4229 Limestone Dr
Use BLUE or BLACK Ink
r
For Office. USe
-7zi~ I
City of Eapn Permit#: I Permit Fee: c~ I
3830 Pilot Knob Road
Eagan MN 55122 I I
I Date Received: I
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff: I
L -----------------I
2010 MECHANICAL PERMIT APPLICATION
Date: j / O 1 U Site Address: I G cv~e S~cv~ Dr l V2..4~;avti r, ►y 551 Z__
Tenant: Suite
RESIDENT/OWNER Name: 56tcky, Phone: G51_3g6_z39& cep
Address/ City/Zip: li rv-\eJoin~e, br1y1z
CONTRACTOR Name: License
Address: City:
State: Zip: Phone:
Contact: Email:
TYPE OF WORK New Replacement Additional Iteration Demolition
Description of work: 1~Zrdut2 G" LS Li ne- (~r-111 Stee ~ fo CG er Ln,~,
NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City
Code. Please contact the Mechanical Inspector for information on permitted screening methods.
PERMIT TYPE RESIDENTIAL COMMERCIAL
Furnace New Construction Interior Improvement
Air Conditioner XInstall Piping Processed
Air Exchanger Gas Exterior HVAC Unit
Heat Pump Under / Above ground Tank Install / _ Remove)
When installing/removing tank(s), call for inspection by Fire
Other Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$55.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge)
$95.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) $ TOTAL FEE
COMMERCIAL FEES:
$75.00 Underground tank installation/removal OR Contract Value $ x1%
$55.00 Minimum (includes State Surcharge)
Permit Fee
- If the Permit Fee is less than $10,010, surcharge is $ 5.00
If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee Surcharge
(i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge)
TOTAL FEE
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.aopherstateonecall.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 permi tha the work will be in accordance
with the approved plan in the case of work which requires a review and approval of plans.
X av-- tk &_C ~t.c x
Applicant's Printed Name A licant's Signat re
FOR OFFICE USE Reviewed By: Date:
Required Inspections: -Under Ground Rough In -Air Test -Gas Service Test -in-floor Heat -Final
Exterior HVAC Screening Inspection
Use BLUE or BLACK Ink
IUJ
adIl I Permit
I ,
City of Ea
Permit Fee: 1
i I
3830 Pilot Knob Road i
Eagan MN 55122 i Date Received:
Phone: (651) 675-5675 1 Staff:
Fax: (651) 675-5694 1
INFLOW & INFILTRATION PERMIT APPLICATION
Plumbing I Sewer & Water
p
Date: Site Address: ALP d r1 qQ--
Tenant: Suite
Name: B r Il 1Y', K SQ Ak-,(- Phone: G S 1 J l 8- O3 6
RESIDENT /OWNER pZ z 1 , / L J
Address/ City /Zip: ' Livnzi np- I V Ec Avg 51 7-
Name: License
CONTRACTOR Address: City:
State: Zip: Phone:
Contact: Email:
PLUMBING (Within the building envelope) SEWER & WATER (Outside the building envelope)
TYPE OF WORK Sump Pump Repair Repair
V Other: IClz'moV~l_ j~ !)~Vt(- 50CL<~ Other:
DESCRIPTION Description of work:
FEES
$55.00 / Each (includes $5.00 State Surcharge) TOTAL FEE $
*Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit 1/1 repair costs for
reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors
can be found by visiting www.citvofeagan.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
per}mit~it; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans.
<LY\ se'Ae-y x
Applicant's Printed Name Applicants Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: -Under Ground -Rough-In -Final
b OA C--40 tic- --s7
~`IYa~.,~~, GIC'rF' J> r~G?.St.vtih~'-Arm %iJc~!.~1 s' OcVQ.~ ~~~Va
f ( u i.
'-t ~,.y. l rz.;k a1^.a+~,.
C , j (
1YO Lll
1.
o
i
INSPECTIQN REC4RD
CITY OF EAGAN PERMIT TYPE: ""' 1 r' 1 N6
3830 Pilot Knob Road Permit Number: 0 •' `i 7e7
Eagan, Minnesota 55122-1897 Date Issued: 0 4 f 7{
(612) 681-4675
SITE ADDRESS' • APPLICANT•
t??? t;? ??? t: r, .
? . t i rqt , i r,rlF Ijt. N1 , i
? I ali,l: rli<UVl 0 <' r+11 tt 0 T833 .?
PERMIT SUBTYPE:
, , . . t ,
TYPE OF WORK:
:0 irRatrON
Rl I :(; A4 i f:RA f ION
INSPECTION DA • .•
;'(111liil ii?S ll ? ?. ? 11Jf?f
? .
