4291 Augusta Lane..I f i ?J'r t?1?,,#-.1i
3830 Pilot Knob Road
P. O; Box 21196- '
Eagan, MN 55121
Zonirg:
I \C? 3
II
I Sit! /1ddre3r ' -
'?lurriber. - -
?
?1f?i1c. oA Ait1IXk Pt"t
PERMIT NO.:
DATE:
h-w
er No.: n °? ? Conneictinn Charpe: 500.00 pd
'
SiZL: JZY ACOOUflt DQposif: 1 r' • 0( , -
Reode? No.:
.
Pe?mct Fee:
1«no b oowply Wkh 1M Ciry ei Epew c-
SurCharge:
DI',ipDiM. MIsC, Ch01olS: _ 132.00 DQ
Totah
BY ` Date Raid:
e of Insp.: Insp.:
?
(I Y..- %U .
? 3830 Pilot Kno6 Road
P. U. Box Z1199L -
Eagan, MN 55121
Zonirq:
Ownsr;.
/1ddrels:
VliAiidR SERV:Li PEk:VIIT
PERMIT NO.:
D/1TE:
No. of Unlts: ?
Sfh Address: _4291 +iflilsta L.ane .1 R1 SunRp[ t
Ptunnber. hP_ i imh ir p
MeMr No.: C.omection Charye: 3jG. OO pci
Siu: /lcoount Depostt:
Raader No.: Pem,it Fee:
1 qm ts ao?Ply wNh flw C.iti ef Uqew Surchorge: "W
Oniiwewa.. AArac. Choroas: 132 . 00'L_
Total: 61 n nT+d *_+"e r
BY Dote Poid:
Dnte of Irtsp.: Inap.:
CITY OF EAGAN-0
3830 Pilot Knob Road
P. O. Box-21199
Eagan, MN 55121
zonlnp:
Ownar:
Address:
Site Addrcss:
Plumber.
1 pm h eensPly with !6e Ciry ef lya¦ Connaetion Chorps:
OeAimoeas. /lccount DepaWt: _
Parmk Fee:
Surcharpe:
By Mlsc. Chorpes: -
Date of Insp.: Totol:
Ir?sp.: Dote Paid:
SEWER SERVICE PERMIT
PERMIT NO.:
oATE:
No. of Unin:
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH ON E: 454-8100
BUILDING PERMIT Receipt#
To be used for ?E'
t Val
e ,
D
t ,..
s
u a
e ,19
Site Address 1`'' k"` OFFICE USE ONLY
Lot Block Sec/Sub. ` On Site Sewage _ Occupancy
MWCC System _ Zoning
Parcel NO. On Site Well _ Type of Const
City Water (ActuaQ
a Name _ (A1lowable)
W * O} S10nBS
; Address th
Len
g
° Ciry Phone Depth
S
F
Total
.
.
, p Name Footprint S.F.
? ` Address APPROVALS FEES
? City Phone Assessments _ Permit
? Q Water/Sewer _ Surcharge
F W Neme Police _ Plan Review
z
_-
Address Fire
- SAC, Ciry
u Z Engr. _ SAC, MWCC
? W Clty Phone Planner _ WaterConn.
Council _ Water Meter
I hereby acknowledge that I have read this application and state Bldg. Off. _ Road Unit
that the information is correct and agree to comply wfth all applicable APC _ Treatment P1
State of Minnesota Statutes and City of Eagan Ordinences. Variance _ Parks
Signature of Permittee Copies
TOTaL
A Building Permit is issued to: on the express condition that
all work shall be done in accordance with all appiicable State of M innesota Statutes and Ciy of Eagan Ordinances
Building Official
Pormit No. Permit Holder Date Tslsphone X
Plumbing
H.V.A.C.
E leCtriC
Softener
Inapection Date Insp. Comments
Footings I
Footings II
Foundation
Framing
Roofing '
Rough Plbg.
Rough Htg.
Isul.
Fireplace I? j,rJ, ff ,? G -F G?i a s O?- C •
Final Htg.
