1376 Cosmos Lane;?.. . 'a
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?
` CITY OF EAGAN
1?+,
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3830 Pilot Knob Road, P.O. Box 21-193, Eagan, MN 55121 ?p
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PH O N E: 454-8100
BUILDING PERMiT Receipt #
To be used for om Est. Value t i QQQ Date -itlL S , 1991-
Site Address 1376 Cd8lDS isi
LOt _8- Block -2 SeclSul??8RNB88 Rl)!?1 2111
OFFtCE USE ONLY
Parcel No. occupancy ? FEes '
Zoning
W Name ??E1iT i1IL.'.ZI13 (Actuaq Const Bidg. Permit ?sQQ
?
_
Address 1376 CO? LN (Allowable)
o Surchargs
City g&?'-?H Phone 454-4372 # oi scories _.
Plan Review ?
!
Length ?
o Name i .1osam CMTUL"rTON Depth SAC
Cit h
h
Address 43W dl?LMD C 1
S.F. Total -
,
y
-
kx sac, Mcwcc ?
City R1?Cp PhOne _ 434•3002 S.F. Footprints _
t
W
C
~ On Site 5ewage er
a
onn ?
.i¢
Wc
w IVame On Site Well t
W
- Wa
er Meter ?
? ; Address Mwcc syscem _
s W
City PhOne
City water
_ Accl. Deposit ?
?
I hereby acknowlege that I have read this a
lication and
t
t
that th PRV Required
Booster Pum _ S/w Permit
pp
s
a
e
e
infortnation is correct and agre to compiy with all apPIIicable Siate of p - SNV Surcharge
a
Minnesota Statutes and Ciry of agap'Or es.
/ i
/ Treatment PI ?
f
Signature of Permitee ? APPROVALS Road Unit
A Building Permit is issued to: J JOSEPR CONSZ'$UCT ON
on the expre5s Condition that all work
h
ll b
d
i Planner
Council - park Ded. ?
s
e
one
a
n acCOrdance with all
applicable State of Minnesota Stat
te
d Cit
f E
O
Co
ies 7
u
s an
y o
agan
rdinances. gld9, pff. p
_
Building Official - Variance - TOTAL Z?• ?
Permit No. Permk Holder Date Telephone #
WATER
SEWER
PLUMBING
H.VA.C.
EIECTRIC
Inspettion Date (nsp. Camrr+er+ts
Footings I
Foundation .
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Orstat Test
Final Plbg. Plbg. Inspector - Notity Plumber
Const. Meter
Engr./Plan
Bldg. Final
Dedc Ftg. Az
Deck Final q?s y
Weli
Pr. Disp.
CITY OF EAGAN Remarks
Addicion ilderness Run 2nd Addition Lot $ aik 2 Parcei 10 84351 080 02
Owner ?{ Screer •1376 Cosmos Lri_ Sfate Eactanl MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SUR F.
STREET RESTOR.
GFiADING
SAN SEW TRUNK 2AI 1973 $175.00 $8.75 20 PAID
SEWERLATERAL
WA7ERMAIN
WATER LATERAL '
WA7ER AREA
STORM SEW TRK
1981
259 00
17-20
1
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGNT
WA7ER CONN. $320.00 7638 3-23-73
BUILDING PER.
sac 240.00 7638 3-23-73
PARK
. Y-- ?- -')?
VILLAGE OF EAGAN w ?
3795 Pilot Knob Road `
Eagan, Minnesota 55122
PFRP+IIT NO.: =
The Village of Eagan hereby grants to Keil &:8ubbard FIeatina a A/C Co.
o£ yy Nortn Sna714ng Avenue. $t Paul 55104
a HEATING Permit for: (Owner) T11sen Conatruction Co.
Tran
at ? 6 osmoa &$383 aaledm , pursuant to application,dated 4/25/73
Fee Paid: 9Lp,00 dated this 30th day of Am.qY
1.00 s/C
Building Inspector
Mechanical Permits:
Bid 'Potal;
'R -z cC). Z - Z,
s'TLLAGE OL' EA(rAid
3795 Pilot Knob Hoad
Eagan, hin;:.:,sota 55122
PERii1IT N0. 325
The Villaga of Eagan hereUy grants to Lauia H. Peter Co.
