1355 Cosmos Lane CITY OF EAGAN
3795 Pllot Kna6 Rond Eogan, MN 55122 N2 6331
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be ?d for Est. Volue Date , 19
Site Address Erect Q Occupancy
Lot Block Sec/Sub. Alter ? Zoning
Porcel # Repair p Fire Zone
E
l T
f C
t
n
arge Q ype o
ons
.
c
a Nome Move ? # Stories
W
Z Addreu Demolish ? Front ft.
? Ci Phone Gmde p Depth ft.
? Nome Approvols Faes - -
p
?
ou Address
~ Ci '
WW Nume
t-
_? Addrcss
i hereby ocknowledfle thot I have read
the information is corcect cnd agree
State of Minnesota Statutes and City
Signoture of Permlttee
A Building Permit is issued to:
oll work shall be done in accordance W
Building Officfal
Assessment _
e Water & Sew.
Poi ice
Fi
re
Eng
.
e Plonner
Council
•his application ond stote that
o comply with oll opplicable
of Eagan Ordinonces. Bldg. Off. -
APC
Permit
Surcha rge
Plan check
SAC
Water Conn.
Water Meter
Road Unit
Total
' on the express condition thot
applicable State of Minnesota Statutes and City of Eagan Ordinances.
PawM # pah IwNd FMwMew
Plumbing
Mechanical
INSPECTIONS DATE INSP.
Rough-In
Firal
Footings jd- ,f-f4 Date Insp. Date Irop.
Foundation Plumbing
Frame/ins. Mechanicol
Final 10
?
Remarks: ?? ?y?d
CITY OF EAGAN Remarks
Additlon Wilderness Run 4th Addition Lot 6 eik 1 Parcel 10 84353 060 01
Owner Street 1355 ('ncmnc i.n_ State Eagan.m MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
5AN SEW TRUNK a 973 $163.26 $8.16 20 PAID
$EWER LATERAI.
WATERMAIN
WATER LATERAL
WATER AREA Paid tY1 teL c nect OA 6 4
STOAM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. $320.00 10746 6-1-74
BUILDING PER.
sAC $400.00 10222 3-20-74
.
CITY OF EAGAN
3795 Pilot Kno6 Road Eegen, MN 55121
PHONE: 454-8100
BUILDING PERMIT APPLICATION
N? 6331
Receipt # W"Ir."Z'U
To 6e und ferR00M ADDITION Est. Volue 13,000 Date 10-29 , 19 g2
Site Address 1355 CosmoS I,n. Erect ? Occupancy R3
Lot 6 Block 1 Sec/Sub. W31d.Run 4th Alter p Zoning Rl
Parcel # 10 $435 3 060 Ol Repair ? Fire Zone 3
E
l T
f C V
n
arge XU onst.
ype o
z
w Nome 0gorg £ Hopy Move ? # Stories
3
Z Address S3IR2 flS above Demolish ? Front 15
N.
0
Ci
Phone
Grade ?
Depth
Z ft.
? Heim & Harmer Bld In ?+oorovals Fees
o Name ?. C.
~ 4540 Oak Pond Rd.
?u Address
1- r:?. EH2811. Mn. oL,.__ 454-3477
Nome
I hereby ocknowledge that I.
the infortnation fs corred o
State of Minnewta Statutes
Signature o4 Permittee}6zJ
A Building Permit is issued M:
alI work shall be done in acco
read this upPlication
3ree A comply wlth
with
Assessment -
Water & Sew.
Police -
Fire
Eng.
Planner _
Council _
Bldg. Off. -
APC
Permit 4L.UU
Surcharge 6.50
Plon check 21-00
SAC
Water Conn.
Water Meter
Road Unit
Total h9-5(l
• Bldg. Ine, on the express cordition that
of Minne;sota Statutes and City ot Eagun Ordinances.
Building Officiol
" CITY of EAGAN
BUILDING PERMIT
oWn.: ................ . ..............
.. ... .... .... ..... ........... ....... ..........
-
Addreu (HretenS) J....4?.1....._?:.`.?! q? v?•
................................"-`--.'
Supder .......... .??.'.:?,......?-.y.r.".`.. ?? ..................................... .........
Addrau ..............................................................................................
.;.