Final Plbg• /a t e-c?s . ? ?
Bldg. Final
Cert.Oca _ p
Temp. LP
Deck Ftg.
Deck Frmg.
Well
Pr. Disp.
i
Site Addrea
Lot Block Sec/Sub. Parcel No.
Name
Address
City Phone
A Bullding Perm
oll work sholl be
Buildinp Officlcl
applicotion and stote that
omply wifh all opplicable
Eagan Ordinonces.
o,acupeney
zoning
Type of Const.
Length
Depth
Sq. Ft.
Assessment
Water b Sew.
Polica
Firo
Enp.
Plonner
Cowul!
Bldg. Off.
APC
Var. Date
Road Unit
Total
hA lXpflss CD11d{}IOft 1f?Of
Eepon Ordinonces.
- • CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMtT R«s?pr #
Permit Nn. Psrmit Holdar Date Telephone #
Plumbinp
H.VA.C.
El.ctiic KI qbO /-A;d 1
Sona,..
Irapection Date Insp. Othar
Footing. 3 ?11? ?oa-
i
Foundation
Framinq
Roofing
Rouqh Plbq.
Rough HVAC
Inwiation
Final Plbp. G' s
Final HVAC
Final
c.?e/o«. /7 l[? t4L
Water Oescribe Location:
VYell
Sawer
Pt. D'qp.
Cities Digital Quality_Control
The following image represents the best
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Every effort was made to capture the content
from the original page.
1"l
1. Date 3. Job Addreas
4. Owner
5. Contractor
j '.
ANICAL PERMIT Permit No.
Y OF EAGAN
Fee.
numbered spaces S/C
or Prrnt /egibly Tot i
ttallation Cost ?
?
Lot Bik. ; Tract ?
i
- 1
?
Phone ?
?
6. Address
7. City State ZiP
B. Building Type: Residential ? Commercial ? Institutional ?
?
9. Work Description: New ? Add ? Alter O Repair ?
10. Describe Fuel TYPe
1 11.
No. EpuiAIIlent BTU - M. Ea.
Forcad Air ' No. EQUiament CFM
Air Handling:
Mfg.
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfy.
Gat, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to ?
oomply with all ordinanoes and codes governing this tYpe of work.
?
Sig^°d' for ?
Rouyh Final ?
Inapections: Date Insp. Date Insp. ?
This is your permit when numbered and approved.
Approved __ _ CITY OF EAGAN 464-8100 ?
._:?
Receipt - PLUMBING PERMIT Permit No.
CITY OF EAGAN Fee
Fill rn numbered spaces S/C
Type or Print /egibJy Tot. I
1. Date 2. Installation Cost - ?
a ~ ?
3. Job Address Lot Blk. Traci
4. Owner
5. Contractor Phone
6. Address '
7. City State Zip
8. Building Type: Residential El Commercial ? Institutional ?
9. Work Description: New ? Add O Alter O Repair O
I 10. Describe
I 11.
No. Fixtures
Water Closet Na. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank '
L.avatory Softner
Shower Well
Kitchen Sink
Urinal/Bidet
Other
Laundry Tray
r Floor Drains
Drinking Ftn.
51op Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and 1 agree to
comply with all ordinances and codes governing this type of work.
Signed: for
Rough F inal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 45448100
0 (;ASH RECEIPT ?
.
CITY OF EAGAN
P. O. BOX 21-199
EAGAN, MIIVNESOTA 55121
OATE 19
RQGCIYgD
FROM
AMDUNT $
E] CASH ? CHECK
DOLLARS
/
FUND' CODE AtAOIINT
f IJ "
Thank You
vw- BY
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
CITY OF EAGAN Remarks (??'J,?fS?'S? ?••??3,, ??Y
Addition SUNSET FIRST ADDITION Lot 1 BIk 1 Parcel 10 72985 010 01
street 4291 Augusta Lane srate Eagan, MN
owr,er ??? M. L.d
l / 3 3 i ..?9.u-r7cv. ,& . ,=', . . , ; : - , ,
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK `? 1 1 168.58 8.43 2 12 •4g A015588 -- 5
SEWER LATERAL
WATERMAIN
WATER LATERRL
WATER AREA S ? 1 1 168.58 8.43 Z 12 •49 A015588
-- 5
STORM SEW TRK 1985 547.79 36.52 15 511.28 A015588 -- 5
STORM SEW LAT
CURB & GUTTER
SIOEWALK
STREET LIGHT
Road Unit 280.00 50030 3/11 85
WATER CONN. 500.00 it if
BUILDING PEF. 9956 17 "
SAC
5255-00
PARK
. . .
