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817 Eagan Oaks Laneit • 1?i J" v CITY'OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: OAF'; I AN1. PERMIT SUBTYPE: ON RECORD^ PERMIT TYPE: "' 1 III N" Permit Number: " (I I `'.4 Date Issued: ' 18 2 / 4 7 I-AN6 Bimorwi TNT TYPE Of WORK: . . . r) f4F*w 1 ,71- P A I (17 t 1 f4 F) INSPECTION TYPE DDATE INSPTR. INSPECTION TYPE DATE INSPTR. N" :I f7VIC.t- t UHI FFt : Permit No. Permit Holder Date Telephone it ELECTRIC HVI-m- PLUMBING HVAC Inspection ate Insp. Comments FOOTINGS /j/ " FOUND !/y/ FRAMING / - ZG-r'l ? MB ROOFING ROUGH PLUMBING ?-/-P PLBG AIR TEST ROUGH HEATING GAS TE TSVC INSUL o?d GYP BOARD FIREPLACE 1rrV?/ G FIREPLACE AIR TEST FINAL PLBG , ' -i FINAL HTG j ( f( ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL J? s?. CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: ,jrnty ,:h . ItU I PERMIT SUBTYPE: TYPE OF WORK: C. t I , I -C H11M to INN I?IA*,/A7 Nrw (ZFRA 10T LINE) INSPECTION TYPE DATE INSPTR. INSPECTION TYPE .DATE INSPTR. I ;ARYSt I Of A UNI IS S I.1 f tHR - 1'l11NRiNH ':I'I?VICF CPNTlk 1CORD PERMIT TYPE: Permit Number: Date Issued: Df . ; APPLICANT: 4 ft L 1 ANF z ? s ? t Permit No. Permit Holder Date Telephone # ELECTRIC PLUMBING HVAC a?O q -? Inspection Date In . Comments FOOTINGS jf7 FOUND ' FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL - J?_ R w GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG 3 -2 FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL INS CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: , i. I ANI ' r: t1 11'11J1, PERMIT SUBTYPE: f TYPE OF WORK: 1 , H(f 1 1 i1 r NO 041 IVI1 N I' W (;?f R12 1 oI I INr= 1 INSPECTION TYPE .DATE INSPTR. INSPECTION TYPE DATE INSPTR, SARK'S: i• OF A 11N11 IF- ON RECORD PERMIT TYPE: Permit Number: Date Issued: ,:., B t/ 1 01 tt rl r APPLICANT: b 1.1 H RP PI UM€trWi SF RYICt C.fNIER I NI I III-)J-1i fi+ C Permit No. Permit Holder Date Telephone M ELECTRIC PLUMBING a 9 ?'?"9d9i HVAC Inspection Date Insp. Com ents FOOTINGS ??I/ % ae FOUND `? FRAMING 2,05--9,Y, ROUGH PLUMBING PLBG AIR TEST 1( ?? ROUGH HEATING GAS SVC TEST _ _ INSUL ?d. GYP BOARD FIREPLACE I? "?I d q it FIREPLACE AIR TEST FINAL PLBG ?p Q FINAL HTG ,a ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL `??/Q CITY OF EAGAN PERMIT TYPE: I I h `ON 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: ;APPLICANT: • nh? r,t?i?ti Laihfl ?. t t ? ht r PERMIT SUBTYPE: FRAN I Nfi TYPE OF WORK: I N1.I11 A T I ON triN IN Ptttr. I I I - INA I RVMARR`_z: PLAM`• VI'VIII-If1) ktt' MW WAfCt Permit No. Permit Holder Date Telephone # ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ?Q Dr 7 L E ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST O t?( d /pF O, FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: ` Eagan, Minnesota 55122-1897 Date issued: ' (612) 681-4675 SITE ADDRESS: APPLICANT: •:, i1 ii; f Ai ii !::i i!: ! (i• AH ! ;its i i. t ftH 9Hnm ,? PERMIT SUBTYPE: TYPE OF WORK: :1- w ( 'FR(I t OT -1 INU ) INSPECTION TYPE DDATE INSPTR. INSPECTION TYPE DATE INSPTR. I llpv s 1 1 or 4 FIN t i A W PIHR PIUMPINA ,FRVTi:E iCUNIFR Permit No. Permit Holder Date Telephone # ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS !? v l K FOUND l? uv? FRAMING ROOFING ROUGH PLUMBING }A ??ff Z -Ti?S PLBG AIR TEST ROUGH HEATING GAS TE TSVC (? INSUL I GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG G / U FINAL HTG ORSAT TEST BLDG FINAL I BSMT R.I. BSMT FINAL DECK FTG DECK FINAL LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION PROPERTY LEGAL: a -3G a DATE OF SU VEY: /61z 7 1 7 i LATEST REVISION: m DOCUMENT STANDARDS a z WO ? Registered Land Surveyor signature and company 12?'[] ? • Building Permit Applicant G-'? ? • Legal description 0-,? ? • Address m`? ? • North arrow and scale ??'? ? • House type (rambler, walkout, split w/o, split entry, lookout, etc.) Er'? ? • Directional drainage arrows with slope/gradient % [a-' ? ? • Proposed/eAsting sewer and water services $ invert elevation P ? • Street name ? Driveway ELEVATIONS EAstina 13-,? ? • Sewer service (or Proposed) O'?? ? • Property corners ?? ? ? • Top of curb at the driveway e-0-0 • Elevations of any e)dsting adjacent homes Proposed ?' ? ? • Garage floor yY ? ? First floor 0--- ? ? Lowest exposed elevation (walkoutWndow) 0-'0 ? • Property corners [a-'? ? • Front and rear of home at the foundation PONDING AREA (if applicable) ? tY ? Easement line ? ?' ? NWL ? ? • HWL ? d ? Pond # designation ? ? • Emergency Overflow Elevation DIMENSIONS ram ? ? Lot lines/Bearings & dimensions ? 'n- ? Right-of-way and street width (to back of curb) ? ? • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. (.e. all structures requiring permanent footings) d ? ? a Show all easements of record and any City utilities within those easements Er ? ? • Setbacks of proposed structure and sideyard setback of adjacent existing structures q/? ? • Retaining wall requirements, if any ,. Reviewed: I January 1996 CRAIGIBBBlaLG PRW..FM RESIDENTIAL BUILDING PERMIT APPLICATION l l CITY OF EAGAN 1 lJ . (J I 3830 PILOT KNOB RD • 55122 651-681-4675 New Construction Requirements • 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas (20% maximum lot coverage allowed) • 2 copies of plan showing beam & window saes; poured found design, etc.) • 1 set of Energy Calculations • 3 copies of Tree Preservation Plan it M platted after 711193 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE A JOB SITE v RemodelfReoair Requirements v- • 2 copies of plan • 1 set of Energy calculations for heated additions • 7 site survey for exterior additions & decks • Indicate if home served by septic system for additions VALUATION IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY TYPE OF WORKI-,,Z /A',?-/ FIREPLACE(S) 0 _ 1 _ 2 APPLICANT x f_ ?U????J1 PHONE# ? 6:(/- QJS- 627 ADDRESS yo,_02 iv ti ?sz C ZIPCODE V PAGER # CELL PHONE # FAX # NIEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) Residential Ventilation Category 1 Worksheet Subm itted Energy Envelope Calculations Submitted _ MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted 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 # I P] F All above information must be submitted prior to processing of application. By I hereby acknowledge that I have read this application, state that the information is correct, and ag mply with all applicable State of Minnesota Statutes and City of E an Ordinances. Signature of Appiicanf Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required Updated 2002 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 J't 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbgyy or- N ? 