4357 Garden TrCITY OF EAGAN Remarks
Additio , Wilderness Run 2nd Addition Lot 6 Bik 2 Percei 10 84351 060 02
Owner Street State Eaqan, MN 55123
;l q35`7 Gc-v4En T(?ai
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK A} 1973 $175.00 $8.75 20 PAID
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
51DEWALK
STREET LIGHT
WATERCONN. $280.00 11227 7-29-74
BUILDING PER.
SAC $400.00 11227 7-29- 4
PARK
-zzniiiIoME sERVrcES Ixc. RESIDENTIAL
Home Depot Inatalled Sales
3200 Cobb Galleria Pkwy., sce. 4200 SUILDING PERMIT APPLICATION
Atlanta, GA 30339 CITY OF EAGAN
763-542-9826 3830 PILOT KNOB RD • 55122
BG20268257 851-681-4675
New Construetion ReauiremeMS RemodellReoairReaulremenfa
• 3 registered site surveys sh(jwing sq. R of b6 sq. R M Irouse; an?ll roofed areas • 2oopies of plan
(20% mazimum bt mverege albwed) . 7 set af Energy Cakulations for healed additlons
• 2 mpies of plan showing beam d window s¢es; poured found design, etc.) . 1 site survey for exterior addNOns 8 decks
. 1 set of Energy Calatations . Indicate if home served by septic system Wr addlUons
. 3 copies of 7reB Pre58rv360n Plan if bt platted eW 7M193
• Rim Jast Detail Options seMon sheet (bldgs wilh 3 a less unifs)
DATE ?3' S?QT • O I VALU/[ION =l LD aQPA22
JOB SITE ADDRESS _ y?JS_-J"' G0.CC??CYI 1CU ??
If MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER_b-eQf\.)
TYPE OF
APPLICANT
ADDRESS
PAGER # CELL PHONE #
FAX #
NIEV RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
New Energy Code Worksheet Submitted
Plumbing Contractor: _
Plumbing System Includes:
Mechnnical Contractor. _
Mechanical System Includes:
Sewer/Water Contractor.
_ Air Conditioning
_ Heat Recovery System
FIREPLACE(5) _ 0 _ 1 _ 2
PHONE# 75?.3q5•(0c)qj'
?ZIPCODE 5;stlao
Phone #
Phone #
Fee: $90.00
Fee: $70.00
All above infortnation must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan inances.
Signature of Applica?? ?Altq-L"??
_ Water Softener _
_ Water Heater _
_ No. of Baths
Phone
Iawn Sprinkler
No. of R.I. Baths
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
? Updated 1/01
RESIDENTIAL
? ?,?? a BUILDING PERMIT APPLICATION
? CITY OF EAGAN F70 vo
3830 PILOT KNOB RD • 55122
651-681-4675
New Construction Reauirements RemadeUReoairReduiremenls
• 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; an?ll roofed areas • 2 copies of plan
(20%maximum lot wverage al6wed) • 1 set of Energy Calculations for heated additions
• 2 copies of plan showing 6eam & window sizes; poured found design, etc.) . 1 site suney for extenor additions 8 decks
• 1 set oi Energy Calculations . Indicate if home served by sepfic sysiem for addilions
• 3 copies of Tree Preservation Plan ii lot platted aRer 711193
• Rim Joist Detail Op6ons selecfion sheet (bidgs witlh 3 or less units)
/, r? ? ov
DATE /C.J? VALUAfION oC?? ?
JOB SITE ADD ER SS 4I ?57 CtClrL?C._, / r a(1
IF MULTI-FAMILY BUILDING, HOW MANY UNIT3?
PROPERTY C
TYPE OF WC
APPLICANT
ADDRESS ?
PAGER # ?
ZIP CODE
-daZQ FAX#
NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY
Energy Code Category _ VfINNESOTA RUI.ES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Su6mitted
MINNESOTA RULES 7672
New Energy Code Worksheet Submitted
Plumbing Conhactor:
Plumbing System Includes:
Mechanical Contractor:
Vlechanical System Includes:
Sewer/Water Contractor:
Air Condilioning
_ Heat Recovery System
All above information must be submitted prior to processing of application.