REMAf?K.S: URIFH ';"fA3:RWA1'/IM5iTA4.t. T.NRiItiE Ut1bR'i
F -1
i
?_ _J
PermR No. Permft Holder Date Telephona 1F
ELECTRIC
PLUMBING
HVAC
InspecUon Date Insp. Comments
FOOTINGS
FOUND
FRAMING
l.1iJ
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
INSPECTION REC
? CITY OF EAGAN PERIIAIT TYPE: rtIJ 1! I) i NA
3830 Pilot Knob Raad Permit Number: +' .' i9 ) r'0
? Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
.? ?
SITE ADDRESS: APPLICANT:
?I ,.- I 1 MF '. 1 uPJt U1+ +.r? I t f tr . lir+td
i1j'iJ; 1&141.?1 'NCi t ?, ? ,• : ?I',i. ?t/ { t
PERMIT SUBTYPE: TYPE OF WORK:
t M ? ? 14-pA.t
i I?FMRitt,?? 1C11N?; 14 l1 1 fh"i:?: ('A'i[ FA ' ?
PermR No. Permft Holder Date Telephone #
ELECTRIC
PLUMBING
HVAC
Inspectton Date Insp. Comments
FOOTWGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAI PLBG
FINAL HTG
ORSAT
TEST
BLDG F1NAL
BSMT R.I.
85MT FINAL
DECK FfG
DECK FINAL
CITY OF EAGAN Remarks 02d3Y` , aiSit10t9
Addition Cedar Grove #2 Lot 2 BiIN Parrel 10 16701 020 06
Owner : : ! c:- Street
J
- "?--
Improvement Date ount Annual Years Payment Receipt Date
STREET SURF. 88s 1985 12
9 84.46
-3 0 - 9 4
STREET RESTOR. F
GRADING
SAN 5EW TRUNK
-? SEWER LATERAL 1972 30. 52-16 25 P11.C1 I
WATERMAIN I
# WATER LATERAL 1972
WATER AFiEA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
510EWALK
STREET LIGHT
WATER CONN. T ; 1
8U14DING PER. ;
SAC I
PAfl K
I
cirr oF EAG?N
37lb Nlot Knob Read Eaqen, MN S5122 '
PHONE: 454-8100
BUILDING PERMIT Receipt #
To 6e wW for Est. Volue Dcte _, 19
Sjte ^ddreu ta Erect ? Occuponcy
'
Lot Block 5ec/Sub. Alter ? Zonir?p
parcel # Repair ? Fire Zone
E T
nlarpe ? ype of Const.
W Nome Move
?
# Staries
; "/
/lddress Demolish ? Length
b n
n__`1
?? Address Assessment
F Cit phone Woter & Sew.
Poliu
? W Nome Fire
?? Address Enq,
<W Ci Phone Plonner
I hereby acknowledge thot 1 hove reod this opplitotion ond stata that CounNl
Bidg. Off.
the informotion is corred and agree to comply with all opplicable
5tata of Minnesota Stntutes and City of Eagon Ordinonces. APC
Pe?mit
Surchorpe
Plan check
5AC
Water Conn.
Water Meter
Road Unit
Totol
Sipnature of Permittee I
/1 Building Permit is issued to: on the express candition Iluat
oll work shall be done in occordonce wlth ull opplicable Stete of Mlnnesoto Statutes ond City of Eaqan Ordinonces.
Buildirg Official
Permit No. Permit Holder Mise. PNmit No. Holder
Plumbiny
H.V.A.C.
w.u
Water
Disp.
S?vwr
ENctric
IrWeetion Date Intp. Other
Footinyt
Foundation
Frominp ?
Rough PIb4
Rouph HVAC
Inwlation
Finel Plbp,
Final HVAC -
Final .? y
waftr Dettxibe LocatiOn:
YYall
Sawer
Pr. Dhp.
1082 Payne Ave.
St. Paul, MN 55101
651l772-2449
LAST
GAS WORK ORDER
STANDARD
6HEATING09
410 W. Lake St.
Minneapolis, MN 55408
612/824-2656
& AIR CONDITIONING
A Blue Dof. Service Co. EQUIPMENT INFORMATION
FIRST
ZIP ?--
.---- Vl-
TYPE
MAKE
MODEL 3KA v
S ER IAL
INPUT
ORSAT TEST RECORD
C02 °/6 METERED INPUT C,,60(?f'1 CHIMNEY TYPE
02 ? % LIMIT SETTING () ° FLUE SIZE in.
