3767 Linden Lane
Use BLUE or BLACK Ink
_P
I
Clt of Eajan I Permit# _
I I
I Permit Fee: - _ I
3830 Pilot Knob Road r/
Eagan MN 55122 i Date Received: / I
Phone: (651) 675-5675 i staff:
Fax: (651) 675-5694 I I
L.-----------------J
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: 376? L' ' @r L'GA'x
Tenant: Suite
RESIDENT /OWNER Name: RdL& L ! ✓1YID Y1 Phore:~~~
Address / city / Zip:
Applicant is: Owner Contractor
TYPE OF WORK Description of work:
Construction Cost: Multi-Family Building: (Yes / No
~l ®fS License
CONTRACTOR Name:
f, 44.0
Address: / 3-10 /v k d A L)L City: ;i4: /t ~Gtt 7 l
-7- -5/O
State- ,AA/y,Vp: Phone:
Contact: Email e
/ /~1 t
12
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 we considered to be public infbmat e". Portions of
the information may be classified as non-public N you provide specific reasons that would pent the City to
conclude that the area 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 inbrmation is corgilete and accurate; that the work will be in confoffnance 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 ' to a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and appro
x far 061411 e 5 x
Applicants Printed Name App rcants Signature
Page 1 of 2
I
!
i INSPECTION RECORD C°nt °l "°: 0803
< CI7'Y OF EAGAN PERMITTYPE:
3830 Pilot Knob Road Permit Number: p 7/ 1 F' 9?
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: i1) t= ?.M fti uck : t APPLICANT:
37 c;r IIauwa LaNE i i•,, rvt.e moMfs tNr„
THU WOoCllRNO!: :3R0 (at.f) 454--7866
PERMI?!?QTYPE: TYPE OF WORK: NEW
INSPECTION
I uw I I Nii .. .
h'{+AM i M!; ..
IHSUi AT 1[Ohl f [NAi
F CIRf i'f ACI
ftfMARt ': ?, A W CON'fRAC'I'(1R - HI YMOUiM Pl HG
'#.?.
?R, N'z°;??..
? . ?
-j
PermR No. PermR Holder Date Telephone #
S/W
PLUMBING yL . '?? ?.. ?,??J'
717
HVAC
ELECTRIC
ELECTRIC
Inspection Date Insp. Comments
Faotings I
FourWatfon 7 2- ?
Framing
RooBng
Rough Plbg.
RoughHtg.
Isul. ???-sZ Ds
Fireplece
Final Fitg.
-
Orsat Test - .? .
_ Z . bS "
FinelPlbg. Plbg.lnspector - NotifyPlumbeA
Gonst. Meter ?
EngrlPlan
Bidg. Finel
Deck Ftg. 3 Q? ?
Deck Final ?. 42 ' f e JA/
Well
Pr. Disp.
INSPECTION RECORD
( CITY OF EAGAN PERMIT TYPE:
I 3830 Pilot Knob Road Permit Number:
I Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
II SITE ADDRESS:
t FlN1.
!I PERMIT SUBTYPE:
I .. , I .?I
AM I N(,
Ili'+11+44H I.N !'Ltti,
, APPLICANT:
: I .. - ..?. ? ,
TYPE OF WORK:
r I rv Ia i
I?RI kr"l!IJ110D Fiik IiNY f'ltiMt1lMt'i'OR-FiFC.7R[i
y ,
,
?
----------------------
NM1 A /94
PermR No. PermR Holder Date Telephone ff
SNV
PLUMBING r?' -a a
HVAC
ELECTRIC
ELECTRIC
Inspection Date Inap. Comments
Footings I
Foundation
Framing ad
Roofing
Rough Plbg.
Rough Fltg.
Isul.
Fireplace
• .S-9
Final Htg.
Orsat Test
Final Plbg. Pibg. Inspector - Notity Plumber
Const. Meter
Engr./Plan
Bldg. Final
Deck Ftg.
Deck Final
Well
Pr. Disp.
? ](1
iv
_? . ? _ ??? ?
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number.
Eagan, Minnesota 55123 Date Issued: o h f*n"7`w 3 '
(612) 681-4675 7'(n??/S? i? t'?/4?
SiTEADDRESS: APPLICANT:
.: rl?,t rd ? ?';I-i; i: ?i; : i i?.: ?i:,?i ?? .. '.I•,: .
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION ., . .•
?
?
!
?
?
?
Permft No. Permk Holder Dets TelepMOne 8
SNU
PLUMBING
HVAC
ELECTRIC 00
ELECTRIC
Inspection Data Inap. CommeMs
Foofings I
Foundation ?
L /b
Freming
Roofing
Rough Plbg.
RoughFng. 2!/ oi
Isul.
c
Fireplace
Final Htg.
Orsat Tesl
Final Plbg. Plbg. Inspector - No[ify Plumber
Const. Meter
Engc/Plan
.7
aidg. Finai 774V- 4tmL5 Or= 77V-7 S
Deck Ftg. 1067--r" / T ir )S ex?i ?•?,r?•?
O a ,
Deck Final ?a • / tj S12 A?S .
Well
Pr. Disp.
J3- ,?
?/,?q s a-
9 0 7 71,?? ? /0 7.7-0 13
?
Request Dat Fire No. Rouqh-in InSpection
Requiretl?
? Ready Now ,?Will Notily Inspector
7 3 Yes C No When Ready?
I5i1jicensed contractor .] owner hereby request inspection of above electrical work at:
Job Address (Street eox or Route No.)
Z
L Ciry
3'?Co
_c DF-jil n. tA(,A
Sedion No. Townshlp Name or No. Range No- County
qKC7TA
Occupam IPRINT) Phone No.
L/F- rr m? q,:gll78Lb
Power Suppli
? Atldress
,aKOT'•4 ? fJ RrY, ? r? v c7?
Elearical ctor ICOmpany Name1 CoMracror5 License No.