N2 3224
3795 Pilo! Knob Road
Eegaa, Mianesola 55122
454•8300
Del? ...... :? e.- 7 ?
....... ...... ...............
Bioriec To Be Used For Fron! Deplh Haigh! Eet. Coe! Pa:m!! Pea Aemarks
':2- 4?:,-
C/?rc.,
1-
J
i. -:Ze
? p
tl
33, C'd-f/
9pJ '
?Cs•'S L?
3 0? ? ..xiC -?'-17- .a.cRR.
" LOCATION "1l/5"J °
or
13 -J?? 1 6 1 i I_?'`?' .y '
This permit does aot aulhorize the use ot stzcels, roads, alleps or sidewalks noz does it give !he owner os Lis agent
the righ! !o creale anp situation which is a nuisanee os which preseals a hasard to !he healfh, safetq, eonvealeacs aod
general welfare 2o anyone in She communiiy.
THIS PERMIT MUST BE £PT ON TIiE PREMISE WHILE THE WOAH IS IN PROG SS.
Thls is !o cerlifp. !hal.....?-.....?:e`..?:SaC.:? .:........... ..... hasparmisatoa !o ereet
a.. ----.,
the above deseri6ed premise subjEci !o fhe provisions of all applieahle Ordinanees for ihe C p of Ea§an.
...........................................
..................... ...... -.- -..`-e-. :
.._....-?- .............. .-ec ?'-%- ? '._ ll: .? ...... Per ................ ...... ................._-..--•••-----°? -
Mayor ?J .-. ? Huildlnp Im?clor
?
CITY OF EAGAN Include 2 sets of plans,
1 1 site plan w/elevations &
BtJILDING PE13M APPLICATIOd 1 set of energy calculations. Ila ?s?
7b Be Used For ?Val tion Date
Site Pddress ??
Iot 046 Block Sec./Sub. W/Qh/ -
Paroel #: .GO S! 4136-3 c G e o(
Owner:
Address:
City/Zip Cocle:
Phone #:
Contractor:
pddress:
City/Zip Code: ? ` ?
rnone #:
Arch./IIx3.
Address:
OFFICE USE ONLY
Frect OccupancY
Alter Zoning
ReIJdlr Fire Zone T
Fnlarge 7.ype of Const.
Nbve # Stories
Dsnolish Front ft.
Grade Depth az- ft.
APPROVALS FEES
Assessments P2rmit h'9 4zv
?9ater/Se,aer Surcharge
Police Plan Check a,/ ?
Fire _ SAC
Eng, Water Conn.
Planner Water Meter
Council Rnad Unit
Bldg. Off.
APC
yity/Zip.Code:
?hone #:
TdPAL ? 4 7
6- / Go. /Z -Y
CITY bF EAGAN
3795 Pilot Knob Road
Eagann, Minnesota 55122
PERM.ZT NO.: 441
The City of Eagan hereby grants to Wenzel Ylumbina &,8eatinq
of 3600 Kennebec Drive
a nr.nMnrur. Permit 1'or: (Owner) non G+tz
at ias5 rr,AmnR ra.,o , pursuant to application dated 4/19/74
Fee Paid: in_nn dated this 19tb_day of _Avril 74 .50 s/c
Building Inspector
Mechanical Permits:
Bid Total:
_ . 6 -/ /vA y
CITY OF EAGAN
3795 Pilot Knob Road
Eagan, Minnc3ota 55122
PERMT N0, : 491
The City of Eagan hereby grants to g8y N. Welter HeatLa 00.
Of dF97 Chi?aqQ Ave. SO.. mctls. 55407
aPermit for: (Owner) n,n t4 8+iidRr
at _13§g Ggmge rs„p ? pureuant to application dated _4/16/74
0
Fee Paid: $20 00_ dated thislOth day of _ april? 19 74
.50 B/C
Building Inspector
Mechanical Permits:
Bid Total:
, ecdL40e ?? ,ra
, I. . . 3795 pifaP fLnob
t??. *. ??..,
:ZQ G?CE3l's;EgJ'
z?npn aaw ssvaa y
4 ?a IVO.: _? _ 34
g' n- Li:1TE: ? 9l74 '_.
a- "''., ? G+ef:2 _ $ulUniic:
Address:
. . . Site Address:
- P2umber: YJ 135a_Cosn;ov
enze2 pi?^ x ----,?_
Meter No,
-'2'? 2, .? a _'='----•---_,__?---___?_
5ize:
Re:+.dci CkazCzc
?r--
ficr
p R; -?-.7 ? 7 5? cuat Ue70sit:
? sa ro erom?,)y n?1th tPs `; _ _ . . ?
