1358 Cosmos LaneON RECO
tufNo
i CITY OF EAGAN PERMIT TYPE:
? 3830 Pilot Knob Road Permit Number:
• , : ,r.
Eagan, Minnesota 55122-1897 Date Issued: ?
(612) 681-4675
I SITE ADDRESS: APPLICANT:
s ANi I tiNN t I
4 1, t I i?? I.Id? ,, ?. ?,F•i •1 !,1 ?. .. , ) q<„) 7 i1i t
PERMIT SUBTYPE:
TYPE OF WORIi:
Idt F'Aik
! k0 (:1 V '1 N6)
IIt '.I'fi 1111 l OIN
(tlltlf I Ni1
.,
? ? ?? -- ------------------------------
Permit No. Permit Holder Date Telephone M
ELECTRIC
PLUMBING
HVAC
Inapectfon Date Insp. Comments
FOQTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
7
BSMT R !
BSMT FINAL
DECK FfG
OECK FINAI
CITY OF EAGAN Remarks
Addition Wilderness Run 4th Addition Lot 2 Rik Z Parcel 10 84353 020 02
Owner ' Street 1358 Cosmos Lane State EacTan, MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 1973 $163.26 8.16 20 PAID
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA
( ZSTORM SEW TRK 1983 359•93 2?1.00
STORM SEW LAT ? ?
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. $280.00 11616 9-11-74
BUILDING PER.
SAC 40d.00 11616 9-11-74
PARK
CIT7 OF EAGAN
3795 Pilat Knob Read Eo9en, MN 55122
PHONE: 4544100
I? BUILDING PERMIT Receipt #
511! ^ddflSS - '???.:-)•? i:3r,n
' Erect
Lot Blotk ? $eclSub. 7 ? 0 :3 9 ??L1 Altar
Poresl # ? •->4. ?> > Repalr
Enlarpa
W Nome - Move
; /lddress Demoliah
b Ci 7 -• Phom
Grode
?
?
?
?
?
?
Q
Occuponcy
Zoning
Fire Zone
Type of Const.
$tories
Length
Depth Sq. Ft.
? Name : r Aporo rols Fses
?F
Ou Address
Assessment
Permit - • \
?
?f. Ci? ?? Woter b Sew. Surchorfle
Police Plan check
?W NOmQ
? Firo SAC
?? /lddrcss Enp. Water Conn.
? W C{ phone Planner Water Merer
Council Road Unit
I hereby acknowledfla that I hava reod this applicotion and state that Bldy. Off.
the informotion is correct or?d ogree fo comply with all applicable
State of Minnesoto Stotutes ond City of Eogun Ordinances.
APC
Totol
Slynaturo of Pertnittea
A Buildiny Permit Is issued to: on the exprcss twditlon thnt
oll work sholl be done in eccordonce with oll opplicable State of Mlnnesotn Stotutes ond City of Eagan Ordinancei.
Buildinp Official
Permit No. Permit Noldar Misc. Permit No. Holder
Plumbiny
H.V.A.C.
w.u
Water
Disp.
Sewer
E lectric
Inapection Date Inap. Other
Footingt
Foundstion
Framinp a., ?G-
Rouqh Plby.
Rou¢h HVA
inwlation
Final Plbp.
Final HVAC
Final
Wear Describe Location:
YYsII
Sevwr
Pr. Disp.
BUILDING PERMIT
N° 6844
Receipt jk
Site Addreu 1370 wsmTs i.ane Ered ? Occuponcy .
Lot 2 Block 2 Sec/s.b. Wildernesa RUII 4ttl Alter ? Zoning
porcel #_ 10 84353 020 02 Repoir ? Ftre Zona
Enlorge ? Type of Const.
W Name ?=1 Weidenhaft Move ? # Stories
; Addreu -l?i5g ('.08?8 Lflrie pemolish ? Length-
b ci E aesn 55123 phooe 454-7383 G.ade ? Depth Sq. Ft.-
00 Nume Owner ADProrab Fms
?f U Address
Ncme _
Address
I hereby ackrwwtedge thnt 1 hava read this npplicotion and stote tFwt
the inlormation is wrr ond ogree ro comply with all appl?ca61e
Stote of Minnewta Stot e prd C(ty of,Eagqn @,rdiraiXe:. k \ s
Siqnoture of Permitte6j-?