_ of 1854 6rand Ave., st. Pau1 55105
a PLUMBIN(3 Permit for: (Owner) Tilsen Conetru4tion Co.
at 1376 CoBmos,Laite , pursuant to application dated 4/13/73
Fee Paid: $20.40 dated this 23rdday of APx':U 1 73
9
. s c p
Building Inspector --
T"ischanical Permits:
?
Sid Tota1:
?
- EAGAN TOWNSHIP
BUILDING PERMIT N° 2918
Owne: _'-'_?...?":".-...--.?:".°?'."°t.:?...._-,°,C?.°?.'?-[- ?--"--.-----'-"-- Eegen Township
Address (Pxesen!) ---G.a'Z..__...?._----.a!:?.^.?"?"T'7i_..........._ Town Hall
O
Buildes ................................................................................................ Dale .... 7 _ 7 L
.......................
Addresa ............ ....................... ............................................... ...........
DESCRIPTION
6torias To Be Usad For Fron1 DePih Hei4h! Esi. Cos! ' Permi! Fee Remarks
? rti 7?F, Pne asaao
/c-
° LOCATION __1-9 a• 00 os
/ 3 8'O a-.
S'c }04 ?p -3
./:3'73
This pesmit doas not auihosise the use of cireeis, zaads, alleys or sidewalks nor doea it give the ownez or hfa agen!
the righlto creale any silusiion which is a nuisanoe or which presenls a hazard !o the healih, safefq, eonvenieaca and
genaral welfare 2o anpone in the communiiy.
THIS PERMIT MUST BE KEpT ON THE PREMISE WHILE THE WORK IS IN PROGRESS
This is !o certify. 2hai---_a... :"--.._...............has parmisaion to ereat a.....'.4?.......---- e?'---........_upoa
the ebove described premise subjea! !o the provisions of the Building Ordinance foz Eagan ownship adoplad Apiil 11,
1955.
..."--"".1.St°?:?'.:'_.[.'..""-...1/.?..4,.Z_.. Pei .................kQ:`., ...
?'lv ?a."".. .. """'....__ ................._"'
Chaum?d• ,Q$ Bvilding Inspecfor
?
C:2.lWY1Q1 vt\d?-rL ``I"Z W-K.2-
t ? EAGAN TOWNSHIP
BUILDING PERMIT
Owne: - -'?--'--(.-?y?.-a?C.
? /? • °
Addresc (present) ...XK-...... y............ _?'?-?----?
...... ..--
Builder ._........... ........... ........ _._..... ..........
Address
DESCRIPTION
N° 2922
Eagan Towaship
Town Hell
. ..7 z"-
Date _?'...
Sioriesl To Be Used For -
- -F- xoni Depih
- fieighl Esl. Cost P
ermi! Fee Remarka
?
?w?? /Y7 9a ° y
?I
U? 7S•
" LOCATION -S4/6' P"
Sireel. Aoad or other Description of Locafion I Lo! 81ock Addifion or Trac!
/ 367 *'/ 3 77 37 L, ) 3 y i 7 3 9}- G.-?-.-?.+-- • '/ G 8-- --
i 3? ? a ? 3 y a I/? ? i> a- 2?,?-?.?.u?+-<----? 2`*?-? 2
This permii doec not aulhorise the use oi sireefs, roads, alleys or sidewalks nor does it giva the ownar or dia agen!
the right to create any siluation which is a nuisanee or which presenis a hazard to the healih, safely, eonvenianee and
general weltare to anyone in the communify.
THIS PERMIT MUST BE, E? P,T ON THE PREMISE WHILE THE WORK IS IN PAOGAESS.
r ,
This is !o cerfifY, lhai-.-.--J:. ??-'-???....------------- ..has parmission !o ereci a._..?.?... . ......... .................. . . ............ uPon
the above desezibed premise cubjeei !o the provisiona ot the Building Ordinance for Eagan T wnship a opled April 11.
1955.
) ?'ciL-.'.:^.-??......?_.`....Per .... _............................................. `
................
"." ...................