#
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 Ordinances.
SignatureofApplicant?/l/??P???J?J?G4?
l?
_ Water Softener
_ Water Heazer
_ No. of Baths
Phone #:
Lawn Sprinkler Pee: $90.00
No. oF R.I. Baths
Phone #
FIREPLACE(S) _ 0 X 1 _ 2
PHONE# 95a-yW-399G
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updaled 1101
C064nGl tilW uncErC -4 t3 (?.R.L
° _ " EAGAN TOWNSHIP
BUILDING PERMIT
oWne: ?'-!?-??_f?. ??D ??- ............._......_ ........... - - ..
Address (Preseni) ..X?G...._Q.... _..
Buildet ....._.. .... _..... ........................ .._..
_........ ..... .............. ........ ...
Address _.................................... _............ ....... _....................
......
DESCAIPTION
N° 2922
Eagan Township
Town Hall
L-
.. '.".'........._.
Siaries To Se Used For Froni Depih Heighi Esi. Cost Permi! Fee Remaska
? ? H7/.°"°
7S. U O
5??,
-
'' LOCATION -6-41/o • °"
Sireei, Aoaa or othes Descripi3on oi Location I Lo! Block Addilion or? Trac!
l? 67 +'l 3 77 / 37 G, ? 3 g i, 1 3 5 x ?? ? N L p
/ 2
3J'," 0/3`7.. __ '?t?-.-w,? ?„? /?? I y a' 'l?'`.2'lu.?`"?"`J. r/`'`'y'J.
This permii doea not auihorize the use of sireels, roeda, alleys or sidewalks nor daea it give the owner or hia agent
the righf fo ereale any siluaiion which is a nuisence or which preceafs a hasard to ffie healih, safety, eonvenianee and
qeneral walfare !o enyone in the community.
THIS PEAMIT MUST BE E,? $T ON THE PAEMISE WFiILE TFtE WORK IS IN PROGRESS.
This is !o cerfifp. Shal.---- ?^r.?-?r.??..^..-.-. ?...6i........-__-.has penmission !o erect a.... ?.. ..... . . . . ......
...... upoq
the abova deseribed premise subjeef fo the provisiona of the Building Ordinance for Eagan T wnship a pfed April 11.
1955.
... ??4-u?C'--Ch.?-!.-. d Per ..-'---._ ..................'---
.....-----. ..._.-_. 3 .......... t -............._'---........-'- - -.....
.._ ..............
- --'
" ' ? Buildin Im ecfor I&
CI7Z OF EaCrN
n
3795 rilot I'u;ob P,oaa
L;agan, :,linnesota 55122
FERNTT NO.: 602,
The City of Ea.gan hereby grants to Neil & Hubbard Heatiaa & A/C Co.
of 99 No. 3nel1ina, St. Paul 55104
d_ aT fx: Permit for.?(Owner) Tilaen Construction Oo.
1358 Gbsmos Lane, anc; 4350, 43571 and
3t aaae r. raan aal , pursuant to application dated _ 11/8/74 .
F,?e Pai3: $gp_p0 dated this 12tb_day of ppip:~- - T? 19 74
1.00 a/c
??
Mechanical Permits:
Diu Total:
?
?
RESIDENTIAL
BUILDING PERMIT APPLICATION ?,,5??
CITY OF EAGAN ?U
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New ConetrucUon Reouir n
• 3 registered site surveys'shawing sq. R. of lat, sq. ft of Iwuse; and all roofed areas
(20°h maximum lol coverdqe albwed)
• 2 coDies ol plan showinq 6eam & wiMow sizes; poured found design, atc.)
• 1 set af Energy Calculations
• 3 copies of Tree Preservation Plan if lol platted after 711193
• Rim Joist DetaB Options selectbn sheet (bldgs wilh 3 w less uniLa)
DATE
SITE ADDRESS
TYPE OF
APPLICANT
MULTI-FAMILY BLDG _Y KN
_ FIREPLACE(S) _ 0 _ 1 _ 2 STREETADDRESS ? ILD 15 L • CITY VII STATEIWA) ZIPcS5 313 /
TELEPHONE # CELL PHONE # ? FAX #
PROPERTYOWNER?Y?? TELEPHONE# ID?I ""?Oz??/0??
