1372 Cosmos LaneCITY OF EAGAN Remarks
Addition Wilderness Run 2nd Addition Lot 7 aik 2 Parcel 10 84351 070 02
Owner?Csi' ?-? w I?EtJEr. ",' screet 1372 Cosmos Ln. State Eaaan, MN 55123
Improvement Date Amount Annua4 Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK AA 1973 $17$. 00 $8.75 20 PAID
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA
STORM SEW TRK
STORM SEW LAT
CUFB & GUTTER
SIDEWALK
STREET LIGHT
SEW CONN 1974 $240.00 $48.00 5 PAID
WATER CONN, $300.00 6816 11-17-72
BUILDING PER.
sAC $240.00 7374 2-1-73
PARK I
CITY OF EAGAN
3795 Pllet Knob Road Eogaa, MN 95122 N2 5 277
PHONts ,454-9100
BUILDING PERMIT ' Receipt #
To be uted for Est. Value Date , 19
Site Address Erect p Occupancy
Lot Block Sec/Sub. Alter ? Zoninp
Repair ? Fire Zone
parcel #
l
E T
f C
t
n
arge ? ype o
ons
.
W Name Move p # 5tories
Z Address Demolish ? Front ft.
6 '•,- 454-8897
p Nome
o? •
Address -
r?.., oti.,..e ;4-21r.
Name
Grode ? Qepth ff.
Approvols Faes
Woter & Sew.
Police
Fire
Address Eng.
Permit
a W ? City Phone Pianner _
Councii _
I hereby acknowledge that I have reod this applicotion and stote that Qldg. Off.
the information is correct ond ogree to comply with all applicoble
Stote of Minnesota Statutes ond City of Eagan Ordinances. APC -
Total
Surcharge
Plon check
SAC
Water Conn.
Woter Meter
Signature of Permittee ?
A Building Permit is issued to: on the express condition that
all work shall be done in accordnnce with oli upplicoble State of Minnesota Stotutes and City of Eagan Ordinances.
Building Officiol
Ponnit # Dafo Isuad PwwdflN
Plumbing
Mechanical /ffY3 ' - ? `l- ?
INSPECTIONS DATE INSp, ?
Rough-In
Final
Footings 1A- Date Insp. Date Insp.
Foundotion -
A44 ; . Plum6ing ? C; ?
Frame/ins. r
r?
t?
Mechanical
Final
Remorks: f
r?
CITY OF EAGAN
3795 Pilot Knob Rood
Ecgon, Minpesota 55122
Phbne: 454-8100
HEATING
PERMIT
No.
1553
Dote: ?erternber 24, 1979
Site Address: 1372 CoeA108 I.BII@
Lot Block 5ub/Sec.
Name ? ohn SveCtmll.k _
c Address 0-72 CngmL+s "Ane
3
O
`:.a' H"a1
City Phone:
Nome igtig
?
t
f Address
c
0
V
City Phone:
This Permit is issued on the express condition thot oll work shall be
Minnesota Stotutes and City ot Eagon Ordinances.
15984
Receipt No.:
Single
Residential
Multi Res., Comm./Ind. I
New/Alter./Repair al[@rSt?An
Cost of Instollation
5.cb
Permit Fee
Surcharge • 50
r r ??
TOtOI ?
done in accordance with all applicable Stnte of
Building Officiol I
J
PERMIT #
MECHANICAL PERMIT
? CITY OF EAGAN RECEIPT #
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: -
- Name (;
-@ Address
c City ,`.
Name
TYPE OF WORK
Forced Air
Boifer
Unit Heater
Air Cond.
Vent
M BTU
M BTU
M BTU
M BTU
CFM
FEE:
?
S/C:
TOTAL: ? Z s
BLDG. TYPE WORK DESCRIPTION
Res. K New ?
Mult. Add-on
Comm. Repair ?
Other i
FEES J
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
(RES. HVAC INCLUDES A/C.ON NEW -
CONSTRUCTION)
GAS OUTLETS (MtNIMUM - 1 PER PERMIT) - 1.50 EA.
COMM/IND FEE - 1% OF CON7RACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWhfHQ1lSE & CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON & ?
REMODELS - 12_00
?
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT ?
- .50
(ADD $.50 S/C IF PERMIT PRICE GOES +
BEYOND $1,000) ?
FOR: CITY OF EAGAN
,
7tenewal By Andersen RESIDENTIAL
350-73rdAve. NE BUILDING PERMFT APPLICATION
Fridley, MN 55432 CITY OF EAGAN
V 'J
763-502-4777 3830 PILOT KNOB RD - 55122
#MN20130983 651-687 -4675
NewConstrucUon ReauiremaMe
• 3 2gislered site surveys showing sq. ft. of lot, sq. ft of house; and all roofed areas
(20% rtiacimum lot coverage allowed)
• 2 copies of plan showirg beam & vrindow sizas; pomed found design, etc.)