C rd rj Suilding lnspeefor ?
YILLACE OF EA6AN WATER SERVICE PERMIT
3795 Vilot Knob Ropd
Eogan.MN 55144 PE;RMIT? 1134
DaTE:3/z?%73 (12j29 72
Zoning:
Owner: No. uf Units: ?
Address
Site Adc
Plumber.
Meter No.: Connection Charge:*•0
Size: Aceount Deposit: .
Reader No.: ?I <<?t lt ?
0
Permit Fee: ? 0.0
? agree ro comply wifh the yillage of Eagnn r+
Surcharge: •7?
Ord'^°"O°s• Misa Charges:
Total:
By Dare Paid:
Da[e of Insp.: [nsp.:
MASTER CARD
LOCATION
= z - r.J iQ -z--
OWNER
STRUCTURE AND
LAND USED AS
Permit
No. i
Issued Issued To
Con}ractor Owner
-
BUILDING -
PLUMBWG
CESSPOOL - SEPTIC TANK
VdELL
ELECTRICAL
HEATING
GAS INSTALLING
I -
SANITARY SEWER
OTHER 1 (I)q
/ I
OTHER I
Items Approved
(Initial)
I I
? Date Remarks
Distance From Well
PGOTING SEPTIC _
FOUNDATION x I CESSPOOL
FFAMING x T1LE FIELD FT.
FINAL --r
ELECTRICAL
HE4TWG ? DEPTH
OF WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLl1MBING ?
WELL
SANITARY SEWER
Violations Noted
on Back
COMMENTS:
? 4a.a-1 RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
NewConsWction Reauiremente
• 3 registe2d site surveys showirg sq. ft. of lot, sq. fl. of house; and all roofed areas
(20% mazimum lot coverege allaxed)
. 2 capies of plan showing beam 8 windmv s¢es; poured found design, etc.)
• 7 set of EneMy Calculaliom
• 3 copies of Tree Preservation Plan'rf lot platted after 711193
• Rim Joist Detail Options selection sheel (Mdgs with 3 or less unifs)
DATE !r- /` 6) 7-
SITE ADDRESS
TYPE OF WORK e Sr J-e.?
APPLICANT Zx / SS e-
STREET ADDRESS IIC, -3S D/??i?'4rAlP 0
TELEPHONE # !?_2 6 F_?5 CELL PHONE #
RemodeVReDair Reouiremenls
• 2 copies of plan
• 1 set of Energy Calculations for healed additions
• 1 site survey for ezterior additions & decks
• Indicate if home served 6y septic system tor additions
(V
VALUATION
MULTI-FAMILY BLDG _Y `?
_ FIREPLACE(S) _ 0 _ 1 _ 2
6CJ S STATE?ZIP 5 J??
FAX #
PROPERTYOWNER 4,06 sA,a'/Z Fr/>/Z,-/ TELEPHONE#
COMPLETE FOR KNEW" RESIDENTIAL BUILDINGS
Energy Code Category _ MINNFSOTA RULF.S 7670 CATEGORY 1 MI
(4 submission lype) . Residential Ventilation Category 1 Worksheet Submltted •
• Energy Envelope Calculations Submitted
Plumbing Contractor: __ Phone #
Plumbing systcm includes: Watcr Softener _ Lawn Sprinkler
Water Heater No. of R.I. Baths
No. of Baths
Mechanical Contractor:
Mechanical system includes:
Sewer/Water Conhactor.
_ Air Conditioning
Heat Recovery System
I hereby acknowledge that I have read this application, !
with all applicable State of Minnesota Statutes and City
Signature of
OFFICE USE ONLY
Phone #
Phone #
T?gT? U mI?
AUG 0 7 2002
RULES 7672
Fee: $90.00
Fee: $70.00
is correct, and agree to compiy
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
` 1991 BUI ?NP?fIT'APYLTCATION
SINGLE FAMILY DWELLINGS
2 SETS OF PLANS
3 REGISTERED SITE SURVEYS
1 SET OF ENERGY CALCULATIONS
CITY OF EAGAN
lNLTIPLE DWELLINGS
COMlfERCIAL
2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
REGISTERED SITE SURVEYS - 6 STRUCTURAL PLANS
(CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLZES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY IAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALIAWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER,
To Be Used For: -El-G 'LC Valuation:
Site Address 1-326 c__pS?fc> C..,-/_
Lot ? Block ?j
Parcel/Sub "vipa.1.
