4396 Garden Tri - 3 - -?-
r..?
czTY o: FAc,?ra
3795 :'ilot Mt.ob P.oad
Fag&?z, Aiinnesota 55122
PERNILT NO.: 579
Tlie City of Eagan hereby grants to Neil & Hubbard Aeatina
of 99 No. Snellincr
d HeamixG Permit for: (0•wner) Tilsen Oonstruct3on
1377 llia Laae, 1447 Laleam St., 1354 Cosmos Lane and
at ?,}? c.arden Traii , pursuant to application dated 9/]Y74,
FPe Paici; $80.00 dated thisl8th day of Segt. , 19 74
2.00 s/c
Building Inspector
PQechanical Permits:
Bid Total:
?
?-
VILLAGE OF' N;liGAN
3795 Pilot Iinob ttoad
Eagan, Iviinnesota 55722
PERI4IT N0. 451
The Village of Eagan hereby grants to Lauis H. aeter co.
of - 1954 Grand avenue, St. Paul 55105
a nrs;r±alnrr Permit fors (Owner) Tilsen Construction ro.
at 439E Garden Trail . pnrsuant to application dated 5/16/74
Fee Paid: S20.00 dated this 16th d3Y of Mav ? 19 74
.50 s/c
Building Inspector
Niechanical Permits:
Bid Total;
CITY OF EAGAN Remarks
Addition Wilderness Run 2nd Addition Lot 1 B1k 3
OwneNQ'n' =NAfEIJ ?,Uin"Et? Street- 4396 Garden Trail
Improvement Date Rmount Annual Years Payment Receipt Date
STREETSURF. 1977 1459.50 145.95 10 1459.50 C002346 9-28.76
STREET RESTOR.
GRADING
SAN SEW TRUNK 21 75 20 PATD
SEWERLATERAL
WATEFMAIN
WATER LATERAL 5 PAID
WATER AREA
-713 STORM SEW TRK 6?t¢j !?6 ?96 a7; 80
STORM SEW LAT -
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. .00
ii 10449 4-23-74
BUILOING PER.
sAC -oo 10449 4-23-74
PARK
DATE: 4/26/91
RECEIPT: 100931
SITE ADDRESS 4396 GARDEN TRAIL Unit # Permit # 14335
L ? B 3 Sect./Sub. WILDERNESS RUN 2ND
INSPECTION REC4RD
? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
? i...,... , . ,Nr)
PERMIT SUBTYPE:
e9N -) 's 1' rJ )1 n- r
s ttlI I r.K
PERMIT TYPE: D' Mi
Permit Number: IR 41
Date Issued: t?/NF' /91
APPLICANT:
TYPE OF WORK:
I . ,; ;.,;jj i 1A Ar. r MI N 1
INSPECTION .A . DA
Permff No. Pertnit Holdx Date Talephone M
ELECTRIC
PLUMBING
HVAC
Inspectlon Date Insp. Comments
FOOTINGS
FOUND
FRAMIN(i
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEA7ING ' I
GAS SVC
TEST
INSUL
GYPBOARD
FIREPIACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.L
BSMT FINAL
DECK FfG
Y
DECK FlNAL O _ `• Q
CJ
RESIDENTIAL
BUILDING PERMIT APPLICATION
CRY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
New Construction Reauiremanb RemodellReoair Rwuiremenb
• 3 registered sNe surveys showing sq, fl. of lof, sq. R. of hause: and all roofed areas • 2 copies of pWn
(20% maximum lol coverage allowed) . 1 set of Energy CalcWations far heated addNOns
. 2 copies ut plan slwwing beam & window sizes; poured found desgn, etc.) . 1 site survey for exterior addNOns 8 decks
• 1 sel of Energy Calculations • Indicate if hama served by seplic syslem for additlons
• 3 copies ot Tree Praservation Poan if lat platted after 711193
• Pom Joisl Detail Optioiq sNec6on sheet (bldgs with 3 or less wits)
DATE bt 18_1?21 ? VALUATION
JOB SITE ADDRESS ?J?9?//
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWN
TYPE OF WO
APPLICANT
ADDRESS
PAGER # CELL PHONE # lD/,2 -Z?? -7?/??Z_
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNFSOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
MIlVNESOTA RULES 7672
New Energy Code Worksheet Submitted
Plumbing Contractor. _
Plumbing System Includes:
Mechanical Conhactor. _
Mechanical System Includes:
Sewer/Water Contractor:
_ Air Conditioning
_ Heat Recovery System
Fee: $90.00
Phone #
Fee: $70.00
Phone #
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 comply
with all applicable State of Minnesota Statutes and City of Eagan Ord' ances.