25 Miscellaneous ? 31 New )I 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 OGC) Valuation ,, Occupancy MC/ES System e/ Census Code Y Zoning City Water SAC Units _ Stories Booster Pump Nbr. of Units _ Sq. Ft. PRV Nbr, of Bldgs - Length Fire Sprinklered V /V T f C ype o onst 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 X 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 6 „Ay5?- 1`7?^P-l ?rNls/? UU Ur i/r ? PERMIT# V.f t 44,0 RECEIPT DATE: 2008 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY of EmAN 3630 PILOT KNOB RD PAG", MN 55128 n7 651-6$1-4675 I D I ?j u Please complete for: single family dwellings, townhomes and condos when permits are required for eh uA R 2 5 2002 backFlow preventer for irrigation system luu SITE ADDRESS: a Z 3 OWNERNAME:: lj??/S?u TELEPHONE #: _r (AREA CODE) INSTALLER NAME: 0 STREET ADDRESS: S-{ 0 L ) TELEPHONEM 4,57/ 5166-8 y ZL. (AREA CODE) CITY: rrf,,a- Z` STATE: /?- ZIP: Sots/ _ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00 includes $40.00 County fee Note: Additional consultant fees may apply • MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING: di f t t l h t ddi i l i ft d t 00 ng ix ures o owe Lloyfta or room a er ea ers. t ons, exc ng water so eners an wa ud $ 50. _ Abandonment of septic system. - Water turnaround - existing dwelling unit (+ 5/8" meter if needed - $118) Other: - RPZ: new installation/repair/rebuild $ 30.00 lawn irrigation system Replacement/additional: water softener _ water heater $ 15.00 State Surcharge $ .50 Total $ 5 I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes liability for an damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within i y prop 1 tof-way/easement. SIG T RE OF PERMITTEE 1/02 CITY OF EAGAN CASHIER; S TERMINAL NO: 585 DATE: 12/02/97 TIME; 1408:04 ID: NAME; LANG BLDRS INC 2256 9001 80 EAGAN OAKS 4,012.21 2256 9001 819 EAGAN OAFS 37916.96 2256 9001 821 EAGAN OAKS 37916.96 2256 9001 823 EAGAN OAFS 4,012.21 i i n Total Receipt Amount: 15,858.34 CROB3653 USER ID: NANCY ?k?kXx?X?xkkC?%Xc#xk;k?k ??xX?cxk?%? ? ?%? ?%?xkX?#WX?Xc%txkxXXt?Xc?X# CITE' OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMIT TYPE: BUILDING Permit Number: 031150 Date Issued: 12/02/97 SITE ADDRESS: P.I.N.: 10-22461-270-01 DESCRIPTION: 817 EAGAN OAKS LANE LOT: 27 BLOCK: 1 EAGAN OAKS 2ND (ZERO LOT 86ilding'-Permit Type Building Wo-r.-k Type UBC Occupancy's Construction Tj?e Zoning Building Length 8uilding"'Width,° Bu 11ding°stories f". Cexf'sus Code LINE) SF DWG NEW R'-3 U-1 V-N R-3 32 56 1 102 1 - FAM. ATTACH cz= da REMARKS: 1 OF 4 UNITS S & W PLBR - PLUMBING SERVICE CENTER !NG6dDES 4 SEASON PORCH FEE SUMMARY: VALUATION Base Fee Plan Review Surcharge SAC SAC & SAC Units Subtotal $892.25 $579.96 $50.50 $950.00 lee $2,472.71 $101,000 MISCELLANEOUS $1.539.50 Total Fee $4,012.21 CONTRACTOR: - Applicant - ST. LIC OWNER: SANG BUILDERS INC 17809090 0002651 LANG BUILDERS 6202 CIVIC HEIGHTS DR 100 620 CIVIC HEIGHTS DR ;IRCLE PINES MN 55014 CIRCLE PINES MN 55014 (612) 780-9090 (612)780-9090 e .. v a ,,. L ,p 3 E zr I hereby acknowledge that Ihave read' this-appli'catl6n ancl's?tate that the information is correct and agree to.comply with all applicable State of Mn. Statue and, City. of Eagan Ord1nan19e'$. • APPLICANT/PERMITEE SIGNATURE C$j SUED : SI ATURE Sl41nE WS 997 BUILDING PERMIT APPLICATION (RESIDENTIAL) (oT i CITY OF EAGAN 11Z ISA . ?VT 3830 PILOT KNOB RD - 55122 / Add, 6814675 l`3coclr- () New Construction Requirements Remodel/Repair Requirements ?j ?J d q , q? ? 3 registered site surveys ? 2 copies of plan ? 2 copies of plans (include beam & window sizes; poured frill. design; etc.) ? 2 site surveys (exterior additions & decks) ? 1 energy calculations ? 1 energy calculations for heated additions ? 3 copies of tree preservation plan if lot platted after 711193 required: _ Yes _ No DATE: 10- Z9 - 9-7 DESCRIPTION OF WORK: STREET ADDRESS: Name: Street Address:_ City: LOT _2-1 BLOCK SUBD./P.I.D. ()&tS ZO-W Jgcu,14f 4 'Y'Pexr ?f'Tan ?Xaf, 4 7o PROPERTY OWNER CONTRACTOR ARCHITECT! ENGINEER 'M-1 f.Gann O RY.C. to G RR" State: W Phone #: Company: C.14 t 16 By Jty s Phone #: -M - S0 90 StreetAddress: 67D Ci yt ? n-?- D1? License #: Z6151 City: p l Arr-6.. Prr%iS State: M ?A Zip: Sr01141 Company: 1?0?rl¢-T >AY-G ? Name: `?fl M G Phone #: -7 SS- c 792 Registration Street Address: 17.131 Gftusg 51. City: CDC T?!m6os State: Mii-+ Zip: 57S44V Sewer & water licerned plumber (new construction only): Pi U W 6Ar 5V(- t Wt'eR Penalty applies when address chance and lot change are, equested once permit is issued. ` 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.. A /) _ A Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No CONSTRUCTION COST: d CmF>?AfsWM°,? BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ,,?4-02 SF Dwelling ? 07 4-plex ? 03 SF Addition ? 08 8-plex ? 04 SF Porch ? 09 12-plex ? 05 SF Misc. ? 10 _-Alex WORK TYPE New ? 33 ? 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) 14 /,asz Basement sg ft. MCNVS System =L (Allowable) Main level sq. ft. /az0 City Water UBC Occupancy ?J J?yL.? P- l?fr sq. ft. /9s Fire Sprinklered Zoning n 0?'3 sq. ft. PRV # of Stories ( sq. ft. Booster Pump Length 32- sq. ft. Census Code. o z Depth 5-air Footprint sq. ft. SAC Code o! Census Bldg i Census Unit / APPROVALS a Planning Building Engineering Variance OFFICE USE ONLY 1-4 ? 11 Apt./Lodging ? 16 Basement Finish ? 12 Multi Repair/Rem. ? 17 Swim Pool ? 13 Garage/Accessory ? 20 Public Facility ? 14 Fireplace ? 21 Miscellaneous X O ° Go 7-- ? 37 Demolition Permit Fee Valuation: $ l?/, o00 Surcharge Plan Review License / MC/WS SAC _ [i City SAC (?" Water Conn. Water Meter ? Acct. Deposit SAW Permit C SAW Surcharge GG l Treatment PI. n Road Unit Park Ded. Trails Ded. Other Copies Total:- .. - f;- - SAC SAC Units i !'I CITY OF EAGAN CASHIER: S TERMINAL NO: 505 DATE: 12/02/97 TIME: 14:17:46 ID: NAME: LANG HLDRS INC 2256 9001 017 EAGAN OAFS 470i2.2i 2256 9001. 