Q+dinPex'zL`ttk
cr,sc2 9a o4 EN?Ca --, P$
Si:rcu_k?.?; t??-----__.-
------___----- `----?-_ Inqp.. ',: _'i
r.Z25
y?ay ? . , C. G'1!.2TgC5.
----- i?tia: --_--__
Uaieaflnsp.: __ --?-- '-'--- -- -
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HEl.f?t'?9E ?? ?PeQ?E1 ? 2? 43 ?
m995 Pi3e?cE:noeKio+s? •
?
.E:
S3Ai
:
,
Fagcra, P??iH! 55122 ?? ,
Ytib.
z
Zanir.6:
Ovrner: ----'---„?------_?._.._---
-
Addreas: ----
g:te Ad:;reas:
F-F-
plumber:
Po ca+ttr,iy tPfo ViFla9 Q e, V,*S'1 G,tsiY1 GFtP.2",",C40as?OQ-fi""-` 0-
f agrce
Ar1'??it:«0L? F
ZQ
Y3r?d?seFccse.
I'C.cT?t ??--a °' r'd
.------
.
. yt;i:SC. +'nr?!3£('?C3: .
Dzte of InsP.:
-
Insp.: ?--- ?--., _-._-- .-----
.e C/ " /?a OT
s
I
L a T ? ?jl& C. A <
W:lf c"? ..s'e st Rr.? y7-4_ 4,1d,
,D o.,.-. (?, eT"a--
/ 3 af
E.4 ? ? °?,' s .r s/ , • ,,, ,.. .
MASTER CARD
oN L, D f
STRUCTUR; AND
LAND USED AS
?
Permii
No.
Issued Issued To
Coniractor Owner
BUILDING 32..2!g . - r
PLUMBING -
CESSPOOL - SEPTIC TANK
WELL
ELECTRICAL -
HEATING y 4 I ? ?
GAS INSTALLING
SANITARY SEWER 2 19.3
OTHER ??a Q
OTHER
I}ems Approved
(Initial)
Date
Remarks
Distance From Well
FOOTING 3 . SEPTIC
FOUNDATION y /) )d CESSPOOL
fRAMING TILE FIEID FT.
FINAL
ELECTRICAL -
HEATING
J J
DEPTH
OF WELL
GAS INSTALIATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING
WELL
SANITARY SEWER ? ?77cf
Violations Noted
on Batk
COMMENTS:
T}us request void
18 months from
S ????
6
S>ate of this Requesc Fixe No.
I, as 0 Licensed Electrical Contractor Owner, do hereby request inspection of the above electri-
cal wiring installed at:
Street Address or Route No. I 3 5'S Cityr
Section Township Range County
Which is occupied Uy 6?0 e (\'?c)P y
(Name Occupanq
Is a roughin inspection required on this job? No ? Yes ? Ready Now ? Will Call ?
Power Supplier Address
Electrical Contractor! Contractor's License No.-
Company Nama) ?
Mailing Address
a4- __._ .._e.n. A./nwner Maklna Thls t 1 atl 11fM'1 ?ISd 35 Authorized Signature
/7?,s PhoneNo.wk 954
(Electrlca Contrac or Ownl In9T01I Inatallatlon)
???? ???? ,F?p[?? ?'1' O'0 ? This inspection request will not he accepted 6y the
S? State Board unless proper inspectioa fee is enclosed.
Minnesota State Board of Elxtrieiiy -02
Griggs Midway BId9. -?°m N181 gg_OOW1
- 1621-Jniversity Ave.. St. Paul, Minn. 55704 - Phane 297-2111 ?
REQUEST FOR ELECTRICAL INSPECTION 66549
CHECK BELDW WOCc[C COVhRED BY THIS REQUEST
Fquipmen! Wired For
Home U
DuPlex ?
ppt. Bldg. 0
Commercial Bldg. ?
Industrial Bidg. ?
Falm ?