Mailing Adtlress fCOntra tor or Owner Making In st Ilati )
E44 /f6 • h ?'7?1r1. SSJ.Z2
Authonzed ? nalure IContratlovOwner Making Installalionj Phone Num6er
10$3-a33z
MINNESOTA STATE BOAflD OF ELECTRICITV THIS INSPECTION REQUEST WILL NOT
Griggs-Mitlway Bltlg. - Room 5-773 BE ACCEPTED BY THE STATE BOARD
1821 Unlversity Ave., 51. Paul. MN 55104 UNLESS PIiOPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION EB-00001-08
? See insiructions tor complehng this form on back of yellow copy
'X" Be/ow Work Covered by This Request
? 05771 ?
ew Add Rep. Typeof6uilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Othec(Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Other (specify) Conlractor's Remarks:
Compute Mspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps g b 0 to 100 Amps
Trensformers Above 200 Amps Abo Amps
SignS Inspectors Use Only: TOTAL
0
Irrigation Booms a- ?o $,z 1-11
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DI CONNECTED IF NOT
Other Fee , SD COMPLETED WITHIN 18 M S. ?
I, the Electrical Inspector, hereby Rough-in
certify that the above inspection has
been made. pinal
75? 7/7/0/1 _ Date
OFFICE USE ONLV
This requesl void 18 months trom
? '? d
l• .. /
? '
Req est D e Fire No. Rough-in Inspection
Required?
? Ready Now 'KWill Notity Inspectar
3'?93 XYes ? No When Reedy7
I igjicensed contractor El owner hereby request inspection of above electrical work aL
Job Atldress (Street Box or Route No.1 Ci
3? (n .
17 ln
f-- AVP^
Sedion No. Township Name or Na Fange No. Cc??, ` -
?
iT ?
L? fZ€
OccupantlPRINT Phone No.
N y
Power SuDPlier Atltlress
Electncalaqor (Company Name
? Contrecbr's License No.
c- c =nc. I
Mailing AcdresS (Comractor or Owner Making Installation)
ox )OPPLE 'E SSiR
AuthorizetlWre (COmracror'Owne/r M'a\king
In
stallation) Phone Number .
/
?
? ?Q ('lJ '0_3371MINNESO7A STATE BOARD OF ELECTRIqTV THIS INSPECTION REQUEST WILL NOT
Griggs-Mitlway Bltlg. - Room 5-773 ../? / BE ACCEPTED 6V THE STATE BOARD
1821 University Ave.. St. Paul. MN 55104 UNLESS PROPER INSPEGTION FEE IS
Phone (612) 642-0800 ENCLOSED.
r C?9??'?
?`?8 5
REQUEST FOR ETrCTRICAL INSPECTION
? See insiructions for completing this form on hack of yellow copy.
"X" Below Work Covered by This Request
EB-00001-08
4.
ew Add Rep. Typeof8uilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other-(Specity)
Comm./Industrial Fumace
Farm Air Conditioner
Oth fspeci?j Contractor? Remarks:
Compute lnspection Fee Below.
# O[her Fee # ServiceEntranceSize Fee # Circuits/Feeders Fee
Swimming Pool It7 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
Signs Inspecior5 Use Only: TOTAL ?
r
Irrigation Booms G(O,°v
? qo
Special Inspection
AlarmlCommunication D PISCONNECTED IF NOT
THIS INSTALLATION MA E OR E
Other Fee I
COMPLETED. WITHI ONT
I, the Elecirical Inspector, hereby
if
h Rough-in
covy
cert
y t
at the above inspection has
been made. F;,,ai ace a?
OFFICE USE ONLV
This request void 18 monihs from .
NDREQUEST FOR ELECTRICAL INSPECTION
#1 Al?V36
? See instmctions for completing this form on back ol yeuow copy.
.
? 'X° Below Work Covered by This Request
E8-00001-08
A?: aa?ao
?
ew Add Rep. TypeofBuilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm./Industrial Fumace Other (Specify)
Farm Air Conditioner
Other (specily) Gontraclor's Remarl`--? ?
Compute Inspection Fee Below.
# Other Fee # ServiceEntranceSize Fee # Circuils/Feeder5 Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Ahove 100 _ Amps
SIgnS Inspector's Usa Only: TOTAL S?
' Irrigation Booms L(6
Special Inspection
Alarm/Communication THIS INSTALLATION.MAY BE RE6 DIS NNECTED IF NOT
Other Fee COMPIETED WITHIN 1 M
I, the Electrical Inspecror, hereby
tif
th
h Rough-in ?
? oate? ?Y-9i
y
cer
at t
e above inspection has
been made. Final oa
?
OFFICE USE JNLV
This request void 18 months irom
--'/pw/?" ?? v
C?02536 ? ? ?
3 ?
?o°'
Request Dete
?/ l, 9
Y Fire No. Rough-In InpSettion Required
(Vou mu all inspeclor when ready) Ins ettion Other Th Rough•In
? Ready Now Will NotHy Inspector
Ves ? No Oate Reatly
1[I licensed contractor K)wner hereby request inspection oi above electrical work at :
Jo6 Address (Street Boz or Route No.)
37G 7 L'n c16 L? ?e__ City
Section No. Township Name or No. Range No, County
O n1 (PRINT) f.
?
? phone No.
?--
e,,?n So?1
Power Supplier Address
Electrica C Irador (Company Name) Contractor5 License No.
ar» POwnP.r
Mading Adtlres V ctor or Owner Making Installauon)
Auihoriz Sign e I(:cion er Makinq Installahon) Ph/one ?Nu,rm?ber
V?/ .? ~ e? ?
MINNESOTA STATE BOARD OF ELECTRICIT? THIS INSPECTION FEQUEST WILL NOT
Griggs•Mitlway Bltlg. - Room 5-173 BE ACCEPTED BV THE STATE BOARD
1821 University Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENGLOSED.
Address: 3767 LIlVDIN LANE Lot 1$ Blk I Sec/SubTHE yWDLgqDg ggD
.
These items were/were not complete at the time of the final inspection.
Date: 10 09 92 Yes No
Final grade (6" from siding)
Permanent steps - garage
Permanent steps - main entry
Permanent driveway
Permanent gas
Sod/seeded grass
Trail/curb damage
Porch
Basement finish ?