. 1 set of Energy Calculations
• 3 copies of Tree Preservalion Plan if lot platted after 711193
• Rim Joiel Detail Options seledion sheet (bldgs wBh 3 or less unils)
DATE Y- 'J4 ap'r. • O I
JOB SITE ADDRESS o?L Ce-,SY'i?nc,- I
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER?5 TYPE OP
APPLICANT
ADDRESS
PAGER #
-??'f ;
CELL PHONE #
FAX #
NEW RESIDENTIAL BUILDING ONLY - PILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNFSOTA RULFS 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor. _
Plumbing System Includes:
Mechanical Contractor:
Mechanical System Includes:
Sewer/Water Contractor:
All above information must be submitted prior to processing of application.
FIREPLACE(S) _ 0 _ 1 _ 2
PHONE# 4$ ;)• 36•C1204 t
ZIP CODE SSLI O'Z
Phone #
Phone #
Fee: $90.00
Fee: $70.00
I hereby acknowledge that I have read this application, state that The information i?prrect, and agree to c mply
nances. ?-' -
with all applicable State of Minnesota Statutes and City of Eagalako,
Slgnat
ureofApplicant
_ Water Softener
Watcr Heater
No. of Baths
RemodeUReoair Reauirements
• 2 copies of plan
• 1 set of Energy Calculations for healed additions
• lsitesurveyfarexterioraddfians&decks
• IMkate if home served by septic system for addNOns
VALUATION 54 T BO?
Phone #:
I.awn Sprinklcr
No. of R.I. Baths
_ Air Conditioning
Heat Recovery Systcm
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 1/01
CtTY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
PERf?ITWBT,YPE:
Rc!+tt I MF's
E nrlr
'MI}
ECTION RECORD?
PERMIT TYPE:
Permit Number:
Date Issued:
r +a ? i?+ . APPLICANT:
.-,i .I141?1
TYPE OF WORK:
i n t.Nc
9 >4
8t±/1t3/015
1{rI I aI tt
r'1,0 F
Permit No. Permit Holder Date 7elephone #
ELECTRIC
PLUMBfNG
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
HOUGH
HEATING
GAS SVC
7EST
INSUL
GYPBOARO
FIREPLACE
FIREPIACE
AIR TEST
FINAL PLBG
FINAL HTG
OFSAT
TEST
BLDG FINAL
?
BSMT R.I.
BSMT FlNAL
DECK FTG
DFCK FINAL
F
I
ciTr oF eACaN
. 3795 Pilot Knob Road Eagan, MN 55122 N2 5277
. PHONE: 4548100 ???
j
BUILDING PERMIT APPLICATION Receipt # ---
--
--
Ta 6e urod For BedXCXDM Addn• Est. Value 12i000• Dote 6-22 , iy 79
Site Addrew 1372 COSRIOS Lc'lI'le Ered ? Occuponcy R3
Lot 7 Block.2_ $ec/Sub.-WR #2 Alter ? Zoning Rl
Parcel # Repalr ? Fire Zone 3
E
l T
f C
t V
John C. Staeetrm C n
arge 0 ype o
ons
.
W Nome Move ? # Stories
? Address 1372 cOSI[bS LaTIe Demolish ? Front 20 ft.
Cit Eagan Phone 454-8897 Grode ? Depth 24 ff:
? Tam?7 Kpnen Approvala Fees
p
ame
?? Address 125 PL275871t. LaT12 E. Assessment Permit 39. 0
?
EXCC1S10T
474-2147 Water 8 Sew. Surcharge 6.00
Ci+
phone Police Plon check 19• $0
F
?w Nome
Fw
Fire
SAC
Address Eng. Wafer Conn.
<w Ci Phone Planner Water Meter
Coundl
I hereby ackrwwledge that 1 have read this application and state that gldg. Off.
the information is correct nd agree to comply with all applicable 50
64
inonces.
Stoh of Minnesoto Statut a City of Eag Ord APC TotQl .
?
?/
Signature of Permittee o ie ?-v1•^y /
A Building Permit is issued to• John Sweetrnilk on the express condltion that
oll work shall be done in c an it all plic I tate of ewta Statutes and City of Eagan Ordinonces.
Buflding Official g E,.4 N
.?
CITY OF EAGAN
BUILDING PERMIT APPLICATION
7
To be used forBejrooms AolWi /:or?Valuation ?
Site Address 372 CoSAtoS L NG '
Lot 7! 8r.veSS
7 Block ? Sec./Sub. Erect
Parcel 0 Pirr /O Plµ]` 9"135-1 P9Yce /a 700.ZAlter
/ / Repair
Owner: ,f ok,t/ ? .?uJeeTA19,K Enlarge_?