A Building Permif Is issued ro: T6
all work sholl be done in accordnnce
CITY OF EAGAN
7795 Pilot Knob Reed Ea9an, MN 35142
PHONE: 454-8100
Asussment _
Water 8 Sew.
Police _
Firo
Enp.
Plunner _
Council _
Bldg. Off. _
APC
Permit 11.7U
Surchorae -50
Plan check
SAC
Water Conn.
Woter Meter
Road Unif
Total ?l? - nn
on the exprea condifion Ihot
oll opplica e tote of Minnesot(yStofutes ard Ciry of Eagan Ordinonces.
Bulldinp Officiol
CITy pF FAGAN ` Include 2 sets of plans,
, 1 site plan w/elevations &
BIJILDING PEAKC'r APPLICATION 1 set of energy calculations.
d Fb /rlA?,?s ric
(
E
SkSffiLValuatlon??? / D
9
?? Da?te` ?06
r
Zb Be Use !RE PGAC - _
.
Site Pddress 1 3.5-& 00$1 770,$ I-LI N F OFFICE USE ONLY
Int Block -", Sec./Sub. GC7 i? - Erect OccupancX
Paroel #: 14r) FN 3-?j3 02n csz Alter zoning
gepair
ar
e
F) En] ' Fire Zone
'iype of const
owner: L h,t/ 006E N .
g
#A .
_
aaaress: r3s? (? ?S/?I o5 LANf. Nbve
Damnlish # Stories ft.
Fmnt
City/Zip Code: AN? / 7k S/23 Grade Depth ft.
Phore #:
APPRLNAIS FEES '
Contractor:
Pcldress:
City/Zip Code:
Phone #:
P.•rch. /Fng. : .5 rL F
Adclress:
City/Zip Code:
Phone #:
Assessments Pennit
?4ater/Seaer Surcharge
Police Plan Check
Fire SAC
Enq, Water Conn.
Planner Water Meter
Council Road Unit
Bldg. Off.
APC
'PDR'AL
-?
..
Zr6 ,.
?ppM
?gKo?T ?
C',t?tG?? ??ES
bD t fi 5
GU M- 3?
? ?CoaF
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OPUl
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Gv«^ 056 EiTNER G/}L dIt"n'r ?ED ol?
D K /8IYBS ?iTSq.$ ?dRK7 GN,?cK v- - - - :- -
klcK on/ yF,?p,eT<}
bi?y
CITY OF EAGAN
3195 : ilot D.oh Roaa
E?gaaz, Minnesota 55122
PERM'IT N0. s rylZ
The City of Eagan hereby grants to rn„aA w_ na+or r^-
_ nf 1854 c;rana ave„ Ct. Pay,], SS1115
3 2LUM@71dG Permit for: (Dwner) T'lcr,n nncYn.M-icm
at -1358 m a„ , pursuant to application dated
FPe Paid: 520.00 dated this ,11 day of t. ? 19_ Za
.50 s/c
Building Ynspeetor
Mechanical Permits:
Bid Total:
FER1vaT NO.: 602,
The City of Ea.gan hereby g.rants to Neil & Hubbard Heatina & A/C 00.
CI`I7Y OF FAGAN
3795 rilot h?ob P,ozd
Eagan, T'Iinne3ota 55122
of 99 No Snellina St. Paul 55104
a ?, Permit for: (Ocuner) Tilaen Construction Co.
3 Cosmoa Laae, and 4350, 4357, and
at4'Aa6 c„rae„ mra+l , pursuant to application dated 11/6/74 •
Fee Paid: $gp,pp dated this 19th day of Nov. ? 19 74
2.00 a/c
Building Inspector
P2echanical Permits:
3id Total:
?
j d odv a-:?L
C1TY CF EAGAN
3795 Pilot Knob Foad
Eaga?7, P?innesota 55122
PERMIT NO.: 68
The City of Eagan hereby grants to Milbert Co - eLlligan
of 1001 Marie AVe 8outh St Pau7 _
y Water Softener Permit £or: (Owner) Lon Weidenhaft A r?dwarA uaynn.lr3s
358 Coamos Lane and
at 1 Woodgate Point , pursuant to application dated 8112426 •
F'ee Paicl: $10.00 dated this 9 day ofqzpt ,, 19-3 fi .
