3758 Linden Lane
05/11/2011 WED 10:57 FAX 715 684 3859 LINDUS CONSTRUCTION 0001/007
F"
MAY I ZQ51 - Use BLUE or BLACK Ink
` ( - I
I I
City of Eap Permit#: t Permit Fee: 425-
3830 Pilot Knob Road I J I
Eagan MN 55122 ~v r E j Date Received: ~ Z d j
Phone: (651) 676-5675i staff
Fax: (651) 676-5694
I
2017 RESIDENTIAL BUILDING PERMIT APPLICATION C l~/G (1; ( A
Date:-5:h-1L01-1. Site Address' -162 ~ _i nd La Unit ~f 1!U LO ~ l
Name:. ) UA W Phone:
RESIDENT / r _
OWNER Address / City / Zip: " 7 jj
Applicant is: Owner Contractor
Description of work: r o Y'2USZR }
TYPE OF WORK • ,
Y1A,~ t~~~
Construction Cost. Multi- m ly Building: (Yes / No XJ
Company: LTC, S ftA' Wk)r. I \V1 G- Contact~QUf1.1(, A Lr--l
CONTRACTOR Address: Vq U5 City: tg1 kAn
State: 0!_Zip: Phone: -•`agt>-°
License M Lead Certificate
If the project is exempt'from lead certification, please explain why: (see Page 3 for additional information)
~U (c1'° ~
I "44-4 .9111
MPLETE THIS AREA ONLY IF CQNSTRUCTING 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:
y 3'n
formation r~tay be.1~rfred, as rr - licf waf' rm~
tau t-1 ~ s.,~. C5
CALL BEFORE YOU DIG.. Cali Gopher State One Call at (661) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gQpherstateonecall.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 oval of plans,
X 1nr,Itr,~, e
Applicant's Printed Name Appi cant' ignature
.
Page 1 of 3
i
05/11/2011 WED 10:58 FAX 715 684 3859 LINDUS CONSTRUCTION 0002/007
DO NOT WRITE BELOW THIS LINE 4 7
SUB TYPES
Foundation - Fireplace Porch (3-Season) Storm Damage
j Single Family _ Garage Porch (4-Season) Exterior Alteration (Single Family)
_ Multi Deck Porch (Screen/Gazebo/Pergola) T Exterior Alteration (Multi)
I - 01 of-Plex _ Lower Level Pool Miscellaneous
Accessory Building:
WORK TYPES
New - Interior Improvement _ Siding Demolish Building"
Addition _ Move Building Reroof Demolish Interior
_ Alteration _ Fire Repair _ Windows Demolish Foundation
Replace ` Repair _ Egress Window Water Damage
Retaining Wall 'Demolition of entire building give PCA handout to applicant
- DESCRIPTION
Valuation Occupancy MCES System
Plan Review Code Edition SAC Units
(25%_ 100- Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
;;of Buildings Length Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final 1 C.O. Required
Footings
(Addition) ~ Final ! No C.O. Required
Foundation HVAC Gas Service Test Gas Line Air Test
Drain Tile Other
Roof: Ice & Water Final Pool:. Footings Air/Gas Tests ,-Final
Framing Siding: Stucco Lath Stone Lath -Brick
Fireplace: -Rough In Air Test -Final Windows
Insulation Retaining Wall: Footings Backfiil Final
Sheathing Radon Control
Sheetrock Erosion Control
Reviewed By: Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
'c
Plan Review pj
MCES SAC it
City SAC
Utility Connection Charge
S&W Permit & Surcharge .
Treatment Plant f"1°'
Copies
b
'TOTAL
Page 2 of 3
CASH RECEIPT 0 ?•
.• ' ±
CITY OF EAGAN .
. ?
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
,• /
DATE /' 'j( ' 19 ?
i
ue l.
iROM r. ??; _ • l I-II , `-L.-.i?-_ l? .
AMOUNT
/ CJ (? lJ
-7
8 DOLLARS?
,m
? CASH CHECK
?
FUND OBJECT AMOUNT -
Thank You
BY
C 0 16267
VJhita-0aY?CWV ?'y? •
Yelbw-POSUrg Copy
Pink-Fi1e Copy
? ?.
.. , ? CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PFIONE: 454-8100
BUILDING PERMIT Receipt #
7obeused.fvr SF DWG/GAR Est.Value $169sC)O() nare NOY
Site Agdress ? 1:)a 1.iNUr..m Lm
Lot 2 3 B" t Sec/SubTKE ?
