1272 Easter LaneCITY OF EAGAN Fiemarks
Addition WILDERNESS RUN 6TH ADDITION Lot 11 Blk 4 Parcel IO 84355 110 04
ow?er, /? ',rj?L? p `Street 1272 Easter Lane State Eagan,Minnesota 55123
v.k 91 1?(,:- !.1 1 11C4NFt./. f 1 ril' 1 f/ i
Im rovemenfJ Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 1973 161.21 8.04 104.79 A007165 12-7-78
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA 1977 162.1 .Sp . 129. 74 A007165 12-7-78
STORM SEW TRK ?L 1979 3 3 0 - 2.5 '2?,. O1 15 2$6.23 A007165 12-7-78
STORM SEW LAT
CUR6 & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 250. QQ 11777 9-22-78
RUILDING PER.
SAC 500.00 11777 9-22-78
PARK
Receipt MECHANICAL PERMIT Permit No. . 3-7 __7
_ CITY OF EAGAN Fm ?- Q r?
? fill in numbered spaces S/C
Type or Prini /egibty
Tot.
1. Date 2. Installation Cost
e
3. Job Address t- tJ`I.ot ?/ Blk. ,? Tract 4. Owner ' ? ' ? ` ` • L fr / L ? ? ?
5. Contractor - Phone
6.
7.
Address L.ii,.!
CitY State Zip -? ?
8. Building Type: Residential ? Commercial ? Institutional ?
9. Work Description: New ? Add ? Alter ? Fiepair O
10. Describe ';+? ?' • i:???cf,??!>.. , FuelType . ?? .
T-,, /
11
No. Equipment 9TU - M. Ea.
Forced Air No. EQUiament CFM
Ai
H
dli
Mfg. F-I ECN`t`l C r
an
ng:
Boilers (
) 'Z 7 la 3 q
,t
Mfg. 0c
J
E r- Mech. Exhaust
.
K
Unit Heater -
7 _ z SA 3
Mfg.
Other
? Air Cond.
Mfg.
Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed :
for
Rough
Inspections: Date Insp. Date /' Insp.
This is yvur permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
• CASH RECEIPT •
CITY OF EAGAN
3795 PILOT KNOB RQAD
EAGAN, MINNESOTA 55122
DATE 19
nscmvso
AMOUNT $ I
DOLLARS
?oo
? ASH ? CHECK
FOR
hank You
ev
?
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
r
? cIrY oF E?wN
3795 Pikf Knob Road Eayan, MN 55122 N2 4975
' PHONEs 454-8100
BUILDING PERMIT , Recelpt #
To be und for . ! ,; Est. Value Dote . . ?? .? 19 ?
5ite Address A ter ?;
Erect Q 1
Occuponcy
Lot Block 4 Sec/Sub. !< 1; t h Alter ? Zoning "?-
Parcel # Repair ? Fire Zone
Enlarpe ? Type of Const. '
oe Name Move ? # Stories
W
z Address
Demolish 0
Front ft.
.
`) t. 3' au ?ib3-`.1366
Ci Phax Grnde p Depth h.
APWovals Feas
? Name ? ? < _ r • , <
Z? Add Assessment Permit '
rcsa
?
r C? Ph?e . `,SCJ!
WoterB? Sew.
5urchorge 25•
Police Plon check
UW Name Fire SAC
~z
0 /Rddross
Eng. 250, i,-.)
Water Conn.
u
<W Ci phone Plcnner
il
C Water Meter 0• 00
I hereby acknowledge thot I hove read this opplicotion ond state thot ounc
Bldg. Off.
the information is correct ond agree to comply with all applicable APC Total 5J
State of Minnesota Stntutes ond City of Eagan Ordinances.
Signature of Permittee
A Building Permit i§ iswed to: • '`%`"?5 ` InC° on the express tondition thct
all work shall be done in occordance with all applicable State of Mi esoto Statutes ond City of Eagon Ordinances.
Buildinp Offlcinl / -' ? , ,
P*nnM # pafa hned PtnwMtN
Plumbing / ?3'1 /? ? ? - 78
•
RCAA
Mechanicol ?-
INSPECTIONS DAT IIVSP. Rouph-In Firql
Footings ? Date Insp. Dote Insp.