?
Signature of Appl(cant
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Require _
Updated 1101
_ Water Softener _
_ Water Heater _
_ No. of Baths
Phone #:
Lawn Sprinkler
No. of R.I. Baths
FAX #
` EAGAN TOWNSHIP
BUILDING PERMIT
Ownex ...... 1-1.? _...L'v-:".....`....----------------...................
Address (Psesenl) ................................... '..................................... .....
Builder ................................................. -..............................................
Add:ess ........................ --° .....................-.._....---°-...-°-------------------
DESCASPTION
VN° 2923
Eagax Township
Town Hall
nata ??.-...a'_9-7 Z
Sfoxies
- Ta Be Used For Froni Depih Heighf Esi. Cos! Permif Fee Remarks
V 7
I
??Cr
w °"" X""" LOCATION ;2 4y7-. 0 0
sxreex, noaa or oiner L08CI1pI10T ox Locaxion I i.of nl
-3 F61 c{38a ?--- D-4-. e-1-
I 3? y 3
AGGSnaa os Tsaef
??
This permit does not auiharize the vse of s2seels, roads, elleps or sidewalka nor does it give !6e oaaes or his agant
the righlfo ereale enp sifvalion which is a auisanae or whieh presenla a hazerd !o the heelth, safelp, convealeace and
general welfare !o anpone in the communiip.
THIS PERMIT MUST BE EET ON THE PREMISE WHILE THE WORK IS IN PROGRESS.
'°.`?°at-` -'4
This Is !o cerlify. !ha!_... ............ has permksion io ereet a---!l. -----...--.-? --.• . . . ... .......•.•.-........_uPoa
!he above deseribed premise subject !o the provisiom of the Building Ordinance for Eagan Township adoplad April 11.
1955.
.......... _.. "`-.G.... !.... .- .-?.?-... ...... ......
•
Per ............. ................... _<_.' :'::... ....... ............. .......
Ch ' - -- ' ?g Building Inepecfor;tg
-VILiAOE OF EAGAN WATER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NO.: 1457
Eogan, MN 55112 DATE: 5/9/74
"l.oning: u-1 No. of Units: 1
Owner: Tilsen Construction Co.
Address:
site Address: 4396 Garden Trail
Plumber: Bey-I'OC
Merer No. G Connection Charge: 320.00 pd 4/2
Size: ???? Accoun[
Deposi
a
/'
-?
?
9 1
0
00
7
i_
=
c??
Reader No.>
? .
?__ 1
Permit
Fee:
I ogrea to comply wifh the Villags oi Eaqon Surcharge: ' S I
Ordinan S. Misc Charges:
Total:
AY Date Paid:
Da[e of Insp.: Insp.:
VIElAOSQF EAOAN SEWER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NO.: 2216
Eagan, MN 55112 DATE: 5/9/74
'Loning: -g-1 No. of Units: 1
Owner: T].IGEn rOr45-tr.llCt101? C'o
Address:
siie naaress: -3346 Garden Trail, Eagan 55123
Plumber: 110Y=S.or .
1 ogree to comply with the Villoge ol Eogon Connection Charge400.00 pci 4?z3/74
Ordinonces. Account Deposit:
10.00 Pd 12 29/72
Permit Fee:
.50 pd %72
Hy:
Datc of Insp.:
Insp.: -
Surcharge. -
Misc. Charges:
Total:
Date Paid: -
2007 RESIDENTIAL PLUMBING PeRnniT APpucaTio?v
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
- i
'- ,7Pl6ase complete for modifications to existina residential dwellinas_
Date ? 1 ? I ?? '?