Parcei No.
W Name uwvia uawn nu*=
o Address 821 DRYANT L.I?I
City 1IURN3VILLE Phone
o Name SA!!E I
?Q Address
? City Phone
Name -
Address
Phone
I hereby acknowlege that I have read this application a d state that the
information is correct and agree to comply with all ap?licable State oi
Minnesota Statules and City of Eagan Ordinances.
Signature of Permitee k ' " --
A Building Permit is issued to: flAVIS DEAN HOlSES INC
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Oflicial + , -
OFFICE USE ONLY
Occupancy R-3 H-_1 FEES
Zoning R-1
19 91
(Actual) Const VN 81dg. Permit d81 •00
(Allowable) V-P Surcharge $4•30
# of stories
6W*
Plan Review
573•00
lenglh
Deplh 28' SAQ City 100•00
S.F.TOtal -
SAC, MCWCC 6?.?
S.F. Footprints _
On Site Sewage _ Water Conn 660•00
On Sile Well
X Water Meter 9S. OO
MWCCSystem
X
?ct. Deposit ?.?
City Water 30.00
PRV Required - SM' Permil
Boosler Pump - SM! Surcharge • 50
276•00
TreatmeMPl
APPROVALS RoadUnit 370•00
Planner - park Ded.
Council
BIdg.Olf. _ Copies
3'750'00
Variance - TO7AL
rF'W-?FTrj"WW
1's? ??3,07
----I
' PermN No. PermH Ho lder Date Telephone p
WATER
SEWER
PLUMBING ? .3 pZ
N&5o
HMA Z. t e ?? v ?- ?- s?aa5
EIECTRIC
Inspsetion Date Insp. Co mme nts
Footings I
Foundation .
Framing
Roofing
Rough Plbg. _ - , qz 1 b ?
Rough Htg.
Isul. -z •
Fireplace
Final Htg. -
1-3 ? ,Off ??
.
Orstat Tesl
Final Plbg. Plbg, Inspector - Notity Plumber
Const. Meter -j p_
Engr?Plan . • r ! n
Bldg. Final 2-2 `/, 3
i?,4
? a f
2 3.S
Deck Ftg.
Dedc Final
Well
Pr. Disp.
3o1,75 /cu ? ?
SEWER 7' WATER PERMIT
CITYOF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
'a
;-
DATE 31 Nflv 20. 1991
METER # -
CHIP # -
METER SIZE
ISSUE DATE
SITE ADDRESS 3758 LINDEN LN
LOT 23 BLOCK 1 SEC/SUB TRE WOQDLANDS 3RD
APPLICANT:
ADDRESS:
CITY, STATE ZIP
PHONE:
PRV _ BOOSTER PUMP
PERMIT REQUESTED
X SEWER X WATER _ TAPS
- COMM/IND X RESIDENTIAL
X NEW - EXISTING
Lawn Sprinkler Meters are to be Installed
?i PLUMBER: XTOM k f CS a r, j='j h Ahead of Domestic Meters on Water Line.
ADDRESS: 121 REDWDOD DR Credit WILL NOT be given for Deduct Meters.
CITY, STATE MN ZIP 55124 ,?
PHONE: 432-6898 k
I GREE TO COMPLY WITH CITY OF
OWNER: DAVIS DEAN HOMES INC EAGAN ORDINANCES
j ADDRESS: 821 BRYANT LN
? CITY, STATE BuRNSYILLE MN ZiP 55337
PHONE: 895--0091 SIGNATURE WHEN
i PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPE
' SEWER PERMITS, CONTACT ENGINEERING DEPT.
?- SEWER & WATER PEF
' CITY OF EAGAN
? 3830 Pilot Knob Rd.