? ALL CONTRACTORS MUST HE LICENSED WITH THE CITY OF EAGAN
?e?/csz'-
To Be
Site
INCLUDE Q SETS OF PLANS,
0 CERTIFICATES OF SURVEY
? SET OF ENERGY CALCULATIONS
Used For: 4& 46yKQ/ Valuation:sr_rtt? Date:
Aaaress: L(ZR) - C?9,?- ? • •
Lot:_J_ B1ock:?_Sect/Su : 14
Parcel #:
Owner:
Address:
City/Zip Code:
Phone #:
Contract
Address:
City/Zip
Phone #:
Arch./Eng:
Address:
City/Zip Code:
Phnnak-
Erect: Occupancy:
Remodel: Zoning:
Repair: Type Of Const:
Enlarge: $ Stories:
Move: Length:
Demolish: Depth:
Grade: Sq. Ft.:
?Z- 3
?-I
?
Assessments:
Water/Sewer:
Police:
Fire:
Engr.:
Planner:
Council:
Bldg. Off.:
APCc
Variance:
Permit: 34v.°"
Surcharge - 34.=?
Plan Rev. : ? -7 0, `22
SAC: `-`
Water Conn:
Water Meter
Road Unit: 280. °-'
Parks:
? u L4 Q -S?
24? 40
12_x I-1 - 204 x S a-
?8q 2•z
? + + + + + + + + ?
o o .
N O ?D W M
In t?l .- i(1 ?11 N .- -J
O
N
This equest void
05l5
B'OT?`?ZO 35.60
I 1lequcst Date Fire No. ??uuh-?? InsVecNun ?ReaOy Now ??11 NuGfy. Inspec-
a 1 O 5 Yes ? N. or When Ready
icensed Electncal Conhaclor I hereby request mapection oi above
? Own¢r electrical work if¢talled at:
Sveet Address, Box w Ro e No.
1,1071
14u City
? Q Qn
cuon Township Name a No. RanBe No. C unry
Occupan[IPRINTI ' Phone No.
1- '0 (
ro..R. uvviae
I?G?-,?1G ss
EI ctncal o iracmr IConwanv Namel
G Contrac?ur's Liceoso.,
D
a
Mnilinp AtlJress 1 antractor nar Makin Insu' tioN
,d ss a3
Au rized SiB? re(COnvactor/Owne, 0.t+kin0 lmtal tionl Phone Number
' ?i'Sd .?6
MINNE$OTq STATE HOAM OF ELECTRICITY TNIS INSPECTION NEQUEST WILL NpT
Griggs-Midway BId9. - Noun N-791 eE ACCEPTED BY THE STAiE BOAHD
UNLESS PflOPEN INSPECTIpN FEE IS
7821 University Ave_, St. Paul. YN 55101
Plnre (612) 2971111 ENCLOSED.
? by ? G I?QUEST FOR ELECTRICAL INSPECTIbN Ee'00001,04
1? See i'atruetims im com ??
plating this tarm on beck ot vellow eopy. q,/ -g,<
C16400. ""X" " Below Work Coveresl by Thls Request ?