LI Range
? Water Hea[ei
? Dryex
? Fumace
? Air Conditionex
List
? p
Hehers
? Tempotary Wving U
? Lighting Fixtures O
? Eloctric Heating
?
Silo Unloader ?
? BulkMilkTank 0
EEE BELOW
Fce Feedecs&Subte
Above
Remarks TOTAL F
I, the Electrical Inspectox, hereby certify that the above inspection Dhas ate een
(Rough-in) D
(Final)
This iequest void
18 months from
CITY USE O\LY
II•'%: ? BL ( RECEIPT #: 1 1 l(/ ? I?
SUBD. w 1' 1I UV S t K,j 1W-, I6 RECEIPT DATE: I- I?_qq
MECHAr1ICAL PERMIT # 3111 I
1999 M£CiiANICAL PERMIT (RESID£NTIlEI)
crrY of Ea?snx
3930 PaoT xxoa Etn
E?s,vv auv 55122
Date• b4 (651) 681-4675
Complete this section oxlv if you are installing HVAC in a single family dwelling, townhome or condo under
construction and not owner /occunied.
• rivHC: u-iuu M;i 1 U
ADDITIONAL 50 M BTU
• Gas outlets (minimum of one required @$3.00 ea)
$ 30.00
6.00
State Surcharge .50
Total $
Complete this section oulv if you are remodeling, adding to, or repairing an existing single family dweliing,
townhome, or condo. Please indicate if it is a new item, alteration, or repair.
hCr laC6
_ New Alteration Repair ?C §
Reminder.• Ca11681-4675 for inspecrions.
_ Fumace 1/1 Air conditioning
Air exchanger pther
$ 30.00
State Surchazge .50
Minimum Total Due $ 30.50
SITE ADDRESS: ! ?)65 CosmoS Ln.
OWNER NAME: H v't-V PHONE #: _51L! -'CJ a-35_IO
ELAINE HTG. A,C ELECT., WC. (naEr. con
INSTALLER NAME: _ PHONE #: -? rJ-I '?O ZU C7
-1=562f*EPi'Ff1A?141fE.N E
STREET ADDRESS: ANOKA, F"N 55304 (nREn CODE)
CITY: STA E: ZIP:
SEP 1 3 ISS9 SIG ATURE OF PERMITTE?
1999 BUILDING
--?) (,?`] -?- (-(-
New ConsirucTion Reauiremenh
PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
Remodei/Reoair ReauiremeMs
D 3 regLsfered sMe surveys showing sq. k. of lot, sq. ff. of house
and,gl roofed areas (2046 maximum Iof coveraae allowed)
? 2 coptes of plans (show beam 3 window alzes; poured fnd. design; efc.)
? 1 seT W energy calculations
? 3 copiea oF free presenafion plan H lof plaHed afler 7/7/93
DATE: Z /
2 copies of plan
1 sMW energy ealculWfons for heafed addHions
t sHe survey for exterior addttlons d decks
CONSTRUCTION COST: 0
DESCRIPTION OF WORK:
e-
STREET ADDRESS: ! 3SS
LOT: ? BLOCK: SUBD./P.I.D. #: W-A"A v? iA.o
Name: G°7E/?FY DI/T/V?- Phone#: (OSl" 3-91)
PROPERTY ?an First
OWNER
Street Address: l 3 S? c?JS?PJ,f ??
City 1?ft7l/ staFe: /?JAI zip: 5-57/117
3
Company: PP Phone #: 6 D S 3 G 3- S 3,5?
area code)
CONTRACTOR
Street Address: ( Lieense # Exp.
Cffy
State:
ARCHITECT/
ENGINEER Company: Name:
Telephone #: area code (
Streel
City
Sewer 8 water Iicensed plumber (requtred for new conshuetion onivl:
State:
Penalty applies when address ehange and lot change is requested once permR is issued.
Zip:
Iip:
I hereby acknowiedge that I have read ?his applicaflon, state Thaf ihe informatlon Is cortect, and agree to comply with ail applicabl
Sfate of Mlnnesota Statutes and City of Eagan Ordinances. e ?