j Eagan, MN 55122-1897
' DATE NOV 20. 1991
SITE ADDRESS 3758 LINDEN LN
FOR
OFFICE USE ONLY
METER #4S2 7?S??.? PERMIT DATE 11/20/91
CHIP # o a 9V 93 sY PERMIT # 12392
METER SIZE e'0 B.P. RECEIPT #CO ! G (0 7
ISSUE DATE J- zo '9A B.P. RECEIPT DATE 11 20 91
PRV - BOOSTER PUMP
I LOT 23 BLOCK 1 SEGSUB THE WOODLANDS 3RD
I APPUCANT:
; ADDRESS:
? CITY, STATE ZIP
PHONE:
' PLUMBER: 1 TD M9 f S Cia n PI R
? ADDRESS: 121 REDWOOD DR
? CITY, STATE ? ?Q Va lleu MN Zip 55124
?PHONE: 432-6898
OWNER: DAVIS DEAN HOMES INC
ADDRESS: 821 BRYANT LN
CITY, STATE BURNSVILLE MN Zip 55337
PHOPIE: 895-0091
-?c. -r; W?._? r.?? '"-' .?:.Ai . -f";'- ;:' 'cr' "--
PLEASE ALLOW O WORKING DAYS FOR PROCES?ING. .CI
OFFICE USE ONLY
? PEFiMIT DATE 11129191
PERMIT # 12392
B.P. RECEIPT # ??? 1 -L? !
B.P. RECEIPT DATE 11/20/91
PERMIT REQUESTED
X SEWER X WATER - T
COMM/IND x
X NEW
EXISTING
Lawn 5prinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit VyILL NQT be given for Deduct Meters.
I dGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES
i ,
SIGNATURE 1NHEN METER ISSUED
FOR INSPECTIONS. FOR STORM
( !` '
CITY OF EAGAN ND 19897
3830 Pilot Knob Road, P.O. Box 27-199, Eagan, MN 55121
PHONE: 454-8100
BUILDINGPERMIT Receipt# 6 ((,J?v 7
? SF DWG/GAR $169 000 NOV 20 9
To be used Ic;r Est. Value ? Date ,1g 1
Site Adiiress 3758 LINDEN LN
Lot 23 Bl ock 1 Sec/SubTHE WOODLANDS 3RI
Parcel No.
w Name DAVIS DEAN HOMES INC
3 Address 821 BRYANT LN
° City BURNSVILLE Phone 895-0091
o Name SAME
=
g? Address
? City Phone
?
W
W
Name
?
? ; Address
a W City Phone
I hereby acknowlege that I have read ihis application and slate that the
information is correct and agrErmdi ply with allapplicable State of
Minnesota Statutes and City of nances.
Signature of Permitee A Building Permit is issued to: DAVIS DEAN HOMES INC
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official L
ao 9 11A I I i 1A
- r
OFFICE USE ONLY
Occupancy R--3 LL-1 FEES -
Zoning $_1.
jAduaq Const V=N Bldg. Permit 881.00
(Ailowable) V=N -
Surcharge
84.50
# of Slories
Lengih
80 '
Plan Review
573.00
Depth 28 1. SAC, City 100.00
S.F. Total - SAC, MCWCC 650. 00
S.F. Footprints _
On Site Sewage _ Water Conn 660.00
On Site Well Water Meter 95.00
MWCC System X
Acct. Deposit 30.00
City Water
PRV Required - S!W Permit 30.00
Booster Pump - S/W Surcharge • 50
Trealmenl PI 276.00
APPROVALS Road Unit 370.00
Planner - park Ded.
Council
BIdg.Off. _ Copies
Variance - TOTAL 37750.00
ii0/9i
REQUEST FOR ELECTRICAL INSPECTION
iii- Cee i- " ?1o11nn 'hic Inrm nn hnr4 nf i,cllrcu ?nnv
ee-ooom-oe
"X" Below Work Covered by This Aequest
ew kdtl Rel5"- Type of Building AppliancesWired EquipmentWired
X Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt Building Dryer Other (Specity)
Comm./lndustrial Furnace
Farm Air Conditioner
01her (specrfy) Coniracmr's Remerks-
Compute lnspection Fee Befow:
# .. Olher Fee # Service EntranceSize Fee # Circuits/Feeders Fee
Swimming Poot 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
SignS Inspector's Use Only: ' TOTAL
Irrigation Booms $ 6 5.'rj 0
Special Inspection tKV
Alarm/Communication THIS INSTALLATION MAY BE ERE I OIONECTED IF NOT
Other Fea COMPLETED WITHIN 18 Mq
I, the Electrical Inspector, hereby Rouqh-in o e ?
certify that the above inspection has
been made. Final
/
OFFICE USE JNLV
This requesl voitl 18 months trom
/U??
/ /O?J7<o
J86 5
Request Date Fire No. Rough-in Inspection
12 / 0 9/ 91 X Yesd' G No ? Reatly Now CyWilh notReady??or
I, licensed contractor p owner hereby request inspection of above eiectrical work at:
JoD Atldress (Street. Box or Route No.) City , .