1.00 s/c
Euilding Inspector
Mechanical Permits:
Bid Total:
-- *?- CITY of EAGAN
BUILDING PERMIT
oWn.: ........... ?-?-....... 6 ........................ . .......... .......... ................
Address (presenS) . "'. <.U-?
.._.. ......." .............. .................•.......
Builder .......... '&.:-.:.....................................................................
Address ..............................................................................................
DESCAIPTION
.:.
N0- 3388
3795 Pilo! Knob Road
Eegan, Minnesota 55122
459-8300
?
a.:. ...... ...... .. .. ........ V .............
6toriea To Be Usad For Fron! Deplh HeigM Esl. Coef ermit Fsa Aemarks
-P .,t/y '7o-v ? // a-o I
7`V°^Tf? C c ac' r` LOCATION Srn. -e
or
p -?--?- 5x
This pexmit does not avlhorise the use of slreeffi, roads, alleys or sidawalks nos does it give the ownas or hL aqen!
the righf !o creaie anp situation whieh is a nuisance or whieh presenis a haaezd to the health, sefelp, aoavaaieaea aad
general welfare !a anyone in the eommunilp.
THIS P£RMIT MUST BE KEPT ON THE PREMISE WHILE TF1E WORK IS IN PRO
Thla is !o cerlifp, fhal......... -...---........?._.?_._.`..'...`'?....?....... heaparmission 3o ereet a ..:............._`.Z:L.?Poa
the above deseribed premise subjeet !o !he pxovisions of all appliaa6le Ordinenees for ihe Ci ? of Eegad
?
.................... ...... ................................... ... Per
.............---°°-............... .
....................
Mayor Is Buffding Iupactos
.6
To
?Pity-of Eagan
Eagan, MN 55122
Tilsen Construction Co.
627 SOUTH SNELLING AVENUE
ST. PAUL, MINNESOTA 55116
PHONE: 698-5501
SUbjCCt oate 9 LO 4
Fr9eSSage ncloaed is our check for 820 which is in a ment of the buildin ermit and
V
?
PLEASE REPLY TO ? siened fKD?. ... , li ,..-' ` t
Reply
?
? 5igned ?? Date
S,
Form Na. QL3 SEND PARTS 1 AND 3 WITH CARBON INTACT - PA?h7 3 WILL BE NETURNEO WITH REPLY
YIILAGE OF'E4CIIN WATER SERVICE PERMIT
3795 Pilot Kno6 Road PERMIT NO.: 1604
Eagon,MN 55172 DATE: 10/17/ 74
Zoning: Rl No. of Uni[s: 1
Owner: Ti1 can (`on tr -?
Address: ?2 C? L(-IJ
SiteAddress: 13fi8 f'oamo i=na (1158)
Plumber. $ey-Rock
Meter No.:???G .S/ Connection Charge:340.00 od 9/11 /e
Size:'--''?? Account De
posil:
Reader No.: ?S40 Permit Fee: 10. 00
I ugrce to comply wiM fhs Village oi Eogon S charge: .50 ?
Ordjho ca ?y?-?ge6,'
n Total:
By Dai-t Date Paid:
Date of Insp.: Insp.:
YILLl.SE OF EAGAN SEWER SERVICE PERMIT
3795 Pilot Knob Road YERMIT NO.: 2364
Eogan. MN 55122 DATE: 10/17/74
7.oning: No. af Units: 1.
Ti].sen Construction
Owner Co.
:
Address:
1358 Coslnos Lane
Add
Si
ress:
te
Hey Yoc
b
Pl -
er:
um
400.00 pd 9/11/4
I agree to comply with fha Villoga of Fogan Connee:tion Charge:
Ordinances. Account Deposit:
Permit Fee: 10•00 12d
Surcharge: •50 Pd
gY: Misc Charges:
Date of Inti
: . Total:
p.
Insp.: Date Prid:
MASTER CARD
LOCATION
OWNER ?/tPH 1" O N t' /
STRUCTURE AND
LAND USED AS
Permii
BUILDING
PLUM8ING
CESSPOOL - SEPTIC TANK
No.