Foundatlon _ Plumbinfl
Frome/ins. :-C ? ? Y MecFaniwl
Finol
Remarks:
,
?
.. CITY OF EAGAN
3795 Pilot Knob Roed '•! :,?•.:;?.'__?:,. ?'..: ;.'--uired
Eugan, Minnesota 55142
Pbone: 454-8100
f;EATT14G _ PERMIT
Date:
9-a9-7s
Site Address: 1,772 F.astnr _
Lot " Block ^ Sub/5ec. _ Na,,,erraresh K. Jain
; Address ?7(-, I,a9ore kC1. = 113
O
ciry St. Paul Phone: 483-93,'?
/ A. Binder St_;,-
` me
A i8?:? :
Address i:?',) 1
e
0
V CiYy Phone:
This Permit is issued on the express condition thot all work shall be
Minnesota StoYutes and City of Eogan Ordinances.
No.
Receipt No.: '
Single ?
Residenticl
Multi Res., Comm./Ind. I
New/Alter./Repoir
Cost of Instollation
.. . -,,,
Permit Fee -
Surchorge
?„? ?,.•
Tota I - '
done in accordarkce with ull applicable State of
Building Official
Y. _ .
.'
Date:
? CITY OF EAGAN
3795 Pilot Knob Rood
Eagbn, Minnesofe 55122
P6one: 454-8100
PU'W` PERMIT
10-6-78
72 Latter.
5ite Address:
Lot Block `' Sub/Sec.
Name `,aresh K. J3in New/Alter./Repoir
? ?. .
; Addreu ' 7'ai'17Te Rd. Cost of Installotion
O
City Phone: - Permit Fee `• ame kaIph's Plumtd -s' Surchorge
i ?
` Address"n?r' }. _s•a:.ck A.t?: <;
i e
0
-?
City J-, - , r t, . ,- ,. Phone: Totol
This Permit is issued on the express condition that all work shall be done in accordance with all applicobie State of
Minnesota Statutes and City of Engan Ordinances.
No
197(`
Receipt No.:
5ingle I
Residential x
Building Officiol
CITY OF EAOAN WATER SERVICE PERMIT
3795 Pilot Knob Rood PERMIT NO.:
Eagan. MN 55122 DATE: '' .
y
Zoning: No, of Units: ,
O
ner: ` -
,
w
_ .. ... ..: . -- • . . -
Address:
Address: .. _ T - -•ta,- F Znc
Sit - .' -
e
mber
cAl
.
u
?
+IlAeter No.: -
Connection Charge: •is•r, -? ,y,
iZe; Account Deposit:
iReader No.: Permit Fee:
1 agree w comply wilh tha City of Eagan $urcharge:
Ordinaatea. Misc. Chorges: . '• t . ?
Total:
gy Dote Paid:
Uate of Insp
: Insp.:
.
CITIr OF EAGAN
3795 Pilot Knob Road
Eagon, MN 55122
Zoning: -
Owner.
Address:
Site Address: " -
Plumber. _ ?
1 ogree to eomply with fhe Citr of Eagon
Ordinanees.
By -
Date of Insp.:
SEWER SERVICE PERMIT
PERMIT NO.: _
DATE:
_ No. of Units:
. i.
Connection Charge:
Account Deposit: _
Permit Fee:
Surcharge: -
Misc. Charges: -
Totol:
100. 00 pd
• nn nn ?A
cirir oF eacAN
? 9795 Pilet Kno6 Rwd Ea9an, MN 35722 N-2 4975
' PHONE: 4544100
BUILDING PERMIT APPLICATION $51,000, Re°eipt # ??-?-7?--
To be umd fo. SF Dwlg, d GargEst. Value Dare September 19t-, 19_ 78
Site Address 1272 Easter Erecr pX Occuponcr I
Lot 11 BI«k 4 Sec/Sub. WR 6th Alter ? Zoning RL
POfGel # Repolr ? Fire Zone _. 3 _
Enlorge ? Type of Const. -V
z Name Naresh K JBin p,ove p # Stories
Z
? Address 376 LaBore Rd 113
3
Demolish ? 52 fr.