CO °r6 PILOT OUTAGE ' sec CONNECTOR SIZE in.
NET STACK TEMP 0 TOTAL CHIMNEY INPUT ?C? btuh
RESIDENTIAL
- BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55722
it ? ?? z?? 651-6814675 170,00
New ConsWction Reauiremenb RemodeVReoair Rauuiremend
• 3 registered site surveys shawing sq. N. af lot, sq. R ot house; and all roofed areas • 2 copies of plan 74§'0 1
(20%maximum lot coverage allowed) . 7 set of Energy Calculations for heated additians
• 2 copies o( plan showing 6eam & window skes; poured faund desgn, etc.) . 1 site survey for eMerior addNOns & decks ?
. 1 set o( Energy Calculations . Indicate if hame served by septic system for addifions
• 3 copies of Tree Preservatbn Poan if lot platted afler 711193
• R'un Joist Delail Options selection sheel (bkgs vrith 3 or less units)
DATE 7I23/ot VALUATION
JOB SITE ADDRESS 4,L7-9 Ltmr,sTON= Dw.+p it EAGp*j
IF MULTI-FAMILY BUILDING, HOW MANY ONITS?
PROPERTY OWNER INA-De l?Vs?ssNC3u?,bE?
TYPE OF WORK ADpittonj ot Dr=cIL. FIREPLACE(S) _ 0_25,1 _ 2
APPLICANT W^DE Wgssp-NSAiI PHONE# (4S1) 452-tC,60
ADDRESS 4129 Luwr>Stor"_ DR.WE EAGaI-+ ZIPCODE SS122
PAGER # - CELL PHONE #
FAX #
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
r ?
Energy Code Category MINNESOTA RULES 7670 CATEGO 1C
(check one) - Residential Ventilation Category 1 Workshe ubmitted ?
- Energy Envelope Calculations Su6mitted
_ MINNESOTA RULES 7672
New Energy Code Worksheet Submitted
Plumbing Conhactor: _
Plumbing System Includes:
Mechanical Contractor. _
Mechanical System Includes:
Sewer/Water Confractor:
_ Water Softener _
_ Water Heater _
_ No. of Baths
_ Air Condiboning
- Heat Recovery System
Phone #
Phone #
Fee: $70.00
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 Ordin nce¢? ??? .
Signature of Appitcant
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 1101
Phone #:
Lawn Sprinkler Fee: $90.00
No. of R.I. Baths
?.
OFFICE USE ONLY
? 01 Foundation
0 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? OS 0&plex
? 06 04-plex
? 07 05-plex ? 13 16-plex
? 08 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 08-piex OP 18 Deck
? 11 10-plex ? 19 LowerLevel
? 12 12-plex Plbg_Y or _ N
? 20 Pool
? 21 Porch (3-sea.)
? 22 PorchlAddn. (4-sea.)
? 23 Porch(screened)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 MuRi
W 31 New ? 35 Int Improvement ? 38 Demolish (Interior) O 44 Siding
? 32 Addition 0 36 Move 81dg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (81dg)" ? 43 Reroof ? 48 Windows/DOOrs
? 34 Replacement •DemoliUon (Entire Bldg only) - Give-PCA handout to applicant
Valuation ?Af)fJ ? Occupaney k-3 , MC/ES System
Cansus Code Zoning ?v . City Water
SAC Units Stories Booster'Pump
Nbf. of Units' ? Sq. Ft. PRV -
Nbr: of•Bldgs Length Fire Sprinklered
T
f
ype o
Const Width
To
REQUIRED INSPECTIONS
Footings (new bldg)
Footings (deck) FinaUNo C.O.
Footings (addition) Plumbing
Foundation
Drain Tile
Roof Ice & Water Final Other
Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final
Fueplace _ R.I. _ Air Test _ Final _ Siding Stucco Stone
Insularion _ Windows (new/replacement)
Approved By LL9'S , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
,
License Search
Copies
Other
Total
FinaUC.O.
?j
HVAC
EAGAN TOWNSHIP No
_ BUILDING PERMIT
Address
Suilder ....
Address
?? Eagan Township
?'' Town Ha11
612
na:e ---- .I.....--??_ .............
Si-ories To Se Used For Fron! Depfh Heighf Esi. Cos! Pesmii Fee Remarks
cnL?sp? ?
I ,f? - LOCATION
Streel, Road ?or oiher Descripiion ot Loeation I Lo! Block Addition or Traci
This permit dces not auihoriae the use of sireefs, roads, elleys or idewalks nor does ii give the owner or bis agenl
the righ! !o creafe any sifuaYion which is a nuieance or whieh presenfs a hasard fo ihe healYh, safety, convenience and
general welfare to anyone in the community.