3758 Linden Lane Eagan
Section No. Township Name or No. Range No. County
Dakota
Ocapant(PqINT) Phone No.
Davis Homes 895-0091
Power Supplier Address
Dakota Electric 4300 220 St. W., Farmington
Elecirical Contractor (ComOany Name) Contracror§ License No.
Joos Electric Co. AM01895
Mailing Adtlress jConirador or Owner Making InStallation)
2104 Great 0 Driye, Burnsville, MN 55337
Autnonzed SignaWre IConiractor?Owner Ma' ? g Install on) Number 431 _ 4 7 5 5
MINNESOTA STATE BOARD OF ELECTRIqn 7HIS INSPECTION REOUEST WILL NOT
Griggs-Midwey Bltlg. - Room 5173 BE ACCEPTEO BV THE STATE BOARD
1821 Univereity Ave., St. Paul. MN 55104 UNLESS PROPEP INSPECTION FEE IS
Phone(612) 642-0800 ENCLOSED
.
REQUEST FOR ELECTRICAL INSPECTION es?.o/oam-o
? ryg
See instrur.tions for cmmmletino this lorm nn back ot aellow coov /? LLA X?
J 0 ?650 "X" Aelow Work Covered by This Request
ew ;4dd P. TypeofBuilding AppliancesWired EquipmeniWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt Building Dryer Other (Specify)
Comm./lndustrial Furnace
Farm Air Conditioner
Other (specity) Contfactor5 Remarks:
Compute lnspection Fee Below.
# . Other Fee # ServiceEntranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps o to 700 Amps
Traristormers Above 200 _ Amps Above 10 _ Amps
Signs Inspector§ Use Only: TOTAL
Irrigation eooms ' $1 Q . ? 0
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby
tif
h
h Rough-in
r
? Date
cer
y t
at t
e above inspection has
been made. Finai
?_
,?.? o
l, ? ?(i
OFFICE USE ONIY
This request voitl 18 months (rom
1?ellir/Y/ /U?Oa??
'??
°-
J 086 5 0 a3 a g?l O 0 g
Request Date
12 / 0 5/ 91 Fire No, Rough-in Inspection
Required?
[?Ready Now p Will Notity Inspector
Wh
li
d
?
G Ves Cy,NO en
ea
y
I[1,,Jicensed contractor i] owner hereby request inspection of above electrical work at
Job Adtlress (Straet. Box or Route No.) City -
3758 Linden L ne Eagan
Section No. Township Name or No. Range No. Counry DakOt a
Occupani(PRINT) Phone No.
Davis Homes 895-0091
Power Supplier Adtlress
Dakota Electric 4300 220 St . W., Farmington
Electricsl Coniractor (Company Name) Contractor's License No.
Joos Electric Co. AM01895
Mailing Adtlress (CoMrattor or Owner Making Installation)
2104 Great Oaks D've , Burnsville, MN 55337
Authoraetl Signature fContraclor?Owner Makin nstallat Phone Number
__-L'=`C'1 ? 437--4755
MINNESOTA S7ATE BOARD OF ELECTRIpTr THIS INSPECTION REOUEST WILL NOT
Grlggs•Midway Bldg. - HoDm 5-173 L BE ACCEPTED BvTHE STATE BOARD
1821 Universify Ave., St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone(8/2)642-0800 ENCIOSED.
;-z DATE: NOV 20, 1991
RE:
3758 LINDEN LN (DAVIS DEAN HOMES INC)
X Your Sewer & Water Permit for the above property has been completed. it will be held at the
Fubiic Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
6ALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
_ Your 5ewer & Water Permit for the above property cannot be completed for the following
reasons:
Your Sewer & Water Permit for the above property has been compteted, but the meter cannot
be issued or occupancy allowed until further notice.
_ COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bili Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
Address 3758 LImav LANE Zig 5512 3
Lot ' 23 Blk l Sub THE WoODi.nrIDS 3xn
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: - 2- 9 _3 Yes No Inspector:
FinaJ grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry) i/
Permanent driveway f
Permanent gas ?
Sod/Seeded gcass
TraiUcurb damage ?
Porch
Basement finish
Deck iJ
Please verify with the builder the removal of roof test caps from.the plumbing system and the shut-off of water supply to
the outside lawn faucet before freeze potential exists.
Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system. ?
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
11,11,00 City of Eagn
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
2008 RESIDENTIAL PLUMBING PER
Date: Sile Address:
Tenant:
?-----------------?
? r-or Olllce Use ?
I Permilll: ?
? -----p? - - --- I
? Permil Fee:
?t-/ • S?_ j
I Oale Received: ?
? ---..._ --- ?
? Stalh --- _- ?
-----------------
J
?APPLICATION
M
Sulte #:
RESIDENT / OWNER Name: __ phone: --?- ?. ?
_
_ - - -------- ---
Address / Cily / Zip
CONTRACTOR Name: ` U a"
?
f
?
ise 7t:
t
e
-------
Address:
-??? -
? ------ __ ___
City:
--
Phone: onlact Persorr.
TYPE OF WORK _ New -Ae<eplacemenl Repair _ Rebuild _ Modify Space __. Work in R.O.W.
Descri tion o( work:
PERMIT TYPE RESIDENTIAL
_ Water Heater ? W2ter Soflener
_ Lawn Irrigation lldd Plumbing Fixtures
(_ RPZ /_ PVB) (_ Main __ Lower Level)
_ Septic System Water Turnaround
-
New
_ Abandonmen!
RESfDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Sottener (iricludes $.50 State Surcharge)
$30.50 Lawn Irrigation (inciudes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround' (includes $.50 Slaie Surcharge)
'
Water Turnaround (add $136.00 if a 5/8" meler is required)
$100.50 Septic System New ($10.00 per as built) (includes Counry fee and $.50 State Surcharge)
$90.50 Fire Repair (replace burned oul appliances, ductwork, etc.) (includes $.50 State Surcharye)
TOTAL FEES $ ?D
I herebv acknowlPdne u,at u,m ?.,?,,...,?? :.... :.. .......??..- - .. . .
Eagan; thal I undersland ihis is nol a permil,bul only?an applicalion lor a pemilt a'nd workos'nolito st? lWitt,,,??l?Itrdinfercrel; U.aI theewc?fk'will be ?i
accordance wilh Ihe approved plan in Ihe case ol woik which requires a review and approval ol plans.
x ?¢1 yl1 ?S J H U,(tj.?_ x
ApplicanCs Prfnled Name ?
FOR OFFICE USE
Reviewed By:
Date:
Requlred Inspectlons: _Under Ground __Rough-In _Air Test _Gas Test _Final
; i;?
CTTY OF EAGAN
L o1? B/ MECHANICAL PERMTT RECEIPT # CD I? Q7 ?
SUBD. (612) 6814675 DATE I-.50- a
RESIDENTIAL
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, COMPLEI'E FOR
TOR'NHOMES/CONDOS WHEN SEPARATE PERMITS ARE REQUIRED FOR EACH DR'ELLING UNIT.
OWNER: f )flv? S !?Y 9L I ni FEFS
SI1'E ADDRESS: ADD ON/REMODEL (EXISTING $ 15.00
CONSTRIICITON ONLl)
._ ._
HVAC: 0.100 M BTU
24.00
INST'ALLER: jjR 1 ADDI1'IONAL 50 M BTU 6.00
ADDRFSS: GAS OUTLETS • MINIMUM 1@$3 EA.
CITY: 9IG/Z ZIP:?? SURCIIAIiGE: $ .50
SIGNATURE: TOTAL: S Z? So
COMMERCIAL
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAUINDUSTWAI. BUILDINGS. ALSO COMPLETE FOR
APARTMENT BUILDINGS OR OTI3ER MULTI-FAMILY BUILDINGS WHEN 5EPARATE PERMITS ARE NOT REQUIRED FOR
EACH DWELLING UNIT.
I WORK DFSCRIPTION:
OWNER:
SITE ADDRESS:
TENANT:
SUI1'E #:
INSTALLER:
ADDRESS:
CTTY:
PHONE #:
SIGNATURE:
CONTRACT PRICE:
FEES
1°,b OF CON1'RACT FEE. I
STATE SURCAARGE IS $.50 FOR EACH I$
$1,000 OF PERMII' FEE.
PROCESSED PIPING - $25.00 Fs
MINIMUM FEE - $25.00
TOTAL: I $
CITY SIGNATURE:
ZIP:
CITY OF EAGAN FOR CITY USE ONLY
3830 PIIAT KNOB ROAD
EAGAN, MN 55122 PERMIT #
PHONE: (612) 454-8100 RECEIPT #
?'Y?B;x#?T?;:`:?:
:: .: :::. :„..;.::.. .:.:..::.............::.... DATE: .3 ?-
.........................