Mw4 Addj Reo- TrYe ot BuiMing ApDlianees WireE Equipmenc Wired
Home Range Temporary Service
Duplex Water Heater Lightiny Fixtures
Apt. Building Dryer Electrfc Hea[in
Conmiercial Bldg. Furnace Silo Unloader
I?xLstrial Bldg_ Air Conditioner Bulk Milk Tank
Farm omen ceciry me, (snecrtv)
iher peciry t er Olh.r
omoute lnsoecuon Fee Below
!t Fae ServieeEnhezaSize b Fee Feaders/Sabfeeders N Fee Urowcs
j 0 to 200 Anws 0 to 30 Am s 0 tn 30 Am
Above 200 Amps 31 to 100 qmps 37 to 700 A -
Swimmi Pool Above 100-Amps Above 100_Art4x+
Transformers Irrigation Booms og-q Par[ial.'Offie
I I I SigiS ? I ISUecial Inspection 'S `
Ne?rorks TOTAL F / (J?l
?i
flouph-in Date
?
I, tha Elacxrical
? y
? Ins ectm, herebv
.,_
?ity [het the abova
Final ? j
Date inspeetion has baen
de.
iM1hRVueelvoidl8nqnllslmm (f ' ?
•nis request void
18 mon[hs from . ?
C 4 4 3 4 3?
Repuest Date
j-
I Fire No. Rough-,n Insper,tion
Re
qmred?
?NeadY Nnw XWill NoUly Insper
?
?4
7
?
?
Yes No
tor When fieadv
0 Licensed Electncal Contrqtlot 1 hareby requesi insPaction of above
ROwner elec4ical work irelallad a[.
Siree[ Address, Box or Rouie No. . Cnv
ecvon o. TownsOip Name or No. Rsnge No. Comn?y
//?1I 'ormx
OccuGpantlPfllNT) Phone Ne. f/
Power $uppher
e_c-gc?'elr c Atltlress
Electncal Con[racwr ICOmpany Namel C.ntracror's Lmense No.
MailinB AdJrass ICOnttactor or Owner MabnB Instailation)
Authoraed SignaWre IConttactor/Owner MakinO Installauonl Phone Number
MINNESOTA STATE BOAPD OF EIECTRICITV TMIS INSPECTION REQVEST WILL NOT
Grigqs-Midwev Bldg: - Noom N-791 BE ACCEPTED BY THE STATE BOAflD
1821 Umvers,ty Ava., St. Veul, MN 55104 UNI.ESS PqOPEP INSPECTION FEE IS
Phona (e12) 297-2111 ENCLOSEO.
CITY OF EAGAN N 0- 9 9 5 6
3630 Pilot Knob Road. P.O. Box 21•198, Eagan, MN 55121
BUILDING PERMIT PHONE: 454-8100 Reuia # 49ed 3 Q
Te M wed fer SF DWG/GAR Est. Value $69,000 Dore MARCY. 11 . I q 85
SiteAddreaa 4291 AUGUSTA LN Erect ? Occupancy R3
Lot?Block I SeclSub. S[iNSF.T 1ST Remodel ? Zoning R1
Percel No. Repeir ? Type of Const. ?
Enlerge ? No. Stories
Name JOS. MILLER CONST Move ? Lenqth 40-
W Demolish ? Depth 46
? Address 18133 CEDAR AVF 5O Grede ? Sq. Ft.
City FARMINGTORone 431-2001 Inatall ?
Aeeeevok Fees
? Neme S?E
?? Address
? City Phona
GW
u Name
?
W
i? Addrass
u
t W
City Phone
Assessment _
Water & Sew.
Polica _
Fire
Erp.
Planner _
Cauncil _
Permit $ 340.00
Su.chorqe 34 _ 5C
Plan Review 170,0C
SAC 52 S -OC
WoterConn. Snf) - OC
Wafar Meror f; -4 0 C
Rood Unit _2 0 OC
I hereby acknowledge thot 1 have read this apDlicotion and stote that gidg. Off. 3/ 6/8 5 I T. P. 1 32 _ ?(
the inlormotion is correct and ogree to Comply wilh oll applicoble APC Totel S7 _ f146 S(
Stota of Minnesoto $tatutes ond Cit of Eoga Ordinances. ---r--r---------
, Var. Date
Siprwlum of Permiftes ..?T
A Buildinq Permie Is issued ro: JOS. MILLER CONST on ths exprcat conditlon tMi
oll work sholl be done in acwrdonce wA oll opplica(Te->tate of Minneaoro Statutes ond Ciry of Eopon Ordironces.