THIS PERMIT MUST B K T TH IiET _kYMILE THE WORK I5 IN PROGRESfS:? Vdin4;
This is 3o ceriifp, iha.. ????aspermission !o erec! a;.??..._l.2 ................___.upon
the above described premise subjecY !o the provisions of the Suildiqg idiaanc adopied Apxil 11,
1955.
, --- ? ? -------------.-- --`--------- -__ Per .
- - - Chairman of Town Board ? peclor
EAGAN TOWNSHIP
BUILDING
Ownex ----- A'?-??-?-- - -- -" -- ----- ??.._'."-'-
............ _ ..............n..
Address (presenY) .__-?`?'y
Builder ---?._
Addxess -------1?5-G----'?"?`?'?-`?`=----=----°-------------
PERMIT
N° 824
Eagan Township
Town Hall
Dale . ?
Siories To Be Used For Fronf Depih Heighf Esl. Cosi Permi! Fee Remarks
2-v I
LOCATION 5lreei, Road ox oiher Descripiion of Location La! Block I Addifion or Traa!
,? ? ? .?t • T? Z
This permit does nof auihorize the use of sYreels, soads, alleps os sidewalks nor does S4 give ihe owner or hIs agent
the xighi fo creaie any siluation which is a nuisance or whiah presenis a hazard ko the healfh, safefy, eonvenienee and
general welfare !o anyone in the commuaify.
THIS PERMIT MUST BE EPT ON T PREMISE WHILE THE WORK I5 IN PAOGRESS.
This is fo cerlify. .............................has permission 2o erecf a._.._._.__.. upon
j - ' ... .... . . . ..._'-_'
?.. .. ........__.... - --
the above deseribed epu, bjec! the prryvisions of the Building Ordinance for Ea n Town9 ip adopied April 11.
1955. ? ? /
....' .......... .
""" "'..... . ...'. ' . _._..... .... Per ------ _._..._.'._
.."." """"'_
.. .......'.'_".-.._.....
" Chairman oiTn+.vn Board Suildin Ins ee or
?(oqCITY OF EAGAtV Include 2 sets of plans,
1 site plan w/elevations &
BUILDING PERNIIT APPLICATIIXN 1 set of energy calculations.
To Be Used For Valuation ?. e"D o Date
Site Address: //gi?Zc/ OFFICE USE ONC,Y
Lot ? Bloclc _(,__ Sec./Sub. C?r #?
Parcel #: 16 14 70/ a a b cD ?
Owner:
Pddress: -1/ot o`Z°/
City/Zip Cocle:
Phone #:
Erect Occi.ipancy
Alter Zoning -fl
uapair Fire Zone
Enlarqe _ Type of Const.
Nbve # Stories
Denolish E'ront ft.
Grade ? Depth g ft.
APPROVAIS r'";r5
Contractor: Assessrents Pesmit
?? water/Sewer Surchar9e
W5 SO ? .
Address: ? a?--- ?
Police Plan Check
City/Zip Code: Fire SAC
?4• Water Conn.
Phone pjanmr Water Meter
Council RDad Unit
Arch./EYig.: Bldg. Off.
Address• AFC
City/Zip Cocle:
Phone #:
7+0'PAL S/
cirr oF EnwN
9795 PIIaR Knob Roed Eo9en, MN 55172
PHON& 454-8100
N° 6919
Recelpt # j 91f -7
Date Octoher 8 _. 1981..
BUILDING PERMIT
Ts ba und fer REMODEL & DECK Est. Volue $6, 000
Sife nddreu 4229 Limeslone nrivp
/Su 28 CedB?-
Lot 2 BIxk170?c0
Parcel #
W I Name wii rcaavia
z aaaress _ 4229 Limestone Drive
_ cc, nn
o IN,,s Ted Wachter Conetruction Tnc
i? Address 4550 $l gnkhaWk R.d.
? r;ti Fsgan 55122 phone
Nome _
Addrca
I hereby ackrawledge thot 1 have read this uDPlicotion and state thot
fhe information is correct and agree to comply with all oppliCable
Stote of Minnesoto Statutes and City of Eagan Ordinances.
Slpnofure of Permittee
A 6uilding Permif is issued To: 1Pd
all work sholl 6e done in acaordonce wit all li Stote of ii
Buildinp Offkial "e
Erect ?
Alter IX
Repoir ?
Enlarge ?
Move ?
amoush ?
Grude I'I
Assessment _
Woter & Sew.
Police -
Fire
Enp.