PLEASE
..........:..: : :.:. , ...,:....
COMPLETE
UPPEA PORTION ONLY
FOR
SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
---------------------
WORK DESCRIPTION --- ----- --------------------- ----- ---------------------
COMPLETE THE FOLLOWING: -----
N0. FIXTURES EA. TOTAL
NEW CONST ADD-ON MINIMUM 15.00
ADD ON I SHOWER 3.00 ?
REPAIR ? WATER CLOSET 3.00 ?
?. BATH TUB 3.00
OWNER NAME: /L' J?
/J
?AZ1 LAVATORY 3.00
KITCHEN SINK 3.00 ?
.3 ""
, ? LAUNDRY TRAY 3.00 3 J
?
SITE ADDRESS: ` ?s LGLr.lz? HOT TUB/SPA 3.00
3.00
WATER
R
Lpm ; C;?j BLOCK ? S'JBD 3.00
FLAOR DRAIN
? GAS PIPING OUT.
00
3 r
INSTALLER: (MINIMUM - 1)
.
?
ROUGH OPENINGS 1.50
?
121 REDWOOD DRiVE
ADDRES S : _ oi cV i66E
"• , ' --
-^ • - OTHER
,
i WATER SOFTENER 5.00
CITY: ZIP: _ PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
PHONE
, -? SUBTOTAL $
ST. SURCHARGE .50
SIGNA E OF PERMITTEE
TOTAL:
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL SUILDINGS AND
MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
______________
CONTRACT PRICE:
(1T„]jQFR rTcLMF :
SITE ADDRESS:
IAT: BLOCK SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #;
FOR:
FEES
14 QF rQNTRGCT FFF.
STATE SURCHARGE @ $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL:
$
$
(SIGNATURE)
CITY OF EAGAN
?
1991 BUI N PLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
lNLTIPLE DWELLINGS
r
COMMERCIAL
2 SETS OF PLANS 2 SETS OF PIANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PIANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WfiEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For :•`., ?FD 6 AX ValuatioDate :??-
?`, 'I
Site Address -} -7 r' ? ' ?
Lot 3 slock /
Parcel/Sub7?1e%/ ?c-. 5 r%`"oON
Owner
Address Y?a ( ('e,r,? City/Zip Code
Phone ?q :1
Contractor _ ? lyy?Q
Address
City/Zip Code
Phone
Arch./Engr. ?2('_`?.%-c?.r/1-t? r-dz.v",-,.
Address
City/2ip Code
Phone # O 3/
I OFFICE USE ONLY
16 % 6??-"' ._-_
Occupancy t4-1
Zoning R- I
Actual Const V- N
Allowable V-N
# of stories
Length p
Depth
S.F. Total
Footprint S.F.
On site sewage_
On site well
MWCC System -z--
City water ?
PRV
Booster Pump _
APPROVALS
Planner
Council
Bldg. Off. //L/ !
Variance
FEES
Bldg. Permit Be/• (3v
Surcharge 8q.-5-0
Plan Review 573.00
SAC, City / Oooo
SAC, MWCC ?. D-`?i dUU
Water Conn. (c?fl. 00
Water Meter S Oc-)
Acct. Deposit 30,Go
S/w Permit
S/W Surcharge ,--]Po
Treatment Pl. o?Q(o, ozD
Road Unit 3t70. on
Park Ded.
Trail Ded.
Copies
SIISTOTAL
Penalty
Lot Change
TOTAL Jt 1-
Sewe ter Licensed Contr. l.4J ?"
? agrees that all votk shall be done in accordance with
(Signature of Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
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BXPOSED WALL CALCULATiONS
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I hereby certify that I have catpletsd the above in8osmation and tlhat it oaiplies wit
1993 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
------------------------------------ ---------------- ------------------------------- ----------------- ----------------------------- -----
NEW CONSTRUCTION
?_-s ADD-ON AJC
ADD-ON FURNACE
DATE 3
FEES
HVAC: 0-100 M BTU $ 24.00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS (MINIMUM 1 @ $3.00 EACH)
ADD-ON/REMODEL (EXISTING coNSTRucrlorr)
STATE SURCHARGE .50__
/,,...'? .