Signature of Applicanf: '
- OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
,. i 0 qqn
Registration #:
Tree Preservation Plan Received - Yes _ No _ Not Required
RESIDENTIAL
c5 i /-1b ? BUILDINC PERMIT APPLICATION
`7' GTY OF EACAN
3830 PILO7 KNOB RD, EAGAN MN 55122
651-681-4675
NewCOnsWCtionReauiremenb RemodellReoairReaulremenh
. 3 registered sfle survays ahowing sq, fl. of lot, sq. R. of hause; and ?II roofad areas • 2 copies of plan
(20% maximum lot coverage allowed) . 1 set of Energy Calculations for healed addilions
• 2 copies of plan showing beam 8 window s¢es; poured found design, etc.) . 1 site survey forexlerioradd'Aions & decks
• 1 set of Energy Calculatiore . Indicate if home served by septic syslem for additions
• 3 copies of Tree Preservation Plan'rf lot platted after 7/1/93
• Rim Joist Detail Optians selection sheet (bldgs wilh 3 or less unils)
DATE , 5. a3? aooa VALUATION
SITE ADDRESS l.3SS COSIMOS GN MULTI-FAMILY BLDG _Y xNl
TYPE OF WORK C;9*69W, 76W - eUF(/J ?pC= FIREPLACE(S) _ 0_ 1_Y 2
APPUCANT ?(a/IIF, `7?`/ Ei4?AN
STREETADDRESS ?3SS COSliLiDl LA/ CITY 9h'Ji STATERyZIPs5_1a3
TELEPHONE # 60-7,;a- loQaCELL PHONE #
FAX #
PROPERTYOWNER TELEPHONE#
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(J submission type) . Residentlal Ventilation Category 1 Worksheet Submitted
• Energy Envelope Calculatlons Submitted
Plumbing Contractor:
Plumbing system includes:
Mechanical Confractor:
Mechanical sys[cm includes:
Sewer/Water Contractor.
Phone #
Submitted
Tee: $70.00
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Slgnature of Applicant OL/'? a
OFFICE USE ONLY
Water Soltener
Water Heater
_ No. of Baths
_ Air Condilioning
HeaC Rccovery System
Phone #
_ Iawn Sprinkl t3?
No. of R.I. Bafli?
Phone #
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
RESIDENTIAL
BUILDING PERMIT APPLICATION
cIrv oF eac,nN
P ?7 Q3830 PILOT KNOB RD - 55122
651-681-4675 ? 27 3 ? ? 5
v Construetion ReauiremeMS RemodeVRaoair Reauiremenls
3 registered site surveys showing sq. ft. of lol, sq. ft. of fwuse; and all roofed areas • 2 copies of plan
(20°h maximum lot wverage allowed) . 1 set of Energy Calculatlons for heated additions
2 copies of plan shovnng beam & window sizes; poured found design, etc.) • 1 site survey for exterior additions 8 decks
isetofEnergyCalculalions • Indicatei(homeservedbysepticsyslemtoraddNOns
3 coples of Tree Preservation Plan if lol platted after 711193
Rim Joisl Detail Options selectlon sheet (bidgs wiN 3 or less units)
4TE Oq-04r0( VALUATION
)B SITE ADDRESS I 3 S S C05rnOS
MULTI-FAMILY BUILDING, HOW MANY UNITS?
:OPERTY OWNER ti a'hc P
PE OF WORK `
'PLICANT ?. t' Ld h?.
)DRESS 8aje
\GER # CELL PHONE #
y- i i FIREPLACE(S) _0 _7 _2 _3
PHONE # S07 -.24Yd ?6 3
PCODE cSS_FO.j
Fax# _50-367- 2666
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
=ner9y Code Cate9ory _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
MINNESOTA RULES 7672
New Energy Code Worksheet Submitted
Plumbing Contractor: _
Plumbing System Includes:
Mechanical Contractor:
Wechanical Syscem Includes:
Sewer/Water Contractor:
Phone #
Phone #
ree: $90.00
Fee: $70.00
above information must be submitted prior to processing of application.