Issued Issued To
Coniracfor Owner
WELL
ELECTRICAL
HEATING
GAS INSTALLING
SANITARY SEWER
OTHER
OTHER
Items Approved
(Initial)
Date
Remarks
Distance from Well
FOOTING _ •9 ?7?/ SEPTIC
FOUNDATION CESSPOOL
FRAMING a_ j-?.6 7 u TILE FIELD FT.
FINAL
ELECTRICAL
HEATING
(f DEPTH
)F WEIL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING
WELL
SANITARY SEWER
Viola}ions Noted
on Back
COMMENTS:
PERMIT
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 028411
(612) 681-4675 Date Issued: 0 7/ 2 9/ g 6
SITE ADDRESS:
1358 COSMOS LANE
LOT: 2 BLOCKe 2
WILDERNESS RUN 4TH
P.I.N.: 10-84353-020-02
DESCRIPTION:
r--.. (ROOFING)
,Building Permit Type
,?,`Biiilding?Glprk 7ype
? Census Code -,,
?
1
STORM DAMAGE
REPAIR
434 ALT. RESIDENTIAI
7 ?
V
REMARKS:
FEE SUMMARY:
(: V IV I FiAI: I V FS:
OWNER: - Applicant -
WEIDENHAFT LONNTE
1358 COSMOS LN
EAGAN MN 55123
(612)454-7383
I heretry acknowledge that I have read this application and state that the '
infiormation is carreet amd agree to'comply w3th alY'app3icable State afi Mn=
Statutes and,_City ot.Eag,an Ordinances.
? _ _ . _.. _ . : ..J
APPIICANT/PERMITEE SIGNATURE
?ffll ?-o r"rr?-
I?UED BY: IGN UPE rT-
CIN OF EAGAN
I 3830 PILOT KNOB RD - 55122
IS4 1996 BUILDING PEf2MIT APPLICATION (RESIDENTIAL)
681-4675
n
? 3 rcgistered site surveya ? 2 copies of plan
? 2 copies of plans (InGude beam 6 window eizes; poured Ind. desipn; etc.) ? 2 site surveys (exterior addRiona & tlecks)
? 1 energy calculatiom ? 1 energy eelaleUons for hsated addilions
? 3 oopbs of tree prceenetlon plan M bl qlaMed after 7/1/83
?equired: _ Ves _ No
DATE: ?2/? CONSTRUCTION COST:
?
DESCRIPTION OF WORK: nL6twY uvtJQ CXl371Nl4
STREET ADDRESS: 43Yg C3 C7S /J1 aS LVILt,
LOT BLOCK 2- SUBD./P.I.D.
PROPERTY Name: 4tXNN1 E- phone #:
OWNER SMST rl?OS LN
Street Address* Ciry: Lrf? C/? state: zip. .?S/ 2 3
CoN7Rac7oR Company: Phone #:
Street Address: License #•
ARCHITECTI
ENGINEER
City:
r
Company: .
Name: _
State:
State:
Street Address•
City:
Sewer 8 water licensed plumber:
change are requested once permit is issued.
I hereby acknowledge that I have read this application and state that
applicable State of Minnesota Statutes and City oi Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Zip:
Phone #•
Registration #-
Zip:
Penalty applies when address change and lot
the infor tion is conect and agree to comply with aR
4r
Certificates of Survey Received _ Yes No
Tree Preservation Plan Received Yes No
S'yjd'/
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Construction Reauiremants
• 7 registered site surveys shmving sq. R. of lol, sp. R. ol house; and all roofed areas
(20Y maximum lot coverage allowed)
• 2 copies of plan showing beam 8 wintlow s¢es; poured found desyn, etc.)
• t sel of Energy Calculations
• 3 copies of Tree Preservation Poan iF lol platted after 7/1193
. Rim dalst DeWd Options selection sheet (61dgs vnth 3 or less uniCs)
DATE i
RemoEellReoair Reuuirements
• 2 copies of plan
• 1 set of Energy Calculations for heated additions
• t site survey lor extenor additions 8 decks
• Inaicate if home sened 6y septic system ror adCitions
VALUATION ? 000
SITE ADDRESS I3,15Y COS/'YIOS LCl/l'iC, MULTI-FAMILY BLDG _Y XN
TYPE OF
APPLICANT
STREET ADDRESS
TELEPHONE #
!iir`-STATE ??/?I ZIP,??