?2. ltove
Address: 137 CvSlNOS Lq.v e Demolish
Grade
9
Inc u e 2 sets of plans,
1 site plan w/elevations S
1 set of energy calcula[ions.
Date & 4j?Zg
OFFICE USE ONLY
Occupancy 70
Zoning
Fire 2one 3
Type of Const. v
8 Stories
Front ft.
Depth 8 ft.
Phane B: 7.5L- f5? 7 A rovals FPec
Contractor: L 2roy ?pNe qJ
Address: Q-.S P64sA,uT, LA,ve E
EX'/C2lSi?y
' e/? '%//ii+'w
Phone If: y77" ?.17 /
!lrch/Eng.:
kddress:
PP
Assessment /j 61V'5? Permit ?zi?
Water/Sever Surcharge?? y--.?-
Police Plan Check_?q
-
Fire SAC Tr
Eng. Water Conn.
Planner Water Meter
Council
Bldg. Off:
APC
?hone !i:
Road Unit
TOTAL ?
7'z,
W
VILLAGE OF' r:AGAN
3795 Pilot Knob ttoad
Eagan, Iviinnesota 5$122
PERiaT N0. 305
The Village of Eagan hereby grants to Naf'1 Ifinhb rd FIas-'i++rp, A/C Co.
o£ Qq N. q„A714njj.ave.p Rt_ P8¦7 ry5tp4
aHraT7tTn Permit for: (Owner) qy,l8en Cona6xvati.oa
at _1:3T2 ceMRe4 r.=e , pursuant to application dated 1/17J73
Fee Paid; an_r.o dated this 22_ da7r of 1
.5o s/c
Bu lding Inspector
Niechanical Permits:
Bid Total;
U?--
tJ;
VTLLAGE OF F.AGAI+I
3795 Pilot Knob ttoad .
Eagan, Iviinnesota 55122
PII2ilIT IQO. 303
The Village of Eagan hereUy grants to L. H_ Feted Co.
o£ 1854 Grand ave.. st. Pan1 55105
apT.tnaarnt6 Permit for: (Owner) T eM Cpne?&gQ Co. .
avA-
at 1372 anmea L.ena ? pursuant to application dated 13
Fee Paid: $40_m dated this t1},h day of Janua.y
1.00 a/c
9_T?._Building Inspector ?
Niechanical Permits:
did 'Potal;
° EAGAN TOWNSHtP
BUILDING PERMIT
`....................................................................................
Ownei .......
Address (Presenf) .__?z...?.2..7......."e4z.........
..???.?:.?`?..._.....__
Builder ................................
.......--°---.....---.........._...-----
Address ............. ......................................................
-......----......._
DESCAIPTION
N° 2892 ?
Eagan Towaship
Town Hall
Dale a-
Stories To Be Used For Fron! Depih Heigh! Esf. Cost ermi! Fee Remazks
S7' c n
? j e.,?
iri
LOCATION GE•s-a
Sireet, Road or other Descxipiion oi LocaSion I Lo! Block Addifion os Tsacf
l 37 a- C?-k.?.,?? ?--*?-?-? I 7 ? ??<.e.z?1?--?.? ?-•-„- ?
This permit does not aulhorize the use of streels, roads, alleys or sidewalks nor does it give ffie ownar or hia agenl
the righ! !o ereale aap siluaiion which is a nuisance oz whieh presenls e hasard fo the healfh, safelp, convanience and
general welfare to aayoae in the communily.
THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PAOGRESS.
T6is fs !o cesiifY, lhai..... .o?.v.L -rL---.-_.............. es permissioa !o erec! e .... ...... : .. . . . . . •-.-•- • upoe
the above deseriLed premise aubjee! !o the provisions o1 the Building Ordinanee for Eagan Townshdopled April 11,
1955.
...................
.???::-?..--?-=....?1..'.?.-??---- .. ............ , ra: ................ -.......... A .?...... U4'......... -................
16 Cha:•m=n ^' ?d le Huitdinq Iaepealor .
LOCATION
MASTER CAR,D
L
Permii
No.
Issued Issued To
Coniractor Owner
BUIIDING
PLUMBING
CESSPOOL - SEP71C TANK
\NELL
ELECTRICAL
HEATING 9 w ?-
?
GAS INSTALLING
SANITARY SEWER
OTHER
/C &Cl
?_ I- ry7 I
OTHER
Items Appraved
(Initial)
Date
Remarks
Distance From Well
FOOTING SEPTIC
FOUNDATION f z ??- 7 CESSPOOL
FRAMING ' g-8- ;7 3 TILE FIELD FT.