Deck
Please verify vith the builder the removal of roof test caps from the plumbing
system and the shut-off of water supply to tha outside lawn faucet before
freeze poteatial exists. &
xEMAEOMVfR
White - City copy Yellow - Resident copy Pink - Contractor copy
RESIDENTIAL BUILDING
1 > ? Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reauirements RemodellRepairRequiremenLs
3 registered site surveys showing sq. k. of lot, sq. ft oi house; and all roofed areas 2 copies of plan
(20% maximum lot coverage allowed) 1 set of Energy Calculations tor heated add'Rions
2 copies oi plan showing beam & window sizes; poured tound design, etc. 1 site survey for additions 8 decks
7 set of Energy Calculations Add'rtion - indicate if an-s'rfe sepfic system
3 copies of Tree Preservation Plan if lot platted after 7/1193
Rim Joist Detail Options selection sheet (bidgs with 3 or less units
Office Use Onlv
Cert of Survey Recd
Tree Pres Plan Recd
_Tree Pres Not Reqd
_ On-site Septic System
Date -5-'/ S / 03
SiteAddress 3 7?p7 C,/,1den Construction Cost
?qnR- Unit/Ste #
Description of work Orl t S-A?y c? Ae pe.c 4 a-- o^ ?Q ek 0'1`2 4o u t?
Multi-Family Bldg _ YX N Fireplace(s) Y 0 _ 1 _ 2
PropertyOwner l?ober? ?.qn ySon Telephone#(&Sl)
Contractor (fqr? ?PQi[/So?+ qa7-?
Address /s-7 q Lqkavie?J
State ?h /? City Eq?pq.?
Zip Telephone # ((pfy ) 68? ? ?61V
COMPLETE TNIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy CodO Category
• Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
submission type) Submitted Submitted
• Energy Envelope Calculations §Amitted
Licensed Plumber ? N Telephone # (
Vn .-
Mechanical Contractor E .- 5 2?03 Telephone #(
Sewer/Water Contractor U1 I A.0 ?J 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 pernut, 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.
& lI ?2 Itr-Son ?iJA:L_
Applicant's Printed Name APPlicant's Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
Work Types
? 07 05-plex ? 73 16-plex
? 08 06-piex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 08-plex x 18 Deck
? 11 10-plex ? 19 Lower Level
? 12 12-plex Ping_Y or,_ N
? 31 New
g 32 Addition
? 33 Alteration .
? 34 Replacement
00
Valuation 4y ?
Census Code 413?
SAC Units ?
Nbr. of Units
Nbr. of Bldgs r
Type of Const
?
_ Footings (new bldg)
Footings (deck)
Footings (addirion)
Foundarion ??
Drain Tile ?4Aj
? Roof _ -,se4rWater _ Final
? Framing
Fireplace _ R.I. Air Test Final
Insulation
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
? 20 Pool
? 21 Porch (3-sea.)
X 22 Porch/Addn. (4-sea.)
? 23 Porch (screen/gazebo)
? 24 Storm Damage
? 25 Miscellaneous
6 ..
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi Misc.
? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
*Demolition (Entire Bidq) - Give PCA handout to applicant
Occupancy R -3
Zoning
Stories -
5q. Ft. -Yd
Length / D
Width 3G
MC/ES System `
City Water
Booster Pump
PRV --
Fire Sprinklered -
REQUIRED INSPECTIONS
FinaUC.O.
? FinaUNo C.O.
Plumbing
? HVAC
Other
_ Pool Ftgs Air/Gas Tests _ Final
_ Siding Stucco Stone
_ Windows (new/replacement)
_ Retaining Wall
---------------APProved BY U
36 01?j0 ?-5- 01/1?0
.?
Building Inspector
?r4V =
Acod ,
a?
/l Oao
C
Permit Number
REScheck Compliance Certificate Checked By/Date
2000 Minnesota Energy Code
REScheckSoftwaze Version 3.5 Release ]b
Data filename: C:1Program Files\Check\REScheck\Tennyson.rck
COiJNTY: Dakota ? - -- --
STATE: Minnesota
ZONE: 2 ?? ?
CONSTRUCTION TYPE: Single Family C? /-^OfP`?
DATE: 05/14/03
COMPLIANCE: Passes
??/ pe -?f r-c°?,,
Ma7cimum UA = 102
Your Home UA = 102
' 0.01/o Better "Than Code (UA)
` Gross Glazing
Area or . Cavity Cont. or poor
Perimeter R-Value R-Value U-Factor UA
Ceiling 1: Flat Ceiling or Scissor Truss 220 44.0 0.0 6
?VJall 2: Wood Frame, 24" o.c. 532 ' 30.0 ? 0.0 17
Window 1: Above-Grade:Metal Frame with Thermal Break:Double Pane with Low-E
48 0.320 15
Door 1: Glass 80 0350 28
Floor I: Slab-On-Grade:Unheated 56 20.0 ; 36
Insulation depth: 4.0'
Proposed and Maximum U-Faetor Averages
Above-Grade Windows and Glass Doors
Includes Foundarion Windows > 5.6 ft2
Proposed Maximum
Average U-Factor Allowed U-Factor
0339 0.370
COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications,
and other calculations submitted with the permit application. The proposed building has been designed to meet the 2000 Minnesota
Energy Code requirements in REScheckVersion 3.5 Release lb (formerly MECcheco and to comply with the mandatory
requirements listed in the RES checkInspection Checklist.
Builder/Designer ?,-C ? Date
/
S 3 70 w . RESIDENTIAL
BUILDINC PERMIT APPLICATION
_ CITY OF EAGAN
3830 P{LOT KNOB RD,;EAGAN MN 55122
657-681-4675 7.
New Conatruction Reauirements RemodellReoair Reauirements
• 3 registered site surveys showing sq. R. of lot, sq. ft. of house; and all roofed areas • 2 copies of plan
(20% maximum lot coverage aflowed) j • 1 sel o( Energy Calculations for heated additions
• 2 copies of plan showing heam 8 window sizes; poured found design, elc.) • t sile survey for exterior additions & decks
• 1 set of Energy CalculaGons . Indicale if home served by septic system for additions
• 3 copies of Tree PreservaGon Plan'rf lot platted after 7l1/93
• Rim Jois[ Delail Options selecfion sheet (bldgs with 3 or less unds)
/, Q C?