# 9S? -Ao -t'(?w
PROPERTYOWNER111Q?IGL_ Wi? (im A o jct- TELEPHONE#(US1I'qSq-7-?74?3
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category
_ y(IVNC50'1':1 RCL4:S 7670 CATEGORY 1 NIINVESOT:A RliLES 7672
(J submission type) . Residential VentilaGon Category t Workshee[ Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Piumbing Contractor: Phone #
Plumbing system includes: _ Water Softener Lawt Sprinkler
Wa[er Heater No. of R.I. Baths
No. of Baths
Mechanical Conhactor:
'Mcclianical system inclu(ics:
Sewer/Water Contractor:
Air Conditioning
Hcat Recoven Systcm
Fee: $90.00
?w,???f1??C
{1.i?? 0 R ".^?ec:,{ )70.00
- '?
Phone #
----•---------------------------°---------°------...----------------------....------------------------------------°----
I hereby acknowledge that I.have read'this application, state that the information is correct, and agree to compiy
with all applicable State of Minnesota Statutes and City of Eagan Ordin es.
Signature of Appiicant ?
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4l02
)RK a f2 /(.( /il Q FIREPLACE(S) _ 0 _ 1 _ 2
2005 RESIDENTIAL PLUMBING PERMIT APPLICATION C?. K.u . 2q ?Zfa
CITY OF EA6AN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675 Please complete for modifications to existing residential dwellings.
ptf , - - - - - -
31 .,
?
Date
81ESANZ, STEVEN
SItE Stf@Bt AddrQSS 1358 COSMOS LANE Ull lt #
EAGAN, MN 55123
(851) 698-1335 ,
Property Owner Telephone # ( )
NORBLOM PLUMBING C0.
contrector Telephone #( )
Address City State Zip
MINNEAPOUS, MN?5540?
The Applicant is: Owner ontrac or Other
_
Alterations to existing dwelling $ 50.00
_ Add piumbing fuctures (excludes water softener and/or water heate r--complete next
section if installing these appliances).
_Septic System Abandonment
_Water Tumaround, (add, $125A0:if a 5!8" meter is required)
Other:
_ Water Sokener X Water Heater $ 15.00
_ new replacement
_ Lawn Irrigation _RPZ _PVB new _repair _rebuild $ 30.00
State Surcharge $ .50
Total $ ( S. 50
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 plart is required to be reviewed and approved.
JQA IVf1Yblam
ApplicanYs Printed Name
icanYs Signature
??ISU U LS
2006 RESIDENTIAL MECHANICAL rExnziT arPLicnTiorr S? --'
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for. single family dwellings & townhomeslcondos when permits aze required for each unit
Date 2- l 6 / Z d G6
Site Address S O (,f OS p105 L Q /) c- Unit #
E' u c,? n P AJ
PropertyOwner ? -A(I k? ?an?< r__ Telephone#( 6S) ) 357 "' ZgZti"
Contractor SC ?`
Street Address City
State Zip Telephone # ( )
Bond #: Expires:
The Applicant is _ Owner _ Contractor _ Other
Add-on or alteration to existing dwelling unit $ 30.00
? furnace _Additional Replacement _ New
air exchanger
air conditioner
heat pump
other
State Surcharge $ .50
Total $
I hereby apply for a Residential Mechanical 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 with the Mechanical Codes; 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 t e work will be in accordance with the
approved plan in the case ofwork which7equires a review and approval ofplans.
N'icV)ok5 KGoGn?e----- t/ ,
Applicant's Printed Name Applic 's Si na ure
Use BLUE or BLACK Ink
r----------------
For Office Use
pt
y] Ioos
City of Eakan i Permit fs t05 as
I Permit Fee: I
3830 Pilot Knob Road I I
Eagan MN 55122 I Date Received: Q
Phone: (651) 675-5675 j I
Fax: (651) 675-5694 I Staff: I
I
- - - - - - - - - -
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 1 1 Site Address: J~~ CSC Unit
Name; fV ~l r' ~ `~~'~1 1 n W(, j f_~ Phone: U 61 5 ! Z E
Resident/ ^^CC
Owner Address / City / Zip:- l ~C~J a G~ Y h r) 55123
r-
Applicant is: Owner ontractor
Type of Work Description of work:
Construction Cost: 2 Multi-Family Building: (Yes / No
Craftmasters Remodeling
Company: 2495 Maplewood Dr. _ Contact:
STE 314
Contractor Address: _ Maplewood, MN 55109 - Qtr.