Bulldirq Officiol
REQUEST FOR ELECTRICAL INSPECTION E,BQ-00001-09
'$ae insVUCbons iw complohnp this torm on beck of vellow coPV.
?-7C 44343 ~ "X" Below Work Covered by 7his Request
pve4HAd Nep. TVVe ot BmlCing ApDliancea Wved Equ?pmenl Wired 7
? ?ommerciai tl'tlg. rurnace aiio UILO'rIPP.!
Industnal Bldo. Air Condrtmner Bulk Milk T&nk
# iee Serv lceEntrenee5ize p Fee FeeOers/Subfeaders P Fae Cvcmts
0 to200qms 0 to30qms Otn30Ams
Above 200 qmps 31 to 100 qmps 3
1 to 700 A mps
Swinvning Pool Above 100-Amps Above 100_AmPy
Transiormers Irngauon tlooms J°'Q Part ial,Other Fee
Signs Special Inspectib'R TpTR FE
Nerrw r ks -
f 1`0 ?:
HouBh-in U11e I, 1ha Electrical
Inspactoq nereby
certdy thet the above
n> ?"? ? pection hes Ceen
Final /'? 1??, 'l.tt,,t/
/ i
TRI-LAND INC. Certificcte of Suryey for :
SURVEYING SERVICES J4E MILLER CONST
Eoaan. Minnesota 55121
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SCALE 1"- 30'
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" HACKMORE DR ?
L'cGAL DESCRIPTiON: Lot 1, Rlock 1, Sunset First Addition,
Dakota Countv, according to recorded olat
thereof.
Garaae i`loor evevation set at 930.00
I hereby certify that This survey, plan
or report wos prepared by me or under
my direct supervision ond that 1 om a
duly Raqistered Lond Surveyor under ihe
Laws ot The State of Minnesota.
Brod . Swenson Mn. Req No. 15235
Date' 4123/85-
E?;TGn10Il CNVPI,n???i r,v4:n,\??I: "u" crn??_t:??n??nr?.? ?5(-S7
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1. 7bta1 cxPosod wzll arca...... 1011(p sy. fL. T?17 3 -
2, Tonl roof/ceiling area ...... sq. t[. x •0`? °_'?LZZ ,..
Total cr.Fosec wall area abovc [luot
a. Total vall windnW x_ca .. .......................... .....
?
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?. Total denr rrna ........ ..........................
.. ..... •- -3
•-
.....
c. :btal slidind 51••7L dJiiC :lll•A ..................
d. 'fotal fircplar.e wali aro e ........................ .....
?:
o. Total vall 2raniny area (avera,3c lo') ............. ... _17Se
... ..... O
f. Total rim joist area ... .......................
y, rrall ar2a r.Love Llour ..................... .....
h. wall area aUove Cloor ..................... .....
---
J. wall area ayovc L'loor ..................... ..... ` .
J. wall arca abovn floor ..................... .....
--
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k. ',btal fo?irda[ien window arcn ...........................
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' DcL'crmino "C"
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t po crmino "U" valu¢ fur cach roof/cciling
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lliza thc total envelopo 'eystan methnd, Ltiu v1111c; otii.111' :::1l• ,i Ly ehe sum oE
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?
CITY OF EAGAN NO- 14108
_-- r- 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
?
BUILDING PERMIT PHO N E: 454-8100
Receipt# --*? (-Vq
7o be used for CHIMNEY INSTAI&t Vaiue $500 Date SEPTEMBER 1
87
19
Site Address 4291 AUGUSTA LN
Lot 1 Block 1 Sec/Sub. SGNSET 1ST
Parcel No.
a Name LANTZ WAGNER
= Address SAIIE
? City Phone 454-3433
a
.o Name
z
cQ Addre
? City_
tia
W w Name
zv Addre
?w City_
OFFICE USE ONLY
OnSiteSewage _ Occupancy
MWCC System _ Zoning
On Site Well _ Type of COnst
City Water _ (ACtual)
(Allowable)
# of Stories
Length
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
Assessments _ Permrt $13.70
Water/Sewer _ Surcharge ' - 5(1
Police _ Plan Revlew
Fire _ SAC, CiTy
En9c _ SAC, MWCC
Planner _ WaterConn.