FINAL
EI_ECTRICAL
HEATING DEPTH
OF WELL
GAS WSTALIATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PWM8ING .- r- 7
WELL
SANITARY SEWER U/
Violations Noted
on Back
COMMENTS:
ThiS repuest vnid
18 months trom
E ? [l Ifi ? E'i .', 'I 24"
.. ,. c/_
?icensed Electrical ConVactor I herehy requast inspection of above
eiwetrical work installed at
Str1ee^t?Addlress. Box or R,oute No. [ Ciry
ecuon o. Townshlp Name or No. Range No. Counly
D?.?: ?ra
Occupant IPBINTI
jr? tYr,,; Phone Nn.
Power Supplier
??? ?+ddress
•
Electrical Contractor (Company Name) Cnmrdcmr's License No.
luE E-??ir2?C
Mailin0 AAJress ICunvar.tor or Ow r Making Instaila[ionl
Authwaed Sgnature {Contar.to?/Owner Making InstallaGon) Phone Number 3
MINNESOTA STATE BOAflD OFELECTNICITV
Griggs-Mitlway Bld9. - Roam N•191
1821 Univarsitv Ave.. St. Paul, MN 55104
Phone (612) 642-0800
BE ACCEPTED 8V THE STATE BOARO
LINLESS PROVEN INSPECTION FEE IS
ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTlON ?- ee-,o/o^ooi-os ?
? See instrucllons lor comPietine Ihis form on back of yellow coPY/J
? `) ('! G 7 F "X" Be/ow Wark Covered by Ihis Request
? r_
HAd vv
pa9? r_v
Ty,-e of 6ulltling
APPli.nCe3 Wired
Equipment Wired
Home Range Temporery Servlce
Du
lex Water Heater LightinG Fixtures
p
Apt Building Dryer tlectric Heatui
Cnmmerclal Bldy Fumace Silo Unloader
_
Industrial Bldg Air Conditioner Bulk Milk Tank
.
Farm oone? oF?:?fv O?ne? lsnen?iv?
[hnr Syec{(Y ONer OtM1er
o
p myv?c •o
Fee y...,....... c.. ......,..
ServiceEntrence5ize
B
Fee
Feeders/SuMeeAers
b
Pee -
Circults
0 to 200 qm s 0 to 30 Am s 0 tn 30 Am s
A6ove 200 Amps 31 to 100 Ainps 31 to 100 Am s
Swimming Pool
Transiormers Above 100?Amps
irrigation 8oo?ns
.SV Above 100_AmPs
Partial- r Fee
Signs Special Inspection $ l•J??'? TQ qL FEE
Pa ma.4c ± r., dJ .
Rough-in ?a[e the Elee
Inspector, he?eby
rfirtify that the above
Final ins0ection has bnen
rtade
.
Thla reQuestvo1018mon1RVhom
?`-
This reque t void 18 months from
L?? 'R 5310
Late of this Request 49 ? es? '`"r I, as ? Licensed Electrical Contractor OOwner, do hereby request inspection of the above eiectri-
cal wiring installed at:
Street Address or Route No.
Section Township
Which is occupied
Range County
Is a roughin inspection required on this job? No ? YesK Ready Now ? Will Call
Power Supplie??n'-??/?
Electrical ContractoP-- - '? Contractor's License No. _
(COmpany Name)
Mailing Address
Authorized
•Installatlon) - -
Phone No.2Z
??f /] ?? ?? ,(\ ?j? ??n?p This inspection request will nat 6e accepted hy ffie
?J f'? ? 6rS (? U Stete Board unless proper inspectian fee is enclosed.
Minnesota State Board of Electricity
1954 University Ave., St. Paul, Minn. 55104-Phone 645-7703
REQUEST FOR ELECTRICAL INSPECTION R 5310
C.-?CK RRT nW Wf1RK C0VP.RFn RY THiS RFnf 1F.CT
Type of Building New Add. Rep, Check Appliances Wired Foi Check Equipment W¢ed For
Home ? 11 2q ? Range ? Tempoxary Wiring ?
Ouplex ? ? ? Water Heatec ? Lighting Eixtuces ?
ApL Bldg. ? ? ? Dryer - - . . ? Electric Hea[ing ?
Commeecial Bldg. ?
? ?
? ?
? Furnac
" Silo Unloader
MBk T
k Q
?
lndustrial Bldg. e
Au Co
v an
Bulk
F ? ? ? L?st ? List
azm
Othef - ? ? p
Heie?s o
Heie15?
!`f1L,tPi7TG INCPP!`TTl1N FFF RGIl1W
Service Entrance Size: # Fee edecs: # Fee Circuits: Fee
0[0 100 Am s. ?es 0 to 30 Am eres
101 to 200 Amps.
eres
31 to 100 Am exes
Above 200_Amps.
Amps.
W
Above 100 Amps.
Tcansformexs l Cixc. ??. Par[ial or o[het fee
Signs ion ? Minimum fee $5.00 . Gf?