DATE VALUATION ?/v
??D
a
SITE ADDRESS MULTI-PAMILY BLDG _ Y _ N
TYPE OF WORK FIREPLACE(S) _ 0_ 1_ 2
APPUCANT
STREET ADDRESS I t" ec,rCITY I-mc'j, STATE.c'' IP_?S;',Q1,IZ
TEIEPHONE /'-6ylcCELL PHONE # FAX #
PROPERTY OWNER,? TELEPHONE #lo I? 9 83
-----------------------------------------------------------------------------------------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNFSOTA RULES 7670 CATEGOKY 1 MI
t
(J submission type) • Residential Ventilation Category 1 Worksheet Submitted • ??e? slhf
• Energy Envelope Caiculations Su6mitted
juti_ 2 3 2002
Plumbing Contractor: Phone #
Plumbing system includes: _ Water Softener Larvn Sprinkler By .
_ Water Heater No. of R.I. Baths
No. of Badis
Mechanical Contractor. _
Mechanical system includes:
Air Conditioning
Heat Recovery System
Phone #
Sewer/Water Confractor:
Phone #
ree: $70.00
-------------------°--------------------------°-------------------=-----------------------------------°----------------
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 Or?ances. ?
Signature of Applicant
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
OFFICE USE ONLY -
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
Q 05 03-plex
? 06 04-plex
? 07 05-plex ? 13 16-plex
? OS 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 08-plex ? 18 Deck
Q 11 10-plex ? 19 Lower Level
? 12 12-plex Plbg_Y or _ N
? 20 Pool
? 21 Porch (3-sea.)
? 22 Porch/Addn. (4-sea.)
? 23 Porch (screened)
? 24 Storm Damage
? 25 Miscelianeous
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement *Demolition (Entire Bidg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Baoster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Foorings (new bldg) FinaUC.O.
_ Footings (deck) FinallNo C.O.
_ Footings (addirion) _ plumbing
_ Foundation HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final
_ Framing _ Siding Stucco Stone _
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insularion _ Retaining Wall
Approved By
8ase Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permif
License Search
Copies
Other
Total
Building Inspector
PLEASE COMPLETE FOR SINGLE FAMII.Y DWELLINGS. ALSO, FOR TOWNHOIv1ES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
NO. FIXTURES ? TOTAL
? SHOWER 3.00
_L WATER CLOSET 3.00
BATH TLJB .? ? 3.00
_L LAVATORY
KITCHEN SINK 3.00
3.00
LAUNDRY TRAY lS ' 3.00 '
HOT TUB/SPA 3.00
WATER HEATER 3.00
F1AOR DRAIN 3.00
GAS PIPING OiTTT.ET • minimum - 1 3.00
ROUGH OPENINGS 1.50
WATER SOFTENER 5.00
PRIVATE DISP. • nax.ay. uG
20.00 .
U.G. SPRINKLER • nome unaa consi. 3.00
AT TFRATIONS • to edstin¢ 20 UO ? '
WATER TURN AROUND 20.00 '
STATE SURCHARGE .SU
TOTAL: 50
SITE AlJLRi'.JS. ?? t0 ? ?/n d!n !?q n,.C
OWNERNAME• 304 / Lnn aSo-n
IIVSTALI.ER: 2 0 lc??" 1+erso.1 '
ADDIZESS: N ? -7Y i3 o x-7-7o
CTTY: ?a ?? e-? sae k STATE: ?^f ZIP CODE: `/`-?2'
PHONE #: (,p) b' ) 6 k'°Z ' a$ 3 7
SIGNATURE OF PER1vII'I'TBE
,
r
, ?, GT-J)(?lf
?
1994 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PIIAT KNOB RD
EAGAN MN 55122
(612) 681-4675
?
>\ ClTY 0F? EAGAN PERMIT
?- '
3830 Pilot Knob Road PERIIAIT TYPE:
Eagan, Minnesota 55123 Permit Number:
(612) 681-4675 Date Issued:
Control No. 0803
BUILpING
001043
@7/15/92
SITE ADDRESS:
3767 LINOEN LANE
LOT: 18 BLOCK: 1
THE WOODLANDS 3R0
DESCRIPTION:
FBui`1it?.;ng Permit Type SF DWG
8ui3diri';,Work Type NEW
tfBC OccwpiYtc,y R-3 M-1
ConstrueLionii-TYpe V-N
Zeaning R-1
Suildirtg l.ength 68
ButildiYig Wltltk1 ?c•; 36
- :,,t
vv?
s ,? n-a, ay..w .'"a
? ?'k? a( Y?g.. ?,a'
?..:c. m. ? ? ?' i Wit? Ii1I ??
REMARKS: C C)l q 9 C C/
5& W CONTRAC70R - PLYMOUTN PLBG
FEE SUMMARY:
Base Fee
Plan Review
Surcharge
SAC
SAC R?
SAC Units
Subtatal
CONTRACTOR: - App1i
LIFESTYLE HOMES INC
1489 LAKE PARK CIR
EA6AN MN 55122
(612) 454-7866
?
I her*,by" acknot
informeCion'ats
4 Statutes and G:
?
4f
VRLUATIpN
$839.00
$545.35
$78.50
$700.00
100
$2,162.85
$157,000
MISCELLANEOUS $1,610.50
COPIEB $1.@@
Total Fee $3,774.35
cant - sT. LIcpN/NER:
14547866 00012$8 LIFESTYLE HOMES INC
1489 LAKE PARK CIR
EAC+AN MN 55122
(612)454-7866
dge that I fiave rea:
rreet. and Ag,ree t4o '4
of Eag,an tl.rdinancea
thais yapplicat3pn anci state th&t the:.;
?mply with a11 appli?able State of Mn.
i?uEO eM: Sj ?f ? I I I I ,?_
INSPECTION RECORD Control No. 0803
CITY OF EAGAN PERMITTYPE: euiLozae .,
3830 Pilot Knob Road Permit Number: 001049
Eagan, Minnesota 55123 Date Issued: 0 7 J 15 / 9 2
(612) 681-4675
SITEADDRESS: Lor: ia
3767 LINDEN LANE
THE WODDLANDS 3RD
PERMIT SUBTYPE:
sF owo
e Loc K: i APPLICANT:
LIFESTYLE HOMES ZNC
(612) 454-7866
TYPE OF WORK:
NEW
INSPECTION .A
Ffl9TIPl6 .