CounCil _ WaterMeter
I hereby acknowledge that I have read this application and stete Bldg. Off. _ Road Unit
thatthe information is correct and agree to complywith all applicable APC _ TreatmentP7
State of Minnesota Statutes and r,ity of Ea a rdinances. Variance - Parks
? Copies
Signatufe Of Pefmittee- 70TAL $14. 20
A Building Permit is issued to: LANTZ WAGNER on the express condition that
all work shall be done in accordance with all applica6le Sta of Minnesota tute$ d City of Eagan Ordinancea
Building OffiCial
1987 BQILDING PERMIY APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
IACLIIDE 2 SEfS OF PLANS, 3 CfiRTIFICATSS OF S[TRVEY, 1 SET OF ENERGY CALCQLATIOHS
90TS: ADDRESSES FOE CORNEH LOTS - CONTR9CTOR/HOMEOfiNER MIIST DESIGYQAYfi WHICH ADDRESS
IS DESIRED. NO CAANGES WILL BE ALLOWED ONCE BIIILDING PERMIT IS ISSDED.
MOLTIPLE DNELLINGS - R&SIDENTIAL RENTAI, tTPZTS FOR SALE OHITS
INCLUDE 2 SETS OF PLANS, CfiRTIFICATE OF SIIRVBY - CHECB IiITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COLMMRCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND t SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For: W CH?£y. Valuation: vGDate:
Site Address /? ^ OFFICE USfi
Lot ? Block ?
Pareel/Sub s' c4?S F
-T ?
? t}.?i Z ?i4C-+K/?G
Address -7o211464-5(/S79 64,C
City/Zip Code 16-? S-'?Z? 3
Phone
F
Address
City/Zip Code
Phone
Arch./Engr. _
Address
City/Zip Code
Phone IP
S--3 /-cF-7
On Site Sewage_
MWCC System _
On Site Well _
City Water _
Assessments
Water/Sewer
Police
Fire
Engr
Planner
Council
Bldg Off
APC
Variance
I .70
.56
/T, °..
Occupancy
Zoning
Type of Const
(Actual)
(Allowable)
lF of Stories
Length
Depth
S.F. Total
Footprint S.F.
FEFS
Permit
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Road IInit
Treatment P1
Parks
Copies
TOTAI,
.
1. . ?
I 2/84
? CITY OF EAGAN
t APPLICATION FOR PERMIT
1
SEWER AND/OR WATER CONNECTIODi
(PLEASE PRINT)
1) PROPEKI'Y ADDRESS: /ss/ift
T•Fr,nr' DFSCRZPTION:
(IAt/B1ock/Subdivision or Tax Parcel I.D. Ntunber) '
'
EF FYIS^_'=,7 STRLCI'UkE, DA! ;_ ?-=;-i:?2S. _'=1i` ISSvP_'i^:
( , tr.tz/'_eari
PRESr.NT "-(`."7I1N;/PROPOSED L1SE: Z-R-1 SINGLF. FPMILY I
? R-2 DUPLEX (ZT^70 UNITS) i
I
CI R-s 1ChVNHWSE (THREE + L7NIT5) ( UNITS)
? R-4 t1PAR'Iiv=/COi.'V?DCMIINIUM ( tNITS) ?
(3 CrMMERCIAL/REPAII/OFFICE ?
p INTDvs2PJAL ;
Q rNSTZTcrrzorAL/cavERNMErrr ?
(PLEASE PRINT)
' Z) APPLICA'i,
i
NAME:
ADDRESS: l?fj?3
CITY, STATE, ZIP:
?