Sife;Street Address Unit #
ProertOwner
P Y Telephone#
Contractor a C-? Telephone # ?*v x OL'`l
Address ? ,/City uState Zip ,
The Applicant is: Owner & Occupant ?_,/Licensed Plumbing Contractor
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Peras-built $ 10.00
Fire Repair (replace burned out fixtures, etc.) $ 90.00
This fee a lies when extensive lumbin re airs are made to a buildin .
Al:erations to existing dwelling $ 50.00
_ Add plumbing fixtures to main level lower level. This fee includes
installation of a water softener and/or water heater at the same time. !f you are
insfalling onlv a water soffener and/or wafer heater, do not complete this section;
move to the next section and place a checkmark next to the appliance(s) you are
instaliing.
? V?
_Septic System Abandonment I? ?? ??,
?
_WaterTurnaround (add $136.00 if a 5/8" meter is required
IJ
Mp'Y Q 7
other:
L/Water Softener
W
_
ater Heater
_ $ 15.00
_ new ?replacement
_ Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ 50
Total
?
$ 112n
1 "GlGuy dNp,y ,or a rcesiaennai rwmding rermrt and acknowledge that the information is complete and accurate; that the
work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I
understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in
accordance with the;a pro d plan i the event a plan is required to be reviewed and approved.
I_.
r i
ApplicanYs Printed Name ApplicanYs Signature v ?
J
?.
r?rry
. . . .r?..n(?..
. .. f.i°?... h.... "i.2:.
,.
11 Ai.r
?? ..
{??n:*'i':'a ?.:Cit:;t:gii.F?f?..ff1f•.? ,.:['fd'i..?.
*
.-,,. , f? . ,,. i ,... ..?,-, .sr
;._ .
. ?.;r, r ; , :.Pt c,.
D.::
?;?:`r:i:: ':?l.;l):I. ?,..':iF, (if-16i:i?r::(',•, ;, n !50
'.•::E':'?' i.?i:. rqcif;? Vai??
? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
PERMIT
4396 6ARDEN TR
I.OTe 1 BLOCKe 3
WILDERNESS RUN 2N?
P.T.N.: 10-84361-010-03
PERMITTYPE: gurLoiNG
Permit Number: 029180
Date Issued: 11 J 0 5/ 9 6
DESCRIPTION:
? ? z=
REPLACEMENT
ermiC Type DECK
4?r,k Type NEW
434 ALT. RESIOENTIA4
u'N? ?w
u? a y?d' ,? -ia .;. ?`k'?^
.a! eis w?es ,;?: t ?i;,s`? &? ??'m-??" gtn K'. ?;? vY4 s`a
REMARKS:
FEE SUMMARY:
Base Fee
Surcharge
Total Fee
?
$45.00
$.50
$45.50
CONTRACTOR: - Applicant - ST. LzC OWNER:
CORNERSTONE OF 5T PAUL INC 12227946 0005257 LEHMAN BRUCE
1588 MIDDLETON AVE 4396 GARDEN TR
ST PAUL MN 55102 EA6AN MN
(612) 222-7946
inrqrmaLi:o
9Gatutes',a
? _ .
Y w
p E
.... 5.. e freem§.. . P. .£.?n ..?,: .
I5SUo,a sR TU? m.RE
CITY OF EAGAN ?` S • S?
3830 PILOT KNOB RD - 55122
1996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675 ?
New Cemtructbn Reouirements RemedeVReoair ReouiromenN 1 f ?
• 3 iepistered sne surveys ? 2 cropks M plan
? 2 oopies ot plans (indude Deam 3 windpw s@es; poursd frM, desqn; elc.} ? 2 aNe surveys (erzterior add'Aiona 6 dedcs)
• 1 eneryy alculalfons ? t energy calculationa tor hesled additions
• 9 oopba of hee prssenaryon plan M bt platlep aRer 711/93
iaquhed: _ Yes _ No
DATE: f O-°ICP CONSTRUCTION COST:
DESCRIPTION OF WORK: J> 5GK k k5
STRF-Er AoDRESS G.a-R DC?V ? 14L-
LOT ? BIOCK 3 SUBD./P.I.D. #: ?fj-d?-'
PROPERTY Name: L-157(-10,0?,W 96?leCa- Phone #:
OWNER
Street Address•-
Ciry: ?-- State: ? Zip• ?