State:
License #:l 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: 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.
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.ora
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
days of permit issuance.
x -,thl t _V.. _a x aim
Applicant's Print Name Ap icant's Signa re
Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA120351
Date Issued:02/04/2014
Permit Category:ePermit
Site Address: 1358 Cosmos Lane
Lot:002 Block: 002 Addition: Wilderness Run 4th
PID:10-84353-02-020
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.
Fixtures:Kitchen sink
Theresa Bialon
11473 Kenyon Court
Fee Summary:PL - Permit Fee (miscellaneous)$55.00 0801.4087
Surcharge-Fixed $5.00 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 -
Nicholas Kapanke
1358 Cosmos Lane
Eagan MN 55122
Spring Plumbing Llc
11473 Kenyon Ct
Blaine MN 55449
(763) 614-7963
Applicant/Permitee: Signature Issued By: Signature
City of Eapll
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
RECEIVED
FEB 0 3 2011
Use BLUE or BLACK Ink
For Office Use jf
Permit #: ! ao5u 7
Permit Fee: /� Ui%
Date Received: a - -1
Staff:
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Resident/'
Owner
Type of Work
Contractor
Site Address: 1 -3-C4 CADSVVIN Lam.
9
Address / City / Zip:
Phone:
Unit #:
Applicant is: Owner X Contractor
( h WAIO
Description of work: .t,h. \Zf.,e — (e,v. 5- ,�v
v\‘
Multi -Family Building: (Yes
Construction Cost: lSot)
Company: ''®•Iear5 nK S
Address: Z (- 1e S�
State: MO Zip: col
License #: BC, S1 Ic2%
Contact: ! \ GLScrfr rag—)
City: TAR -
Phone:
R'
Phone: CS1 —9
Lead Certificate Certificate #: f es"` 1 t7c.k2151. -
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 fora similar plan based on a master plan?
_Yes _No If yes, date„Onaddress of master p
Licensed Plumber:
Mechanical Contractor:
ry A4�
Sewer & Water Contractor
Phone:
Phone:
Phone:
NOTE: Plans and supporting documents that you submit are cor?sidered 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. 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.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 Minne • - e Building Code must be completed within 180
days of permit issuance.
x r'L
Applicant's Printed Na e
Applica ignature
Page 1 of 3
/35? 61.0.5/ of L,(Z
DO NOT WRITE BELOW THIS LINE
ti
/&o 5 � 7
SUB TYPES
Foundation
Single Family
Multi
01 of Plex
WORK TYPES
New
Addition
it Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25%_ 100% ✓ )
Census Code
# of Units
# of Buildings
Type of Construction
Fireplace
Garage
Deck
Lower Level
Interior Improvement
Move Building
Fire Repair
Repair
If34
Porch (3 -Season)
Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
Siding
Reroof
Windows
Egress Window
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Accessory Building
Demolish Building*
Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building - give PCA handout to applicant
Occupancy .ZRc —
Code Edition A4v7
Zoning %t-1 /
Stories
Square Feet
Length
Width
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Roof: Ice & Water Final
Framing
Fireplace: _Rough In _Air Test _Final
Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Reviewed By:
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
?3
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
NNW
Meter Size:
Final / C.O. Required
if 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 Wall: _ Footings Backfill _ Final
Radon Control
Erosion Control
Other:
, Building Inspector
Pyr&,Zo'
/471 're"
Page 2 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA146454
Date Issued:10/26/2017
Permit Category:ePermit
Site Address: 1358 Cosmos Lane
Lot:002 Block: 002 Addition: Wilderness Run 4th
PID:10-84353-02-020
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Fireplace (new)
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 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 -
Roy V Spears
1358 Cosmos Lane
Eagan MN 55122
Fireside Hearth & Home
2700 Fairview Ave N
Roseville MN 55113
(952) 985-6675
Applicant/Permitee: Signature Issued By: Signature