Remaiks ?? ?v TOTAL FEE
t?6 mspec ' n has been made. ?
I, the Electrical Inspector, hereby certyfy`Shat t
(Roughan) Date
(Final) ?^ ' . r?????Q} Date
This request void 18 months from
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Conslruction Reauiremants
3 registered site surveys shaxirig sq. R of IoL sq. il of hause; and all roofed areas
(20°h maximum lot wverage allaxed)
2 copies of plan showing beam & window s¢es; poured found design, etc.
i set of Energy Calculalions
3 copies of Tree P2servation Plan if lal pWHed after 711193
Rim Joist Defsil Opfions seleGion sheel (buildings wim 3 or less units)
? 70 ,
RemodeVReoair Reouiremenls Oifice Use Onlv
2 copies ot plan Cert of Survey Recd _ Y_ N
1 set of Energy Calculatians for heated additlons Tree Pres Plan ReM _ Y_ N
ts'rtesunayforadditions8decks Tree Pres Required _Y _N
Ad0'dion - iridkate i/onsite seph'c system On-sRe Septic Syslem _ Y_ N
Date a / ds Construction Cast `J , 34 S O2
Site Address a C.US Y `41bS ? ?? UniUSte #
Description of Work CJ "Y\aU,uS CA;); n •-QJy( (TQ.Q,1Rt
Multi-Family Bldg _ Y _ N Fireplace(s) _ 0_ 1 _ 2
Property Owner --sOhY1 Telephone # ((pS 1) Li Sq • ??? ?-
Renewal By Andersen
Cantractor 1920 County Rd. C West
nddress Roseville, MN 55113 citY
State 651-264-4777 )ne # ( )
License #20130983
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
(Jsubmissiontype) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan2 _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone # ( ?
Telephone # (
I hereby apply for a Residential Building 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 State of MN
Statutes; 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 pJan in the case of wark „g; ?re, and
approval of plans.
'C0. F-?Sarl
Applicant's Printed Name
Signature
1 ap?
F
s 2oo5
• ••?r••r•m•••.'. iuv '.?•ov ctt4 toJ Uf2 .4480 X}iWThL $YB11'UBiCa`ffff( • ,
rena?
? . . _
. -Tunn
- (acyef nagm.
3836 Pitcrt gaob Rosd Ea$att. MN 55122
. To Whom It May C:?Otcern: .
Etder Iones is autito&cd m pun
?? 'Fslder lottrs to piovide this S g P?ts for Renecartl by AndezsaL Piease a1low
, date bcyond 6/6/01. antii a?"viCc for us in Esgsn, 7Teia emhorizeqan is vaiid foi sny
to the Ctiy_ ?ante'waI bY tindcrsaa mana= exptesaY cevakas it in wiicing
I requeat this auttiodzwan be acccpted-expedi@oirsl I . '..
otrr ba?diag Pcmiib aaY fvrthcr. Elcaac cari mc if tLc? ? ot defay ia dce p?y? of
t coutaot?d at 763-502-47flb. .. anY q=Sfona.. I can ha
Y'our immgdlaCe attcation to jUs matter is a?mmarwt • .,.
Siuoe?y.
ymondR Rau
tista[Iarion Mbnagcr
R°?TOwal by A.nde?sscn CrnvoratiBn
('s.: Ksrr•a FTflea7nne? .
ME?,?? ?
Received Tiroe Jun. 1. 1'07PU-
a
vQltlu
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EACAN
3830 PILOT KNOB RD, EACAN MN 55122
651-681-4875
New Constructian Reauirements
. 3 registeretl site surveys showing sq. ft. ot lot, sq, R. of hause; and all roofed areas
(20% mazimum lot coverage allowed)
• 2 copies of plan showing heam & windax sizes; poured found desgn, etc.)
. i set ot Energy Calculations
• 3 copies of Tree Presemation Plan if lat platted afier 711l93
. Rim Joist Oetail Options selection sheet (bldgs with 3 or less units)
DATE 6f 9- C) v
SITE ADDRESS /cj;/U ?USm QS
TYPE OF WORK`--?e
APPLICANT
JLTI-FAMILY BLDG _Y ='q'
FIREPLACE(S) _ 0 _ 1 _ 2
STREET ADDRESS 16, 3S CITY G?5 STATE?.L,/
TELEPHONE # CELL PHONE # PAX #
PROPERTYOWNER2d?nJ ?,?Lee. L(/e e mil4- TELEPHONE#
--------------------------------------------------------------- ........... --------------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ y[INNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULGS 7672
(J submission type) . Residential Ven6lation Category 1 Worksheel Submitted • New Energy Code Worksheet Submitted
. Energy Envelope Calculatlons Submilted
Plumbing Contractor: __
Plunibing system includes:
Mechanical Confractor:
Nlech.mical system includes:
Sewer/W ater Contractor:
Phone #
Phone #
Fee: $70.00
------------------------°-----------------°-•-----------•--------°--------°--°---------- - ----??(? 1-g-tve?-- v -
I hereby acknowledge that I have read this application, sfate that the information is co d agree to co y
with all applicable State of Minnesota Statutes and City of agan Or es.
r
Signafure of Applica ---°?'