Planner _
Councll _
Bldg. Off. _
APC
Occupancv R'-3
Zoning R-1
Firc Zone MA
Type of Const.
# Stories
Length 16
Depth g Sq. Ft.-
Fees
Permit !
Surcharqe _
Plon check _
SAC -
Woter Conn.
Woter Meter
Rood Unit _
rotol $59.50
On. Znc. on the expresf condifion thai
Statutes nnd Ciry of Eogan Ordinonces.
?
RESIDENTIAL BUILDIYG
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
9?? I Telephone # 651-675-5675 FAX # 651-675-5694
qq, 0?
Nm CansWCtion Reauirements RemodeVReoair Reauirements OKce Use Oniv
3 registared site surveys shaxing sq ft of l04 sq. fl. of house; and all roofed areas 2 copies of plan Cert of Survey Recd
(20% maximum lot coverege allowed) 1 set of Energy Calculatlons for heated addNOns T2e P2s Plan Recd
2 wpies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions 8 decks Tree Pres Not Reqd
1 set of Energy Calculalions Addm'on - indicate donsRe septit system _ On-site SepUC System
3 wpies of Tree Preservation Plan if lot platted atter 711193
Rim Joist Detail Opfions ulection sheet (bldgs with 3 or less units
p
Date6_/ 10 / ConstructionCos 3300• Oo
SiteAddress 42Z-9 UniUSte #
DescriptionotWork
Multi-Family Bldg _ Y? N Fireplace(s) ? 0 _ 1 _ 2
Praperty Owner (,ljAD[ (O Ej SE i(, ) 19 uQ(r' JE?--g_ Telephone #((0 5/ )q5-Z -! 79
Contracror SCl4vEAJBeF_Gek PP_S?G3Al/ TNC-
address /lo CY 44 - w t'zL. CoM iz
State M/V? A Sl?_ . Ciry PR ;Or2 LAll-%z
Zip 55372, Telephone#(gSZ) 4q7- 1075
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cate orv 1 Minnesota Rules 7672
Energy Code Category . ResidenUal VentilaUOn Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
. Energy Envelope Calwlations Submitled
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
? I Telephone # (
I
Telephone #(
#(
I hereby apply for a Residential Building Permit 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 State of MN
Statutes; I understand this is not a permit, 6ut 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.
?TV/V fil. ?/Yfle?1 . ?Y'u1
/
Applicant's Printed Name Applicant's Signature
. i? t .
? ?a ? s?" ?i1LQ? ??'a- d?n?w.,,.? J `a-2 ? ??caA . ?x:ST•%vs W ? u Aow S
Fnf,w? t- wtwCOw wZ-ll ?? ? I v,?V,arj t?, <<
C
w.4\ Sec fe? l0 -2-COD :r,
C[TY USE ONLY
PERMIT #: J`? ?) (-- cl RECEIPT DATE:
2002 itESIDENTIAL MECHAIVICAL f'£$MIT APPLICATION
crrY oF ensniu
3830 PILOT KNOS RD
EA&AA MN 5512E
651-s8i-4675
Please complete for: ? single family dwellings
townhomes and condos when permits are required for each unit
Date: ? [)'4b -;?
SITE ADDRESS: -t :;v
OWNER NAME:
4z? ( q SZ.. :- ???
INSTALLER NAME: STANDARD NEATINp $ AIR CONDITIONING C0. TELEPHONE #:
410 WEST IAKE STREET
MINNEAPOLI8, MN 55408-2998
STREET ADDRESS: 619 u9a 2656
ciTV:
STATE: ZIP:
Place a check mark next to the permit work type
? Add-on, modification or alteration to existin dwelling unit $ 30.00
• furnace replacement
• air exchanger D?
• air conditioner ? 2 n rl
. other
?`
( U J
J ?_ ir
I
?
(-,
Q
11 2 6 200Z
,
lGc G
Cc..ev
G
Nature of work:
?
1
BY_
State Surchar e $ .50
l
T
t
a
o
? ?
SIG ATURE PE ITT' *
EE?
1102
PLUMBING (RESIDENTIAL)
Permit Application
City Of Esgan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Please complete for: Single Family Dwellmgs
Townhomes and Condos when pernuts are required for each unit
nate 03
WEISENBURGER, WADE
Site Address 4229 LIMESTONE DRIVE Unit #
EAGAN, MN 55122
(651) 452-1660
Property Owner Telephone # ( )
Contractor NO??LOn[ PLVariBfNG COa
(612) 82T-4033
Address City
•
State ip Telephoue # ( )
The Applicant is _ Owner V- Contractor _ Other
Septic Sys[em New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00
Includes County fee. AddNional consultant fees may apply.