FRAMING „
IPISULATIOM FZNAL
FIREPLACE
REMARKS: S& W COM7RACTOR - PLYMOUTH PL66
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PERMIT x , ,
.
CITY OF EAGAN
1992 BUILDING PERMIT APPLICATION
681-4675
$3111 qj5
i??L 0 Z RECQ
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural_& structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which re uest is made or lot chan e is re uested once ermit is issued.
Date 7 /2_ /92Valuation of work $160,000.00
Site Address: 3767 LINDEN LANE
STREET STE /
Tenant. Name: (commercial only)
Lor 18 BLOCK 1 SUBD, WOODLANDS THIRD r,j.o. r 1075878-180-01
Descri tion of work: SINGLE FAPIILY RESIDENTIAL -
The applicant is: ? Owner El Contractor ? Othe1' (oeseribe)
Name TENNYSON. ROBERT AND MARTANA _ Ph0n2 4'i1-?516
Property LAST F[RST
Owner
Addi'esS 6706 UPPER 162ND STREFT
STREE7 STE N
City ROSEPIOUNT State MN Zip 55068
Company LIFESTYLE HOMFS TNCPhone 454-7RF,Fi
Contractor Address 1489 LAKE PARK CIRCLE License # 1288 EXp.
City EAGAN State MN Zip 55122
Company SAME AS ABOVE -LIFESTYLE HOMgS Phone
Archltect/
Engineer Name Registration #
Address
City State ZiP
Sewer & water licensed plumber PLYMOUTH PLUMBING . Processing time for
sewer & water permits is two days once area has been approved.
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.
5ignature of Applica •
bFFICE USE ONLY
BUILDING PERMIT TYPE
? OI Fcundation ? 05 Apt. Bldg ? 09 Basement Finish
IN 02 SF Dwg. C] Ob Garage/Accessory ? 10 Swim Pool
? 03 Two family 0 07 Fireplace ? 11 Res. Add.
D 04 Multi-fam. T.H. 0 08 Deck ? 12 Res. Porch
WORK TYPE
5 31 New ? 33 Alterations ? 35 Move
? 32 Addition O 34 Tenant finish ? 36 Demolish
GENERAL INFORMATION
Const. (Actual)
(A1Towable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
V-N
v-N
R•3 M-1
?
?
3SY2'
Basement sq. ft.
lst F1. sq. ft.
2nd F1. sq. ft.
Sq. Ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Planning Building
Engineering Yariance
REDtJiRED INSPECTIONS
? Site ? Footing Q Framing
? Wallboard ? Final ? Oraintile
YES
ve5
lo(
oi
? Insulation
? Fireplace
Permit Fee vaLmt;o,: s 157 aa?
SurchReargeew ZN? ??aa?2;
n 36'/Zx Zz = Cor?? 35X29 = I01S
MWCC
SAC
City SAC y%iu2%2= I? 36
Water Conn. d't s" X s'3=
Water Meter
Acct. Deposit -
671 X/G = 16;73 ?
SS"?3.4SS
5/W Permit ----
S/W 5urcharge a?f ? 3? ,;. ? u? 3 yyY
Treatment P1 .
Road Unit
Park Ded. 2'1zxelz z_ i
Trails Ded.
I /2K1?%. r
=
?
Copies ..; St
Other
Total:
isr
=°O-'2
SAC % 100 __-
SAC Units 2X7= Zy
nQO%
?
, ,.
? I
?
0 13 „
Comm/fnd New
D 14 Comrn/Ind Add
O 15 Comm/Ind Rem
O 16 Public Fac.
? 17 Agricultural
MWCC System
City Water
PRY Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code
Assessments
?•' ?, ? ? ?
uEAnaGa caLcs.
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?
i 27 `?Iw
U VALUE ??xA
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.
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................_.._....._ ..................... _...... ....
:
DG3222-2 : 55.017 1 2.14s 0.47: 25.63
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.........a...._.....__..............................
00 : 2A 4; 0.47: 21.44
46
131 .
.................... ....... ........ _..._......._._._....._._..._......_._..._..._...........
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................................... .......................... ..............
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1134 ICPQ6 ? 42.00 ' 2.1 4:: 0.47:
135
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........................._._..._._._.___..__.___._.._._._.__...._
: 2.14: 01.47? 13.05
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: 14.00 2.14: O.?L7? 6.5..4
139 ...................................._.__._._ _ _... __._..._..__ W _......__..........__.__
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. ..............................._..__..____..__....__...._._.__._....__. ..____....._._.__?...__....._._._._......._..;:__.._...___._.,
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:
2.14: ..____.._.._..._.._--.--......
01.0 6..524
140
.......___....__...._._..______......_._..._..._
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TOTAL SQ.fT^: ',K94.75
TOTAL U:
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3.929
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r'a?3z 4
? CIT?'_.OF EAGAN PERMIT
pERMIT TYPE:
3830..Pi'?bt Knob Road
ffagan, Minnesota 55123 Permit Number:
(612) 681-4675 Date Issued:
euxLn?ri?
023094
03/18/9A
SITE ADDRESS:
8767 LINDEN LANE
LOTs 18 BLOGKa 1
7HE WOqDLANDS 3RD
P.I.N.: 10-7587$-180-01
DESCRIPTION:
Type
7ype
BASEMEN7 FINISH
AL7ERATION
?
?,-
REMARKS:
SEPARATE PERMITS ARE REQUIRED FpR ANY PLUMBING OR ELECTRICAL WORK
FEE SUMMARY:
Base Fee $35.00 CtlpY .50
Surcharge .56 Tntal Fee $36.00
5ubtotal $35.50
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: Lo T :
3767 LINDEN LANE
THE WOQDLAND5 3RD
PERMIT SUBTYPE:
sASEMEN-r FzNZSH
euILozNG
023094
03/18/9Q
1$ BLOCK: 1 APPLICANT:
PETER50N CONST, CARL
(612) 688--6564
TYPE OF WORK:
ALTERATION
INSPECTION
FRAMING ., .