.__----------------- --'--__....------- _--------- °----------- __------ ___....__-------__---------- ---_ ---- _--
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updaled 4102
Water Sohener _
_ Water Heater
_ No. of Baths
RemodellReoair Raauiremenb
• 2 copies of plan
• 1 set ot EneFgy Calculations for heated addilions
• 1 site survey (or extenor additions & decks
• Indicate if home served by septic system for additions
Phone #
Lawn Sprinkler
No. of R.I. Barhs
_ Air Conclilioning
_ Heat Recovery System
ZIP bC?7Ir
VALUATION ?Jb r
1 - a4f?-
Fee: $90.00
- ?„?-? 'u? s4.?v rnd ioa arl 9400 itr,lVjSpAL tSY81tlLCtG7C;1V
7une 7, 2401
City of'F.a.gan
3836 Pilat Knoh Raad
Eagan, MN 55122
To Whom Ic May Concern:
Elder Jones is authorized to pull buiiding permits for Renewal by Andezsen_ Please allow
Elder Jones to pmvide this service for us in Eagan. 'Ihis authorization is valid for any
date beyond 616101; until a Renewal by Andersen manager expressly revokes it 3n wri[ing
to the City_
I reqncst this authorization be accepted expedidonsly, as to not delay in the processing of
our 6uildiag pctmits any funhcr. Plcasc cail mc if thcm uc any questtuns. I can Ue
contacted at 763-502-4706_
Your immcdiate attention to ttus mattcr is appreciaced.
Sincerely,
#V& d R. Rau
aon Manager
Renewal by A,nclersen Corporataon
VEGIIADAmp0?
aaFublic
n°nesora
E+pveaJan.a1,zu0.5
Received Time Jun• 7• 1:07PM
t(y UUL/ UUZ
PERMIT
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: e u r Lo z NG
Eagan, MinneSOta 55122-1897 Permit Number: 0 2 7 9 7 4
(612) 681-4675 Date Issued: 0 6/ 18 / 9 6
SITE ADDRESS:
1372 COSMOS LANE
LO7:, 7 BLOCK: 2
WTLDERNESS RUN 2ND
P.I.N.: 10-84351-070-02
DESCRIPTION:
ROOF
Permit Type 5TQRM DAMAGE
#ork Type REPAIR
d??'6. 434 AL7. RESTDENTIAL
usiaa
c v msua ar r?n a F
'`a`-tt?i ?` ?K?rv v?i",s' °A ?s?Nn ?a?az tm ??4`fi a iajg ?r
2j? E?d?v
REMARKS:
FEE SUMMARY:
CONTRACTOR:
APEX ROOFING
944 pRIpLE DR
APPLE VALLEY MN
(612) 891-1919
P
Z, ?'rere!
3nforin
?> .._..?, . . n
- Applicant - 5T. LICI.OWNER:
18911919 2004228 p SWEETMILK .7pNN
1372 COSMOS LANE
55124 I EAGAN MN
APPLICANTlPERMITEE SIGNATURE
?
CITY OF EAGAN
?? 3830 PILOT KNOB RD - 55122
7996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
? 681-4675 ?
New Construction Reouirements Rem o de U Reoair Reavirements
? 3 registered site surveys ? 2 copies of plan
? 2 copies af plans (inciude beam & window sizes; poured fid. design; elc.) ? 2 sile surveys (exterior addRions & decks)
? 1 energy calculatbas ? 1 energy ealculations tor heated addkions
? 3 copies of iree preservation plan H bl platted aRer 7/7l93
required: _Yea No G ?,C
DATE: ? J3 CONSTRUCTION COST:
DESCRIPTION OF WORK:
STREET ADDRESS: / A n 5' /,"c N
LOT ? BLOCK a SUBD./P.I.D. #: w"-
PROPERTY Name:?( 4/O hvt Y499cK PhOne #: '2?0<f27
OWNER `i""
Street Address: 7? 0 4mc s /u.? f
City: 5 f:, „. State: m, ., ? Zip:
CONTRACTOR Company: X L7rp,4:2? Ph ne #:
gri?P97 0e
5treet Address: License #: o?Do
City: ,.,4 V State: m„?-4 Zip: S S I•2 `4
ARCHITECTI Company: Phone #:
ENGINEER
Name: Registration #:
Street Address•
City: State: Zip:
Sewer & water licensed plumber:
change are requested once permit is issued.
