermitee: signature issued By: signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA157741
Date Issued:09/05/2019
Permit Category:ePermit
Site Address: 603 Chapel Lane
Lot:4 Block: 1 Addition: Hoeft
PID:10-33300-01-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
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 -
William Klotzbach
603 Chapel Lane
Eagan MN 55121
(651) 454-8658
Wenzel Heating & Air Conditioning
4145 Old Sibley Memorial Hwy
Eagan MN 55122
(651) 894-9898
Applicant/Permitee: Signature Issued By: Signature