CoN7R4cTOR Company: (20P1V-957-W1-" 0-C3'1/S17 Phone #:
Street Address: AfiDDu=iW /j/jtE License
City: State: 2ip• ?5?1 a a
ARCHITECTI Company: Phone #ENGINEER
Name: Registration #•
Street Address•
City: State:
Zip:
Sewer & weter lieensed plumber. . Penalty applies when address change and lot
chenge are requested once permit is issued.
I hereby adcnowledge that i have read this applicaHon and state that the info tion is crorrect and agree to eompty vvith ail
applicable State oi Minnesota Statuces and C1ty of Eagan Ordinances.
Signature of Appticant:
OFFICE USE ONLY
Certifieates ot Survey Received _ Yes _ No
Tree Preservation Pian Received _ Yes _ No OCr 1" 199g
L ?
OFFICE USE ONLY
BUILDING PERMIT TYPE
. •- . .
0 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish i
? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. 0 17 Swim Pool
0 03 SF Addition o DS 8-plex ? 13 Garage/Accessory o 20 Public Facifity
0 04 SF Porch o 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. 0 10 = plex ,fr'15 Deck
WORK TYPE
0 31 New
0 32 Addition
0 33 Alterations ? 36 Move
0 34 Repair o 37 Demolition
GENERAL INFORMATION
ConsL (Actual) Basement sq. ft. MCIWS System
(Aliawable) Main level sq. ft. City Water i'
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code. 4S.1
Depth Footprint sq. ft. SAC Code Dt,
Census Bldg I
Census Unit O
APPROYALS
Planning Building M5_ Engineering Variance
Permif Fee Valuation: $
Surcharge
Pian Review
License
MCNUS SAC
City SAC
Water Conn.
WaEer Meter
Acct. Deposit
S/W Pertnit
S!W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
5AC Units
8
• CITY OF EAGAN
3830 PZIAT RNOB &OAD
EAGAN, ?Rd 55122L?gj_cFGon
PHONE (612) 400-P M
. 0 ECH6NICAL;; TLRMIfi
------------
FEES
PLEASE COMPLETE IIPPER YORTION ONLY FQR SINGLE 1
TOWNHOMES/CONDOS i1HEN PERMZTS ARE REQUIRED FOR EACH UNIT.
--------------
WORK DESCRIPTION
NEW CONST
ADD ON -?
REPAIR ,
OWNER NAME: 6P_u6'6- Zf ?iE?'j7?13-"il/
SITE ADDRESS: f4_ mo 64eDinl 7IL'fyL2.. 8
.
?
/ nLOCA 3 ;?
L a -
:
: B
.
INSTALLER: Ron's Mechanical, Inc.
ADDRESS: 1812 E. Shalcopee Avenue
CITY: Shakotoee, Mn. Zip; 55379
PHONE #: 612/445-8585
ADD-ON MINIMUM
HVAC 0-100 M BTU
ADDITIONAL 50 M BTU
GAS OUTLETS - MINIMUM
OF 1 PER PERMIT
SUBTOTAL:
STATE SURCHARGE:
I`V lAL:
DWELLINGS &
$15.00
24.00
6.00
3.00
$ 67m
.50
$ ,sso
?LLC J.rA?.ll?!
SIGNATU PERMITTEE
o s/f 3 oz',??
WlII4£RCiALJINDU5TRTAL; PLEASE COMPLETE THIS PORTION FOR ALL GOMTi"kZCZALjZiv'uiJSiSSAL EUII.L`I.':SS,
APARTMENT BUILDINGS, AND HULTI-FAMILY BUILDINGS WHEN SEPARATE PERHITS ARE
NOT REQUIRED FOR EACH DWELLING IINIT.
CONTRAGT PRICE:
DWNER NAME:
SITE ADDRESS:
IAT: BIACK SUBD.