Owner 0.86KK7- "1^15
Address 1376, `.pS~tlS
City/Zip Code ??q('?.a-? SS?Z3
Phone yv'?y - 737Z.
Contractor J__ )05't0.a C-a-vsT
Address
City/Zip Code G?a?.?..i SS?Z3
Phone ?,.57 - .Sp p 2.
Arch./Engr.
Address
City/Zip Code
Phone #
Date:
TNL.. 0 F RECO
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F.
On site sewage
On site well
MWCC System
City water
PRV
Booster Pump
APPROVALS
Planner
Council
Bldg. Off.
Variance
FEES
Bldg. Permit 25,
Surcharge , Sd
Plan Review
SAC, City
SAC, MWCC
Water Conn.
Water Meter
Acct. Deposit
S/w Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trail Ded.
Copies
SUBTOTAL
Penalty
Lot Change
TOTAL Qs
? agrees that all work shall be done in accordance with
ignature of Contractor)
OFFICE
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
a4 ~ ?
? v . •? ~
` CITY OF EAGAN N2 19372
3830 Pilot Knob Road, P.O. Box 21-799, Eagan, MN 55121 BUILDING PERMIT PHONE:454-8100 Receipt# (-,43CJe)
To be used for DECK Est. Value $2 ; ffo? Date JUL 5 , 1g 91
Site Address 1376 COSMOS LN
Lot $ Block 2 Sec/SubWILDERNESS RUN 2N OFFICE USE ONLY
Parcel No. acupancy - FEEs
2onin(j
a Name ROBERT WILKINS (ACtual)Const - BIdg.Permit 25.00
W
; Address 1376 COSMOS LN (Allowable) - Surcharge . SO
? Cit EAGAN Phone 454-4372 +roiSrories -
y Length _ Plan Review
, o Name .1 JOSEPH CONSTRUCTION Depth - SAG City
gQ Address 4380 MALMO CIR S.F.TOWI - SAC,MCWCC
? City EAGAN Phone 454-5002 S.F. Footprints _
On Site Sewage - Water Conn
?
W w Name On Sile Well - Water Meter
z? Address Mwccsysiem - .
Awt Deposil
iw City Phone Cirywatar -
PRV Required - S/W Permit
1 hereby acknowlege ihat I hav read this application
Minnesot and state ihat the 8ooster Pump - SNJ Swcharge
intormation is correct and ?mply with all appl'ca e te of
a Statutes and Ci of ag r erraA€85. Treatmenl PI
Signature of Permitee APPROVALS qoyd Unit
n Building Permit is is d to: J JOSEPH CONSTRUCTION Planner - park Detl.
on the express condition that all work shall be done in accordance with all Council
applicable State of Minnnesota Statutes andy yC?ity of Eagan Ordinances. gla9, pry_ _ Copies
BuildingOfficial ,S1N?!?DALS.?I "`L? Variance - TOTAL ?S.SU
,
CITYUSEONLY
L ? BL o? RECEIPT#:
SUBD ? L J RECEIPT DATE:
1997 PLUMBING.PERMIT'(RESIDENTIR_)
arY oF eacant
i I 3830 PILOT KNOB RD
? • EAGAN, MN 55122
(612)681-4675
Please complete for. . single family dwellings
P townhomes and condos when permits are required for each unit
. backflow preventer for underground sprinkler system
F!J(TURES EACH ?Q. T TA
Shower 3.00 x =
Water Closet 3.00 x =
Bath Tub 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x =
Ho /S a 3.00 x =
ater Mea 3.00 x
oor rain 3.00 x =
Gas Piping OuUet ' min'.mum - t • 3.00 x =
Rough Openings 1.50 x =
Water Softener ' far dwallings under construction 6.00 X =
WaterSoftener 'rorexist;n9awanin9 20.06 x =
U.G.Sprinkler 'tordweliingunderwnst :..00 =
U.G. Sprinkler "!or existlng dwelling 20.00 =
Alteradons ' to existlng residence 20.00 =
Water Tum Around 20A0 =
Private Disposal System ` Dak Cry lia 75.00 =
(new and refurbished systems)
Private Disposal Systems' nbanaonment 20.00 =
STATE SURCHAC:GE .50
TOTAL
I hereby aeknowledge that I have read this applieatlon, atata thet the iMormetlan is arred, and agree to oompy with all applicabla City
of Eagan ordinances. tt is ttie applieaM's respona3ility W notlfy the property owner Nat the City of Eagen assumes no IiabilHy for any
damages caused by the Ciry durinp ib nomiai oparational and maiMenence ectivilies W the fadlities corswUed under Mis partnit wRhin
Cily propertyMght-of-way/easement. WILKINS, MARGARET -
1376 COSMOS LANE
SITE ADDRESS: EAGAN, MN 55123
OWNER NAME: (612) 4e4-4372 I
INSTALLER Nr";ME: KMNDA 1'C UMBIN L7 TELEPHONE #: 27-74913
STREETADDRESS: L'"?V? l?/{?SI-I
ciTY: MPLSt
STATE: IUIN , ZIP: 4 4nP
SIG OF PERMITTEE
s
EAGlaN TOWNSHIP
3795 Pilot Knob Road
St, Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR SEWER SERVICE CONNECTION
DATE:12/29/72 (3/28/73)
NUMBER 12Q'?
OWNER•Tilsen Construction Co.
Address 1376 Cosmos Lane (,J (-,. ?)-
PLUMBERL. Gallati for Luecken Exc. TYPE OF PIPE heavy cast iron
DESCRiPTION OF BUIIA ING
Industriall Commerciall Residential ` Multiple Dwelifag I No. of un£ts
ax
Location of Connections:
Canaection
Permit Fee 10.00 pd 12/29/72
Street Repairs
Total
Inspected by:
Date
Remarka•
By
Chief Inapector
In coasideratioa of the issue acyd delivery to me of the above pexmit, I
hereby agree to do the proposed work is? accordance with the rules and
regulations of Eagan Toc•mship, Dakota CounCy, Mianesota
$Y
L. Gallati for Luecken Exc.
Please notify when ready for inapection and connection and before any portion
of the work is covered.
? <P S-0
2007 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
?3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
-`. Please cnmplete for. single family dwellings & rownhomes/condos when pexmits are required for each mit
Datr=?2-
Site Address 13-7 (,. C aSrnOa x-n • Unit #
Property Owner ??Obetcr- ? f I k-,,t Yl5 Telephone # 6il1 ) `"f &4- 4 J -7Z-
Contractor Dan Wohlers Southslde Htg. & A/C
6950 W. 146t' St., #106
Streec Address Apple Valley, MN 55124 - c'Ty
State (952) 431-7099 Telephone# ( )
Bond #: Pl- 1- QcJLI -7qF3_7 Expires: 0E1_a6-d Z
T6e Applicant is Owner X Conhactor Other
Fire repair (replace burned out appliances, ductwork, etc.) $ 90.00
Th's fee applies when extensive mechanical repairs are made to a building.
Add•on or alteratiou to existing dwelling unit $ 50.00
?- fumace _Additional X Replacement _ New
air exchanger
air conditioner
heat pump
otlier
StateSurcharge (?I ?`-"" ? III?
v $ .50
? U 1 2 2?U7
l $?• ??
Tota
1 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 Ciry of Eagan and with the Mechanical Codes; that I understand this is not a
permit, but only an application for a pertnit, and work is not to start without a permit; that the work will be in accotdance with the
approved plan in the case of work which requires a review and approval of plans.
Ctc-?A? 6d, !& cQ.. LJ
ApplicanPs Printed Name Applicant's 5ignature
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EACAN
3830 PILOT KNOB RD, EAGAN MM 55122
651-681-4675
New Construelion Reauirements
• 3 registered site surveys showlrg sq. ft. of lot, sq, ft. of house; and all roofed areas
(20% maximum lot coverage allowed)
• 2 copies of plan showing beam & window srzes; poured found design, etc.)
