3350 Heritage LaneINSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
' Eagan, Minnesota 551 22-1 897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
I iA?s
? t [' TfNf3kf N 1 , • . ; , . .';_?
PERAAIT SUBTYPE:
TYPE OF WORK:
111-;rrrrr-•tIO?a
K+i t 4 r11 NE:
0,310.19
t?/,,:ry 91
Nf W
(tjAS TN5Fit7)
INSPECTION .. . ..
? A
,.
Permlt No. Pertnft Hoider Date Telaphone N
ELECTRIC
PLUMBING
HVAC
Inspection Date insp. Comments
FOOTINGS
FOUNO
FFIAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
(3AS SVC
TEST
INSUL
(3YP BOARD
FIREPLACE
FIREPLACE
AIR TEST O ?
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAI
DECK FTG
DECK FINAL
CITY OF EAGAN Remarks
10 44900 061 Ol
Addition Letendre Addition ??1 Lot Pt • of 6 Rlk 1 Qar?t
Owner Street 3350 Heritage I.ane State Ea3zSA, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 19']S 839.85 83.99 10
STREET RESTOR.
GRADING
SAN SEW TRUNK 1974 $185. 00 $7. 40 25
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA
STORM SEW TRK 3p3,p?
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WA7ERCONN. $240.00 978?+ 1 - 1-73
8UILDING PER. ??319]
sac 375.00 9784 12-31-73
PARK
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road , Permit Number:
Eagan, Minnesota 55122-1897 Date lssued: "
(612) 681-4675
- , T,
SITE ADDRESS: ?? APPLICANT: ,
;r ar rAQr- taNr:.
! k E l NtfR?. l: i
r Rt'MARK%; plan reviwwwri by milce bArvk
f
PERIIAIT SUBTYPE: TYPE OF WORK:
'? '° • i; l 1' F fr A 1 T n N
Permit Holder Date Tetephone #
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITY
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
INSPECTIUN RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pi1ot Knob Road Permit Number.
Ea an, Minnesota 55122-1897 S-
9 Date Issued:
(612) 681-4675
?:.
SITE ADDRESS: APPLICANT:
1?i RI1'F1fik ! AME ; %+r . .+, , .- ;
tLfVfIttt' l?,l (61<) i184 J010.4
.i
PERMIT SUBTYPE:
TYPE OF 1N4RK:
c t s G,I
11w hIdoCi [ioc I
INSPECTION D• • V'
Rr,:TIl1Rh.rr1 PI.AN REVFl.lfi.? E!Y MdKE FtAi'rrF:
CAI.l. 441-1'840 kF11AFtC?lN(; F Ifr:TKif..Al Pf.-F31qi r AMf1 lMStSF'CTliaN`;
Permit Holder Date Telephone #
PLUMBING
HVAC
Inspection Date Insp. Comments
FOQTINGS
FOUNO
FRAMING ? n
J` 8
l
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
'
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
?,..?
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITY
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
EAGAN TOWNSHIP
BUILDING PERMIT
oW.,er _??- ..... _ ? . .................................
/?
Address (Presen!) .... LP..7..a:i1_._C
Buildes .....
Address
N° 319'7
Eagan Township
Town Hall
Dale ..................:....
Sioxies To Be Used Fox Froni Dep1h He3gh! Esl. Cos! Parmit
Fee Aemasks
? , ?
,?s'- ?9s?v?
? .-
G9•-?
iv •?-. /i' ???ay`',.?? ??
` '
' /"/ LOCATION
5ILl8I, ri086 Oi OIh¢! U88Ct1pivOI1 oI LOCBriOn I LO! I BIOCk I AC41210n O! T28C!
? -R3.s-
0 4:?( I /
This permif does not au • rise !Ke use of slreels, soads, elleps or sidewalks nor does it give the owner or his agent
the righ! !o ereate any sii ion whiah is a nuisence or which presents a haaard !o the 6ealfh, safely, convanienca and
geaeral weltare !o anpone sn the eommunify.
THIS PERMIT MUST BE PT ON THE PREMISE WFIILE THE WORB IS IN PROGRE .
This ia !o cerrifp, ----- has Parmission !o ereei ... -. -• - -°-^`- --• -
the above deseribed premise subjec! !o the provisions of the Bvildiag Ordinance for Eag T w ip ado ed A 11,
.................. _........' --- ?„ ?...l.. .? r?¢ ..... Per ............. ...._ .?6:. ...................