819 EAGAN OAKS 379:L6.96 2256 9001 821 EAGAN OAFSS 37916.96 2256 9001 023 EAGAN OAKS 41012.21. Total Receipt Amount: 7.57858.34 CR083653 USER ID: NANCY CITY OF EAGAN 3830 Pilot Knob R®ad Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: P.I.N.: 10-22461-280-01 DESCRIPTION: PERMIT PERMIT TYPE: Permit Number: Date Issued: 819 EAGAN OAKS LANE LOT: 28 BLOCK: 1 EAGAN OAKS 2ND (ZERO LOT LINE) Building'-,,Permit Type SF DWG Building Wd.rk Type NEW UBC Occupancy-a4 R-3 U-1 Construction "Type V-N Zoning, R-3 Building Length ( 32 Building Width= 66 Building-eatories? t 1 4.r Ge(Ys Coll' s' 102 1 - FAH. ATTACH ?_?' ( '. (,;, ,,7r :Xj BUILDING 031151 12/02/97 REMARKS: 1 OF 4 UNITS FEE SUMMARY: S & W PLBR - PLUMBING SERVICE CENTER VALUATION Base Fee Plan Review Surcharge SAC SAC % SAC Units Subtotal $837.25 $544.21 $46.00 $950.00 100 1 $2,377.46 $92,000 MISCELLANEOUS $1,539.50 Total Fee $3,916.96 CONTRACTOR: - Applicant - ST. LIC OWNER: LANG BUILDERS INC 17809090 0002651 LANG BUILDERS 602 CIVIC HEIGHTS DR 100 620 CIVIC HEIGHTS DR CIRCLE PINES MN 55014 CIRCLE PINES MN 55014 (612) 780-9090 (612)780-9090 I'hereby'acknowledge that I have`redd this=` applicat `on `and "sta=tie thai' the information is correct and agree to, comply with all applicable State of Mn.., L StaCtitC-? 7 City of Eagan Ordinandes.' /APPLICANT/PERMITEE SIGNATURE ISSUED BY. SIGNATURE r 5+vfts AS I 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) f CITY OF EAGAN (? r? dTS 1 tZ.34 3830 PILOT KNOB RD 5512213 14, ?/F I New Construction Requirements 681 X675 RemodeUReoair RZZeavire Kr tent t q -ILt AdCJs 4zVn 3 registered site surveys ? 2 copies of plan Crs?' 2 copies of plans (include beam & window sizes; poured fnd. design: etc.) ? 2 site surveys (exterior additions & decks) ? 1 energy calculations ? 1 energy calculations for heated additions ? 3 copies of tree preservation plan if lot platted after 711/93 required: _Yes _ No DATE: 10 -Z`t- 51 CONSTRUCTION COST DESCRIPTION OF WORK: STREET ADDRESS: LOT Z.T BLOCK SUBD./P.I.D. #: E8+ AtA QKV S ZE' 19ddirf/i&I cr -,/ Z7, Z5, f' ?o PROPERTY OWNER Name: MR. CONTRACTOR ARCHITECT/ ENGINEER Phone* Street Address: City: State: Zip: Company: LAA(n Ru i (J-efS SNC . Phone #: `1 Al - 56 5 16 Street Address: X20 G J+ t_ 1 C kk DR. License #: U11 City: f??I vt r S t State: M t?-l Zip: D / Company: 70bC RT &rICC-fZ Name: 5tym G. Phone #: 75'S- 97 5 Z Registration #: & i!'Z17 Street Address: 12-1-Si 6IZ.oyS e ST. City: Cacti 'RM4p#DS State: MIJ Zip: Ss44ff Sewer & water licerned plumber (new construction only): 766 p 4 SVC_ OC K45e . Penalty applies when address change and lot change are equested once permit is issued. I hereby acknowledge that I have read this application and state that the information is State of Minnesota Statutes and City of Eagan Ordinances. A , Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received Yes No Tree Preservation Plan Received - Yes - No and agree to comply with all applicable BUILDING PERMIT TYPE ? 01 ,d'02 ? 03 ? 04 ? 05 WORE ?- 31 ? 32 Foundation ? 06 SF Dwelling ? 07 SF Addition ? 08 SF Porch ? 09 SF Misc. ? 10 ITYPE New ? 33 Addition ? 34 GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning Duplex 4-plex 8-plex 12-plex plex Alterations Repair OFFICE USE ONLY ? 11 Apt./Lodging ? 16 Basement Finish ? 12 Multi Repair/Rem. ? 17 Swim Pool ? 13 Garage/Accessory ? 20 Public Facility ? 14 Fireplace ? I,Miscellaneous zo ? 37 Demolition _ Basement sq. ft. 4 DZo MC/WS System Main level sq. ft. zr?o City Water Q 3 sq. sq. ft. ft. Fire Sprinklered PRV t _z sq. sq. ft. ft. Booster Pump Census Code. !o z jP Footprint sq. ft. SAC Code of Census Bldg 1 Census Unit Engineering Building Variance Permit Fee Surcharge Plan Review License MCIWS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit SMI Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies .. Valuation: $ 7 ZI X0 N SQL ?0 r L(il? Total: % SAC . SAC Units l" U?.l 2 ?o CITY OF EAGAN CASHIER: S TERMINAL NO: 585 DATE: 12/02/97 TIME: 14:17:26 ID: NAME, LANG DLDRS INC. 2256 9001 817 EAGAN OAKS 41012.21 2256 9001 819 EAGAN OAKS 37916.96 2256 9001 821 EAGAN OAKS 37916.96 2256 9001 823 EAGAN OAKS 4,012.21 A Total Receipt Amount: 151858.34 CROB36`.;3 USER ID: NANCY CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: P.I.N.: 10-22461-290-01 DESCRIPTION: Base Fee Plan Review Surcharge SAC SAC 8 SAC Units Subtotal (ZERO LOT Bu' i Type ,Building' Wank Type _"UBC Occupancy', Construction Type Zoning Building Length Building Width BufIding,,t.tories rte. Cett'?sus Coda r sd { 4 PERMIT PERMIT TYPE: Permit Number: Date Issued: 821 EAGAN OAKS LANE LOT: 29 BLOCK: 1 EAGAN OAKS 2ND BUILDING 031152 12/02/97 0&1 rr, W1 G+r ? 8h...i? REMARKS: 1 OF 4 UNITS FEE SUMMARY: S & W PLBR - PLUMBING SERVICE CENTER VALUATION $837.25 $544.21 $46.00 $950.00 100 $2,377.46 LINE) SF DWG NEW R-3 U-1 V-N R-3 32 66 1 102 1 - FAM. ATTACH $92,000 MISCELLANEOUS $1,539.50 Total Fee $3,916.96 CONTRACTOR: - Applicant - ST. LIC OWNER: I,ANG BUILDERS INC 17809090 0002651 LANG BUILDERS ;$202 CIVIC HEIGHTS OR 100 620 CIVIC HEIGHTS DR CIRCLE PINES MN 55014 CIRCLE PINES MN 55014 (612) 780-9090 (612)780-9090 L I hereby acknowledge that T.have read-'thiss`ap"placation and state that the information is correct and agree to'c'omply with all app.].icable Satate,of.Mn., Statutds and City of Eagan prdinancgs.,n ' APPLICANT/PERMITEE SIGNATURE ISSUED BY. SIGNATURSC- s1 Ibi 5+&?ts W s 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL)Lp..t,s CITY OF AN New Construction Requirements Name: ? 3 registered she surveys ? 2 copies of plans (include beam & window saes; poured fnd. design; etc.) ? 1 energy calculations ? 3 copies of tree preservation plan if lot platted after 711/93 required: _ Yes _ No 3830 PILOT KNOB RD - 55122 X6B 681 ??,Ij yy Rem R air iite?n I X DATE: 16 -Z5 - 9" I CONSTRUCTION COST: DESCRIPTION OF WORK: h Imo CAksjauc lrr n - 4 oy?,X 16%,? k w/ I>EC14. STREET ADDRESS: _?Z( E4AP4 OAV-S 64. LOT Z9 BLOCK SUBD./P.I.D. #: 6u11`41A QhWA Z ? A611-1. y-Re-Ge U/ e.' r Z7,zN, le To PROPERTY OWNER CONTRACTOR ARCHITECT/ ENGINEER tatdrl? 2 copies of plan 2 she surveys (exterior additions & decks) 1 energy calculations for heated additions ?IRSf Phone #: Street Address: City: State: Zip: Company: LAOCO TviASeac, X11[ . Phone #: _790-509b Street Address: 620 CIV t c- Pr4k4S - Dy. License #: Z6S City: Ctrs e- hw S State: 1'I1?1 Zip: 5S0 A Name: 5 Art F Company: 4Za6e-z7 -Fhetvct;;z Phone* 7SS'7 71 Z Registration #: to &47 Street Address: 12.131 (2oJSE S%. City: lfaonl 1CV?a/ t?S State: M t-1 Zip: :U 444k Sewer & water licer.?ted plumber (new construction only): Y/L)M; /H < SVC. Ct1?Z Penalty applies when address thane= and lot change are requested once permit is issued. I hereby acknowledge that 1 have read this application and state that the information is gorrect anagree to comply with all applicabie State of Minnesota Statutes and City of Eagan Ordinances. . A Signature of Applicant: OFFICE USE ONLY ELf- Tree I Certificates of Survey Received Yes No Preservation Plan Received Yes No Not Required /Y(t /SDCC ` 9£LK OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex X02 SF Dwelling ? 