Front _
46
O St. Paul
483-9
86 Grade ? _ fr.
Depth
ci phone
Approvals Fees
F Name 'Fi=se?i-.,o.,.es, Fne.
ou Address 627 Sn_ Snnl l ing Ava AuessmeM_
u? ci St. Paul phone 698-5501 W?ter&Sew
?
w
Name Police -
Fi
?w re
i? Address Eng.
iW Ci Phone Planner _
Council _
I hereby ackrwwiedge that I have read this oppliwtion and stace that gldg. Off. -
the informotion is correct and agree to comply with all aDDlicable
State of Minnewta Statutes nnd City of Eagan Ordirwrxes, -
APC _
$ignature of Permittee
A Building Permit is issued,fo• En Hot[
oll work sholl be d one in?c donce with ?I dcable Stote of
Building Official
Permit 142.00 _
$urcharge 25.50
Plan check
SAC 500.00
Woter Conn. --Z5?000
Water Meter 60.00
Toral 977.50
_ on the express condition that
and Cfty of Eagon Ordinances.
Q ?
This request voidWaM - 12?
18 months from
rpr*
Date of this Request Fire No. S 66300
I, as ? Licensed Electrical Contracror El Owner, do hereby request inspection of the above electri-
cal wiring installed at; I
Street Address or Route No. /Z72 4?AsTC5P- 1,4,VE City -?-??fj
Section Township Range County
Which is occupied by
(Name of Occupant) -/
Is a roughin inspection required on this job? No ? Yes ? Ready Now ? Will Call LW"
Powee Supplier Address
Electrical Contractor CI--r,Contractot's License No. _
(Company Name)
Mailing Address
rical n?t or Owner Makin9 Th15lnstallatba)
Authorized Signature Phone No. `?SY SWJ
(EI rl Co tractor or Dwner Making Thls Instai(atlon)
????f'I'C ?? ?? ???? This i?pection request will not be accepted 6y the
?? ? State Board unless proper inspection fee is enclosed.
F/ nnnsola maln oVtlro o? OBGII1cIiy /?
Griggs Midway Bldg. - Room N791
1 University Ave., St. Paul, Minn. 55104 - Phone 297•2111 .; ?
EQUEST FOR ELECTRICAL INSPECTION ? l
CHECK BELOW WOKK COVERED BY THIS REOUEST
EII-00001-02
1; F'i .ri F'i .9;
Type of Building New Add. ReP• Check Appliances Wued For Check Equipment Wired Frn
Hume ? Er ? Range ? Temporary W'ving ?
Duplex ? ? ? Water Heate[ ? Lighting Fixtures '?
Apt. Bldg. ? ? ? Dryei ? Electric Nea[ing ?
Commexcul Bldg. ? ? ? Futnace ? Silo Unloader ?
Indus[rial Bldg. ? ? ? Ait Condirionec ? Bulk Milk Tank ?
Fatm ? ? ? )
??s[ List )
Othet ? ? ? }
p
Heiefs) Heiers}
I
COMPUTE INSPECTION FEE BELOW
Service En4ance 5ize: # Fee Feedets&Subfeedecs: # Fee Circuits: # Fce
0 tu 100 Am s. 0 to 30 Am exes 0 to 30 Am eres , 00
101 [0 200 Ampa. 31 ro 100 Amperes 31 [0 100 Am exes
A6oJe 200 Amps. Above IDO Amps. Above 100 Amps.
Transfoxmecs RemoteControlCitc. Partialorotherfee
Signs Speciallns ction Minimum fee $S.OQ _
Remaxks
y? ,?„?p? ny? ?Q????
TOTALFEE
the Electrical Irdpector, hereby certify that the above inspection has been made. ?