ereby acknowledge that I have read this application, state that the information is correct, and agree to complywith
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Slgnature of Applicant
-rtifcates of Survey Received _ Tree Preservation Plan Received _ Not Require _
Watcr Softener
Water Heater
No. oP Baths
Phone #:
Iawn Sprirtkler
No. of R.I. Baths
Air Conditioning
Heat Recovery Systcm
Updated 1101
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA123314
Date Issued:06/04/2014
Permit Category:ePermit
Site Address: 1355 Cosmos Lane
Lot:006 Block: 001 Addition: Wilderness Run 4th
PID:10-84353-01-060
Use:
Description:
Sub Type:Siding & Windows/Doors
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of house wrap and leave on site for final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 8,000.00
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Diane Tste C Hoey
1355 Cosmos Lane
Eagan MN 55123
Ryan Windows & Siding
Box 5937
Rochester MN 55903
(507) 281-6363
Applicant/Permitee: Signature Issued By: Signature
Jul. 20. 2018 10: 19AM No. 2247 P. 2
•
For Office Use
%,` ; i,, *: /51)'21Y
E AGAN
Permit Fee:
RECIEVED7. 1
-42
Date Received I
3830 PILOT KNOB ROAD 1 EAGAN,MN 55122-1810
{651)675-58751 TDD:(661)454-8535 1 FAX:(851)675.5694, JUL; � �� 2018
L��
buitdina inspections@citvofeaoan.com
20188 RESIDENTIAL BUILDING �PERMIT APPLICATION
Date: 7-1
(2-I V Site Address: 1a55 ea/17456J Unit#:
Name: .64.11.4.) /1674S/flas !� • Phone: �! G-rQ 2C //,361
Resident/
,. 1
• --0>,�p- , Address/City.t Zip: 15
Applicant is: _Owner <ti Contractor
.n U 116 ' r l e�-- Ail( p�
Type of Work Description of viol
D
Constriction Cost 44 r' `"-- Multi-Family Building:(Yes_/No )
d9N
Companytki4/—�// Lai l�; DContaot:
/� -C.e
Contractor Address: /,0 �/ , j I pp ^^ff City: /
Stater L a Zip:X215 Phone: 0//VEm- • 4!/ �� /•
( License#.,(U c 7 yE 70 9 Lead Certificate#:41477466??-54-4R,
•If the project is exempt from lead certification,please explain why
I 4
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUI • •
In the last 12 • • ,as the City of Eagan issued a permit for a similar plan bas • master plan?
Yes _No If yes,date and a•• - -- er plan:
Licensed Plumber. Phone:
Mechanical Contractor: Phone:
Sewer S Water Con - •r. Phone:
Fire ••pression Contractor: Phone:
•
NOTE Plans and supporting documents that you submit are considered to be public information. Portions of the information may•
classified as non-public if youprovida specific reasons that would permit the City to conclude that they are bade secrets.
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.citvofeaaan.com/subscribe.
Exterior work authorized by a building permit Issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
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.aopherstateonecalLorq
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
accoorrd�ance with me approved plan in the case of work which requires a review and approval of plans.
Applicant's Printed Name Applicants Signature
/3� eo5inai~ k ` n/So ./
DO NOT WRITE BELOW THIS LINE
SUB TYPES Exterior Alteration Foundation Fireplace Porch(�^swmspn> -_- Family)
--- -- ����wrA�e,oU�n(�u1�)
-- GaragePorch(4-�mmaon)
�J Single Family __ --�
-+~ Multi --- Deck Porch<��mmn��auehp/Pm,�o|m) Miscellaneous
--- -- --- Accessory Building
V1of__P|nn ___ Lower ___ Pool
__
WORK TYPES
New Interior Siding Demolish Building
.
--- _
Reroof Demolish Interior
Addition Move�ui|�|n�
--- --- Windows Demolish Foundation
�% Alteration Fire Repair __
�- _ �Repair EgressVV|nd�w Water Damage
Replace
--- ---
Retaining Wall Damolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation7e41.-5Occupancy MCES System
Plan Review Code Edition SAC Units
(25% 1O0% Zoning City Water
-�—�
CmnsumCmdm Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
FootinQm (Owch) ____ Final I C.O. Required
Footings (Addition) y
C.O.Final Required
H
' Foundation Foundation HVACGaoSnn/|cmTeotGanLine��rTwstpod
---- ---- ---- Pool: Footings Air/Gas Final
Roof: Ice Final -_- ---
---- ---- O | Tile � �
Framing 30Minutes 1 Hour �� ren «�.�."