07 4-plex ? 03 SF Addition ? 08 8-plex ? 04 SF Porch ? 09 12-plex ? 05 SF Misc. ? 10 -plex ? 11 Apt./Lodging ? 12 Multi Repair/Rem ? 14 ? 16 Basement Finish ? 17 Swim Pool ? 20 Public Facility tr--21 Miscellaneous WORK TYPE Cam' iV r 3New ? 33 Alterations ? 36 Move _ 32 Addition ? -- GENERAL INFORMATION Const. (Actual) N Basement sq. ft. 4 ZzJo MC/WS System d (Allowable) Main level sq. ft. u?o City Water =G UBC Occupancy a• / sq. ft. Fire Sprinklered Zoning ,e 3 sq. ft. PRV # of Stories -1_ sq. ft. Booster Pump Length sq. ft. Census Code. 102 Depth Footprint sq. ft. SAC Code o t Census Bldg Census Unit APPROVALS Planning Building Z--_?Engineering Variance Permit Fee Valuation: $ &Erb _ Surcharge Plan Review License MCIWS SAC City SAC Water Conn. LOG/? Water Meter ' Acct. Deposit Got ??? c S• S/W Permit S/W Surcharge 5 Treatment PI. Road Unit Z0-0 Park Ded. Trails Ded. j Other / '!9 Copies I Total: % SACS ' SAC Units CITY Or EAGAN CASHIER: S TERMINAL NO: 585 DATE- 12/02/97 TIME: 14:17:11 ID: NAME: LANG RLDRS INC; 2256 9001 81.7 EAGAN OAKS 41012.21 2256 9001 819 EAGAN OAKS 3,916.36 2256 9001 821 EAGAN OAKS 37916.96 2256 90101 823 EAGAN OAKS 4,00.21 Total. Receipt Amount- Q S50.34 CROB36`33 USER ID: NANCY k?:kX-Xc %c?C?t?C?C7? Xc Xc?C?C?C?CY?%c ?Y# ?k?kXc? ?X ?C?Y #kc?C#X?k? * X? ?%X??k %c PERMIT CITY OF EAGAN 3830 Pitot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT TYPE: BUILDING Permit Number: 031153 Date Issued: 12/02/97 SITE ADDRESS: 823 EAGAN OAKS LANE LOT: 30 BLOCK: 1 EAGAN OAKS 2ND P.I.N.: 10-22461-300-01 DESCRIPTION: r?. 32 56 1 102 1 - FAM. ATTACH ,19 'ar g„ % a « R Tio REMARKS: 1 OF 4 UNITS (ZERO LOT LINE) ermit Type SF DWG aQ Type NEW R'-3 U-1 rr,lye V-N gl: R-3 S & W PLBR - PLUMBING SERVICE CENTER ING'UB€99--4 2FA20101 PORCH FEE SUMMARY: VALUATION Base Fee Plan Review Surcharge SAC SAC % SAC Units Subtotal $892.25 $579.96 $50.50 $950.00 100 1 $2,472.71 $101,000 MISCELLANEOUS $1,539.50 Total Fee $4,012.21 CONTRACTOR: - Applicant - ST. LIC LANG BUILDERS INC 17809090 0002651 6 02 CIVIC HEIGHTS DR 100 °. RCLE PINES MN 55014 612) 780=-9090 r 2 t8re `aCi{#]QW1 dgE' t11 a+t"?°; sr%_7 Sii`e?xs A .'1i ' 1Kf#e*k!urn is cs,r-r,oot and ;09701, A-' t4 )We sand -C ty cf E9qaiti [trdahwn'e r °?- OWNER: LANG BUILDERS 620 CIVIC HEIGHTS OR CIRCLE PINES MN 55014 (612)780-9090 10151997 New Construction Requirements CITY OF 3830 PILOT KNOB RDN 55122 p qq q [ 681-4675 ?? JJ g} yy? Remodel/R art R?'ie nts + ??pla ?XS 3 registered site surveys 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) 1 energy calculations 3 copies of tree preservation plan if tot platted after 711193 required: _Yes _, No DATE: 16- Z9 -" DESCRIPTION OF WORK: W 11= STREET ADDRESS: S13 M=liqGwal O141LS LhI LOT BLOCK SUBD./P.I.D. 1?g 1CS `!• agK- LofY I? Z 0•'Z9 PROPERTY OWNER CONTRACTOR ARCHITECT! ENGINEER +VtAG: As lto-rs BUILDING PERMIT APPLICATION (RESIDENTIAL) 1 t71t3j Name: u.. Street Address:- City: .M Phone #: State: Zip: Company: l} 141, -&u 'l (J-ce S SN L - Phone #: 7W - c7 o 9 o Street Address: 4170 C A J i L P!? .1,4s License #: 26.5 I City: Plyd R r4trs State: M ,A Zip: SSb/Cj Name: sRw! qr Company: DU= @T 'af -V-IW Z Phone #: 75S - 975 2 Registration #:(e* S(U 7 Street Address: ) 7-13 1 G 2ou s E S 7. City: Co o t l Qy*;01sp S State: lh t? Zip; Sr4ASr Sewer & water licer?ed plumber (new construction only): ?VNt?rn? Svc C 1Cvrk1Z Penalty applies when address chanc= and lot change are requested once permit is issued. ` 1 hereby acknowledge that I have read this application and state that the information is State of Minnesota Statutes and City of Eagan Ordinances. n n Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No Not 2 copies of plan ? 2 site surveys (exterior additions & decks) ? 1 energy calculations for heated additions CONSTRUCTION COST: and agree to comply with all applicable OCT 3 0199, q LOir (!A SSN a.Cd, BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex X- 02 SF Dwelling ? 07 4-plex ? 03 SF Addition ? 08 8-plex ? 04 SF Porch ? 09 12-plex ? 05 SF Misc. ? 10 -pleat. WORK TYPE .'31 New ? 33 ? 32 Addition ? d GENERAL INFORMATION Const. (Actual) -V-7•N (Allowable) UBC Occupancy Zoning 4.3 # of Stories Length Depth APPROVALS OFFICE USE ONLY ? 11 Apt./Lodging ? 16 Basement Finish ? 12 Multi Repair/Rem. ? 17 Swim Pool ? 13 Garage/Accessory ? 20 Public Facility ? .1-4 -Fueplace ---__?21_. Miscellaneous ? 15 Deck :eration_s ? 36 Move pair ? 37 Demolition Basement sq. ft. f1 oS2 MC/WS System °`- Main level sq. ft. /, z zlr City Water Lef>' sq. ft. i9s Fire Sprinklered sq. ft. PRV sq. ft. Booster Pump sq. ft. Census Code. 1102- Footprint sq. ft. SAC Code o / Census Bldg Census Unit Planning Building Permit Fee G Surcharge Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit SM Permit SNV Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units Engineering Variance Valuation: $ 1491, ooo { 0-r v? ?GC? . CITY USE ONLY LOT 2y , BL RECEEJPT #: O S S i SUBD. Amy RECEIPT DATE: 1998 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN HN 55122 (612) 681-4675 Date: Complete this section on 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.) 3. o 0 • State Surcharge: .50 • TOTAL: 9x 4 7 so 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 Install air exchanger, i.e. Vanee system, etc. Minimum fee applies to all remodel or add-ons of existing residences State Surcharge SITE ADDRESS: OWNER NAME: INSTALLER NAME: STREET ADDRESS: 1 (P N CITY: Install air conditioning Other $ 20.00 .50 Total: $ 20.50 PHONE #: (- PHONE #: T3 L " P 7 STATE: ?" ZIP: 55&z1 SIGNA JS/FORMS BLD/MECH PERMIT (RES) - 1998 CITY USE ONLY LOT C ? 9 BL / RECEIPT #: O e 6j 67 SUBD. Q ? RECEIPT DATE: 4/O t 1998 MECHANICAL PERMIT (RESIDENTIAL) Date: ? '-* C 6 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.) 