Atterations To Existing IIwelling Unit, Including $ 50.OD
_ Adding fixtures to lower levels or room additions, excluding water softener and water heater
^ Abandonment of septic system
_ Water turnaround (+ 5/8" meter if needed -$121.00)
Other:
- RPZ _ new installaT.on _ repair _ rebuild $ 30.00
_ Lawn irrigation system
^ Water softener X Water heater $ 15.00
x replacement _ additional
`
State Surcharge
1
$
50
!
Total $ ?S. S?
I hereby apply for a Residential Plumbing Permit and aclmowledge that the info?tie?aas-?c€i -- ate; [ha[ the work will
be in conformance with the ocdinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is not a
permit, but only an application for a pernut, and work is not to start without a pernvt; that [he work will be in accordance with the
approved plan in the case of work which requires a review and approval of plans.
Je.-? NoCUC;-Ar,
Applicant's Printed Name A s Signature
1, - PERMIT
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMITTYPE: suzLozNG
Permit Number: 028160
Date Issued: 07 J93(96
SITE ADDRESS:
4229 LIMESTONE DR
LOY: 2 BLOCK: 6
CEOAR GROVE 2ND
P.I.N.: 10-16701-020-06
DESCRIPTION:
B'ualdisnbPermit Type
?Buzlding 41ork Type
;°T Censu% Gd°de
5
x,
,..-
SF (MISC.)
REPAIR
434 ALT. RESIDENTIAL
-? ?
J ?•-+ 4? t ? ? ??s'r /i' ? i._..."'?' #J
REMARKS:
SIDZNG GUTTERS FASCIA
FEE SUMMARY:
Base Fee
Surcharge
Total Fee
VALUATION
.$62.25
$1.00
$63.25
$2,ee9
CONTRACTOR:
OWNER: - Applicant -
GAZLFUS DAN
4229 LIMESTONE DR
EA6AN MN 55122
(612)456-9713
T hereby aeknbwledge"th&t Z
information is aorract and
Statutes at5d City"of?Eag'an
?
?havs read this s`ppl"icatfon and staCe th4t tbe
egree to comply with all applicable State of Mn.
Ordi`n'ances:
APPLICANT/PERMITEE SIGNATURE
-fiNIA ISSUEDBY IGN ? ? -?-
CITY OF EAGAN
3830 PILOT KNOB RD - 55122 ???, ',?,,•'?
o 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
Itt t
681-4675
New ConstruMion Reauirements
RemodellReoair Reavirements
? 3 regis[ered aite surveys ? 2 copies of plan
? 2 copies of pians (include beam & window slzes; poured tnd. design; etc.) ? 2 site surveys (exterior addkions & decks)
? 7 energy calculaUons ? 1 energy wlculations tor hea[ed additions
? 3 eopies of tree preservation plan if IM platted after 7/1193
requ`fred: _ Yes No
DATE: \( A\I o? G(n CONSTRUCTION COST: ?
DESCRIPTION OF WORK:
L{ ?--
STREET ADDRESS: " c?8 nd l-Q
LOT _I BLOCK t SUBD./P.I.D.#: rnAWr' CsYDV`?J11fl.
PROPERTY
owNeR
CONTRACTOR
Name: L-MU L-FcIS _nR?T16) ?hone #: ?5 f?-?I7/ 3
fStreetAddress:L+mn??f 1V
a _
City: State: PJ /l/ Zip:, 55/2
Company: ?&4-?NO sePhone #:
?
Street Address:
ARCHITECTJ
ENGINEER
City:?
Comp'C
Name:
Street
City:
License
177AJ_ Zip:
? -
Phone
State:
Registration
Zip:
5ewer & water licensed plumber, . Penalty applies when address change and bt
change are requested once permit is issued.
I hereby acknowledge that I have read this appiication and state that the information is correct and agree to comply with aN
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Appiicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes No
Tree Preservation Plan Received Yes No
PEIZIVIIT
CITY-bF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT TYPE:
Permit Number:
Date Issued:
BUILDING
029707 '
04/11/97
SITE ADDRESS:
4229 LIMESTONE CJR
LOT: 2 BLOCK: 6
CEpAR GROVE #2
P.I.N.: 10-16701-020-06
DESCRIPTION:
MISC RLTEftA7I0NS
ermit Type SF (MISC,)
7ype ALTERATION
434 ALT. RESIOENTIAL
W
e L
5? ?° #:? N. e: e: ?? ? ? s€
REMARKS:
OPEN STflTRWAYfTNS7ALL 1'N5ZnE DOORS
FEE SUMMARY:
VALUATSON
6ase Fee
Surcharge
Total Fee
$87.25
- 0 0
2.