TOTAL
5ITE ADDRESS:
OWNER NAME: Poi'01I4 TELEPHONE #: 0 C%
INSTALLER:
Burnsviile Heating & A/C, Inc.
ADDRESS: 12481 f7hode Island Ave. Sv.
avage, MN 55378-1122
CITY: 894•00e5 STATE: ZIP CODE:
TELEPHONE #:
? G ATU ? OF PERMITTEE
7(? 2006 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone 9 651-675-5675 FAX # 651-675-5694
New ConsWction Reauirements
3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all rooted areas
(20°k maximum lot coverage allowed)
1 Soils Report'rf proposed building is to be placed on disturbed soil
2 copies of plan showing beam & window sizes; poured found design, etc.
1 set of Energy Calculations
3 copies of Tree Preservation Plan ii lot platted after 7/1/93
Rim Joist Defail Options selecfion sheet (buildings with 3 or less units)
Minnegasco mechanipl ventilation form
RemaleVReoair Requirements
2 copies of plan showing Tootings, beams, joists
1 set of Energy Calculations tor heated additions
1 sile survey for addiGons 8 decks
Addition - indicafe if on-site septic system
?7 o
Office Use OnIV
Cert of Survey Recd _ Y_ N
Soils RQport _ Y _ N
Tree Pres Plan Recd Y' N
TreePres;Required .: _Y _ N
On-site8epticSystem' _Y _ N
Date ,911,, / ).I / 6? Construction Cost
Site Address Unit/Ste #
Description of Work ? ?-Ci ? - cJ ?t L? ?^ ?' ??-? - f `' ° F
Multi-Family Bldg _ Y b/ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner ?ac+ Telephone # ( )
Contractor
Address G& /qWijt1J C&?
State 0-)
Zip SSS ?i ?''J City Z?74ale Ly?rii?1/?2
Telephone #(OcO ) vV0
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv I Minnesota Rules 7672
Ene?gy Code CBtegory . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(4 submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone # (
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, but only an application for a permit, and work is not to start without a
iew and
permit; that the work will be in accordance with the approved plan in the,case of work which requ77
approval of plans. _
Applicant's Print ame
Signature
?
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA119877
Date Issued:12/30/2013
Permit Category:ePermit
Site Address: 3758 Linden Lane
Lot:23 Block: 1 Addition: The Woodlands 3rd
PID:10-75878-01-230
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.
Dean Kamrath
13791 Jonquil Ln N
Dayton, MN 55327
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 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 -
Peter Nutty
3758 Linden Lane
Eagan MN 55123
(612) 702-3008
Adam's On Time Plumbing & Water Heaters Llc
13791 Jonquil Lane N
Dayton MN 55327
(612) 205-6060
Applicant/Permitee: Signature Issued By: Signature
Date:
C!tyofEaaau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651i675-5694
RECENED
MAy2?2416
r
Use BLUE or BLACK Ink
For Office Use(3Vto' Permit#:
Permit Fee: / 77 �.
Date Received:
Staff:
2016 RESIDENTIAL BUILDING PERMIT APPLICATION
512-7/1b Site Address: •7CS L(t•kOEt E t ' unit#:
end
Name: .--PE-CC---t "/1/4. Phone:
,
Address / City / Zip: 3.1 S L' -Ei�- . LA. C
rest
Owner x
Applicant is: Owner X Contractor
f
Description of work: 0 "0 -1E -CV --
Construction Cost:C . Multi -Family Building: (Yes / No
( )
Contrtor
e n
Company: ( PLE— cib:AS-AC- Contact: MKS 5
p Y'
Address: 1 Lk 227 City: 11,t'LC'✓ VA Ltx/
State: M Zip:lZ.i Phone: 02-407°-3.'° mail: =-fsS-k\MA'Gt
ici _
License # 704 649 Lead Certificate #:
If the project is exempt from lead certification, please explain why:
f___., 1
In the last 12 months,
Yes No
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?
If yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Fire Suppression Contractor:
Phone:
Phone:
Phone:
Phone:
ans and sup @ s floc . oar subrn*t are considered to be ` b 11c o a#r •
t infoion rn � • assr� ;-public ff yoi • rovide sp e q t .. _
nr
ale
"fie ns of
e City to
CALL BEFORE YOU DIG. Call Gopher State One CaII 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.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.