3.00 • State Surcharge: .50 • TOTAL: 5D a ?. sv Complete this section only if you are remodeling, adding to, or repairing existing single family dwellings, townhomes, or condos. Note: Mechanical permit is not reouired for alteration/add-on to ductwork in existing residential units; but is required for the following: Install furnace Install air exchanger, i.e. Vanee system, etc. Minimum fee applies to all remodel or add-ons of existing residences State Surcharge SITE ADDRESS: OWNER NAME: INSTALLER NAME: STREET ADDRESS: CITY: CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681-4675 t( Install air conditioning Other $ 20.00 .50 Total: $ 20.50 PHONE #: PHONE #: -7 -)`-Y STATE: / v a" ZIP: SS v , SIGNATURE OF PERMITTEE JS/FORMS BLD/MECH PERMIT (RES) - 1999 CITY USE ONLY L BL SUED. RECEIPT #: RECEIPT DATE: 1998 MECHANICAL PERMIT (COMMERCIAL) CITY OF RAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for all commercial/industrial 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: 1% of contract price OR $25.00 minimum fee, whichever is greater. Processed piping - $25.00 CONTRACT PRICE x I% PROCESSED PIPING PERMIT FEE STATESURCHARGE TOTAL SITE ADDRESS: OWNER NAME: ($.50 per $1,000 ofneenit fee due on all permits.) PHONE #: TENANT NAME MaRovEmENTs ONLY): INSTALLER: ADDRESS: PHONE M CITY: STATE: ZIP: SIGNATURE OF PERMITTEE CITY INSPECTOR CITY USE ONLY LOT O` / BL D RECEIPT #: ?0??? ?£ p p ?d p y SU13D.t2 RECEIPT DATE: 1998 MECHANICAL PERMIT (RESIDENTIAL) CITY 08 EAGAN 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.) 3.00 • State Surcharge: .50 • TOTAL: 077 S? Complete this section on[v 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 Install air exchanger, i.e. Vanee system, etc. _ Minimum fee applies to all remodel or add-ons of existing residences State Surcharge SITE ADDRESS: OWNER NAME: INSTALLER NAME: Install air conditioning Other $ 20.00 .50 Total: $ 20.50 PHONE #: 1131L-221-1-2 STREET ADDRESS: Ito LA I I ,' is KO-.e e-r'L X {- CITY: 1 "A,? Y1 10V J STATE: 1SIFORMS BLDIMECH PERMIT (ICES) - 1998 ZIP: 55& z/ 1/ CITY USE ONLY LOT C!?6 BL RECEIPT #: SUBD. CtCn ,ti (? O?yam RECEIPT DATE: a/?/t If 1998 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 Date: Lahr (612) 681-6675 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.) 3.0° • State Surcharge: .50 • TOTAL: 07 ?. Sv 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 existi g idential units; but is required for the following: Install furnace 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 .50 Total: $ 20.50 SITE ADDRESS: OwNERNAME: (AILQ Mu', ,0 ciy rs PHONE#: INSTALLER NAME: r 1/ 11 li C?Q/] 1 co/? I `LITC - PHONE #: STREET ADDRESS: TI j?O ?I C ( bird (-PI-) s4 CITY: - - I' Ayyl STATE: ZIP: 5 S ]SIFORMS BLD/MECH PERMIT (RES) - 1998 /L . L C 7 BL?] ?a CITY USE ONLY RECEIPT #: O ?(V01- ?/ SUBD. L ?t_ L alit GI RECEIPT DATE: a7 I d 1998 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, NN 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system ' ----' --------- ---------- FIXTURES ------- -- EACH ---- --------- # ------------• TOTAL Shower 3.00 x _ Water Closet 3.00 x _ ,crD Bath Tub 3.00 x 4.1 _ ?+DD Lavatory 3.00 x _ = 410D Kitchen Sink 3.00 x &D Laundry Tray 3.00 x I = 30-0 Hot Tub/Spa 3.00 x ? _ Water Heater Floor Drain 3.00 3.00 x x I _ I = ?, cm 3, a Gas Piping Outlet ' minimum -1 3.00 x / = 3.00 Rough Openings 1.50 x -3 = N15-O Water Softener `for dwellings under construction 5.00 x = Water Softener * for existing dwelling 20.00 x = U.G. Sprinkler `fordwelling under const. 3.00 = U.G. Sprinkler "forexisting dwelling 20.00 = Alterations ' to existing residence 20.00 = Water Turn Around 20.00 = Private Disposal System ' MPC tic. 75.00 = (new and refurbished systems) D ?i Private Disposal Systems `Abandonment 20.00 = STATE SURCHARGE .50 TOTAL - ------ --- ----- - ------ -- -- --- --------- ---- --- ----- I hereby acknowledge that I have read this application, state that the infonnabon is correct, and agree to comply with all applicable City of Eagan ordinances- It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easement. SITE ADDRESS: OWNER NAME: V U INSTALLER NAME: PIUIt(b,jui ? V/Lf C?N-re-r M3oTELEPHONEM 7"-iogI STREET ADDRESS: a?2?71 1t71 L ?/ -Try CITY: /3?G??^ STATE: ZIP: JS/FORMS BLDG/PLBG PERMIT (RESIDENTIAL) 1998 SIGNATURE OF PERMITTEE BIL d CITY USE ONLY RECEIPT #: a & 76 nh SUED. Ca, ? Of RECEIPT DATE: 0`0 9 1998 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MIN 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit D backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL Shower 3.00 x Z = 5,elo Water Closet 3.00 x 3 = 9. 0 Bath Tub 3.00 x _ Lavatory 3.00 x -11 -OV Kitchen Sink 3.00 x 3110 Laundry Tray 3.00 x Hot Tub/Spa 3.00 x = Water Heater 3.00 x sa Floor Drain 3.00 x I = J.'" Gas Piping Outlet ' minimum -1 3.00 x _L = +fl Rough Openings 1.50 x = Water Softener * for dwellings under construction 5.00 x = Water Softener * for existing dwelling 20.00 x = U.G. Sprinkler * for dwelling under cont. 3.00 = U.G. Sprinkler * for existing dwelling 20.00 = Alterations * to existing residence 20.00 = Water Turn Around 20.00 = Private Disposal System * MPC lic. 75.00 = (new and refurbished systems) ?B Private Disposal Systems * Abandonment 20.00 = D STATE SURCHARGE 50 z7? TOTAL - - ------ --- ----- - ------ ----- --- --- ----------- --- ----- I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances. it is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easement. SITE ADDRESS: 4, 4w d /' x-s PAI OWNER NAME: INSTALLER NAME: S-YV i C,e r TELEPHONE#: 7kV-9e4l STREET ADDRESS: aXoI 10-7 `lam L-Al Ng CITY: STATE: AU'A/ ZIP: 4/ SIGNATURE JS/FORMS BLDG/PLBG PERMIT (RESIDENTIAL) 1998 1 / Y 9/ / L 11?, 7 BL CITY USE ONLY RECEIPT#: / ?" ?J SUED. !JD4X d),._. 061 c;Z RECEIPT DATE: 1997 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 65122 (612) 681-{675 Please complete for: . single family dwellings townhomes and condos when permits are required for each unit backflow preventer for underground sprinkler system FIXTURES EACH NO. TOTAL Shower 3.00 x = Water Closet 3.00 x Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot Tub/Spa 3.00 x = Water Heater 3.00 x = Floor Drain 3.00 x = Gas Piping Outlet ' minimum -1 3.00 x Rough Openings 1.50 x = Water Softener ' for dwellings under construction 5.00 x Water Softener ' for existing dwelling 20.00 x U.G. Sprinkler "fordwelling under const. 