INSULATION ..
ROUGH IN PLBG FSNRL
REMARKS: SEPARATE PERMITS ARE FZEQUIRED FOR ANY PLUMBTNG OR ELECTRICAL WORK
17
i.
r
f
•? ,?
,
CITY OF EAGAN
1994 BUILDING PERMIT APPLICATION
681-4675
,
,
A`a r' '? rl d? _ I.s
r?'
oo
',;% , i??
?
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty app7ies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date Valuation of work
Si te Address • 3-7 lD -7
STREET SUITE #
Tenant Name: (commercial only)
LOT I ? BLOCK _L_ SUBD. rf?,
.;l w P.I.D.
#
Descri tion of work: ioase? C'+
The appl i cant i s: ? Owner (T Contractor ? Other (Describe)
Name TE-nn?Son )?ob Phone (g3- 9753
Property LAST FIRST
Owner qddress ? -7G ? t -, " )t., " .2 e-'
STREET STE tl
City Eq9p? 5tate m? Zip
Company _ Cw Consfe-ucfib? Phone 4o 9 8 - (? s? y
Contractor Address I5-7(1 L4keC4?.,.e. License #41a-7s"
Exp.3"3/"9y
.
City _ EqgQn Stdte Mis/ Zip ??/aa
Company Phone
Architect/
Engineer Name Registration #
Address '
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
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.
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation 11 06 Duplex ? 11 Apt./Lodging
? 02 SF Dwg. C) 07 4-Plex ? 12 Multi. Misc.
O 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory
? 04 SF Porch O 09 12-Plex ? 14 Fireplace
0 05 SF Misc. ? 10 Multi. Add'1. O 15 Deck
WORK TYPE
O 31 New 0 33 Alterations ? 35 Tenant Finish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
I? 16 Basement Finish
13 17 Swim Pool
0 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
O 21 Miscellaneous
0 37 Demolish
Const. (Actual) Basement sq. ft. MWCC System
(Allowable) lst F1. sq. ft. City Water
UBC Occupancy 2nd F1. sq. ft. PRV Required
Zoning Sq. Ft. total Baoster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code 39
Depth On-site sewage SAC Code a
Census Bldg /
APPROVALS Census unit ?
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
?.Site
? Wallboard
O Footing
IN Final
0 Framing
? Draintile
0 Insulation
? Fireplace
Permi t Fee veiuac;a,:
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
5/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies ,So
Other
Total:
S
SAC %
SAC Units
CITY Of EAGAN
3830 Pilot Knab Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT ?.
5=?=?
BurLorNG
020746
05/06/93
SITE ADDRESS:
P.I.N.: 10-75878-180-01
DESCRIPTION:
3767 LTNDEN LANE
LOT: 18 BLOCK: 1
THE WOODLRNDS 3RD
PERMIT TYPE:
Permit Number:
Date Issued:
4
,
REMARKS:
FEE SUMMARY:
???
? ?
u
vaLuArInN $2e,eee
Base Fee $207.00
Plan Review $134.55
Surcharge 10.00
Total Fee $351.56
CONTRACTOR: - Applicant - OWNER:
TROPZCAL PQQLS & SPAS 14315391 TENNYSON RQ9ER7
14650 GIENDA AVE 3767 LTNDEN LANE
APPLE VALLEY MN 55124 EAGAN MN
(612) 431-5391 (612)683-9753
I. herekiy, ackn4wledge that I have read thi-6.applicatian and sCate ttia't,the
i.wi'th all appX,icable State vf M`n.
infarmatkon is correct and agree ta' compl} .
Sta.tutes- and City. af, £agan 0"rdirsance5. -" ,
. .. r.
? J
6APPLICANTIPERMITEE SIGNATURE ISSUED SIGNATURE
? INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: Lor : 18 sLa c K: 1 APPLICANT:
3767 LINDEN LANE TROPICAL POOLS & SPAS
7HE WpQCIlAND5 3RD (612) 431-5391
PERMIT SUBTYPE: TYPE OF WORK:
SWIM P4QL NEW
?
?
BUILDING
020746
05/06i98
?
?
. .
REACTIVATE RECEJVED
PERMITJ.
t APR 16 1993
cmr oF EaGaN
1993 BUILDING PERMIT APPLICATION
681-4675
0?3 s./ s
` f)z,6
SINGLE & MULTI-FAMILY 2 sets of plans, 3 reaistered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date L-gc Yaluation of work ?? V20
Site Address: L k4on La+nR.. F- AaAv\.
STREET SUITE #
Tenant Name: (commercial only)
LOT ( BIACK / SUB .
3 P.I.D.
Descri tion of work: 0
The appl i cant i s: 13 Owner M Contractor O Other (Deseribe)
Name 30'r- ?t?y.e,r_y Phone
Property UST FIRST
Owner ? L
l L
c&
Address
k Y\Uu
STREET STE #
City EfAG a.V` State Zip 551
Company _Trn01`raJ f0ok 45,otI.S Phone q_?)- 53qf
Contractor Address fq vJb 6?I1QrA or? License # Exp.
City State Z i p
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber . Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this applicatian and state that the information is
carrect and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
?
OFFICE USE ONLY
BUILDING PERMIT TYPE I .
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc.
? 03 SF Addition O 08 8-Plex ? 13 Garage/Accessory
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace
O 05 SF Misc. 0 10 Multi. Add'1. ? 15 Deck
WORK TYPE
?C3I New ? 33 Alterations ? 35 Tenant Finish
? 32 Addition 0 34 Repair ? 36 Move
GENERAL INFORMATION
v
? 16 Basement Finish
jEZ 17 Swim Pool
O 18 Comm./Ind.
0 19 Comm./Ind. Misc.
? 20 Public Facility
0 21 Miscellaneous
? 37 Oemolish
Const. (Actual) Basement sq. ft. MWCC System
(Atlowable) lst Fl. sq. ft. City Water
UBC Occupancy M--,- 2nd F1. sq. ft. PRV Required
Zoning Sq. Ft. total Booster Pump
i of Stories Footprint 5q. ft. Fire Sprinkler
Length On-site well Census Code 329
Depth On-site sewage SAC Code
APPROVALS o
.-?~.