Cha?an of Tnwn?85?r? \ Building Inepec or
?' \
ol
/o ??9ao 04
'w
o?'4
cziY oF e:,-?;.a„7
3795 Pilot Knob Road
Eagan, T9innesota 55122
PLRP%ST IdO.: e?19
T:ie City of Eagan hereby grants to ,M,,,,,,,,a,,,, ri,,,,tic„, n,,
of
a P1fiARZAi6 Fermi.t for: (Otimrr)
??50 Heritage Lane, 3365-3310-3280 Donald Avenue and
167-3-E,P-'Fendrp-SG r p'•xrsuant to application deted -ji-) 7i4
Fee ?aid: _ W0go dated l,t.is ???,.h day of ?e?_, 19?e •
2.50 s/c
Hui.lding Insnector
1.iecitanical -,e:^mits:
Bia Tocal:
VILLAGE OE EAGAN
3795 Pilot Knob Road
Eagan, Minnesota 55122
PERMIT NO.: 445
The Village of Eagan hereby grants to ReY N. walter tieating Co.
pf 4637 ChSoago Ave. So., Mp1s..55407
a AFATING
Permit for: (Owner)
M8L611 m88hS11CtA0A
at 3350 Heritaqe Lane , pursuant to application dated 12/26/73
Fee Faid: 20.00 dated this 31 day of Decembez , 19 73,
.50
Builclir.g Inspector
Mechanical Permits:
Bid Total.;
VILLAGE OF EAGAN
37:S.Pi!?_:." Knob Rood
Eogon. MN 55124
Zoning: R-1
Owner: MaZe
Address:
Site Address: ---3359-HQr1tave-L..?
Plumber: _'S!± !!!rSon-?lumb?40.00 Dd 12/31
Mecer No.: 22843671 Connection Charg 73
- -
Size: ?8 -?ckw011 Account lleposit: --
10.00
Reader No.: _*}j(gfs 517090 Permit Fee: .50 ? _
'?
1 ogrea to comply with tM Villa9e 7 of Eagan Sureharge: 60.D0 _^? _
prdinancas. rseEharges: ?y-y--
otal: -?j-
By ate Paid:
Date of Insp.: Insp.:
YILLAGE OF EAOAN SEWER SERVICE PERMIT
379-i Pil.rt Snob Raod PERMIT NO.: 2152
Eogon, MN 55122 DATE: 2/27/74
Zuning: _ R-7 No. of Units: 1
Owner: MdZ21], l`nnahrnrtibn (`O.
Address:
Sice Address: 1350 Lfle*i*anel,aIIP
Plumber: Thomoson Plumbinq Co.
1 agraa ro comply wieh tha Vflloga oi Eogan Connec[ion ChazP5.00 pd 12/31/3
Ordinancas.
BY:
Da[e of Insp.:
Insp.:
WATER SERVICE PE9RMIT
PERMIT NO•: 2/27/74
DATE:
No. of Units: 1
Account Deposia
Permit Fee: 10.00 pd
Surcharge: • 50 pd-
Misc. Charges:
Total:
Dare Paid:
f:,httr??:-??,? ?• ?:it ,
,, l E i??if]:i•'hL. r.,_; . _?,S::i
'
i`:;'!?•?=z 11`„''rii /."::43 .;._•,..,.':^ ',.`.i° ..:)3
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PERMIT
CITY OF EAGAN
3830 Pilot Kjob Road
Eagari, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-44900-061-01
DESCRIPTION:
PERMIT TYPE:
Permit Number:
Date Issued:
3350 HERITAGE LANE
LOT: 61 BLOCK: 1
LETENDRE 1ST
includes deck
R;uilding,yPermit Type SF PORCH
8uild1 ng ?lork Type NEW
;'?Census Code 434 ALT. RESIDENTIAL
d
REMARKS:
PLAN REVEWED
CALL 445-2840
FEE SUMMARY:
Base Fee
Plan Review
Surcharge
Total Fee
VALUA7ION $22,000
$312.25
$202.96
$11.00
$526.21
BUIIDING
032325
06/24/98
CONTRACTOR:
LAKER CONS7RUCTION
140 W 98TH ST
,
BLOOMIN6TON MN
.(612) 884-5503
- Applicant - ST. LIC
18845503 2005390
55420
OWNER:
GORELL WANDA
3350 HERITAGE LANE
EAGAN MN 55121
(612)688-8867
?Shereby acknow3etlge tNat Z'have resd this
information is correct and agree to comp3y
3tatutes and City ii'F Eagan 4rdinances.