3.00 = U.G. Sprinkler ' for existing dwelling 20.00 = Alterations ' to existing residence 20.00 Water Turn Around 20.00 = Private Disposal System ' Dak Cty lic. 75.00 (new and refurbished systems) Private Disposal Systems' Abandonment 20.00 = STATE SURCHARGE .50 TOTAL 1 hereby acknowledge that I have read this application, state that the InIbrmation is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicants responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within City property/dght-of-wayfeasement. Z `°I Ori k IL" SITE ADDRESS: ? OWNER NAME: T? i5 - sC O?? INSTALLER NAME: TELEPHONE* STREET ADDRESS: CITY: STATE: Ji ZIP: SIGNATU E OF PERMITTEE /?/?, BL / CITY USE ONLY v 3UBD.UI!j. a04 RECEIPT #: 7` '; RECEIPT DATE: 1998 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD RAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL Shower 3.00 x = rtN Water Closet 3.00 x a = V Oy Bath Tub 3.00 x _? = ro Lavatory 3.00 x Kitchen Sink 3.00 x I = 3,ey Laundry Tray 3.00 x 7,ro Hot Tub/Spa 3.00 x = Water Heater 3.00 x = as Floor Drain 3.00 x = 3, of Gas Piping Outlet ' minimum - 1 3.00 x _ Rough Openings 1.50 x T Water Softener ' for dwellings under construction 5.00 x = Water Softener ' for existing dwelling 20.00 x = U.G. Sprinkler 'fordwelling under const. 3.00 = U.G. Sprinkler ' for existing dwelling 20.00 = Alterations ' to existing residence 20.00 = Water Turn Around 20.00 = Private Disposal System ' MPC lic. 75.00 = (new and refurbished systems) S-b Private Disposal Systems "Abandonment 20.00 = STATE SURCHARGE .50 2,; ao TOTAL 1 3- -ha h -t - I -----ave --rea --d- th-ii app----lication, - . -s-ta-te -c-o--rre-ct-,--and--- --to- ---comp-ry--- w,- all---applicable-Ii ------City--of--Eagan--•--- o- ----rdinan--ce-s.- hereby acknowledge t that the infortna8on is agree It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easement. SITEADDRESS: ?z "'z:194t^ 0445 1iA1 OWNER NAME: pp wt la/ 3 INSTALLER NAME: /Plumb),Yfei y?lN C t tr ? TELEPHONE #: ?J t g STREET ADDRESS: 2261 ulgrz L/N N15 CITY: /, (,k iI/ - STATE: M / ZIP: SIGNATURE OF PERMITTEE JS/FORMS BLDG/PLBG PERMIT (RESIDENTIAL) 1998 1 1 CITY USE ONLY 8S dT L& L BL RECEIPTM D CO VVV SUBD. ?a ?Q. C/u ti0 RECEIPT DATE: 9 1998 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dwellings townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL Shower 3.00 x = 3 Water Closet 3.00 x = (10 - Bath Tub 3.00 x -7 Lavatory 3.00 x - Kitchen Sink 3.00 x _ ? Laundry Tray 3.00 x = 3. Hot Tub/Spa 3.00 x = Water Heater 3.00 x Floor Drain 3.00 x _L = 3 - Gas Piping Outlet ` minimum -1 3.00 x = Rough Openings 1.50 x _ Water Softener ` for dwellings under construction 5.00 x = Water Softener ` for existing dwelling 20.00 x = U.G. Sprinkler `fordwelling under const. 3.00 = U.G. Sprinkler `forexisting dwelling 20.00 = Alterations ` to existing residence 20.00 = Water Turn Around . 20.00 = Private Disposal System ` MPC Iic. 75.00 = (new and refurbished systems) Private Disposal Systems `Abandonment 20.00 = STATE SURCHARGE .50 TOTAL 35_ - --• - - -- -•- --- I hereby acknowledge that I have read this application, state that the information is coved, and agree to comply with all applicable City oT Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this pernit within City property/right-of-wayleasement. SITE ADDRESS: OWNER NAME: INSTALLER NAME: TELEPHONE #: Ira -ye; W STREETADDRRE/SS: O??t`CV l f?ltiz vv? CITY: / CHZ STATE: ZIP: -5y?e!K,7 JS/FORMS BLDGlPLSG PERMIT (RESIDENTIAL) 1998 SIGNATURE OF PERMITTEE CITY O I:AGAN DATE: 05/ i9/9B TI MB M4005 1".i,: ME C 111 LTAMS, 3M 9001 80 E('GAN OAK: 50.1010 205 900i F:1.9 C=ARAAN OAKS O.'SO Total Receipt Amount-, 50.50 CR0M040 USER 1% NANCY O.a(?:.,.:i::k:`Y::Y.Y.%n4(il•?:'?y:is°: N;:'.;');!.:. . :{C>;ci;;'i,:;, m%?(.?(:$$C}6$?", $: i$T CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: PERMIT PERMIT TYPE: BUILDING Permit Number: 0 3 2 0 3 2 Date Issued: 0 5 / 19 / 9 8 819 EAGAN OAKS LANE LOT: 28 BLOCK: 1 EAGAN OAKS SECOND P.I.N.: 10-22461-280-01 DESCRIPTION: euildar g .Permit Type :Buildiing ? lo.rk Type Census Code _i REMARKS: PLANS REVIEWED BY MIKE BARCK BASEMENT FINISH ALTERATION 434 ALT. RESIDENTIAL FEE SUMMARY- Base Fee $50.00 Surcharge $.50 Total Fee $50.50 CONTRACTOR: 6 1 OWNER: - WILLIAMS 819 EA EAGAN (612)681-1432 Applicant - STEVEN C GAN OAKS LANE MN 55123 I hereby acknowledge that' 1 'have read rthi's-applieation and state that, the, information is correct a-n-d agree to comply, with a'll`appl catble"State'of Mn.,, Statutes and City -ofEagan Ordinances. NTP LICA T/PERMITEE SIGNATURE "ISSUED :SIGNATURE 1998 BUILDING PERMIT APPLICATION ?9 v CITY OF EAGAN 3830 PELOT KNOB RD - 55122 681-4675 New Construction Requirements Remodel/Repair Requirements ? 3 registered site surveys ? 2 espies of plan `v ? 2 copies of plans (include beam 8 window sizes; poured fnd. design; etc.) ? 2 site surveys (exterior addkions 8 decks) 1 ? 1 energy calculations ? 1 energy calculations for heated additions ? 3 copies of tree preservation plan it lot platted after 711/93 \Q required: _ Yes _ No 1\ DATE: CONSTRUCTION COST; DESCRIPTION OF WORK: /?/? I S' ?3? 2&1-Lz z 17-(- STREET ADDRESS: c? //ri/iv DAI?J LIgIUL= , CS ?G LOT: BLOCK: SUBD./P.I.D. #: b rAQ17 ?bIIGS ??? ' Name: Phone #: C9 lJ?'l d /7x9 e? PROPERTY Last First OWNER 23' r-21(o wcr?Ic Street Address -. -/,e ZLX- j City j State: !?l/V Zip: -:551Z-3 Company: Phone #: CONTRACTOR Street Address: License # City State: Zip: ARCHITECT/ ENGINEER Company: Phone #: Name: Registration #: Street Address: City State: Zip: Sewer & water licensed plumber (new construction only): Penalty applies when address chang and lot change is requested once permit is issued. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applics OFFICE USE ONLY Certificates of Survey Received - Yes No Tree Preservation Plan Received Yes No OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging >? 16 ? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 ? 05 SF Misc. ? 10 - plex ? 15 Deck WORK TYPE ? 31 New K 33 Alterations ? 36 Move ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. (Allowable) Main level sq. ft. UBC Occupancy sq. ft. Zoning sq. ft. # of Stories sq. ft. Length sq. ft. Depth Footprint sq. ft. APPROVALS Planning Building Permit Fee Surcharge Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit SM! Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total:.; % SAC SAC Units /VU3 Engineering Valuation: $ Basement Finish Swim Pool Public Facility Miscellaneous MCM/S System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit Variance (e i/ cam/ l D CLAIM VOUCHER- REFUND REQUEST CITY OF EAGAN MAKE CHECK PAYABLE TO: NORTH COUNTRY AIR ADDRESS: 29301 HWY 65 ISANTI MN 55040 LOCATION: 823 EAGAN OAKS LANE P.LD. #: 130, B1, EAGAN OAKS 2ND } RECEIPT #/DATE: 85605/01-20-98 VALUATION: REASON FOR REFUND: LOST BED FOR JOB PERMIT #: TYPE OF REFUND: Electrical Permit 3211-9001 $ Plumbing Permit 3212-9001 $ Mechanical Permit 3213-9001 $ 30.00 Building Permit Fee 3210-9001 $ Plan Review Fee 3422-9001 $ SAC (MC/WS) 2275-9220 $ SAC (City) 3866-9379 $ SAC (Admin) 3446-9001 $ Water Connection 3865-9220 $ Sewer Permit 3743-9220 $ Water Permit 3713-9220 $ Account Deposit 2252-9220 $ Water Meter 3716-9220 $ Road Unit 3860-9375 $ Water Treatment 3868-9220 $ Surcharge 2155-9001 $ Utility Acct Overpayment 2250-9220 $ Curb Box Deposit Refund 2253-9220 $ Construction Meter Dep Refund 2254-9220 $ Water Usage Charge 3711-9220 $ hY ?`/ u TOTAL $ 30.00 e under the penaICe of law that this account, claim, f it has been paid. o or demand is just and dial no part Date: to f 1 D / e.(?/Yii pt/r l 7 0 CITY USE ONLY LOT ?D BL I y!? RECEIPT #: F 566d SUBD.?r rJG ' RECEIPT DATE: 1998 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD /2-n EAGAN M 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.) i1. • State Surcharge: ! .50 • TOTAL: \O 5? Complete this section only if yob azefemodeling, 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: J 4 Install furnace Install air conditioning Install air exchanger, i.e. Vance system, etc. Other Minimum fee applies to all remodel or add-ons of existing residences $ 20.00 State Surcharge .50 Total: $ 20.50 SITE ADDRESS: L C- k / OWNER NAME: Lf1l \ \ PHONE#: 7 (x gn INSTALLER NAME: 014 4-? Lo y ? k v 11?' I ?-? V-(-- PHONE #: '-/Q(/ ? SCI Z7 STREET ADDRESS: STATE: I V? ZIP: S (10 JS/FORMS BLD/IECH PERMIT (RES) - 1999 SIGNA F PERMITTEE ? 5 3 a 0 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. e St Street ress ?L ?l? 5 ? AIP Unit # Property Owner (., 3 Telephone # L:5- e7 Contractor T aI hone # Address! City / L State Zip The Applicant is: _ Owner Contractor -Other Alterations to existing dwelling D R 9 R ? U ? $ 50.00 -Add fixtures to rooms, excluding water softener and w 116rr 1 UU ? 2 2004 -Septic System Abandonment -Water Turnaround (add $121.00 if a 518" meter is requi ed) Other: By. Water Softener _ Water Heater $ 15.00 replacement _ additional Lawn Irrigation System RPZ_ new _ repair -rebuild $ 30.00 State Surcharge $ .50 Total $?yp 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. „ I /1 Applicant's Printbd Name ` / - Appli'cant's ?*ature fI For Office Use r y~ rr" Permit eh iO3 S City of far E Permit Fee: 4' 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 I _ Fax: 675-5694 Staff: (651) 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 7/ZR Site Address: 8l~~ 8~4, BZt, SZ 3 GaA0.?L 0.44 L.o Tenant: Suite RESIDENT /OWNER Name: .~m.?t ~S 76(A24 Acv"e_5 Phone:(s,'7 ~ 91 L{- Y3 Z Address / City / Zip: Applicant is: Owner Contractor TYPE OF WORK Description of work: 2 d'y0 1 Construction Cost: Multi-Family Building: (Yes / No CONTRACTOR Name: j 4 , /Coe-kto-s L L C. License 'Zo 17S 61 E Address: I 03 ! 'l $ f-. /vim. City: , Iti.,e- State: A4k Zip: S~~ 3 L/ Phone: L, 17,- ZZ t - O 9 0'-/ Contact Person: J?el bw?C 4 lbvl g h-i-- COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 Minnesota Rules 7672 Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted ('I submission type) • Energy Envelope Calculations Submitted 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 they are trade secrets. I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x y`t' 1 00!1 /`c111 x Applicant's Printed Name Applicant's Signature Page 1 of 3 f <?- rAA4 CERTIFICATE OF SURVEY PREPARED FOR: LANG BUILDERS-INC. 14 :KcyrTOr< or eq ,(. .- 2te 3 of m I 34.00' 10,00' II E LM 0z) U] ryti ? 0 IQ - 0 i ?t3.33. 1 J 78-d 7- I ?P W 1 14 's LOT 30 a, x °o a° 0 I FIrAI Fir.= 9g, c, ,,aa L I. Basement- 91. o I ?X 896-0 'a z I I ' 9 1 Garage- 98. +? 12' r? --1 [V fin' a'- ID. HUB 14 TOP=900.46 o -d ?x M n 0 H S. & W. Service S. Inv.=886.6 11EGEND IN. 18' 1+? 9) O I By S L 14r j0 099 TOP=890.12 x 85.50,66, 5 }HUB C to o o bI °o vi 34.00' eO.D 14^ LOT 29 M Flret Fir.- 9g, Basement=®°o b 6 5' -'7-/ staff 11.5' o IGorage- g7, V X96 I 20' LOT 2s to " First Fir.= E Basement= 89, o° ID 0 a 6.5'? ? x 898.0 1.5' 0 (Garage- 96. 4 fin IM 0 Wa// mar raquir?e/ from 6/d9 , ?RadtnT_ X* 6a rtA `qr?_ t 891.3 HUB t TOP--t 13.33. -I ool O (- - - - -fc 893.9 18.87' I LOT 27 jI 0 First Fir.- gg, I °o a Basement- B9. N 896.7 2' I NI Garage= 98, 1*11 ?6" 1 P 0 12_ .It1 1.28 Z Y, O H A Y A U Q aq J x 90. N 06 C/) (`7 ]C Q I- O O Z Q L3 Q HUB A W 34. 0' ` io 3 .00' ioo 3 Co' .34, 0' °o TOP=895.47 is N 90'00 00' E cJ? 8 mm ° mom' [I o I (HUB M TOP-895.47 n. 4 ?.o? O 4 .per ? 'O J? J^ q O? ? ?'? o ?m I--_---__? - --r-=?---- - 'o Q 1 S. dt W. Service S. & W. Service y 11 A S. k W. ervice n S. Inv.=886.0 S. Inv.=885.3 T Cl C' I? n S. Inv.=?8`?.0 \ Il Proposed Curb ~ \ \ II II EAGAN OAKS LANE II II \? Proposed Curb /]r-? I Denotes Set Wood Hub and Nail A Denotes Sanltary Sewer and Water Services x 894.1 Denotes Existing Elevation x 94, Denotes Proposed Elevation _ = = = Denotes Proposed Curb _i\\ I X11 •' , L BENCHMARK Top Nut of Hydrant at NW Corner of In tersection ' Trails E nd Road &• Eagan Oaks Court, , Elevation- 888.15 11EGAL DESC RIPTION LOTS 27 -30, BLOCK 1, EAGAN OAKS 2ND ADDITION CITY OF ADDRESS OF EAGAN, DAKOTA COUNTY, MINNESOTA. SITE LOT 27 = 817 Eagan Oaks Lane, Eagan, MN LOT 28 = 819 Eagan Oaks Lane, Eagan, MN LOT 29 821 Eagan Oaks Lane, Eagan, MN LOT 30 = 823 Eagan Oaks Lane, Eagan, MN CERTIFICATION IHEREBY CERTIFY THAT THIS SURVEY, PLAN OR REPORT WAS PREPARED BY ME OR UNDER MY DIRECT SUPERVISION AND THAT I AM A DULY REGISTERED LAND SURVEYOR UNDER THE LAWS OF THE STATE OF MINNESOTA. 11 _? -- DATED- -27 OC-106lr 1997 WALLACE R. HANSEN -------- R.L.S. NO. 24330 /Ze vi Save 3 1146 v, /997 /2i.ii'r_ 4 (? An,f 9? I SCALE: 1" = 20' Long Builders Inc. 3702 Bunker Lake Blvd. N.E. Ham Lake, Minnesota 55304 (7 AP A4 }r SURVEYING & MAPPING C.P.S. • SUBDIVISION PLATDNC • LANG SUnvEY1NC 887 2704 AVENUE S.E. MINNEAPOLIS, MN. 55414 (612) 378-4741 f USB 6LUC VI DLNI,f� Illll ' r-----------------� I For Office Use � � I � (ry ' � Permit#: !'c.