INSTALLER:
ADDRESS:
CITY:
PHONE
FOR:
ZIP:
FOR CITY IISE ONLY
PERHIT #
RECEIPT
DATE:
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
FROCESSEu PIPING - Y"25.O0
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18
STATE SURCHARGE
TOTAL:
(SIGNATURE)
S
CITY OF EAGAN
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
FOR CITY USE ONLY
PERMIT # ? ?Z 5
RECEIPT # 6 2
DATE: /
PLEASE COMPLETE OPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION
NEW CONST _
ADD ON
REPAIR X
OWNER NAME: I//?'11ee Ld monn
SITE ADDRESS: y3l6 (ret4e, T??q, /
LOT:___/_ "tSiACii 3 SIIBL. oip?irmed.v
INSTALLER: LO Y'o ?i 5 Pk m
ADDRESS: zSll 4wN -7
ciTY: fXCzLav' n1A zir: SS33I
PHONE #: 07N ?OL0'2-
OF PERMITTEE
COMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOTAL
ADD-ON MINIMUM 15.00
SHOWER 3.00
_ WATER CLOSET 3.00
BATH TUB 3.00
LAVATORY 3.00
_ KITCHEN SINK 3.00
LAUNDRY TRAY 3.00
HOT TOB/SPA 3.00
L WATER HEATER 3.00
_ FI..^,OR B2SI:= 3.00
GAS PIPING OUT.
_ (MINIMiJM - 1) 3.00
_ ROUGH OPENINGS 1.50
_ OTHER
WATER SOFTENER 5.00
_ PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
SUBTOTAL S
ST. SURCHARGE .50
1475-0
TOTAL:
?'_
CONTRACT PRICE:
OWNER NAME:
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL
MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQZ
DWELLING UNIT.
SITE ADDRESS:
LOT: BIACK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #:
FOR:
FEES
18 OF CON7'kACT FEE.
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18
STATE SURCHARGE
TOTAL:
$
$
( S I GNAT'URE )
CITY OF EAGAN
MASTER CAftD
LOCATION G??, 2? q 01,6 /? 3- L4)/f I i'
OWNER
STRUCTURE AND
LAND USED AS
Permit
BUILDING
No.
I
Issued Issued To
Contractor Owner
PWM8ING d C ?
CESSPOOL - SEPTIC TANK
WELL
ELECTRICAL
HEATING
GAS WSTAILING
SANITARY SEWER O7HER
OTHER
Items Approved
(Initial)
Dafe
Remarks
Disiance From Well
r'OOTING SEPTIC
FOUNDAiION CESSPOOL
FRAMING TILE PIELD FT.
fINAL
ELECTRICAL
HEATING DEPTH
OF WELL
GAS INSTALLATION i
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBWG
WELL
SANITARY SEWER ?IJ ?
?
Violations Noted
on Back
COMMENTS:
Mar 2713 11:10a AA Garage Door
411`' City of Eagan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Date: 3 '' r 3 Site Address: (3 /(C' 6aralo) II It
Unit#:
651-702-0838 p.3
Use BLUE or BLACK Ink
For Office Use
Permit#: 169(Pq15
Perm it Fee: 105.5
Date Received: 3 - 1' ( 3
Staff:
1
Lc
J
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
t ---
Name:
Resident/
Owner i Address i City /Zip:
i
1 Applicant is:
i
1 Type of WorkDescription of work:Pt(CG€ -C l eS-fl)rti 0v.cr hL�.12 Att t A,' ,
i
. -..•. _ _ Construction Cost: o(.'6/.' t Multi -Family Building: (Yes / No
i
e
15 Van ` t �) ] lr^���t Phone: CL t�i�3 O'7
1436/6" 6Aldeiffitul &liar) kw 53733
Owner if' Contractor
(
Ift he project is exempt from lead certification, please explain why: (see Page 3 for additional information)
Contractor
Company: AA` Cruz - o.) Contact: l Jo �%vyzeeiic '-
Address: `tel U1 i IV City: Pact( JT Lti! .
I State: ,fi/)! v Zip: .65-67/ Phone: 6)' AO— 7/al
i
1 License #: Lead Certificate #: L S R.-- /1/7 f1/49---
COMPLETE
j v 2
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
i In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
t
i Licensed Plumber: Phone:
Mechanical Contractor: Phone:
_Yes _No If yes, dale and address of master plan:
I Sewer & Water Contractor:
Phone: Ei
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
I
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the 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.00pnerstateonecall.orq
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.