Planning Building Assessments
Engineering Variance
RFQUIRED IN SPECTIONS
O Site ? Footing jkFraming O Insulation
? Wallboard Final ? Draintile ? Fireplace
Permit Fee , ofl ve?uac;on: g,2v
Surcharge
Plan Review
License
MWCC SAC
City 5AC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W 5urcharge
Treatment Pl.
Road Unit
Park Ded.
Trails Ded.
Copies
Other `
Total:
SAC %
SAC Units
CITY OF EAGAN CITY USE ONLY
PLUMBING PERMIT
SUBD. (612) 681-4675 RECEIPT #
DATE '?-
RESIDENTIAL
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS
WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
------------------------ -----
WORK DESCRIPTION -------------------- ----- ----------------------
COMPLETE THE FOLIAWING: -----
N0. FIXTURE5 fiA. TOTAL
NEW CONST jC REPAIR/ADD ON 15.00
ADD ON SHOWER 3.00 =;jd()
REPAIR WATER CIASET 3.00 .n
BATH TITS 3.00 , d
r LAVATORY 3.00 ?I?+ O
OWNER NAME: KITCHEN SINK 3.00 Cir
,
r
4 DRY TRAY 3.00
IAUN "<Otl
SITE ADDRESS:??1?+
I
h0 0'? HOT TUB/SPA 3.00
? WATER HEATER 3.00 ?J .C]a
/ FLOOR DRAIN 3.00 L_LCiv
GAS PIPING OUT.
INSTALLER*Om?Or? (MINIMUM - 1) 3.00 ?UD
ROUGH OPENINGS 1.50 • S
ADDRESS :?`-??01 OTHER ?i,1c?p.?c,- / n1T?L? . ?1( X?
.? WATER SOFTENER 5.00
CITY: ZIP: PRIVATE DISP. 15.00
FHONE LP G R 3.00
f W. TURNAROUIVD 15 . 00
a STATE SURCHARGE .?
?CQ/yLCf? ?? /YIf?PJL
SIGNATURE OF PERMITTEE I
TOTAL: r
00
COMMERCIAL
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILUINGS. ALSO FOR MULTI-FAMILY
BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
WORK DESCRIPTION:
OWNEIt NAME :
SITE ADDRESS:
TENANT NAME:
SUITE #:
INSTALLER:
ADDRESS:
CITY:
PAONE
FOR:
CONTRACT PRICE:
1% OF CONTRACT FEE. .
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIM[TM FEE.
CONTRACT PRICE x 1% $
STATE SURCHARGE
TOTAL:
(SIGNATURE)
$
$
,
CITY OF EAGAN
L/y B ?.d MECHANICAL PERMTT RECIIPT #??
SUBD. ?Gt?aar,?.?? .3 ? (612) 6814675 DATE
RESIDENI7AL
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DR'ELLINGS. ALSO, COMPLEPE FOR
TOWNHOMES/CONDOS WHEN SEPARATE PERMTTS ARE REQUIRED FOR EACH DWEI.LING UHIT.
OR'NER:
COMMERCIAL
PLEASE COMPLETE TIiIS PORTION FOR ALL COMMERCIAL/INDUSTRLkI. BUILDINGS. ALSO COMPI.F,TE FOR
APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR
EACH DWELLING UNIT.
I WORK DESCRIPTION:
OWNER
SI1'E ADDRESS:
TENANT:
SUTI'E #:
INSTALLER:
ADDRESS:
CTPP:
PHONE #:,
SIGNATURE:
CONTRACI' PRICE:
146 OF CONTRACT FEE.
STATE SURCHARGE IS $.50 FOR EACH
$1,000 OF PERMTT FEE.
PROCESSED PIPING - $25.00
MINIMUM FEE - $25.00
TOTAL:
CITY SIGNATURE:
FEF-S
$
?
S
ZIP:
.
io?????I! 01 DRI?E ---^.::; qp.
ppRCK
160?? S }1.6_
.? g s?`E ' ? "
? N 17 ? W'iE O ?
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,a vVT1iAL I.OCIITj4N oR lT1M1ETURE OlLr ;KE
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tr? ?ra?.
VYE HEREBY CERTIFY TO LIFE STYLE HOMES THAT THI$ IS A TpUE AND CORRECT
REPRE9ENTA7ION OF A SURVEY OF TNE BOl1NDARIES OF: ,.
Lut IBm 81ock 1, 7HE wooDLANDS THIRD ADbiTieN. accadin0 to the recaded
plat ihWnof I Dakotd Can1y, MlnrNwa -
R DbES NOT PURPORT TO SNOW IMPROVEMENTS QR ENCRbACHMENTS, D(CEPT AS SHOWN. AS
SURVEyE0.8Y;ME OR UNDEA MY OIRECT SUP VISION THIS I ST DAY OF J ULY ,1m,
MOTEt eo sPecm soM.s nivrBTaWiots SIQN : J R. HILL, INC.
Nas e!!N aoMrMm oN TM
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MINNESOTA LICENSE MUMBER :19828
JaMes R. Hill, inc.
PLANNERS ? ENGINEEFtS / SURVEYOFtS !
2500 W. CTY. AD. 42 * BURNS VI LLE, MN. 5W37 9 812•890-6044 '
?-URVEYOR'S CERTIFICATE L'FE STY'-E H°'"Es
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WE HEREgY CERTIFY TO LIFE STYLE HOMES THAT THI813 A TFtUE ANP CORRECT
REPRE3ENTATiON OF A SURVEY OF TFiE BOUNDARIES OF;
Lot Ie, elodc I, 7HE WOODL4ND5 THIRD aDdITIaNe aaodind to ths raeardod
plat thsroofo Dtlkole CouMY. Mfnnesota
(T pbES NOT PURPORi TO 5N4W IMPROVEMENTS OR ENGROACNMENTS, EXCEPT AS SHOWN. AS
$URVEyEp SY ME OR UNDER MY DIRECT SUPERVISION TNIS I ST DAY OF J ULY , i992.