% �/� � -! � ��� ���� �� I � � I �� � � Permit Fee: � � � 3830 Pilot Knob Road � �-� ����� � � � Eagan MN 55122 �Fr � Date Received: f < � Phone: (651)675-5675 �'��� ° `" �"`�� i stati: � Fax: (651)675�694 �________________! 2014 RESIDEN�'IAL�PLUMBING P RM T APPLICATION Date: l ��� � Site Address: � i � Tenant: � Suite#: . t $ y . � . .. < , .` .r . _ . . . : ._. . ._� . . . . .. . . . � .. ..... . . .... ,.....� 'i ' Name: Phone:�y , '" " � ,: ���`I�����iti��" , , t < � £ s Address/City/Zip � � .��:.��,.��:. . „ . .��,� .. , ,. .�.,�:.� . z _ ..,.,�.-,<�� . , _.... �_..., �: G�✓ �. � �Jame: License#� � � � � ' Address. � �. . .._ ' � ����`�d��� � r, �� //�� ��l- ;�s���'7 � � ` � State:����y'" Zip:, Phone: �-- '; � � '� y � ,�, ' f ontact: Email: � �„�a�,�� �.,-,�.� . �„ .��,���,� ��� � , F � ;�.� �'�������, _New �Replacement _Repair _Rebuild _Modify Space _Work in R.O.W � ��c>. �� � . . .. - . �� . � � � . . . � 4 s ,� Description of work: �.,.�;�.s���� . � . . .. -��,� _. �. ��� _ .����- � � E ' * � s RESIDENTIAL ���` � � ,, t � � r } � r t� ` �' Water Heater � �; � � � � ` �Water Softener j � : Lawn frRgatiort(_RPZ/_PV8) _ I: ° �-�����,�� Add Plumbing Fixtures�Main/_Lower Level) '' � `°'-���°" Septic System (. � ' � � : r NeW Water Turnaround �, z f.: i - G { II � ` Abandonment '� .:.•.. �.�,--. _ _ , ..;r.�_��...za.����.��,�..��: ,�.�, —���:�.m..�..,�„�.,�_-�„�.�. . . .��.,.,�. . ,. .,.. .. ... ._.._ „�.,�.� . ;; � RESIDENTIAL FEES: � � $60.00 Water Heater,Water Softener, or Water Heater and Softener(includes$5.0o State Surcharge) � F �' � $60.00 Lawn Irr'igation(includes$5.00 minimum State Surcharge) �' $60.00 Add Plumbing Fixtures, Septic Svstem Abandonment,Water Turnaround*(includes$5.00 State Surcharge) � r. *V1/ater Tumaround(add$200.00 if a 5/8"meter is required) � u $115.00 SeptiC Svstem New($10.OD per as buift)(includes County fee and$5.00 State Surcharge) � I� TOTAL FEES$. �f� � � ----____ , ..� CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against un�erground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www qopherstateanecall.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 afi Eagan; that l understand this is not a permit, but only an application#or a permit, and work is not to start without a permit;that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x �`-�,� x / , l� �� APPlicant's Printed Name Applic Ys Signature ..,.�<-_..:-•:,:,.:�:v,.:.:,....,�.e,;;�..,....„. . _ ..:>-t�.� f=.�•a. ..,c. 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C!tyofEaaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use / / Permit #: /3IL/ b 72 / Permit Fee: Date Received: Staff: 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 5/25/2016 Site Address: 717 Eas3 cL I-, p F -V- Unit #: Name: Eagan Oaks Town Home ASSfl/ ott ir,hone: 952-238-1121 Address / City / Zip: c/o Personal Touch PO Box 5233 Hopkins, MN 55343 Applicant is: Owner ✓ Contractor Resident/ Owner Type of Work Description of work: Garage door replacement Construction Cost: $1 152.64 Multi -Family Building: (Yes 1 / No Contractor Company: Custom Door Sales, Inc Contact: Amy Egan Address: 5005 Hillsboro Ave N City: New Hope State: MN Zip: 55428 Phone: 763-535-0042 Email: aegan@customdoorsales.com License #: Lead Certificate #: If the project is exempt from lead certification, please explain why: 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: Sewer & Water Contractor: Fire Suppression Contractor: Phone: Phone: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. CaII 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.gooherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Buildin ede•tmust be completed within 180 days of permit issuance. x Applicants rinsed Name ppli a 's Sign/(ture Page 1 of 3 For Office Use �J E AGA N ® �d> Permit#: 1� / 0, ®� Permit Fee: k CIE!/ED Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 MAR (651)675-5675 TDD: (651)454-8535 FAX: (651)675 5694 ZQ�Q Staff: buildinoinspectionst@.cityofeagan.com L 2018 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 3/15/2018 Site Address: 817 EAGAN OAKS LANE Tenant: Suite#: �� a d BERGMAN 951-455-8031 ResidentlOwner w Name: Phone. Address/City/Zip: MECHANICAL PLUS INC PC725588 � Name: License#: t��il�l`t , ip ; Address: 406 PIERCE STREET city: SHAKOPEE ,,,--,contra-61'8r' .rz " '� MN 55379 952-594-5326 ' State: Zip: Phone: ��� `� --.*,1,,,,,4i01-,,' Contact: JILL Email: greatlakespatrick@gmail.com Wor New Z Replacement _Repair _Rebuild _Modify Space Work in R.O.W. �Ip r Description of work: tub to shower conversion . RESIDENTIAL'.; , --,;--,,,,,,,,Y)— Water Heater Water Softener ' ' Lawn Irrigation(_RPZ/ PVB) x4 Types , X Add PlumbingFixtures( Main/_Lower Level) --, ,"'t, Septic System SIG 4 it 1 _New Water Turnaround lei 04",1-P: l�`'41 1 P�Iy - 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 Add Plumbing Fixtures, Septic System Abandonment,Water Turnaround*(includes State Surcharge) *Water Turnaround(add$280.00 if a 3/4"meter is required) $115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES$ 60.00 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.org 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.citvofeagan.co.m/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 oif Eagan; that I understand this is nota permit, but only an application for a permit, and w- is not to start -;thout a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and . . . I .fans. x PATRICK KELLEY I r .�I\ Applicant's Printed Name ; l �r^ �scanrt s� i,ig1t'rnu:w. are �� � h4 ' rao4 Y � 4 ' ti1�6" � k - . � �d�• a� SwF.m�rt�its 1?�C��.�tFn,atar a_ iNU v�� 1uil.i iiii C'hr� � ''''''''''''''''''''','::::::;°6v41':"-''''',40.00,04':4 mrf 'e'a� � °,v1 ' 'n 0-` r - a uGww rwsFri, h«x' g 34As c 0 'u ii4}�H;Rii-41 ,1, 13,,o , ,, 1 ,.„,c,7_ ir Tk ,..,,,,,,:::,,,,,:;100,,,,,° iS.' � ,. g -4,02'''' r' au=;ma ? dn , �ry v. _� Y�N •alteshi! ° � tRequireInsp ion$i� :,---77.1-0. 1,.''' .• r a anomete wr .j,ktiit ,w ,. Flu lr „ ` * ! Read Cn`} C ta 'ae " - uu, Fft PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA167266 Date Issued:03/05/2021 Permit Category:ePermit Site Address: 817 Eagan Oaks Lane Lot:27 Block: 01 Addition: Eagan Oaks 2nd PID:10-22461-01-270 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 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 - Jeffrey Bergman 817 Eagan Oaks Ln Eagan MN 55123 Air Mechanical 16411 Aberdeen St NE Ham Lake MN 55304 (763) 434-7747 Applicant/Permitee: Signature Issued By: Signature