,?
APPLI NTlPERMITEE SIGNATURE
BY MIKE BARCK
REGARDING ELECTRSCAL PERMIT AND INSPECTIONS
applicatiori and state thet Che I
with all applicable State of Mn.
?
f AM J
I SUED BV: NA
298 3Zgg BUILDING PERIVIII` APPLICATION (RESIDENTIAL)
r C ITY OF EAGAN
3830 PII.OT KNOH RD - 55122
681-4fi75 ?
Naw Construction Reauirements RemodeVReDeir Reauirements
? 3 regislered site surveys ? 2 copies of plan
? 2 copies of ptans (inGude Deam 8 window s¢es; poured fid. tlesign; etc.) ? 2 site surveys (exterior additions 8 dedcs)
? 1 eneigy calculations ? 1 energy celculations for heated addkions
? 3 wpies of tree preservation plan M lot plafted after 717193 ?
required: _Yes _ No ?°i U?V
DATE: _-Tu v. e I 1 - 19 ?'i',P'
DESCRIPTION OF WORK:
STREETADDRESS: ?5 3 3'"?'??Fe Y i?/c
'WT.- L -/BLOCK: SUBD./P.I.D.
PROPERTY
OWNER
CONTRACTOR
ARCHIT'ECT/
ENGINEER
CONSTRUCTION COST;
.- I ln l- .C -
St'
Name:_ _aO Y 2/? iil.) 4 vt Cl f.- Phone
Last First
Street Address: ? B'5`0
City State: 1? ?f + Zip: T- S/ Z- /
Company:Za kE E ca tn CTY-,, Eb a't-- Phone N: 2F S' -!?- S D.3
Street Address: / y 0 W 9 g?`' $! . License #
Zip:
City Z 6 s P-n t w a`7o c. State: 4 0
Name:
Street
City
Sewer 8 water licensed plumber (new construction ony):
and lot change is requested once permit is issued.
Phone #:
Registration #: _
State: Zip:
I hereby acknowledge that I have read this application and state that the
State of Minnesota 5tatutes and City of Eagan Ordinances.
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Penatty applies when address chang
is correct and agree to comply with all applicabl
c--
'i'o1-
Tree Preservation Plan Recerved - Yes - No - Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
??v (wp
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool
? 03 SF Addition
( ? OS 8-plex ? 13 Garage/Accessory ? 20 Public Facility
04 5F Porch
,k ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
95?? 0, 10 4 T ple x 0 15 Deck
R-
WORK TYPE
? 31 New ? 33 Alterations ? 36 Move
R( 32 Addition 0 34 Repair ? 37 Demolition
GENERAL INFORMATION
•Const. (Actual) Basement sq. ft. MCNVS System
(Allowable) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code. ?i
Depth Footprint sq. ft. SAC Code
Census Bldg I
- ' Census Unit v
APPROVALS
Planning Building IL49 Engineering Variance
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SNV Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Cppie's ,
iry?
( r ., `:°;
j TotaL•
°h SAC
Valuation: $ 7-2,coa. --
. . .n:'? . ,.. . . .,, < .. . ;:>?
`:.fTV ?., 'r.ii? ??•?•r
a. ?I...:i O-1 /2. <If??Ql
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n.,. clfir?a
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7
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..... .. ?_' 1 ....p.?...r???:. ?
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.....,., .il..l..J1 ..?..?.
.,..i.it? ?..._?.:
J,. :?..>.:.. ....
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PERMIT
CITY OF EAGAN
3830 Pilo,z,Knob Road
Eagan,?Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
PERMIT TYPE:
Permit Number:
Date Issued:
3350 HERITRGE LANE
LOT: 61 BLOCK: 1
LETENDRE 15T
P.T.N.: 10-44900-061-01
BUTLDZNG
032324
06/24/98
DESCRIPTION:
-, srorNG, wzHOOws
RpfAIldIi?Permit Type SP (MISC.)
Awzlding t4ork Type ALTERATION
C,
pd? 434 flLT. RESIDENTIAL
Jens
ns
n _ -
3se
ti
vc ?aa _i? ?es?
b mie „ si'cer.
.. A y'-'75='"
?-`^a Pr i' c:k ?im
?re ii xL n,T?' m+
x ',pe
A:n
? 4.