PHOtvE: yJ?/- ?c c /
3) P??ER PLEAS,E PRINT) , FOR CITY USE DNLY
NAME:
PLUHB S LICENSE:
ADDRESS: Active
CITY, STATE, ZIP: ?F( ?S /9b,t Expired
? Nat f Recard
PHONE: _x5, jc/-_3E7?
PLUMBER j ENSE ry,;jt65'- fryj '
a nitia
4) OCCUPFVN•I,/Cf^Tl`IER (PLEASE PRINT)
1T?PME:
---
'
ADDRESS:
A- C,?? 7
i
CI'PY, STATE, ZIP: ?
?
Pciorle: 1
i
5) INDICATE WHICH PERMIT IS BEING RBQUESTID: ?
? CONNECPION TO CITY SLF7fM i
? CON=ION 'IO CITY WATF'R !
?
E] C7I'fIER (PI,EASE DESCRIBE) ?
6) INDICYiTE ONE: i
rl PLF.ASE HOID APPROVID PERMIT FOR PICK-UP BY ONE OF AHWE
? PLF.FISE MAIL APPROVID PEfLMIT TO 1, 2, 3, 4 ABOVE
(Circle one) I
7) SIGIr1'I[,T2E:
I.CJ?aa+?l? /JiOctQr?? _ DATE:
- -
/1144S
,)
01* wr;w??M-00"
F O R C I T Y 'U S E O N L Y '
PERMIT # ISSUED
FEES: $
$
$
$
$
$
$ ?S?• o--O
$
$
S
$
$
$
SEWER ?'ERMIT (IYCLliDE SUP.CHP.RGE)
WATBR PERPIIT (INCLUDE SURCHARGE)
WATER METER/COPPERHORN/OUTSIDE READER
WATER TAP (INCLUDE CORPORATION $TOP)
SEWER TAP
ACCOUNT DEPOSIT - SEWER
h?':?GJNT DEFCSIT ° WATEF2
wAC
SAC
TRUNK WATER ASSESSMENT
TRUNK SEWER ASSESSMENT
LATERAL BENEFIT/TRUNK SEWER
LATERAL BENEFZT/TRUNK WATER
OTHER $
TOTAL
AMOUNT PAID/RECEIPT # 1,s o '?-O l+
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
? YES IF YES, THEN A"PERMTT FOR WORK WITHIN
? PUBLIC ROADWAY" MUST RE ISSUF'D BY THE
NO ENGINEERING DIVISION. LIST AS A CONDI-
TION.
SUBJECT TO TIiE FOLLOWING CONDITIONS:
APPROVED BY:o{"e?
TITLE:??
DATE :
1=51
.
?? ?mom
" . . . . ?a w? ?+r??wES:?a w? R+?w.+ie?? ? r4+mst??e s? . i•eT , , sr? w ?
"k-)
4100 City of Ealan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
-----------------,
I Permit#: 3,26,7 ?
?
i PermrtFee:
I ?
? Date Received: ?
I ?
i
? StaR: _ _ J
2008 MECHANICAL PERMIT APPLICATION
Date: L, -D(t) SiteAddress:
Tenant:
Suite #:
Y1 Phone:to 1-LI5Q ?-??49
q)C1
f '1
-i
G
RESIDENT/OWNER Name:
-
-,
rnr
2w
L? ? q r
Address /
CONTRACTOR Name: _ Dan Wohlers Southside Htg. & A/C License #:
6950 W. 146?' St, #106
nddress:
Apple Valley, MN 55124
ciry _ (952) 431-7099 tate: Zip:
Phone Contact Person: L?
TYPE OF WORK - New _4eplacement _ Additional _ Alteration _ Demolition
'46 rRQl- G' uucL -75qorn T??u
' '-'-
"',a?-fl
Descriptionofwork:
1
-
l]?'{ti?t31?`I `U'??+999 }1jC-d?j37TlB?t?$ ,?4j}f{+d ?p ; :'
A?l?? Bdt?F' 1'QQ? FA6?E??lY? JI
81tE?gk't9
a5'? SC/BBw
1
`
1
3t
( J
?