--------------- --------------- ------------=-°-------------°---°----------------------------
COMPLETE THIS SECTION FOR'•NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RLTLFS 7670 CATEGORY f MINNFSOTA RiJI.FS 7672
(J submission type) • Residential Ventilation Category 1 Worksheet Su6mitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Su6mitted. - ' '
Plumbing Conhactor:
Plumbing system includes:
Mechanical Contractor:
Vlechanical system includes:
Sewer/W ater Contractor:
_ Water Softener
_ Water Heater
_ No. of Baths
rtir Conditioning
Hea[ Recovery System
Phone #
----------------------°-----------------------------------°°---°-------------•
I hereby acknowledge that I have read this application, state that e in r
with all applicable State of Minnesota Statutes and City of Eagan Or 'n c
Slgnature of A ant
-------------- ----- -°-°----------------- ----°---°°° ----°
OFFICE USE ONLY
Certifcates of Survey Received _ Tree Preservation Plan Received
RemodallReoalrReauirementa 115 75
• '2copiesolplan
•1 sef of Enertgy CalcWatbns far heated addilions
• lsitesurveyforexterioradditions&decks
• Irbicate if home served by sepNc system for additions
U?
VALUATION
.1
_ Phone Ik
Lawn Sprinkler
No. of R.I. Baths
Phone #
Fee: $90.00
Fee: $70.00
?n is con
II II 2 9 ?Gu? ' ??
----------------------
Not Required _
Updated 4l02
f Elde??oines
Building Pefmit Service, Inc.
1126 East 80th Streei
Bloomiagton, MN 55420
Fhone: (952) 345-6047
Fax: (952) 85411909
Ta whom it may cancern;
We at F1der-7ones Building Peffiit Service, Inc. are acring as ffit agern for RMA Home Serrices,
Inc. If there are any qnestions, or if ttie permit has to be picked uP in Person, Please give us a call
at the riumber above. If the permat canbe mazled back to us, we have enclosed a self-addresse3
envelope for yous convenieuce.
Thank you,
Kara Benson ext 147
Elder-Jones Building Permit Service, Inc.
1120 East SOth Stree2 ' Bloomington, Minneaota 55420-1498
952-854-2854 4 FAX:952-854-4909
JUii-07-2001 15:43 FROM-RMA H0ME DEPOT AHS ?
7835428227 T-928 P.001/001
LIN3'ED POWER OF AT'I'OI2NEY
a.
courrY-Y oF Ea#J, pE2
STATE OF MINNESOTA
KNOW ALL PEOPLE BY THES£ PRESENTS:
F-768
THAT T, Todd T)azuel Lewis, a resident of KAMr'e V County,
lvt'uuiesota ("Priacipal"), and a licensed conhacsoc of ItNfA Home Services, Inc_,
DBA Home Depot InstaIled Sales locued at 646 Meadetssohn Avenue Nonfy Golden
Valley, MN 55427, having a ficense number of BC- 20268257, do hereby appoint,
name and constitute Elder-Iones Building Perxnic Sezvice, Inc. ("Agent") as my true
and lawful attorney-in-fact and do authorize and gcani said attorncy-in-fact for me and
in my name, place and stead the power co execuce, aclutowledge, sign and deliver (in
such farm as may be required by the municipality) a permit application, or any other
insuvment(s) which may be necessary and agpropriate, in order to obtain the proper
permit(s) &om the Cisy of Eagan, Minneso[a for the installation, maintenance and
repair of windows and siding (the "Work").
The powers conveyed to che Agent by rhis Limitad Power of AAOmey are
limited solely ta the express powen delineated herein and apply solely to che Work.
'Ihis Limiced Power of Attorney shall expire and autamatically be revoked on the .0
day of-11,, 2002, which date is one year from the execution hereof. Furrher,
the powers conveyed by this Limited Power of Artorney may be revoked by Principal
at any rime by express revocation and shail also be revoked 6y the Pnncipal's death,
disability, incapaciry or incompetence.