$89.25
$4,@00
,
C,ONTRACTOR: _ Applicant - sT. LZC,OWNER:
BROLSMA CCJN5T, J 15880283 0005710 GAILFUS DAN
506 MISSION RD 4229 LIMESTONE DR
13LOOMINGTON MN 55420 ER6AN MN 55122
(612) 888-0253 (612)456-9713
I L°
S .h@Y'EfSy r?'C{QYtiJW-1kr,?.?.
in'fo?.ma'?x?rnt.a5 0?lr.Y
St atute s.tlt}+?a`
,r = ? rt'
'?ftr9t_ z'hL? .
eS i wY's e W•, y, 3? ig}j ?'?`???`f,?'
A4? {.? bt?
J
?.._,.>...,, a. _a..?._ .? ?_.' . ............ . ....?. .? _.'?
ISSUED BV:SlGNA URE
$t;?j.?? 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) $89. a 5
? CITY OF EAGAN
3830 PILOT KNOB RD - 55722 ///0
661-4675
New GonstrtM?ion R?_uirem9nts RemodeVReoair ReaulromeMs
? 3 registered site surveys
? 2 copiea oT plens (indude beam 8 wintlow slzes; poured {nd. design; etc.)
? 7 energy calculations
? 3 copies of tree preservation plan if lot planed after 711l93
required: _Yes _ No
? 2 copies of plan
? 2 sila surveys (axtenw add{tions 8 dedcs)
? 1 energy celculffiions far heetetl adtlitions
DATE: ?/! I lf -7 CONSTRUCTION COST:
DESCRIPTION OF WORK:
STREETADDRESS:
LOT L BLOCK ?P SUBD./P.I.D.
PROPERTY
OWNER
CONTRACTOR
ARCHITECT!
ENGINEER
APR
.3 ? tJ G
14
Name: Phone #:
u.. .a.?
Street Address:-- m F-
City: ???A-a,4-- av State: /ln ?J Zip:
Company: /J ?LO vYL .-9-`pJP h o n e #: ? oGY, '
Street Address: 0 (o /,*;Vl ; 5 5 r an 6,Linse #: :5> 7 L 0
City: VJ iG nr-+n I w State: ? 1 `f"?
Company: _ Phone #:_
Name: ? -- - Registration
Street Address:
City:
Wwater licensed plumber (new consWction onty):
change are requested once pertnit is issued.
Penalry applies when address change
1 hereby acknowledge that I have read this application and state that the information is correct a agree to comply with all applicable
5tate of Minnesota Statutes and City of Eagan Ordinances. ?
Signature of Applicant: LD
??`,'?`" `?•M-?•?
OFFICE USE ONLY
State: Zip:
Certifiqtes of Survey Received _ Yes _ No
Tree Preservation Pian Received - Yes _ No _ Nat Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
..? .? ` ,u.
.--:,
. .
? 01 Foundation ? 06 Duplex o 11 Apt./Lodging ? 16 Basement Finish
0 02 SF Dweiling o 07 4-piex ? 12 Multi RepaidRem. 0 17 Swim Pool
0 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory o 20 Public Facility
0 04 SF Porch ? 09 12-plex ? 14 Fireplace fl 21 Miscellaneous
0'05 SF Misc. ? 10 = plex o 15 Deck
WORK TYPE
n 31 New 0' 33 Alterations o 36 Move
? 32 Addition o 34 Repair o 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MC/WS 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. 43 4
Depth Footprint sq. ft. SAC Code
Census Bidg ?
Census Unit e?
APPROVALS
Planning Building M13 Engineering Variartce
Permit Fee Valuation: $ 4000
Surcharge n?. O ?
Plan Review
License
MCNUS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W 5urcharge
Treatment Pi.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total: gg, a 5
% SAC
SAC Units
- z
S ITE PL.AIQ
(NoT To ScqLW)
N7 '
O'JSE
!-- 5'
S
3ZsSu
LIMESTDNF- D2NE
351
ASfi1RLT
D2IVEWAy
fr3 1
20'
DECK
lo'
4s\?L Ir
DL-TA'u+6D
LAeAe?E
71-
2?,
1
PERMIT
City of Eagan Permit Type: Building
3830 Pilot Knob Rd Permit Number: EA085692
Eagan, MN 55122 . Date Issued: 08/29/2008
(651) 675-5675~~~ EPermit Category: ePermit
www.ci.eagan.mn.us lflflUl tflflLLL
Site Address: 4229 Limestone Dr
Lot: 2 Block: 6 Addition: Cedar Grove 2nd
PID 10-16701-020-06
Use
Description:
Sub Type: e-Reroof Construction Type:
Work Type: Replace
Description: House & Garage
Census Code: 434- Occupancy:
Zoning:
Square Feet: 0
Comments: If there is no ice protection inspection prior to final, you must meet inspector with ladder and flat bar. Pictures are not
acceptable in lieu of inspections.