-"-..:Rt g:.
dr? se'
?gv 4 S'aiwt •?ti 91C I i6 :?v ?a
REMAFlKS:
p an reviewed by mike barck
FEE SUMMARY:
VAI.UqTION $10,009
Base Fee $162.25
Surcharge $5.00
Total Fee $167.25 '
CONTRACTOR: - flpplicant - 5T. LzC OWNER:
LHKER CONSTRUCTIQN 18845503 2005390 GOREI.L WANDA
1140 W 98TN 5T 3350 HERITAGE LANE
-@LOOMIN6TON MN 55426 EAGAN MN 55121
(612) 884-5503 (612)688-8867
La het^aby ackriaul?edg'e that Y hav$; r's?d 1
.. TtY'?RNlRA'?"1/SYf l?iS i'?KM'(?.b/'a} pVi'>? 3nno:ors'?'v'? re'aR
A, .::
?
h3s"a ?C?f?13ca?xc?n at?# ?.a?????
1p 1?+1'CfT- 8,1.pjJ?.IPC Dl? Stpt@, df"*YI_ `...
?
. .... . .ra ... , ? ,?'y :` . . '? ? ... ? . .
3ZO3ZU1998 BUILDING PERMIT APP.LICATION (RESIDENTIAI.)$l (p`7. 2-,6
CITY OF EAGAN
3830 PII.OT IQiOB RD - 55122
681-4675
New Constructian Reauirements RemodeVReoair Reauiremants
? 3 registered site surveys
? 2 copies of plans (inGUde Geam & window aaes; poured fid. design; etc.)
• 1 energy plalations
? 3 copies ot Vee preservation plan H lot platted after 7/1193
required: _Yes _ No
DATE: Tu ,.? e I i - i 9-rr.P'
DESCRIPTION aF W
? 2 copias of plan
? 2 ake surveys (exterlor addRions & decks)
? 1 anergy caleulations tor heated addiGons
,f-A G o o n+
CONSTRUCTION COST; F
STREET ADDRESS:
j,OT: 06 1. BLOCK: SUBD.lP.I.D. #:L,e?
PROPERTY
OWNER
CONTRACTOR
AR.CHITECT/
ENGINEER
Name: C? o r-e J I 1ilJ 4 K C! ?. Phone #: l? ??- ? 8 G 7
Last First `
Sueet
5'O
ctcy srate: M).! , z,P: -S-' s/ z- /
Company: 1 kC. !+ h-CTr 4 r / i a,w Phone #: 8p C/ ._ra S O?'S
Street Address: / y Q: W 9,P ? S' I. License #
City R/° a w, I yi. ? c. State: 'Orl Zip:
Phone #:
Neme: RegistraNon #:
Street
Ciry
Sewer & water licensed plumber (new construction ony):
and lot change is requested once permit is issued.
State:
I hereby acknowledge that I have read this application and state that the
State of Minnesota Statutes and City of Eagan Ordinances.
OFFICE USE ONLY
Certificates of Survey Received _ Yes
_ No
Zip:
Penaity appiies when address chang
is correct and agree to co ply with all applicaW
? JA 12? ?
Tree Preservation Pian Received - Yes - No - Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
E
4y ? ?
? 01 Foundation ? 06 Duptex ? 11 Apt./Lodging ? 16 Basement Finish
O 02 SF Dweiling ? 07 4-plex ? 12 Multi RepaidRem. ? 17 Swim Pool
? 03
( SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
04
A SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
5 -3€'N?fsts, 13 10 = plex ? 15 Deck
WORKTYPE s?,A i5, wrlea? S
O 31 New ? 33 Afterations 0 36 Move
0, 32 Addftion ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
• Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Pertnit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
b Copies:"rj??
?
; TOtal:
. . V t' r
% .SACi
SAG+Jnits -•---
Basement sq. ft. MC/WS System
Main Ievel sq. ft. City Water
sq. ft. Fire Sprinklered
sq. ft. PRV
sq. ft, Booster Pump
sq. ft. Census Code, a N
Footprint sq. ft. SAC Code n?
Census Bidg ?
- ' Census Unit U
Buiiding i?g Engineering Variance
Valuation: $ ??-
, • . fOJ ?QO. -
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PERMIT ?
? C-ITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMITTYPE:
PermitNumber: Buz?ozNe
031020
Date Issued: 10 / 2 7/ 9 7
SITE ADDRESS:
3350 HERITAGE LANE
LOT: 61 BLOCK: 1
LETENORE #1
P.I.N.: 10-44900-061-01
DESCRIPTION:
° (GAS INSERT)
B"uildinq°?ermit Type FIREPLACE
,8uilding Wci?rk, Type NEW
`?Census Gbde' 434 ALT. RESIDENTIAL
?. . .. •,?
f ?SSFaaa
i
`
IS ?1? #
9
?t? i
L ?F
Ink
K
i
z
.