IN WIINESS WFiF_REOP this Limited Power ofAttomey is executed this
C*= day of 5,..je , 2001.
L? ,),j-
Todd Danie! Lewis
?WOitN TO AND SUBSCRIBED BEFORE ME by Todd Daniel Lewis on
this day of ?Tk4? : , 20?.
s ' .vwvwYNO
ub ic ia fo e Stace of Minneso BUHTON T. efiOWN ?
No7Axr PuBUC-6utWESO'fA
My Commission Expires: Wu?+ro???31•?
a
7%816.r1
Received Time Juo. 7. 2:56PM
LOCATION ?y
)? 7 MASTER CARD
1 ?
OWNER ???.y..
STRUCTURE AND
LAND USED A$ qy..)
Permit
I No.
Issued Issued To
Coniractor Owner
BUILDING ?1Q A1 ? 7 L
PLUMBING _ -
CESSPOOL - SEPTIC TANK
V'JELL
EIECTRICAL
HEATING bC?
GAS INSTALLING
SANITARY SEWER
OTHER
OTHER
Items Approved
(Initial)
Date
Remarks
Distance From Well
FOOTING
FOUNDATION SEPTIC
CESSPOOL
FRAMING
FINAL
ELECTRICAL ?
/ TILE FIELD FT.
HE.4TING DEPTH
OF WELL
-
GAS INSTALIATION ?
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING
WELL
SANITARY SEWER -7 - -?4
s V
Violations Noted
on Back
COMMENTS:
?
VILLAG,F.. or EAGAN WATER SERVICE PERMIT
3795' Pilot Knob Road PERMIT NO.:
Eagan, MN 55122 DATE:
Zoning: No. of Units:
Owner:
Address:
Site Address:
Plumber:
Meter No.: Connection Charge:
Size: Account Deposit:
Reader No.• Permit Fee:
I agree to comply with the Village of Eagan Surcharge:
Ordinances. Misc. Charges:
Total:
By Date Paid:
Date of Insp.: tk l g . 7 - 1 Y Insp.:
VILLAGE OF EAGAN SEWER SERVICE PERMIT
3795• Pilot Knob Road PERMIT NO.:
Eagan, MN 55122 DATE:
Zoning: No. of Units:
Owner:
Address:
Site Address:
Plumber:
I agree to comply with the Village of Eagan Connection Charge:
Ordinances. Account Deposit:
Permit Fee:
Surcharge:
By: Misc. Charges:
Date of Insp.• Total:
Insp.: Date Paid:
City of Eaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee:
Date Received:
Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit #:
Resident/
1 Owner
I
Name: Lea., +- 0.14 f'.E, 'pox Phone: 6/e— 7co - p SJ
,� �
Address / City ! Zip: 5'35 6,t)e...o/,:;
e ,c) 'A; / Cc .) lei° ,r_1-/2 :it
Applicant is: Owner Contractor
T e Of Work
YP
Description of work: .A6f if g / 5A0,•,-)c,$'/lye,//
Construction Cost: ! Z COMulti-Family Building: (Yes / No )
Contractor
Company: S 4-1/ 5; 0,-,4-}(;. Contact: Joe- e4Q0�
Address: /5-9 `? /(% te,,s 9tJ City: S7 v /
State: 4/ Zip:5`3 /6 Phone: (o S/ - 6 y€ -- 7 `7-7 -
License #: LLC 6.36 -9"Z. -q Lead Certificate #:
1 If the project is exempt
i
from lead certification, please explain why: (see Page 3 for additional information)
In the last 12 months,
Yes _No If
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
yes, date and address of master plan:
,
Licensed Plumber:
:Mechanical Contractor:
I
Sewer & Water Contractor:
NOTE: Plans and
the information
Phone:
Phone:
Phone:
supporting documents that you submit are considered to be public information. Portions of
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.00pherstateonecall.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 Minnesota State Building Code must be completed within 180
days of permit issuance.
x Applicant' Printed Name
can 's Signature
Page 1 of 3