.ouQh-in) Date
(Final)
This request void
18 months from
?7?'?fequesYvold h months from
1? ? iaa3i
R28243
Date of this Request 10.5-1978
I, astiLicensed Electrical Contractor OOwnet, do hereby request inspection of the above electri-
cal wiring installed at:
Street Address or Route No. 1979 F.ca+ar iane City Eagan
Sectiom Township
Range County Dakota
Which is occupied by T; lsen Homee
(Name oT OttuDant)
Is a roughin inspection required on this job? No ? Yesfi Ready Now ? WID Call 4;
Power Supplier Dakotg Cty. Address Farmirg-ton
Electrical Contractor Contractor's License No.A'1f2$35
(C pany Name)
Mailing Address 12201 Mtka Blvd., Mtlta 55343
Authorized Signature
(Elac[rical Conjta"GtoYOP'UwM
C./VWV? M(5WFIUV V` V? Ll
hone No. 933•2521
This inspection request will not 6e accepted by tbe
SWte Boerd unless praper inspection fee is enclosed.
Minnesota State Board of Electricity
-.-^59 University Ave., St. Paul, Minn. 55104-Phone 645-7703
REQllEST FOR ELECTRICAL INSPECTION
CHECK-BELOW WORK COVEREB BY THIS REQUEST
/117 03/
R 28243
Type oi Building New Add. Rep. Check Appliances Wved For Check Equipment Wired Fot
Home '? ? ? Range Tempo?ary Witing ?
Duplex ? ? ? Water Heater Lighting Pixtu[es ?C
Apl. Bldg. ? ? ? Dryer Electric Heating ?
Commercial Bldg. ? ? ? F
0 ? Silo U nl oade? ?
Industrial Bldg. ? ? A o Bulk Milk Tank ?
Fatm 1 ? ? ?
L
94 List l
Other
?
?
H ?- Otheis}
Here 1
COMPUTE INSPECTION FE"ELOW
Seevice Entrance Size: # Fee Feeders&Subteeders: # Fee Cixcuits: # Fce
0 to 100 Am s. 0 to 30 Am eres 0 to 30 Am eres 8
101 to 200 Amps.a II 31 to 100 Amperes 31 ro 100 Am eres
Above 200 Amps. Above 100 Amps. Above I00 Amps.
Ttansfo[mers Remote Conttol Ci[c. Partial or other fee
Signs Special lns ect?on Minimum fee $S
Remaxks Ha11 TOTAL EE 7d ?` • 50
I, the Electrical lnspector, hereby ce rf at th ?e ipspection has been made.
(Rough-in) i a _4? Date fG - 7-> F
(Final) d 6, 61 Date 1- 3' ? Y
This request vwd 18 months from
REQUEST FOR ELECTRICAL INSPECTION ? EB-00001 -03
Sea inshuctiuns for comoleting this form on back ot yellow copy.
2?639 ? ?-
"'X" " Be(nW ?'?i? Covef'ed by 7his Request ?7 31?
ey? Add Nep. Typz of 9uiltling Apolmnces Wrtud Equipmant Wired
Home Range Temporary Service
Duplex Water Heater Lightin Fixtures
Apt. Building Dryer Electric HeaLn
Commercial Bldg. Fumace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm Otner peci v ther (SUenfy)
-75t ivr Soeci y Other Other
Co,tpute /nspection Fee Below
# Fea ServiceEntrenceSize # Fee Faeders/Subfeeders N Fee ' Circuits
Oto100Ams 0 to30qms Oto30Am
101 to 200 qmps 37 to 100 qmps 31 to 700 Am s
Above 200 Amps Above 100-Am s Above 700 PS
Transtormers Remote Control Circ. , Partial%0 r Fe
Signs Special InSpecLOn S 'Ob ^(?
Rem?rks .SD OTA EE ?
1)
Fough-in O e
', ?he Ele • ical
InsOector, hereby
cerLfV that the nbove'
Final nsoection has been
? made.
This reoues[ void l
itl monMS fiom
This reqvest void-7`ZS
18 monffis from
27639 ;
L11,8q 1 10 C lci .(ZU n(o'{'-LA 3731`j
lo, oo
Request Uate
/ Fire Na. Rough-in Inspecbon
fla
q
wretl7
?Neody Nnw ? Will Nou/y, InsPer
/?
?? ?
?
1'
es N. 1ur When Readv
? Licensed Ellctricel Con;racmr I hereby request inspecbon of abova
Wwner alecfrical work installed an
SVeet Address, 9ox or Rovte No.