Oral) f J aSk_—
Applicant's Printed Nam
x
Applicant's Signature
Page 1 of 3
CityofEaau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
q(4 13
Permit #:
Permit Fee: (.10
Date Received:
Staff:
INFLOW & INFILTRATION PERMIT APPLICATION
Plumbing / Sewer & Water
Date: l ifi 6/13 Site Address: 1139 6 Cyz_001,11 , /IN 5-5 /j2 3
Tenant: Suite #:
Name:
l-z.�.. 1 u ( (s 71-7
Address / City / Zip: '13'7 6 61-ex'ic47-v1 7r
Phone: G 57- 8 3- G"1 14
)lf f,,, /-1N s 5 -11 -
Name:
/
Name: License #:
Address: City:
State: Zip: Phone:
Contact: Email:
PLUMBING (Within the building envelope)
X, Sump Pump Repair
Other:
SEWER & WATER (Outside the building envelope)
Repair
Other:
Description of work:
FEES
$60.00 / Each (includes $5.00 State Surcharge)
TOTAL FEE $ 6
*Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit 1/I repair costs for
reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors
can be found by visiting www.citvofeaqan.com/inflow, or City Hall at 3830 Pilot Knob Rd.
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.
x /51A--""
Applicant's Printed Name
x
Applicant's Signature
FOR OFFICE USE
Required Inspections: _Under Ground
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA113076
Date Issued:08/29/2013
Permit Category:ePermit
Site Address: 4396 Garden Tr
Lot:001 Block: 003 Addition: Wilderness Run 2nd
PID:10-84351-03-010
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 .
Nathan Corbin
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 -
Kamrul Islam
4396 Garden Tr
Eagan MN 55123
Corbin Exteriors Llc
1115 Southview Blvd
South St Paul MN 55075
(651) 760-3116
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA125000
Date Issued:07/16/2014
Permit Category:ePermit
Site Address: 4396 Garden Tr
Lot:001 Block: 003 Addition: Wilderness Run 2nd
PID:10-84351-03-010
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 -
Kamrul Islam
4396 Garden Tr
Eagan MN 55123
Corbin Exteriors Llc
1115 Southview Blvd
South St Paul MN 55075
(651) 760-3116
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA151628
Date Issued:09/05/2018
Permit Category:ePermit
Site Address: 4396 Garden Tr
Lot:001 Block: 003 Addition: Wilderness Run 2nd
PID:10-84351-03-010
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Kamrul Islam
4396 Garden Tr
Eagan MN 55123
(651) 983-2024
Metro Heating & Cooling
1220 Cope Ave E
St. Paul MN 55109
(651) 294-7798
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA151629
Date Issued:09/05/2018
Permit Category:ePermit
Site Address: 4396 Garden Tr
Lot:001 Block: 003 Addition: Wilderness Run 2nd
PID:10-84351-03-010
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
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 -
Kamrul Islam
4396 Garden Tr
Eagan MN 55123
(651) 983-2024
Metro Heating & Cooling
1220 Cope Ave E
St. Paul MN 55109
(651) 294-7798
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA159859
Date Issued:01/23/2020
Permit Category:ePermit
Site Address: 4396 Garden Tr
Lot:001 Block: 003 Addition: Wilderness Run 2nd
PID:10-84351-03-010
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Venting of a bath fan.
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
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 -
Mithila Rahman
4396 Garden Tr
Eagan MN 55123
(651) 983-5746
Franek Construction Inc
11550 Halstad Ave
Lonsdale MN 55046
(612) 232-9294
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA177030
Date Issued:06/13/2022
Permit Category:ePermit
Site Address: 4396 Garden Tr
Lot:001 Block: 003 Addition: Wilderness Run 2nd
PID:10-84351-03-010
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
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: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Mithila Rahman
4396 Garden Trl
Eagan MN 55123
(651) 983-2024
A To Z Remodelers Inc.
12522 Greylock Ct
Apple Valley MN 55124
(952) 426-4444
Applicant/Permitee: Signature Issued By: Signature