/
?
it ,{ .. (??!%iPfi??Y?rT'?l FJ/?Y?11A??I'F? YS?YCY. fN••••f?Y? ?riTit n? ;:s.
RESlDENT(AL COMMERClAL
PERMIT TYPE ? New Constmction _ Interior Improvement
--Eurnace -
Install Piping _ Processed
Air Conditioner _
9
Air Exchan er - Gas _ Ex[erior HVAC Unrt
' HVAC units must be screened
_ Heat Pump Under / Above gfoUnd Tank (_ Install 1_ Remove)
Other When installinWremovinq tank(s), call for InspecGon by Flre
Marshal and Plumbin Ins eclor
AESlDENTlAL FEES:
$50.50 Minimum Add-on or alteratior, ,o an ezis:ing uri: (ircludes $.50 Stzte Surcharge)
$90.50 FII'E I'Bpdll' (replace burned out appliances, duciwork, etc.) (InCludeS $.50 St2te SUfChafge)
? SCJ TOTAL FEE
$
COMMERClAL FEES: ?
?
Contract Value $ x 1 %
$70.50 Underground tank install /rg
200?0
vaj
q
?
2
$50.50 Minimum (includes Stat ro11 e) G
_$ PertnitFee
- If Permit Fee is less than $1,000, sure rge is $.SD. State SUfChar e
$ g
'
- If Permit Fee is> $1,000, surcharge
mc s by $.5D for =
$1,000 Permit Fee (i.e. a$7,001-$2,00 ;iW . surc arge).
$ TOTAL FEE
I hereby acknowledge that this iniormatiDn is complete and accurete, that the work will be in wnformance with Me ordmances and codes of the City of Eagan; that
I untlerstand this is rrot a permit, but only an application for a permit, and work is not ro start without a percniT, [hat the work will be in accordance vnth the approved
plan m the case of vrork which raqmres a rewew and approvai ot plans.
tT
1,-? •
x(
x l fhC7?Ci . -It ?'61 r?-
ApplicanYs Printed Name ApplicanYs Signature
Tr
G
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA125333
Date Issued:07/22/2014
Permit Category:ePermit
Site Address: 4291 Augusta Lane
Lot:1 Block: 1 Addition: Sunset 1st
PID:10-72985-01-010
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
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 by law in ALL single family homes .
Matt Dlouhy
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 -
Mark Gamm
4291 Augusta Lane
Eagan MN 55123
(651) 952-2144
Roofs R Us
1922 26th Ave
St. Paul MN 55122
(612) 282-8092
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA154816
Date Issued:04/12/2019
Permit Category:ePermit
Site Address: 4291 Augusta Lane
Lot:1 Block: 1 Addition: Sunset 1st
PID:10-72985-01-010
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 -
Mark Gamm
4291 Augusta Lane
Eagan MN 55123
New Windows For America
2123 Old Hwy 8 NW
St. Paul MN 55112
(651) 203-0149
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA168741
Date Issued:05/03/2021
Permit Category:ePermit
Site Address: 4291 Augusta Lane
Lot:1 Block: 1 Addition: Sunset 1st
PID:10-72985-01-010
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. We encourage you to retain an electronic copy of
photos until the project passes a final inspection.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
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 -
Mark Gamm
4291 Augusta Ln
Eagan MN 55123--207
(612) 669-9408
T. Dunham Construction Inc
831 Ventnor Ave
Eagan MN 55123
(612) 819-0480
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA173531
Date Issued:11/15/2021
Permit Category:ePermit
Site Address: 4291 Augusta Lane
Lot:1 Block: 1 Addition: Sunset 1st
PID:10-72985-01-010
Use:
Description:
Sub Type:Windows/Doors
Work Type:Overhead Garage Door
Description:
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, 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 -
Mark Gamm
4291 Augusta Ln
Eagan MN 55123--207
Applicant/Permitee: Signature Issued By: Signature