REMARKS:
FEE SUMMARY:
Base Fee
Surcharge
Total Fee
$50.00
$50.50
CONTRACTOR: _ Applicant - OWNER:
GA3 LINE PLU5 INC 12266220 60RELL WANDA
4806 RUTLEDGE 3T 3350 HERITAGE LN
PRIOR LAKE MN 55372 EAGAN MN
(612) 226-6220
T here6y ackrsowledge that ?`I haVe- 1^`ead thi?`k:ap.¢licatk4n ?nd sta,te that tbe ;
infiarmation is correct and agree to=comply,with a11 applicable State of Mn.
L StaCutes and Gity ofi Eagarr Ordirr_ances.
.1]O(Ii? Oll'?.
APPLIGANTlPERMITEE SIGNATURE ISSUEO B: SI A R71 E^-
CITY OF EAGAN
o 3830 PILOT KNOB RD - 55122
? ? ? 1997 FIREPLACE PERMIT APPLICATION
681-4675
DATE: 10 .122,19"1
DESCRIPTION OF WORK:
STREET ADDRESS:
_ CONSTRUCT MM FIREPLACE
X INSTALL GAS INSERT ONLY
_ INSTALL GAS LINE ONLY
OI'HER:
SU 4e r I ?cLz,, I-a V I 2?
LOT BLOCK SUBD./P.I.D.
APPLICANT: (circle one only) OWNER iC NTRACTOR
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 5tatutes and City of Eagan Ordinances.
PROPERTY
OWNER
FIREPLACE
INSTALLER
Name: ?1Ya lNMAU Phone #:
?.sr nu.
Signature: _
Street Address:
City:
Company: _
Signature:
!i
Zip:
Phone #: ;12L -622 v
S+seet P.ddress: _Gaa i3no, pl„o? jn. T±cense
4808 $ntledge 8treet
City: p.t.,.. T..Ue aaiv eeeflate: Zip: _
GAS LINE Company:
INSTALLER
Name:
Phone #:
Signature:
Street Address:
City:
-WzD
PERNIIT FEE: $50.50
_ ALTERATIONS TO EXISTING
State:
State:
Zip:
.?
OFFICE USE ONLY
BUILDING PERNIIT TYPE
? 14 Fireplace
WORK TYPE
0 31 New ? 33 Alterations
0 32 Addition ? 34 Repair
GENERAL INFORMATION
Census Code. 434
SAC Code Ol
REMARKS
Chimney/flue must be inspected before concealing.
MASTER CARD
C\ f e .
LOCATION
STRUCTURE AND
IAND USED AS
Permit
No,
Issued Issued To
Coniractor Owner
BUILDING .3I /3'73
PLUM6ING
CESSPOOL - SEPTIC TANK
Y?ELL
ELECTRICAL
H EATI NG
I? ? )
GAS INSTALLING
/-
SANITARY SEWER
OTHER
OTHER
Approved
Items (Initial) Date Remarks Distance From Well
FOOTING SEPTIC
FOUNDATION CESSPOOL
FRAMING 74 TILE FIELD FT.
FINAL
ELECTRICAL
HEATING
?
'd.. 3 -7G/ DEPTH
OF WEIL
GAS WSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD ?
PLUMBING
WELL
SANITARY SEWER
.
T - /3• ) ? 39
Violations Noted
on Back
COMMENTS:
\
Wj
COMPLIANCE INSPECTION REPORTS
TO BE USEO ONLY IN BVENT OF OBSERVED VIOLATIONS
PERMIT NO.
CONDITIONS OF CONSTRUCTION AT THIS INSPECTION
? NO EVIDENCE OF NON-COMPLIANCE
OBSERVED.
? ACCEPTABLE SUBSTITUTIONS OR
DEVIATIONS.
DATE OF INSPECTION
? NON-COMPLIANCE. BUILDER WILI COMPLY
WITHOUT DELAY.
NON-COMPLIANCE. BUILDER DOES NOT
INTEND TO COMPLY.
? COMPLETION OF CERTAIN IMPROVEMENTS
WILL BE DELAYED BY CONDITIONS BEYOND
CONTROL.