Firop|ace: Rough |n Air Test Fino| Siding: Lath Stone Brick Stucco m ~ EF|G
Insulation Windows
Sheathing � _ Retaining Wall: Footings Backfill Final
Sheetrock Radon Control
---- Fire Walls FinwSwpprwww|on: Rough |nPino|
____
Braced Erosion Control
Shower Pan Other:
�l
Reviewed By: °t | ' , Building Inspector
RESIDENTIAL FEES
1A�
Base Fee �~
Surcharge
Dru„,„„),
p|omRev|em/
MCES SAC
City SAC
Utility Connection Charge
S&W Permit&Surcharge 7
/ �~i
Treatment Plant
c�r �� �
� � /
Copies /
TOTAL
Page 2 of 3
rr'Ju1. 20. 2018-10: 20AM No. 2247—P. 3 .----1"-‘
Bid Date: 7-4/. /D INSTALLATION
S&J4tJA 376-.5 35-0 /0 start
Project Consultant ` SAFEBASEMENTS Due:
0 Home f � :i , - -P, n",., L
0 Office �`..; 6 .4 /
0Mobile h/�. oo$-- 7936 of Minnesota Inc. �
E-mail 13_74 Ai F /_/r,r-",_,our-, ,/ ,r'jasement Repair Specialists
'mance 1990ff
/ Project Planning
60335 US Hwy 12•Litchfield,MN•55355 Scope Definition
Na ,! 1-800-430-5851 /77
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Address OMailing 0 Job Site 'Both Address OMailing O Job Site 0 Safenrsia
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4./\/ O SafeTraek
City,Township City,Township SumpPump
MAJ s'/, 3 :�1, 500.
County,State,Zip Code County,State,Zip Code Backup System
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o Spray
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---1.--- .J.L.. J_-:':„;_... _ ,..1-;_...� ;:�..:..:.:. Carbon Fiber
1 r- rye :.::.1...1- = ::.-,�. _:.::1:: ::.,.:-r-
r._ �............. :�t Push Piers
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1 O Push O Crawl Space
.- - •- — w Helical Piecs
,
:C:.7 O Deck O foundation
r,. • ..i ;_ Crawl Space
" • Stabilizers
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Project Notes: %ti- <e l/r0 n>< 7;,,.)--7- soft. Iinn,: Radon
D Testing O Mitigation
!-r..J f 1. ,✓X ,Rr•-of - Sr' 4e F Y, AA,4 /J/'�r?-7J, r')p-17-er-r c. E3 Wall System
t
1/2)P,',k -CJ( ( M1'c •(...''• ? . P11(• v',^/ ,c r+i 2/.,E `r--:, r•7•7.'7e.: ,
Dehumidifiers
r( ti/ T t;- /'�',r (�_' �G r'✓I %•i/.` "r 12' /'.A'.c,I/r' G O Santa Fe Compact 2 O Santa Fe Advanced 2
v(.,re- 5_r-Nf vr7/ do Gy, iG(.✓,,a/7.76CJ Y Mis�rll81E8t1S "�-
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r lye)+ �'
Non-Refundable Deposit $ ( I •l ' 7 Y2. Gopher One .,4%,...47,-�=�•
Date '�" .. Check# ()Yes �No1O1ilt of bid $
k};: ';: / Monthly Options:
All permits and/or any Engineering fees required by your city or Winter Discount
county are Included in the final price. NO HIDDEN COST. (if Applicable)
The price we quote is the price you pay!! .