• 1 set of Energy CalcWations
• 3 copies of Tree Preservation Plan iF lol platted aXer 711193
• Rim Joist Detail Optians selectbn sheet (61dgs with 3 or less un'rfs)
DATE `?-__1_ 5- 6 )-
SITE ADDRESS l
TYPE OF WORK_ -t-GLt GIi fi'4c
APPLICANT1?oknL cz, STREET ADDRESS UY ! UIx 69 2
TELEPHONE # 152-j9/`19/g CELL PHONE #
PROPERTY
Ki, rts
RemodellRewir ReouiremeMs
• 2 copies of plan
• 1 set of Energy Calcula6ons for heated additions
• lsitesurveyforexlenoradddions&decks
• lidicate if hane served by septic syslem for additions
VALUATION
MULTI-FAMILY BLDG _Y _N
_ FIREPLACE(S) _ 0 _ 1 _ 2
ia.-v
FAX #
TELEPHONE#(0S ?-45L1 -u37 -)-
---------------------------------------------°--°--------------------------------°---°-----
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RUI.CS 7670 CATEGORY 1 MINNESOTA RUI.ES 7672
(J submission type) . Residential Ventilatlon Calegory 1 Worksheet Submitted • New Energy Code Woricsheet Su6mitted
. Energy Envelope Calculations Submitted
Plumbing Contractor: __ Phone # _____
Plumbing system includes: _ Water Softener Iawn Sprinkler Fee: $90.00
Water Heater No. of R.I. Baths
No. of Baths
Mechanical Contractor. Phone #
Mechanical system includes: _ Air Concliuoning I'ee: $70.00
_ Heat Recovery System ? ? f1 flf) f? (?
iJ?lc' li IJIII
Sewer/Water Contractor: Phone
?i
""""-""""-""""----°°----------°-"'""""""""""'----------°--""""j"""""-°---------°- ---
I hereby acknowledge that I have read this application, state that the information is correct ancLag[e?t-D.cacra?iy
with all applicable State of Minnesota Statutes and City of Eagan Ordins.
Stgnature of Applicant
-------------°----°---°-------------°--__----_--------______---°------------
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated M02
■
VILLAGE OF 'EAGAN WATER SERVICE PERMIT
3795 Pilot Knob Rood y PERMIT /� 1131j
Eagan, MN 55122 / DATE: 3 /cid/ t 3 (1 2/29/72
)
Zoning: R -1 No. of Units: 1
Owner: Pilsen Construction Co.
Address:
Site Address: 1 376 Cosmos Lane
Plumber:
Meter No.: Connection Charge: 34 %00 Pd 3./
Size: Account Deposit:
Reader No.: Permit Fee: 10 !,/ \/
I agree to comply with the Village of Eagan Surcharge: .50{ ( \
Ordinances. Misc. Charges:
Total:
By Date Paid:
Date of Insp.: Insp.:
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA113455
Date Issued:09/04/2013
Permit Category:ePermit
Site Address: 1376 Cosmos Lane
Lot:008 Block: 002 Addition: Wilderness Run 2nd
PID:10-84351-02-080
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
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 -
Robert L Wilkins
1376 Cosmos Lane
Eagan MN 55123
(612) 209-7767
Apex Roofing & Siding
944 Oriole Dr
Apple Valley MN 55124-0000
(952) 891-1919
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA131492
Date Issued:06/22/2015
Permit Category:ePermit
Site Address: 1376 Cosmos Lane
Lot:008 Block: 002 Addition: Wilderness Run 2nd
PID:10-84351-02-080
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
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 -
Robert L Wilkins
1376 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:Mechanical
Permit Number:EA168849
Date Issued:05/06/2021
Permit Category:ePermit
Site Address: 1376 Cosmos Lane
Lot:008 Block: 002 Addition: Wilderness Run 2nd
PID:10-84351-02-080
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
210-0754.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Margaret L Tste Wilkins
1376 Cosmos Ln
Eagan MN 55123
(651) 454-4372
Controlled Air
21210 Eaton Ave
Farmington MN 55024
(651) 460-6022 X253
Applicant/Permitee: Signature Issued By: Signature