ITEMIZED AND DESCRIBED AS FOLLOWS:
? REINSPECTION REQUIRED
DATE OF REINSPECTION
REINSPECTION REVEALED
- CERTI FICATION -I certify [hat I have carefully inspected the ahove in which I have no interest present or prospective, end that I have repor[ed herein
all significant conditions observed to 6e at variance with ordinances of the Town of Eagan, appraved plans and specifications, and any specific require-
menss for off-site imprwements relating to the property inspected.
? ALL IMPROVEMENTS ACCEPTABIY COMPLETED
BLiILDING INSPECTOR DATE
CONJv1ENT5:
:3
oj?
- - - - - - - - - - - - - - - - -
J, I ForOffice Use
- i I , !y F<1G~~ Permit#:
City of Eaffafi
Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I
Fax: (651) 675-5694 I Staff:
L-----------------
2009 MECHANICAL PERMIT APPLICATION
Date: "L' 1 -()CA Site Address: t 1~ x (!<< ISZ 1-
Tenant: Suite
RESIDENT! OWNER Name: 1 (v C £'_t 1t Phone:
Address / City / Zip: J ._.v CA e ( ~
CONTRACTOR Name: 'a License 6r0 9lll~R I
Address:- 1 CD
City: Staten) Zip: 5211a
Phone: L ^LU 1JO Contact Person: oq'e 11
TYPE OF WORK New Replacement Additional Alteration Demolition
Description of work:
NOTE: Both roof mounted and ground mounted mechanical equipment is required to
be screened by City Code. Please contact the Mechanical Inspector or one of the
Planners for information on permitted screening methods.
PERMIT TYPE RESIDENTIAL . COMMERCIAL
Furnace New Construction _ Interior Improvement
Air Conditioner _ Install Piping _ Processed
Air Exchanger _ Gas Exterior HVAC Unit
Heat Pump _ Under / Above ground Tank Install J_ Remove)
" When installing/removing tank(s), call for inspection by Fire
Other Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge)
$90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) i 50
$ J(J TOTAL FEE
COMMERCIAL FEES:
$70.50 Underground tank installationtremoval OR Contract Value $ x 1%
$50.50 Minimum (includes State Surcharge)
= $ Permit Fee
If P rmi Fee is less than $1,000, surcharge is $.50.
If Perini Fee is > $1,000, surcharge Increases by $.50 for each = $ State Surcharge
$1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge).
$ TOTAL FEE
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 out 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 x Ab"~6
Applicant's Printed Name A li is Signature
FOR OFFICE USE
Reviewed By: Date:
Required Inspections: __Under Ground _ Rough In Airiest _Gas Service Test -in-floor Heat -Final
_ Exterior HVAC Screening Inspection
-----~---1
'qo' For Office Use
City of Eaall Permit#:
3830 Pilot Knob Road Permit Fee: D • Sv
Eagan MN 55122
Phone: (651) 675-5675 Date Received:
Fax: (651) 675-5694 Staff:
2009 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: IQ cq Site Address:
~15O_
Tenant: Suite
RESIDENT/ OWNER Name: _~X\r Phone:
Address / City / Zip: SCt 11~CL alp 0e-.;
CONTRACTOR Name r" License it t ll I
t.%a
Address:
C r ~1't L L i. [
City: (L-'`e State: F
Zip:
Phone: -Yl
Contact Person:
TYPE OF WORK New Replacement - Repair _ Rebuild _ Modify Space _ Work in R.O.W.
Description of work: ) (f
PERMIT TYPE RESIDENTIAL
Water Heater Water Softener
Lawn Irrigation Add Plumbing Fixtures
RPZ / PVB) Main _ Lower Level)
Septic System Water Turnaround
-New
Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater ern Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge)
*Water Turnaround (add $165.00 if a 5/8" meter is required)
$100.50 Septic System New ($30.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
TOTAL FEES $
1 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 t 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 ns,
X
Applicant's Printed Name icant's ignature
FOR OFFICE USE Reviewed By: Date:
RequiieU lrispectUons: unaerirouna „_Hough-In Air Test Gas Test Final
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA161236
Date Issued:05/13/2020
Permit Category:ePermit
Site Address: 3350 Heritage Lane
Lot:061 Block: 1 Addition: Letendre 1st
PID:10-44900-01-061
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
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 -
Wanda M Gorell
3350 Heritage Lane
Eagan MN 55121
Dakota Water Treatment
17484 Goodland Path
Lakeville MN 55044
(952) 953-4643
Applicant/Permitee: Signature Issued By: Signature