Penalty applies when address change and lot
I hereby acknowledge that I have read this application and state that the information is co/rr'eI ct and agree to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
?
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received Yes No
CITY USE ONLY ?
LOT ? BL o" ItECEIPT#: ZS J?,?
SUBD. ?,??OW?t.fi]•1J (,/?ct.w q n? RECEIPT DATE:
1997 M£CHANICAL i'ERMIT (R£SIDENTIAcL)
CITY OF EAfiAA
S$SO PILOT KNOB RD
EEkfikN iNN 3518E
Date: 16- 21'97 (618) 691-4675
Compiete this section anlv 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.)
• State Surchazge: .50
• TOTAL:
Complete this section on[v if you aze remodeling, adding to, or repairing existing single family dweilings,
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:
X Install fumace _ 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
Siate 5u:charge 50
Total: $ 20.50
SITE ADDREss: I 3 7 a C n s111a s4 n
OWNERNAME: :?S-OkY7 S 6"JQ .¢J7yGi//K PHONEa:
INSTALLERNAME: WdA !`2/S -5ou//P5?LQ HfxWe Pd2ePHONE#: 705;? 5'
STREETADDRESS: ? y7,3a Pe/ti'loCK
C1TY:642(2 Ua_ "4 STATE: 'j/! 0 ZIP6S/o??
Ae y/ae -e
? SIGNATURE OF PERMITTEE
JSlFORMS BLD/MECH PERMIT (RES) - 1997
EAGEtN TOWIdSHIP
3795 Pilot Knob Road
St. Pau1, Minnesota 55111
Telephone 454-5242
PERMLT FOR WATER SERVICE CONNECI"!ON
Date• Dec&nber 1, 1972 Number• 1060
Billing Name: Tilsen Constructinn Site Address:1372 Casmos L7-B2 ?-
Owner: Same Billing Address
Plumber•Luecken Excavation
Location of Connecti Meter Size Coaaection Chg.3?.? Pd 11/Rx/72
t ?
/?, ?Meter No..y,.xs- ::? Permit Fee10.00 pd 12/1/72
U t.? ?? .50 pd 7 2/1 /7 2
Meter ReadinP_+ Meter Dep.
Meter Sealed: Yes_ lAdd'1 Chg.
NO ( 1bta1 Chg.
Building is a:
Residence xx
t3ultiple Np.
Coame rc ia 1
Industrial
Other
Inspected by
Date
Remarks:
$25.00 RE-lNSPECTION FEE FOR
IMPROPERLY fNS7ALLED METERS.
By:
Chief InspecYOr
In consideration of Che issue and delivery to me of the above permit, I
hereby agree to do the proposed work in accordance with the rules and
regulations of Eagan Townahip, Dakota County, M nnesota.
B
T.nPr.ken FSrnavatioxl
Please aotify the above office when ready for iaepection and connection.
EAGl3N TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minneaota 55111
Telephone 454-5242
PERMIT FOR SEWSR SERVIC$ CONNECTION
DATE: December 1, 1972
OWNER:Tilsen Construction
PLUMBER Luekken Excavation
NOMBER 1226
Address 1372 Cosmos l+J-0. 2-
TYPE OF YIPE heavy cast iron
DESCRIPTION OF BUILUTNG
Industria2 Commercial Residential MulCiple Dwelling No, of units
cc
Location of Connections; Connection Charge 00
Permit Fee 10.00 pd 18/1/72
Street Repairs
Total
Inspected by:
DaCe
Remarks•
By. Chief Inspector
In consideration of the issue and delivery to me of the above permit, T.
hereby agree to do the proposed work in accordance with the rules and
regulationa of Eagan To[•mship, DakoCa-County, I?nn ota
?.
8, - '
Luecken Excavation
Please notify when ready for.inspection and connection and before any portion
of the work is covered.
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
-7., q 3834 PILOT KNa6 RD, EAGAN MN 55122
'?j ? I ? / 651-681-4675
h
NewCanstructionRequireme ls
. 7;egjsterea site surveys showmg sq, ft. of ;oL sq. k. of house: and all roofed areas
{20°'o maximum lot cove2ge allowed)
• ? eooies u'r plan snowing beam 3xindew sizes; poured fountl design, e[c.)