12 Month
Payment is due upon completion. no interest/no paymen
Representative and/or Mtltl
Estimated
ents
Authorized Signature /� Y /'
* - i.',. Term Rate /V },.-;
Project Consultant Signature -��-)„, _ `7 r��( 1
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA152377
Date Issued:10/12/2018
Permit Category:ePermit
Site Address: 1355 Cosmos Lane
Lot:006 Block: 001 Addition: Wilderness Run 4th
PID:10-84353-01-060
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Diane Tste C Hoey
1355 Cosmos Lane
Eagan MN 55123
(651) 452-3510
Ryan Windows & Siding Inc
PO Box 5937
Rochester MN 55903
(507) 281-6363
Applicant/Permitee: Signature Issued By: Signature
I
o e o 0 0
a c a a
% �® oe ®v
EAGAN
3830 PILOT KNOB ROAD EAGAN, MN 55122-1810 Ecel
(651) 675-5675 1 TDD: (651)454-85351 FAX: (651) 67 694
buildinciinspectionsCa�cityofeagan.com 20
2018 RESIDENTIAL DING PE MIT
Date: 1 `- Zb --1 '�y') 5 CpS"O S 1�/`�'f
Site Address:
For Office Use I
I Permit #: 11
� Permit Fee:/ � �• � (/
I '
Date Received:
� I
I Staff: '
APPLICATION
Unit #:
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.cityofeagan.com/subscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
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.-qopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to sta7withn t 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. v
Applicant's Printed Name Applic is Signature
Name: (`�".'c= `( Phone: (012- - �'6 `� `g13h
Resident/
Owner
; Address / City / Zip:
I Applicant is: Owner V/" Contractor
Description of work: ^} �LZ--
Type of Work
Construction Cost: t)'CXX_-? Multi -Family Building: (Yes /No V )
h
Company: l�-�ivs �CzUf ���i . 1 N L. Contact:
Contractor
Address: ��2� �-'�1 t �'I` City:
State: +�-� Zip:5 3Icl Phone:bi -911- Email:%} Llan.`��'-v�=i�c-���%�-l�/c=-,�c��1
License #: F5C-40 3-7-7 71 Lead Certificate #: 4AAT
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: Phone:
Sewer & Water Contractor: Phone:
Fire Suppression 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.
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.cityofeagan.com/subscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
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.-qopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to sta7withn t 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. v
Applicant's Printed Name Applic is Signature
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation Foundation Before Backfill
Roof: Ice & Water Final
Framing 30 Minutes 1 Hour
Fireplace: Rough In Air Test Final
Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Shower Pan
Reviewed By:
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC Gas Service Test Gas Line Air Test
Pool: Footings Air/Gas Tests Final
Drain Tile
Siding: Stucco Lath Stone Lath Brick
Windows
Retaining !Mall: Footings Backfill Final
Radon Control
Fire Suppression: Rough In Final
Erosion Control
Other:
, Building Inspector
yo X7Q;
EFIS
Page 2 of 3
s cosw
DO NOT WROTE BELOW
THIS DONE
SUB TYPES
Foundation
_ Fireplace
_ Porch (3 -Season)
Exterior Alteration (Single Family)
Single Family
Garage
Porch (4 -Season)
Exterior Alteration (Multi)
_ Multi
Deck
Porch (Screen/Gazebo/Pergola) _ Miscellaneous
01 of Plex
Lower Level
Pool
Accessory Building
WORK TYPES
New
Interior Improvement — Siding
_ Demolish Building*
Addition
Move Building
Reroof
Demolish Interior
Alteration
_ Fire Repair
_ Windows
_ Demolish Foundation
Replace
Repair
_ Egress Window
_ Water Damage
Retaining Wall
*Demolition of entire building — give PCA handout to applicant
DESCRIPTION
Valuation
YO
Occupancy
RACES System
Plan Review
Code Edition '�`� `��r
SAC Units
(25% 100%-)
Zoning
City Water
Census Code
Stories
Booster Pump
# of Units
Square Feet
PRV
# of Buildings
Length
Fire Suppression Required
Type of Construction
Width
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation Foundation Before Backfill
Roof: Ice & Water Final
Framing 30 Minutes 1 Hour
Fireplace: Rough In Air Test Final
Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Shower Pan
Reviewed By:
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC Gas Service Test Gas Line Air Test
Pool: Footings Air/Gas Tests Final
Drain Tile
Siding: Stucco Lath Stone Lath Brick
Windows
Retaining !Mall: Footings Backfill Final
Radon Control
Fire Suppression: Rough In Final
Erosion Control
Other:
, Building Inspector
yo X7Q;
EFIS
Page 2 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA153316
Date Issued:12/10/2018
Permit Category:ePermit
Site Address: 1355 Cosmos Lane
Lot:006 Block: 001 Addition: Wilderness Run 4th
PID:10-84353-01-060
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Fixtures
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (miscellaneous)$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 -
Diane Tste C Hoey
1355 Cosmos Lane
Eagan MN 55123
(612) 805-9936
Piperight Plumbing Inc
3920 Foss Rd
Minneapolis MN 55421
(612) 598-8106
Applicant/Permitee: Signature Issued By: Signature