/? 7? ?. ? STEi2 ? N 6 QtY
/J
-IQ ecLOn o. TownshiD Name or No. Rqngo No. County
Occupant IPFINTI
?-
l? AS Phone No.
Lf? y S7 ,3
PtlWer SupOHer Address
i Ako-rts E c
Elecirical Co ractor (COmpany Name) CnnVacr's License No.
Madine Address IConVactor or Owner Mxkinp InstailavoN
% 7 EH 3-elP- -Lyye
Author¢ed $ignature (ConVaclor/Owner ki I II ionl Phone Number µ'1 ? 7
q
?1 ??/?
MINNESOTA STATE BOAN?F?HI ITY THIS INSPECTION NEQUEST WILL NOT
Gri09s-Midwey Bldg. - N m N- 8 BE ACCEPTEO BV THE STATE BOAXD
7821 University Ava., 5t. Peul, N 5704 UNLESS PNOPEN INSPECTION fEE IS
_, ,....., -.,-...... ENCLOSED.
?11/ REQUEST FOR ELfCTRICAL INSPECTION EB-00001-03
YellOw CaPY.
?1n+727 6 0 5 / See ineVUChons for c omPIeLn9 this torm on beck of
"X" Belmyc_Wuik"LOVered by Thrs Request 3y Z.Cv?
Ne, Add Rap. TyDe of 8uilding Anuliancas Wiretl Equipment Wired
Home ' flange Temporary Service
Quplex Water Heater Lighting Fixtures
`Apt. Bwlding Dryer Electnc HeaUn
Commeraa! Bldg. Furnace Silo Unloader
Industnal Bldg. Av Conditioner Bulk Milk Tank
F2Yp1 Ocher peGfy [her (Speafy)
t r SpecifY Othor Other .
Compute Inspection Fee Belaw
k Fee ServiceEntrenceSae k Fea Faaders/SUbfxedars Fee Circurts
0 to 100 Am s 0 to 30 Am s 0 tn 30 Am
101 to 200 Amps 31 to 100 Amps 31 to 100 Am
Above 200 Amps Above 100_Amps n Above 100_Am s
ransiormers Remote Control Circ. 410 Partial%Other Fee
Signs Special Inspection S u00 C
TOT
EE
Rema?ks . t• t?' a F
i?, Ar?
L/
Fough-in ?a[e I, the e el
Inapecmr, heraby
cartdy thet the above
Fnal T ?)?'i=?? "nspection has bean
ade.
L
This reQUest voitl
1 R --M, i-
Thisre9ueslvoiz?7i LlD4 t Lol I Ai LU..1^. ??h 314 2-5 ?
18 nronffis from [D? 00
;rJ 2 U-0 5-
Requgst Date Rre No. Roughin InsVecvon
p" HeqwreA? ? 1 ?Ready Now?],Will Notrty insPec-
? -e2`p ? ?Yes No 'or When ReadY
R Lmensed Electne2l GonVector I hareby request insoaction of ebove
Owner alectrical work inatalled at:
Streot Address, Bux ar Route No.
' a`j a oo_s-E-&r- City
Fna
eclion n. Township Name or No. Ranqe No. County A _
.?( `
Occupant?IPrR?I!NTI ?{1_ t y
S?1^'? l?Y`l lC1-S Phone N(. ?Q'.
S l
`-?Q ?
S/ L
+
Power Supolier
?i c
??
\ Aatlre s
?
w?'
e?. ?
?
a a-?r
Elec[r a
l
on
tor
ICompany Namel
C
trac ConVacto r's License No.
.
\
.
N
f?
T
??V / V?N
Madin?g Anddre?ss^ (COmracmr or Ownar Making Instailation)
AuMonzetl Si at re(Co tr Own lp st lion) Ph ne N,u{
5 `( ^ber
" v -7 $ ?-
MINNESOTq S AT N O ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Gri29s-Mitlw BI o N•191 BE ACCEPTED BV THE STATE BOAND
UNLESS PqOPEfl INSPECTION iEE IS
1821 Univera sicy Ave., 1. Paul, MN 55104
Phone (612) 297-2111 ENCIOSED.
