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
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44!
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