• 1 ;et of Energy Calculations
• 3 capizs of iree Preservation Plan if lot platted after 711193
. Rim Joist DeWil OpUOns selecuan snee[ (61dgs with 3 or less units)
DATE
1 ll
4Vater SoFtencr
Water Heater
No. oC Baths
SITE ADDRESS ?,3 702 coS/"OS ? MULTI-FAMILY BLDG _Y _ N
TYPE OF WORK ;- ZL A-i FIREPLACE(S) _ 0_ 1_ 2
APPLICANT
STREET ADDRESS Qy?/ v/i/?L[ ?i2 . CITY ^? STATE "N ZIP-'S
TELEPHONE # foS/-415q- CELL PHONE # ?0/.2 ?D? 77G'7 FAX #
PROPERTY OWNER ?1719 SL4/QC?h'1 l.Fi TELEPHONE #
.....'----......'--------'-------------""'----'-'--------"------"'.---""....'------------
COMPLETE THIS SECTION POR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ ?IINNESOT:1 RCLL:S 7670 C:ATEGOR7" I ?[I\NC•SO"C_A RCL1:576i`L
submission rype) . Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor:
Plumbing system includes:
Mechanical Contractor:
N[cch.uncaIscStcm includes:
Sewer/Water Contractor:
-- Air Couditioning
Elcal Rccoccn-Systcm
Phone #
Phone #
Fee: 590.00
Fcc: 570.00
-°----------------------------°--°---------...------------°------•------------°------- -...-------°---° •- ----
I hereby acknowledge that I have read this application, state that the information is ect, and agree to co ply
with ali applicabie State of Minnesota Sfatutes and City of Eagan Ordinan es. gY
Signature of Applicanf
-------------------------- ----------------- ---------- ---------- -------- ----------------'^--'--°-_.
OFFICE USE O`LY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4!02
1-1
RemodeVReoair Reouirements
• 2 ccpies of plan
. t set of Ene ,y Calculations for heated additions ?
S
VALUATION 7?0
Phone n
_ Ia?vn Spri?il:ler
No. of R.I. Baths
. 1,ite survey `or?xtenor addilions 8 decks
. Indicate if hcme served 5y septic system `or additions
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÷
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA113146
Date Issued:08/29/2013
Permit Category:ePermit
Site Address: 1372 Cosmos Lane
Lot:007 Block: 002 Addition: Wilderness Run 2nd
PID:10-84351-02-070
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
Kathleen Myrman
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 -
Renee M Sweetmilk
1372 Cosmos Lane
Eagan MN 55123
(952) 891-1919
Apex Roofing & Siding
944 Oriole Dr
Apple Valley MN 55124-0000
(952) 891-1919
Applicant/Permitee: Signature Issued By: Signature
R
Use BLUE or BLACK Ink
1^ For Office Use I
1
My Permit of Eajan I Permit Fee:
3830 Pilot Knob Road l 1
Eagan MN 55122 Date Received:
Phone: (651) 6755675 I t
Fax: (651) 675-5694 I staff-
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date:lV`0g'°W'~ Site Address: <.37;Z 67S/;C~0S L .tee -Unit
Name: J~ 4/►/ Loee /+t ' Phone: 4QJ-/-,2 /0'- 7.5".70
Resident) ~7
Owner Address / City / Zip: 3! .2, C-o-smos Applicant is: Owner Contractor
Type of Work Description of work: e '0 '14 Ce er d 2 p y~
Construction Cost: Mum-Family Building: (Yes 1 No
Company: Contactcx-'C -t l V\-z
zg•. City: gylal,-Al Vol
Contractor Address: ?-ZZY L,euj! 1
State: Zip: J ~7/0~ 7 Phone: 741P 3 `'R
License * 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 shnilar plan based on a master plan?
-Yes No f yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE. Plans and supporting docum c that you submit are considered to be pubitic information. Portions of
the information may be classed as non-public ff you provfciie specific reasons that would per aft the City to
conckrde that the are trade secrets
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection agairst underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities- www go"rstateonecall.org
I hereby ackrawledge 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 uNding Code mn a completed within 160
days o(f, permit issuance.
vill!
x
Applicant's Printed Name Applicants Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA122868
Date Issued:05/21/2014
Permit Category:ePermit
Site Address: 1372 Cosmos Lane
Lot:007 Block: 002 Addition: Wilderness Run 2nd
PID:10-84351-02-070
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the 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: 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 -
Renee M Sweetmilk
1372 Cosmos Lane
Eagan MN 55123
(651) 451-6835
Beissel Window & Siding Co
1635 Oakdale Ave
W St Paul MN 55118
(651) 451-6835
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA161803
Date Issued:06/12/2020
Permit Category:ePermit
Site Address: 1372 Cosmos Lane
Lot:007 Block: 002 Addition: Wilderness Run 2nd
PID:10-84351-02-070
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
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: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 -
Renee M Sweetmilk
1372 Cosmos Lane
Eagan MN 55123
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA177032
Date Issued:06/13/2022
Permit Category:ePermit
Site Address: 1372 Cosmos Lane
Lot:007 Block: 002 Addition: Wilderness Run 2nd
PID:10-84351-02-070
Use:
Description:
Sub Type:Water Softener
Work Type:Replace
Description:
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 -
Renee M Sweetmilk
1372 Cosmos Ln
Saint Paul MN 55123--172
Champion Plumbing Llc
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature