1387 Cosmos LaneCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1387 Cosmos Lane
Lot: 013 Block: 002 Addition: Wildemess Run 2nd
PID:10- 84351- 130 -02
Use:
Description:
Sub Type: e - Fumace
Work Type: New
Description: Furnace
Comments:
Fee Summary:
Quesetions regarding elec
952- 445 -2840
Ashley Orman
130 Plymouth Ave N
Contractor:
Standard Heating & Air Conditioning
130 Plymouth Ave. N
Minneapolis MN 55411
(612) 824 -2656
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
Permit Type:
Permit Number:
Date Issued:
Permit Category:
cal permit r equirements should be directed to Mark Anderson, State Elec
ME - Permit Fee (Replacements)
Surcharge -Fixed
- Applicant -
Owner:
Moises T Agustin
1387 Cosmos Lane
Eagan MN 55123
$50.00 0801.4088
$0.50 9001.2195
$50.50
Mechanical
EA092395
12/22/2009
ePermit
cal Inspector,
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
CITY OF EAGAN Remarks
Wilderness
Additio Run 2nd Addition Lot 13 Rik 2 Parcel 10 84351 130 02
?
Owner1LQd?' f, Street 1387 Cosmos Ln. State Eaqan, MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
5AN SEW TRUNK 1973 $175 .00 $8.75 20 PAID
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA Paid h t t n eCti A 1 1/73
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
1
SEW CONN 1974 $240.00 $48.00 5 PAID
WATER CONN. $300.00 6264 8-15-72
BUILDING PER.
sac $240.00 7192 1-8-73
PARK
cinr oF EAGaN
3795 Pilot Knob Road Eagon, MN 55122 N2 5897
PHONE: 454-8100
BUILDING PERMIT Receipr #
To ba uMd for Est. Value . Dote . 19
Site /Wdress Ered J] Occuponcy
Lot Block Set/5ub. Alter Q Zoning
parcel # Repoir ? Fire Zone
Enlorge ? Type of Const.
ac Name
W
?
Move
# 5tories
z
Address
Demolish ?
Front k.
Ci Phone Grade ? Depth ft.
a: Nome Approvals Feas
d Address Assessment Permit
~ Ci phon Woter & Sew. Surcharge
e police Plan theck
F,w N°'^e Fire SAC
?? Address Eng. Water Cdnn.
<W Ci Phone Planner Woter Meter
Council Road Unit -
I hereby acknowledge that I have read this opplication and scate that gidg. Off.
the information is correct ond ngree to tomply with all applicoble APC Totol
$tote of Minnesoto $totutes and City of Eagan Ordiraonces.
Signoture of Permittee
A Building Permit is issued to: on the express condition thot
oll work shell be done in acoordance with oll opplicable Stcte of Minnesota Stctutes ond City of Eagan Ordinances.
Building Officiol
v.n.k # Dar. Im.a F.n.+fN.
Plumbing
Mechonicol
INSPECTIONS OATE INSP.
Rough-I n
Fi rwt
Footings Dote Insp. Date Insp.
Foundation Plumbing
Frame/ins. Mechanical
Final
?j?j .
Remorks: ?`?Ir0 rt ."?'? ??A???- -
y /
CITY OF EAGAN
3795 Pilot Knob Road Eagan, MN 55122 N2 4520
PHON E: 454-8100
BUILDING PERMIT Receipt #
To ba ured for Dcte , 19
Site Address Erect Q Occupancy
Lot Block Sec/Sub. ?- Alter p Zoning
Parcel }k Repoir ? Fire Zone
e ?
E
lar e of Const
T
g
n .
yp
W Name Move ? #? Stories
3 Address _ Demolish ? Front ft.
0 Ci Phone Grade ? Depth ft.
?
e.........A.
Fp.,:
a Nome _
Zu
O? Address
Name
Assessment _
Water & Sew.
Police
Fire
Eng.
Planner
Council
Permit _
Surcharge
Plan theck
SAC
Woter Conn. _
Water MeTer
I hereby acknowledge that I hove read this application and state that gldg. Off.
the information is correct and agree to comply with oll opplicable
State of Minnesota Stotutes and City of Eogon Ordinonces. APC Total -`%
5ignature of Permittee
A Building Permit is issued to: on the express condition tfiat
oll work shnll be done iri accordance with oll applicoble State of Minnesota Statutes and City of Eoson Ordinances.
I
Building Officiol
?omM # Dah Ifwed ? P?kfM
Plumbing
Mechonical
INSPECTIONS DATE INSP. Rough-In Ffral
Footings Dote Inao. Dote Inep.
Foundation _ Plumbing
Frome/ins. ???iool
Finol -,6,
Remarks:
?
cirir oF EaGaN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
U387 r,OSlMElS
411LEItiilSu R11M 2#lD
PERY,IT PUBTYPE:
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
LO? t1a eILocK ?.APPLICANT:
i.AME l17QiJC5T FEMCL
(612) 451-2221
TYPE OF WORK:
Control No. 0911
HUTIqtMA
•A1216
oe/Y7/4?
tit.u
Pennlt No. Parmit Moldw Dab Talepl?ons N
S/W
PLUMBING
NVAC
ELECTRfC
ELECTRIC
Inspsction Deb kup. Comments
Footings I
Foundation
Framin9
Roofing
Rough Plhg. 'i
Rouflh Htg.
laul.
!
Flreplece
Final Htg. I
Orsat Test
Fksaf Plbp. Plbg. Inspector - Notify Plumber
Const. Meter
EngrJPlan
B{dg. Finat
DeCk Ftg.
oeck Final
weu
Pr. oisp. Q? ?
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
, INSPECTIQN RECORD
PERMIT SUBTYPE:
PERMIT TYPE:
Permit Number:
Date Issued:
I'lt I i ,I, , APPLICANT:
F ANt
i 4'.?i..
TYPE OF WORK:
tsli iI n i noi
0 ' ! iHa E
•6 /OF3!94
i? r E- n I It
r?? ..? ?< ? i? r??itw I I{?l0f I
INSPECTION
, ;i, .. . ..
+,1'111,H
-----------------
?
?
Permit No. Permft Holder Date Tekphona x
SNV
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspection Date Inap. Commsnts
Footingsl
Foundation
Framing
Roofing t,ev/% o5 "
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Orsat Test
Flnal Pibg. Plbg. Inspector - Notify Plumber
Const. Meter
Enpr./Plan
Bldg. Fnal
Deck Ftg.
Deck Final
Well
Pr. Disp.
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EACAN q?
?-? 3830 PILOT KNOB RD - 55122
651-681-4875 l U G
NewConstruction ReouiremeMS RemodeVReoairReauirements
. 3 registered site surveys showing sq. ft. of lot, sq. ft, of house; anll roofed areas • 2 copies of plan
(20°h maximum lotcoverage albwed) • 1 set of Energy Calculations for heated addNOns
• 2 copies of plan showing beam & window sizes; poured found design, etc.J . 1 site survey for ex@tlor additions & decks
. 7setofEnergyCalculations • Indicateifhomeservedbyseptlcsystemforadditions
• 3 copies ol Tree PreseNation Plan if lot platted afler 711l93
• Rim Jast Detail Options seledion sheei (bldgs wiGr 3 orless unib) ?
DATE 10 I?j:?o I VALUAION F/-rn, LTD
JOB SITE ADDRESS l3 g-1 Co Smos
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER
TYPE Of
_ 0 _ 1 _ 2
APPLICANi IZ, Ly < PHONE# (ssl-YSq-$lIE'
ADDRESS SGV? ZIPCODE
PAGER #
CELL PHONE #
FAX #
NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY
Energy Code Category
(check one)
MINNESOTA RULES 7670 CATrGORY 1
- Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
MINNESOTA RULES 7672
Plumbing Contractor. _
Plumbing System Includes:
Mechanical Contractor:
Mechanical System Includes:
Sewer/Water Contractor:
New Energy Code Worksheet Submitted
Phone #:
Water Softener I,awn Sprinkler
Water Hcater No. of R.I. Baths
No. of Baths
Air CondiRoning
Heat Recovery 3ystem
All above information must be submitted prior to processing of application.
Phone #
Phone #
Fee: $90.00
Fee: $70.00
I hereby acknowledge that I have read this application, state that the information is co?rect,.and-agree30`ly
with all applicable State of Minnesota Sfatutes and Ciiy of Eagan Or"iances.
(
SlgnatureoFApplicant
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 1f01
CITY OF EAGAN
- - 3795 Pilof Keob Road Eogua, MN 55122 N2 5897
PHONE: 454-8100 /?5G ?
BUILDING PERMIT APPLICATION Receipt #
Te be uaed fo. GAR.AGE SIDING Est. Value 700.00 Dote .T iina 2519_8D_
Site Address 1387 Cosmos Lane - Erecr rJ Occuponcy -;}.?---
Lot 13 Block 2 Wild. Rllri I
Sec/Sub I Alter ? Zoning Rl
.
p
l Repair ? F(re Zone TTT
#
arce
Enlarge ? Type of Const.
W NeTe Wayne M. Riley Move ? # Stories
3 Address Saine Demolish ? Front _ ft.
°
Ci Ea
gan, 5512
3 phone 454-8118
Grode ?
Depth
fc,
a Name same APprovals_ Faes
a _
?
?? Address
F n..,
Nnme _
Address
I hereby ockrwwledge that I have read this application ond state that
the informotion is correct and ogree to comply with all applicable
State of Minnesota Smtutes and City of Engan Ordippncr,s.
Signature of Permittee -
A Bullding Permit is issued to: _
oll work shall be done in accordance
Assessment Permit S -(N1
Woter 8 Sew. Surcharge 5(1
Vo!ice Plan check
Fire SAC
Eng. Woter Conn.
Planner Water Meter
Council Rood Unit
BId9
Off 0
,
.
APC Totol 5, 50
on the express condition that
Stotutes and Ciry of Eogan Ordinances.
Building Offidal
CITY OF EAGAN
BUILDING PERMIT APPLICATION
'Ib Be Used For • e _ aluation "? (? ? ?7? Date -
Include 2 sets of plans,
1 site plan w/elevations &
1 set of energy cal ations.
Site Address 1.?5 7?p,5/?S ? e OFFICE USE ONI.Y
Lot /3 B1ock .2 sec.Isut>. GvIPTI
Parcel #:
aaner: yt/au? ?J7• ?'/e4r
?
?
Address: ,Ca /l ?
City/Zip Code: .?'Q 4 v"•S?/o?.?
Phone #:
ContractAr: Sairlc
Address:
City/Zip Code:
Phorie # :
Arch.JFhg.
Address:
City/Zip Cocle:
Phone #:
Frect Occupancy PC j
Alter Zoning Q2 1
Repair Fire Zone
Enlarge ! Zype of Const.
Nbve # Stories
pFSrolish Front £t
Grade Depth ft.
APPROVALS FEES
Assessments Pernut.
?aater/Seaer Surcharge ? SU
Police Plan Check
Fire SAC
p1q, Water Conn.
Planner Water Meter
Council Road Unit
Bldg. Off.
APC
TOTAL IS-. ??C?
i
CI1.: . ,n,F P1? =:..nl
37('5 I`i?tot, I,'ncb i;^afl
!aJ r? -0-
E .? _ '.•tir_,c: ota ? ??
Fl?uC T NO.: 44 ?
------ i-
T:re City o#' Ea,an harcby g^ants tio Lirnisay Aater Coaditioaiaq Oo.
r_.f 4215 Cedar Ave. So.
--------- -- - i
w water Softener °e-Imit for: ((hwner)_ B'Hilsen, L. Pasket, V. Cofoed,-and
-=.
a
--&A3Z/28--&-6Ap6
Pee _^37.'.: „52Q.9Q? da:hed $his Zp day oi Jun6 ? 1Q 76
2.Op s/c - . : ' '; ? •
tll `f'O'G:1l:
Euilcing Inspector i
?.
?
i
?
3
TOWN OP EAGAN
3795 Pilot Knob P.oad
Eagan, Minnesota 55121
PERMIT N0. Z?
The Board of Supervieors hereby grants to 'deii & FiLihbAvd nw4.?.n?s
of 99 No Sie11.7ne. St. PmQ 5510L
a HSATIN(i P? t for.: (6wner) Tilsen Ownetsvntim Co.
1386 Gleamea 38 Commoo Z
at andl;23b 31m6rkdsv ;&? , pursuant to appllcation dated
9/2S/T2
l?y
Fee Paid: _Up pp Dated this , ?d day o£ nnt.o?+r.. s
1 ? r?p e/e
Bui.lding Inspector
, .;?-
M?? ;?,
TOTi1N OF EAGAN
:+795 Pilot Knob Road
lsagan, Minnesota 55122
PERMIT N0. 227
The Board of Supervisors hereby grants to J. F. FarreTl & Sarl plumbiag Co,
of 990 w. N'.otstatla Ave., St. Pau.7. 55117
e pLaMING Permit for: (Owner) T31seri ConatruCtion
? 1 386 & 1372 Clecna Lane t 386-ti7 Cosmos Iane,
at 4271 & 4303 La3gepole & T436 Sigfrid. , pursuant to application dated
6/15/72
Fee Paid: y140•00 DaCed this 15th day of Jut?8 , 1972
3.70 a c -
Building Inspector
?
?
T EAGAN TOWNSHIP
BUILDING PERMIT
OWOBI ..........'?^'-..-.:. _..'""" .?°.?..?..-.-.""""_'__"_"""""_""""'
J p
Address (Bresent) .....!41?e.^r..?0-`°e
$I111f3ET "'""""".:-.."""'?"'_"""_"'""""'"""__"""'"__"'""'""'
Aaa:eBg
DESCAIPTION
N° 2794
Eagan Township
Town Hall
................ .
aa:e .... 8-???-9---??
5fories To Be Vsed For Fron! DepYh Haighl Esl. Cas! Permi! Fee Ramarks
i7 7?a
?
y ,rr
3m?
'Ria..?.t.._R. .4.oS("Y?.oow-.?-+-st\ LOCATION 1, 6.ro
or
/ 3 P" -7 X-.. I 13 I a- IA"` L
This pexmii does not auihosiae the use of streeis, roads, alleys or sidewalks nor does i2 give the owner or his agenf
the right2o creale anp siluaiion which is a nuisance or which presenls a hazard fo the heallh, cafefy, coavenience and
general welFare !o anpoae in the communilp.
THIS PERMIT MUST BE PPT ON THE PREMISE WHILE THE WORK IS IN PROGAESS.
T6is is !o eerlifp. 71?ai---_?sJ?-r------------ has permisaion !o erect a.... ....._.`.............. upoa
._
... .................
the above descriLed premise subjeet to the provisions of the Buitding Ordinance for Eega Tawnsopled April 11,
1955.
...... -------------------- ------- .=--?..'---°°--... Per ....---...---------------- Suild
..°'-' .......:..................
Chairman of T !12!-^.???------ing I aa .
nwn Board peclor
.6 ?
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
LOT: 13 BLOCK: 2
1387 COSMOS LANE OVERHEAD CtlNST
WILDERNE6S RUN 2ND (612) 463-4592
PERMIT SUBTYPE: TYPE OF WORK:
SF (MISC.)
DESCRIP7ION
BUILDING
023841
06/08/94
REPAIR
(ROOFING)
INSPECTION
FRAMING .. .
ROUGH IN PLBG .•
ROUGH IN HTG FINAL
?
?
_ _ __ . . _ . _. ,. _ _ ._ . . 7
_ - ?
MASTER CARD
IOCATION L p f/H o s. /3RT - 13 •J-
OWNER
STRUCTURE AND
IAND USED AS
Permit
No. ?
Issued ? Issued To
Conira<tor Owner
BUILDING
PWMBING
CESSPOOL - SEPTIC TANK
VJELL
ELECTRICAL
HEATING
GAS INSTALLING
SANITARY SEWER
OTHER /? I
I
OTHER I I
Items I Approved
(Initial)
Date
Remarks
Disiance From Well
FOOTING - SEPTIC
FOUNDATION i ? CESSPOOL
FRAMING TILE FIELD FT.
RNAI
ELECTRICAL I
HEATING DEPTH
OF WELL
GAS INSTALLATION
_ ?
I
_
SEPTIC TANK i
i
CESSPOOL
DRAINFIELD
PLUMBING
WELL I?
SANITARY SEWER
Violations Noted
on Back
COMMENTS:
RECDRD OF COMPLAINT
DATE:
COMPLAINT TAKEN HY:
N9ME: 91ut}
ADDRESS:
PHONE NO.: l( ^rj q `Cr j 1 46?
COMPLAINT:
("?, ?? OG+?.P-trLt ?C?'?G°L t?,i'3 f;? ?t L •'/? g^? 41 e- ', //',? Y
V'c.I.G.?IId/????? M .??'c.?'? °"?k'?+?c6'°`? '?
ACTION TAKEN:
4"'L?,.'?L
CA?
Oe 4e4'rliP?..
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Y
f
? ? • l? ??S:fi."as4s ..!.ur'T'a`^.?.r
COt?AfENTS: ??.?.?L"' .. `:??t.a3
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.. .
?? /s.i.-+??^ ?`'`??,:;,e.s,;{ •, '??? w dN.i^r..^i..:a r„af?„?d:t.l?.e-?9
??
TYPE OF BUILDING: f t
LEGAL DESCRIPTION:
SIGNED: J ? ? /'?? ?-L?-?'?'????
1,(Jc?ti.w
. I q C',P
Date: ,/ 7?. / 9 77
BUILDI"t'?G HiRMIi P,PPLICP.TI01-7
LOT ?S BLOCK Q p? 11DDTTIOidIV ??,?/?Sj. ?Q(lA/ ONp Rn.?i TION
PARCEL & SECIIOI7 UUIIBER IF UiIPL(!3'TED?°_? ? - 00,
ADvxFSS oF naacEL J327 ( ac/A71o4 LAn) ,C` EAGA) ,./rlN S SI a .3
20P2IAG OCCUPMTCY II5E G R R A G L
DO
E5TI11-iATED COS=I) OO , `-on aE ;_ UJA yNt /17, R i L Ey TEr.ErxorE ivo
0
EA G
y5LI - 81/ $
v ssia3
CONTRl1CiOR TEI,EPHONE 110. 7`" 8/ 1l1
AD,RE5s l3 s 7 cos mvs c.a,Aje, ssl a 3
--- ,
Note^ Include site plan, building p2ans, and energy calculations caith this
application
Signed
? OFFICE USE
VALU:1iI011T
SAC
FTW^aEzi. COMEC^SO23
CJ<'7TEk !:'S:E-A
BUILDSP7G PEFtt3IT FEE .
=
Si7RCHARGr FEE
z
PLAYi Ce:SCK FEZ
PAFtIC nEliICATIOIT FEE
OT: c R
TOTfiL*
APPROVl1LS:
ASSESSi+lEi4T CLEtZ'< BUILDIiQG D PT. POZICE DEPT.
T.3A'1'ER Fs SM.'ER DEPs^. F"r DEPT. PIIRK DnPT.
i - .
ciTr oF EAGnN
-- ' 3795 Pi1M Kno6 Road Eagan, MN 55122 N0- 4520
PHONE: 454-8100
BUILDING PERMIT APPLICATION Receipt # 7748
$4p600.
To be uud for Garaee Date October 17, 1977
Site 13dress _
Ered (A
Occupancy
Lot _ B{ock _1)_ Sec/Sub. k7+ T T Alter ? Zoning
Porcel # Repoir ? Fire Zone
Enlorge ? Type of Const.
rc Nome Move E] # Stories
Z
3 Address
Demolish ?
Front ft.
O Sm03
Cit Eap8A phone 454-$L! 8_ Grade ? Depth ft.
p Nome SApyp Approvals Fees
ZV
?
Address
Assessment
Permit-L8
.OQ _
?
Ci Phone Water 8 Sew. _ Surcharqe -2 ?5
f
ww
Name Police Plan theck
-
rZ Fire SAC
Address- E
?Z ng. WoterConn.
a°' Ci Phone Planner Woter Meter
Council
I hereby acknowledge that I hove read ihis application ond state thot gldg
Off
the information is correct and agree to comply with oll applicable .
.
Stote of Minnesota Statutes
an
d
City of Eagan Ordinanc
s,
e APC Total 20 50
y
?
?
?
/
Si
gnature of Permittee
?-
A Building Permit is issued t, Wayne M R-UE)r on the express condition that
all work sholl be done ? acm ance?vi all applico6le St te of Minnesota Stotutes and
? City of Eagan Ordinonces.
Building Officiol
ty ? T? .y?? _
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EAGFN TOWNSHIP
3795 Pilot Knob Road
St, Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR WATER SERVICE CONNECTION
Date: AJuaust 15 1972 Number: 941 I,3 ? G} ?•-Z
Billing Name:Tilsen Construction Co.
Owner:
Plumber: Luecken Excavating
0
Meter
Site Address: 1387 Cosmoe
Billing Address
C
Inspected by
Builcling is a:
Residence xx
Multiple No, Uni
Cammercial
Industrial
Other
,100.0.0 vd 8/15/72
Met?No. 21970218 ?Permit Fee 10.00 pd 9/72/72
Meter Reading Meter Dep. •50 pd 9/12/72 s/c
Meter Sealed: Yes +Add'1 Chg.
NO I Total Chg.
Date
Remarke:
Hq:
Chief InspecCOr
In consideration of Che isaue and delivery to me of the above permit, I
hereby agree to do tiE proposed work in accordance with the rules aad
regu2ations of Eagan Township, Dakota County, Minnesota.
By:
Please notify the above office whea ready for in.pection and connection.
EAGAN TOWIdSHIP
3795 Pilot Knob Road
St, Paul, Minnesota 55111
Telephone 454-5242
PERMIT FaR SEFIER SERVICE COIdNECTION
DATE;AuAUet 15, 1972
OWNER:Tilaen Construction Co.
PLUMBER Luecken Excavating
NUMgER 1101
Address 1387 Cosmos i3-?! Z') X . ?)-
TYPE OE PIPE HeavY Cast Iron
DESCRIPTION OF BUIIAING
Industrial! Commertial[ Residential ` Multiple Dwelling I No, of units
Location of Connections:
PermiC Fee 10.00 pd 9/12/72
Street Repairs .50 Pd 9112172 s/c
Total
Inspected by:
DaYe
Remarks:
Connection Charge -0-
By.
Chief Inspector
In consideration of the issue aad delivery to me of the above perm3.t, i
hereby agree Co do Che proposed work in accordance with the rules aad
regulations of Eagan Tocroship, Dakota County, MinneaoCa
By. Loren Gallati
Iuecken Excavatine
Please aotify when ready for inapection aad coruwection and before any portion
of the work is covered.
CI7Y OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
StTE ADDRESS:
DESCRIPTION:
4;`X;?? 9k?wJ?.`Ei?ka
BUILDING
001216
0$/@7/92
REMARKS:
e oaaagS
FEE SUMMARY:
Base Fee $25.00
Surcharge $.50
Total Fee $25.50
CONTRACTOR: - APPlicant - sT. 'I pWNER:
MIDWEST FENCE 14512221 00@473 RILEY WAYNE
525 E VILLAUME 1387 COSMQS LN
S ST PAUL MN 55075 EAGAN MN 55123
(612) 451-2221 (612)954-8118
I here6y acknsraledge that t have read this application attd state that the
info-rmatian is co-rrect and agreo to comply with a11 applicable SCate of Mn.
5tatutes and Gity of Eag.an Ordinances.
L ?
LICANT/ MI 5 ATURE ISSUED;yy: SIGNATIJRE
PERMIT
PEfiINIT TYPE:
Permit Number:
Date Issued:
1387 COSMOS LANE
LOT: 13 BLOCK: 2
WIL'ERNESS RUN 2ND
Suiid'ing Permit Type oECK
Buiiding'lork Type NEW
UBC Occupart`is?_y R-3
Building Leng-th 10
Building, Width-?---,,, 12
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+.?.?.. l? ? .....,_?i..x -.
\\ e fl^
Control No.
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITEADDRESS: Lor: 13
1387 COSMOS LANE
WILERNESS RUN 2ND
PERMIT SUBTYPE:
DECK
aLocK: z APPLICANT:
MIDWEST FENCE
(612) 451-2221
TYPE OF WORK:
?
?
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ill ? Ni?? •i:. '.G'.1?
I I :
Control No.
BUILDING
001216
08/07/92
NEW
7
I
PERMIT #
REACTIYb.Tr
CITY OF EAGAN ? L 15 ? d
1992 BUILDING PERMIT APPLICATION
681-4675
5 RECO
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which re uest is made or lot chan e is re uested once ermit is issued.
Date 20F"O?s Valuation of work Alp
Site Address: X--?c?67 Go?is/OG`P ??.???
. STREET SUfTE M
Tertant Name: (corrmercial only)
1AT BLOCK SUSD.` P.I.D. 1i
Oescri tian of work: X?Z'm?-
The applicant is: ? Owner JR Contractor ? Other (Cesertbe)
Name Vk'iC.?Y WrlYaV? Phone A?E4- g < <
Property LAsT F,RS,
Owner Address c's'S?a?
STREET STE X
City State Zip ? 1? 3
Company ?•?l?`???? i'?? ? 3.-•\'?. Phone ?'a5t-ZZ:L1
Contractor Address SZ'S- C__?( I C..L4v?r.? ,[?,? License #OQCW1? f Exp.
City State Zip
Company Phone
Archltect/
Englneer Name Registration #
Address
City State Zip
Sewer & water licensed plumber Processing time for
sewer 8 water permits is two days once area has een approved.
I hereby acknowledge that I have read this application and state that the information is
torrect and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applican.
' . "7`??c- q
SITE PLAN
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? PERMIT ? 7,?- ?
CITY OF EAGAN 4 / F/ y ?
3830 Pilot Knob Road PERMIT TYPE: B u= G p x N
Eagan, Minnesota 55123 Permit Number: 023841
(612) 681-4675 Date Issued: 0 6/ 0 8/ 9 4
SITE ADDRESS:
1387 COSMOS LANE
LOT: 13 BLOCK: 2
WILDERNE55 RUN 2N[]
P.S.N.: 10-84351-130-02
DESCRIPTION:
r?`---.. (ROOFZNG)
,uildinj?Permit Type SF (MTSC. )
. /Pvxlding (4b.r-k Type REPATR
' ... _ . ?"
c (a § 029 (Ui g a n
REMARKS:
FEE SUMMARY:
VALUATION $1,800
Base Fee $41.00
Surcharge $.90
Total Fee $41.90
OWNER:
ftILEY
1387
EAGAN
WAYNE
C05MOS LN
MN
CONTRACTOR: - Applicant - ST. l.xC
OVERHEAD CONST 14634592 0004706
17259 N CC2EEK pR
FARMIN6TON MN 55024
(612) 463-4592
E ?
Z fiereby acknow2sd'g.e that I have, r-gad tla.is applzcaCis?n and state that the ,
ir1forimation is coereat and agrae tb c•omPly with ail appli,coblo State trfi 'Mn_
5tatutes and city af Eaq4,n oardinancss.
13- L:u
dIma
APPL / ERMITEE SIGNATURE ? ISSUED W. SIGNATURE
CITY OF EAGAN
?
41 1994 BUILDING PERMITAPPLICATION 3400
681-0675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date
Valuation of work
Site Address:,f? 5?7 Grs-,...re
STREET SUITE M
Tenant Name: (commercial only)
LOT 16 BLOCK ? SUBD.
l.V n.11L1, P.I.D. #
Descri tion of work:
The applicant is: ? Owner Contractor ? Other (Describe)
Name ? Phone
'
Property LAST
FIRST
Owner
pddress
STREET STE #
?
City
State Zip
Company ? Phone G ? ;7
Contractor , ?
Address J??`? ??? i&cz-1'? GCt License # YIZIO
?L Exp.
City 7kC State , A Z i p 7v? ?
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this app7ication and state that the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances. _
Signature of Applicant: ? ? ?
PEAMIT #: 4 / q' ?