RESIDENTIAL BUII.DING
Permit Application
?? ` ? ?TU ?l ? City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
cti Ya• Ts
New ConsWction ReouiremenLs RemodeUReoair Reauirements Office Use Onlv
3 registered site surveys showirg sq. ft of loi, sq. ft. o( housa; and all roofed areas 2 wpies af plan Cert of Survey Recd
(20% maximum lot coverege allowed) 1 set of Energy Calculations for heated additlons Tree Pres Plan Recd
2 copies of plan showing beam 6 window sizes; poured found design, etc. i site survey for additlons & decks Tree Pres Not Reqd
1 set of Eneigy Calculatbns Addifion - irMicate ilonsde septic system _ On-site Septic System
3 copies of Tree Preservation Plan if lot platted after 711193
Rim Joist Detail Options selectlon sheet (bldgswBh 3 or less units
Date
Site Address / 2.'?
y 4?7n 54qr Construction Cost ? ?.?3D
(qM .Q ,*M. -d? NJ? ?^? y; Unit/Ste #
-? ?
Description of Work ?e-e e4/d rLi„•1+
Multi-Family Bldg _ Y4 N Fireplace(s) ? 0_ 1 _ 2
Property Owner C 4K ? pc..lM n Telephone #( Xs/)
Contractor •
Address
State City ?
Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy COde Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Licensed Plumber I n S N? 11 9 011 _ Telephone #(
Mechanical Contractor fl A1iG 27 2003 1' 11 Telephone #(
Sewer/Water Contractor I I Telephone #(
I hereby apply far a Residential Building Permit and aclrnowledge 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 State of MN
Statutes; I understand this is not a permit, but only an application far 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.
I
Applicant's Printed Name
AplicanYs S gnature
OFFICE USE ONLY
Sub Types
? 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 PorchlAddn. (4-sea.) ? 33 6d. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? DS 03-plex ? 11 10-plex ? 19 LowerLevel D 24 Storm Damage
? 06 04-plex ? 12 12-plex PI6g_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)` ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement "DemoHtlon (Entire Bldg) - Glve PCA handout to applicani
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const W idth
REQUIRED I NSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) FinaUNo C.O.
_ Footings (addition) _ plunibing
_ Foundarion HVpC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool Ftgs A'u/Gas Tests Final
_ Framing Siding Stucco Stone
_ Fireplace _ R.I. _ tlir Test _ _
Final _ Windows (new/replacement)
_ Insulauon _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Building Inspector
PERMIT# ?S- -t, RECEIPTDATE:
2002 MIDENTIAL PLUMBuvG PEMrr APPLIcATIox
crrY oF EtsAx
3930 PnoT KNos au
fr4HAN, MR 55122
851-6a]-4675
Please complete for: single family dwellings, townhomes and condos when permits are required for each unit,
backflow preventer for irrigation system
SITEADDRESS: I Z l Z FGSI 'W L&Yl'L
OW NER NAME: : h U- ? TELEPHONE #: 65 , -- (I!b 1 - L'W q
(AREA CODE)
-WQf IC7 TELEPHONE #: (ASI-3Ia-S- 1340
INSTALLER NAME: pi
STREETADDRESS:.?I?r]O DC?dCi (ARFACODE)
CITY: STATE: " rv ZIP: Ss- I L3
_ SEPTIG SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00
includes $40.00 County fee
Note: Additional consultant fees may apply
• MODIFICATIONIALTERATION TO EXISTING DWELLING UNIT, INCLUDING:
_ Adding fuctures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00
_ Abandonment of septic system.
_ W ater tumaround - existing dwelling unit (+ 5/8" meter if needed -$118)
Other:
_ RPZ: new installation/repairlrebuild $ 30.00
_ iawn irrigation syslem I
ReplacemenUadditional: _ water sokener ? water Vater
? ?? ? `5 Ill??l 15.00
LUL
9
State Surcharge $ .50
sv $ JS-SD
Total
I hereby acknovAedge lhat I have read this application, siate that the information is correct, and agree to comply dh all applicable Ciryof Eagan ordinances It
is the applicanPs responsibihty to notify the property owner that the City of Eagan assume} n ability for any ma e caused 6y the City during its normal
operational and maintenance achvities to Ihe facili6es wnstructed under this permit with'yli 9 k property/rig --w/?s?ment.