Fee Summary: BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
Valuation: 3,000.00
Total: $90.00
Contractor: -Applicant - Owner:
Northrup Roofing & Remodeling Wade W Weisenburger
4400 Nicollet Ave 4229 Limestone Dr
Minneapolis MN 55419 Eagan MN 55122
(612) 825-3553
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.
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type: Building
Eagan. Permit Number: EA096161
Date Issued: 09/28/2010
OR Permit Category: ePermit
41~ it~ of E3
E
Site Address: 4229 Limestone Dr
Lot: 2 Block: 6 Addition: Cedar Grove 2nd
PID:10-16701-020-06
Use:
Description:
Sub Type: e-Windows iDoors Construction Type:
Work Type: Windows Doors-New ; Replacement
Description: House
Census Code: 434- Occupancy :
Zonin,:
Square Feet: 0
Comments: Improvements to the home require smoke detectors in all bedrooms. If altering window openin,s, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes.
Fee Summary: BL - Base Fee S3K $88.50 0801.4085
Valuation: 3.000.00 Surcharge - Based on Valuation S3K $1.50 9001.2195
Total: $90.00
Contractor: - Applicant - Owner:
Renewal Andersen Brims 1\1 Becker
1920 County Road C West 4229 Limestone Dr
Roseville NIN 55113 Eagan NIN 55122--204
(61)264-4777
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 Cite of Eagan Ordinances.
ApplicantiPermitee: Signature Issued Bv: Signature
Use BLUE or BLACK Ink
For Office Use
`t1 40 /62 -
City of Eatan i Permit
I Permit Fee: (0 U I
3830 Pilot Knob Road I
Eagan MN 55122 I Date Received: -fo- Z
Phone: (651) 675-5675 I Staff:
Fax: (651) 675-5694
2012 RESIDENTIAL gPLU/MBING PERMIT APPLICATION
Date Site Address: Z/ 6^ % E'-
Tenant: Suite
RESIDENT / OWNER Name: ftr r,sn 13e~kK- Phone: Cy- d76" 2,W6
Address / City / Zip. / i M PS3rn b k tor4joh 1Y1 ~`Z
Q ,
Name:' ` If e - /t t q ~i P/6( A-- ~ /A~-4 X-i nse /9C d
CONTRACTOR Address: 16 / s5 , /5 1 V City: Ai
State: Zip: V1> 19 Phone:
Contact: G e_ N C_- Email: e-^AGeV;(n-, o 0A.1'. r.~.s3 +s►~ iTYPE OF WORK _A New _ Replacement - Repair Rebuild - Modify Space Work in R.O.W.
Description of work:
RESIDENTIAL
Water Heater
Lawn Irrigation RPZ PVB) Water Softener
PERMIT TYPE
Septic System Add Plumbing Fixtures Main / i Lower Level)
New Water Turnaround
Abandonment
RESIDENTIAL FEES:
$60.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$60.00 Lawn Irrigation (includes $5.00 State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonitnent, WaterTurnaround" (includes $5.00 Statb Surcharge)
"Water Turnaround (add $189.00 if a 5/8" meter is required) R
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
TOTAL FEES $
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.aopherstateonecall.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.
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough-In Air Test Gas Test Final
Use BLUE or BLACK Ink
r
For Office Use I
I
City of EaPermit#: 0
6 I Permit Fee:
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received: _ lO-l U-/.3
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 i Staff: rnL
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address:
,/A / Unit
Name: ~1 <Q L _b C~C~I Phone: 6 6)
Resident/
Owner ` Address J City / Zip: Li~yush n2 -6 -
Applicant is: Owner contractor
Description of work:
Type of Work w i/ /V ~Y/ C
Construction Cost: v v Multi-Family Building: (Yes J No )
Company: ~ C CU Contact: t~-l~ y~
S t JA City:
Contractor Address: ®l 7
~tq
State: ! t Zip: l Phone: ~ M V!5-2-
License 5 ~ 0 Lead Certificate
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 maybe 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
afwfq --e--
Applicant's Printed Name T- A pl'at's %16 n
Page 1 of 3