Applicant's Printed Name
Appli nt's Signature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
1-36 goy°
SUB TYPES
Foundation Fireplace
Single Family Garage
Multi / Deck
01 of _ Plex Lower Level
WORK TYPES
New
Addition
` Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25% 100%_)
Census Code
# of Units
# of Buildings
Type of Construction
Interior Improvement
Move Building
Fire Repair
Repair
(0
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Roof: Ice & Water Final
Framing 30 Minutes 1 Hour
Fireplace: Rough In Air Test
Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Shower Pan
Reviewed By:
Porch (3 -Season) _ Exterior Alteration (Single Family)
Porch (4 -Season) Exterior Alteration (Multi)
Porch (Screen/Gazebo/Pergola) _ Miscellaneous
Pool Accessory Building
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Final
Siding Demolish Building*
Reroof Demolish Interior
Windows Demolish Foundation
Egress Window Water Damage
*Demolition of entire building — give PCA handout to applicant
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Suppression Required
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC Gas Service Test Gas Line Air Test
Pool: _Footings _Air/Gas Tests Final
Drain Tile
Siding: Stucco Lath Stone Lath _Brick
Windows
Retaining Wall: _ Footings _ Backfill _ Final
Radon Control
Fire Suppression: Rough In _Final
Erosion Control
Other:
, Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
tiY,
Page 2of3
11/18,91 18:e2
Certificate f'or -
Davi n 1990 lee.
r !'
2'612 423 2255 CHAS HOUAK ARCHT
DELMAR H. SCHWANZ
LAND sunvkr0R3, INC.
psg,parad Under Laws et The 91.Ie of MlnMaela
14750 SOUTH ROBERT TRAIL ROSEMOUNT. MINNESOTA 55085
Scale: 1 inch 30 fact
p = Iron pipe. monument
0 =. 14eat wood hula
IGO -• ptxl.rttl.ng trot elev.
"
\
SURVEYOR'S CERTIFICATE
01
012/423-1709
0 l If -:-?------_y ,
' q l' !/ \
dJ �F, .e
JJ •
r{i 9\f'! 1.,
10,1 VC IN i (5 opolk
L
Post -Ir brand fax transmittal memo
7671
ErgLe%!GCMAfrt��llt�fr
■llA/r
i
dept. , 1:019.111111,rtia 10
pkone M
Fur .Fex4
lu
t~�. ------
--1A741
Nk
Lot '1 .3, BLc'c k 1 e TETE WOODLANDS TUT RD AL*)11j))rO
according to the recorded plat! thewreof., Dakota
Cl„anty, Minnecot_a. EAG r
NEER/
Paso c;howinq thea .Lor-ltiorl 01. ,a proposed house
as t:taked thereon.
I hereby certify that this emery, plan. or report wits
prepared by me or under my direct supervision end
teat 1 am a duly Registered Land Surveyor under
the laws of the State of Minnesota.
Dated )1-14-•91
';1
Revised Garage Floor Elev. . 11-18-91
Proposed e:or•ng'l floor. elev. 964;t
Proposed top Of block a].ev.
Prlrpl+r:crd /(want level elev.
Delmer H. Sohant
Minnesota Registration No, 8528
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA147309
Date Issued:12/27/2017
Permit Category:ePermit
Site Address: 3758 Linden Lane
Lot:23 Block: 1 Addition: The Woodlands 3rd
PID:10-75878-01-230
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
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: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 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 -
Peter Nutty
3758 Linden Lane
Eagan MN 55123
(612) 720-3009
Lindus Construction
879 Hwy 63
Baldwin WI 54002
(715) 684-4647
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA163641
Date Issued:09/09/2020
Permit Category:ePermit
Site Address: 3758 Linden Lane
Lot:23 Block: 1 Addition: The Woodlands 3rd
PID:10-75878-01-230
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Peter Nutty
3758 Linden Lane
Eagan MN 55123
Signature Home Services
7373 West 147th St
Apple Valley MN 55124
(651) 731-1147
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA170814
Date Issued:07/19/2021
Permit Category:ePermit
Site Address: 3758 Linden Lane
Lot:23 Block: 1 Addition: The Woodlands 3rd
PID:10-75878-01-230
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 -
Peter & Pamela Nutty
3758 Linden Ln
Eagan MN 55123
(720) 878-2447
Signature Home Services
7373 West 147th St
Apple Valley MN 55124
(651) 731-1147
Applicant/Permitee: Signature Issued By: Signature