OF PERMITfEE I I 1f02
?q"?
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BIIILD2NG PERMIT APPLICATION
include 2 sets of plans, 1 site plan w/elevations and 1 set of energy calculations.
To be used fOr Valuation /'doQ 4)
Site Address: /c2 7--???y? ce?k
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ILQT -PL AN
City of Eagan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee:
Date Received:
Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: � /03
Site Address:
Unit #:
Resident/
Owner
Name: Ch L l ( 0 le, 7 Phone: Cc/ -7?? —.5 SD 6
�
Address / City / Zip: IL "7 c2 L. -6c / c - - -
Applicant is: Owner y Contractor
Type of Work
Description of work: - — 1 Od 4(- al, ci S � j cl/ )1. fef76,ce-71,,,i
Construction Cost: S. CO 0 Multi -Family Building: (Yes / No
Contractor
CfrC/hrl, C.L-- C Contact: i'OV-0 _k 7/ G/Z "i___
Company: p Y: k 4 (
Address: 'ff ,) 3 7 e f ` /1 (.i/ City: 4 G'1 pi G �GC LC—
State: /144 Zip: S 5 J 6 Z Phone: 0 — 3 Z 6 — /(Z Z
License #: Lead Certificate #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
In the last 12 months,
Yes _No If
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
I NOTE: Plans and
the information
supporting documents that you submit are considered to be public information. Portions of
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. 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.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, Code mube co eted within 180
days of permit issuance.
Ap lica is Printed Name
A nt',: ignatur
Page 1 of 3
City of Eapll
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #: 11 9'544
Permit Fee:
105,5
Date Received: I I /c�'/ ►3
Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: It t 'G Site Address: 12:1 ECk
Unit #:
Type of Work
Name:
ev\I -\(9
Address / City / Zip: i
Applicant is:
Phone:
Owner
Contractor
Description of work: 4Y\ (AC � %'\ I ��� l
Construction Cost:
Company:
Address:
State: OtAtAj Zip: SS-SD-1—
License
S -SD -_License #: C (P gc 1 J /
Multi -Family Building: (Yes / NoX
Contact: i V\04 2 -S S
City: fin/A.'\ CLU-
(Pt 2 SZIP
Phone:
Lead Certificate #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
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:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
NOTE Plans and supporting documents that
le information maybe classified as non i
r onclu
ou Submit are consdere
n c information. Portions o
'permit the City.to
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.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 Building Code must be completed within 180
it issuance
days ofggr q
()
O�Q ON_
x �.
Applic is Printed Name
x
Applicant's iature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA167289
Date Issued:03/08/2021
Permit Category:ePermit
Site Address: 1272 Easter Lane
Lot:011 Block: 004 Addition: Wilderness Run 6th
PID:10-84355-04-110
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 -
Chul Ho & Hae Ran Kim
1272 Easter Ln
Saint Paul MN 55123--173
(651) 439-3331
Schwantes Heating
6080 Oren Ave N
Stillwater MN 55082
(651) 439-3331
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA167530
Date Issued:03/19/2021
Permit Category:ePermit
Site Address: 1272 Easter Lane
Lot:011 Block: 004 Addition: Wilderness Run 6th
PID:10-84355-04-110
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
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 -
Chul Ho & Hae Ran Kim
1272 Easter Ln
Saint Paul MN 55123--173
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA177151
Date Issued:06/17/2022
Permit Category:ePermit
Site Address: 1272 Easter Lane
Lot:011 Block: 004 Addition: Wilderness Run 6th
PID:10-84355-04-110
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the
water damage.
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Chul Ho & Hae Ran Kim
1272 Easter Ln
Saint Paul MN 55123--173
(954) 854-1808
Warner Restoration Llc
5029 142nd Path W
Apple Valley MN 55124
(612) 545-6841
Applicant/Permitee: Signature Issued By: Signature