CITY USE ONLY
RECEII'T DATE:
2002 ftE.SIA£NTIAL MECHANICA? PEWIT APPLICATION
crrYoP EAcatN
8$30 PILOT KNOB $D
BAflAN b1N 55122
651-6$1-4675
Please complete for: ? single family dwellings
townhomes and condos whan permits are required for each unit
Date: -
SITE ADDRESS:
Vlw'R 2. 9 2002
OWNER NAME:
INSTALLER NAME:
STREET ADDRESS:
TELEPHONE #:
TELEPHONE #: ?60 - 9, W
CITY: °r STATE: ? ZIP: D a '/
Place a check mark next to the permit work type
_ Add-on, modification or alteration to existinq dwelling unit $ 30.00
Zma re?lacemen
• air exchanger
• air conditioner
• other
Nature of work: p / ?C?.ca/YLQ
??? •? ? ?
State Surchar e $ 50
TOt81 $??
GNAT F RM EE
1/oz
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
NewConstmctionRenuirements RemodeVReoairReauirements / L/????) ? r
• 1:?gisterea sile surveys showing sq. Y. of IpC ;q. ft. of house; ana all roofed areas • 2 copies of plan 7 J
l:0°5 mamimwn lot coverage alloweo) . i set of Eneryy Calculalicns for heated aaditiocs
• 2 aopies or plan showing beam 3xindcw vzes, poured fountl design, ztc.) . 1 sde survey for ex;enor additions 3 decks
• 1 sel of Eneryy Calculations -? . Indicate it home servetl by seotic system for additions
• 3 ccGies of Tree Preservation ?lan if lot :latted aRer 7/t193
. Rim Joist Detail Options selection sheet (biGgs witn 3 or less units) C
DATE VALUATION
SITEADDRESS OS M 0 C Aii?L^I MULTI-FAMILY BLDG _Y _N
TYPE OP WORK -2ifUa= 44 ? fIREPLACE(S) _ 0_ 1_ 2
APPLICANT H:&=c-4$ I P-WFc(z- , _-_--
STREET ADDRESS 63Q5 CFFn(.Ba-CbGE' ( CITY ? LOJLc PHa,?STATE rw.1 ZIP5-5(0
TELEPHONE # d- -G?SG CELL PHONE # GBS-? FAX # C2S4 GI1S -G13 C?
PROPERTYOWNER TELEPHONE#
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ y[??NGS0'C_112iiLL5 7670 CV"('EGOKY l NI[NN(f submission rype) . Residential Ventilation Category 1 Worksheet Submitted • New
• Energy Envelope Calculations Submitted
Plumbing Contractor: __
Plumbing syslcm includes:
Mechanical Contractor:
Mcch.mic>il scAcm includrs
Sewer/Water Conhactor.
.\ir Conditionin;
Hral RccocciySvstcm
Phone #
Phone #
C'ic: S70.00
----------•----------------------°------------°------------------------°--°--°---------•--------°-°----------------
I hereby acknowledge ihat I have read this application, state that the information is c rrec and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan O i, nces.
y9nature of Applicant
?Q ``l S 1
---------- ---°°---------------------•------------•-------------°------...-------------------------- ---------------------------- ----------------------
OFFICF. liSE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
_ Water SoBcncr
Watcr Hcater
No. of I3aths
Phone k
_ I.avm Sprinl:ler
No. oF R.I. Baths
JUL 1 1 2002
00
Use BLUE or BLACK Ink
r
For Office Use
Permit 113
City of Ealnu I a
Permit Fee:
I
3830 Pilot Knob Road
Eagan MN 55122 Date Received: 30-
Eagan
(651) 675-5675 I I
Fax: (651) 675-5694 i Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: r~ cc Unit
Name: ~a J U, S
I ~Vl
Phone: cos'[ X ! 0 707
Resident] 39 1 Lc) S m 5 L/
Owner Address /City', Zip:
Applicant is: Owner Contractor
'Description of work:
Type of Work eQ~f' n
Construction Cost: Multi-Family Building: (Yes / No
4
Company:// Contact:
Level pl(u
Address/6 Q City:
FA _5~a
g (A.~t) 0 A a
Contractor
State: ~ Zip: 9S (.2 Phone: L/
rr ~
License 0b 0 Lead Certificate S
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.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 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 x
Applicant's Printed Name Ap c ignature
Page 1 of 3