I NOTfi! NO sPQCIFIC '90L.9 INY68TI0J?710N
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UM"Ur NS1pLrtv or
R. HILL, INC. JOHN C. LARSON, LAND 5URYEYDR
MiNNESQTA LICENSE NUMBER 19828
James R. Hill, 'inc.
PLANNERS i ENGINEERS / SURVEYORS '
?
25pp W. CTY. FiD. 42 * $URNSVILLE. MN. 66337 9 812•89D-8044
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WE HEREBY CERTIFY TO LIFE STYLE HOMES THAT THI813 A TfiUE AND CORRECT
REPRESENTATION OF A SUFtVEY OF TNE BOUNDARIES OF:
Lo! IB, Block I, 7HE WOOOLANDS THIRD ADDITION+ aCC°('d'^G 10 ths recorded
Plof tharoot, Dakolo CountY, Mir?nosota
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT A5 SHOWN. AS
St}RVEYEO HY ME OR UNDER MY DIRECT SUP?ti ION THIS I 5T DAY OF' J ULY ,1992•
XOTCs HO SPQG1?1C TqILS IMI£BTIOATION
H1lS eEEM CMM-ZTIED DN 7HIS
LAT !Y TFI! R1M1VlYOR. W!
n? ?s?cfricOiiou? r?orosE?o ?
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R. HILL, INC.
?------
JpHN C. („pRSpN, LAND SURVEYC)R
MINNESQTA LICENSE NUM6ER 19826
James R. Hill, i nc.
PLANNERS 1 ENGINEERS / SURVEYORS
2500 W. CTY. R0. 42 # BURN5VILLE, MN. 66337 0812'890-8044
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PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA109237
Date Issued:02/22/2013
Permit Category:ePermit
Site Address: 3767 Linden Lane
Lot:18 Block: 1 Addition: The Woodlands 3rd
PID:10-75878-01-180
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to Mark Anderson , State Electrical Inspector, (952)
445-2840
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
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 -
Robert D Tennyson
3767 Linden Lane
Eagan MN 55123
Controlled Air
21210 Eaton Ave
Farmington MN 55024
(651) 460-6022 X253
Applicant/Permitee: Signature Issued By: Signature
"tees 3r142r1 LA,Ne_
fac.)io Teinfvd
Pkrovi- Ocrne... ki‘e a -OD- (3
TABLE 501.3 1
PROCEDURE TO DETERMINE MAKEUP AIR QUANTITY FOR EXHAUST EQU
ONE OR MULTIPLE ONE OR MULTIPLE
POWER VENT OR FAN -ASSISTED
DIRECT VENT APPLIANCES AND
APPLIANCES OR NO POWER VENT OR
COMBUSTION DIRECT VENT
APPLIANCESA APPLIANCES°
I. Use the appropriate column to estimate house infiltration
a. pressure factor (cfm/sf)
Ib. conditioned floor area (sf) (including unfinished
basements)
Estimated house infiltration (dm): [la x lb]
2. Exhaust capacitaiL_Rai SO)
a. continuous exhaust -only ventilation system
(cfm): (not applicable to balanced ventilation
systems such as 1-112V) 0
EXHAUST SYSTEMS
PMENT IN DWELLINGS
0•MULTIPLE
ATMOSPHERICALLY ATMOSPHERICALLY
VENTED GAS OR on. VENTED GAS OR OIL
APPLIANCE OR ONE APPLIANCES OR
SOLID FUEL SOLID FUEL
APPLIANCE° APPLIANCES°
0.15 0.09 0.06 0.03
_
q 57_
b. clothes dryer
c. 80% of largest exhaust rating(cfm): (not applica-
ble if recirculating system or if powered makeup
air is electrically interlocked and matched to
exhaust)
d. 80% of next largest exhaust rating (cfm): (not
applicable if recirculating system or it' powered
makeup air is electrically interlocked and not applicable
matched to exhaust)
_____ _ _
.‘ 55
135 135
Total exhaust capacity (cfm):
2b-+ 2c + 2d]
3. Makeup Air Requirement
a. total exhaust capacity (from above)
b. estimated house infiltration (from above)
Makeup Air Quantity (cfm): [3a - 3b1
(if
value is negative, no makeup air is needed)
L4
d For tvlakeup Air Opening Si7ing refer to Table 501 3 2
LI ......... ' ..'........._..... ....._ :__. ' .!__...... IP i _boct...ngede_d..._t____ .....,s.....A. jil!" ;440
Itutt. ,
A. Use this column if there are other than fan -assisted or atmospherically vented gas or oil appliances or if there are no combustion appliances.
14- Use this column if there is one fan -assisted appliance per venting system. Other than atmospherically vented appliances may also be included, hi
C . Use this column if there is one atmospherically vented (other than fan -assisted) gas or oil appliance per venting system or one solid fuel appliance. M
NI
° Use this column if there are multiple atmospherically vented gas °roil appliances using a CO111111011 vent or if there are atmospherically vented gas or oil appliances
and solid fuel appliances. N
N
55 _
135
135 1NM
N
M
M
N
M
N
M
N
M
N
M
M
NN
NNM
N
M
N
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N
11
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1.1
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0
0
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0
0
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Chls Ais h(wAe- 14(21.4 650 CCM. RiVia kOd ifeilted filkJeto FurluAte-
4-1-trl'sS Ve. kie4t. ctAVN 't 0,4A 11 ect
'whm)e&toki) ke_-t toe_ t.,1‘. r
Vet‘i. gcoe. 7asteztioi4 Soew otAci -CANAce. (1,04e,
SooNi
tJOater tkamk,rj
NO-tc N,e. flif) 5 62" Res h 126.c Dua (4s -to, 11 e d Now
-44
4- WO scUbi) A box Nc(0(1AZ CS ;19 ttVcs Kv\q_e_
2009 MINNESOTA MECHANICAL CODE
35
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA109255
Date Issued:02/25/2013
Permit Category:ePermit
Site Address: 3767 Linden Lane
Lot:18 Block: 1 Addition: The Woodlands 3rd
PID:10-75878-01-180
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Fixtures
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Mike Schiltz
P.O. Box 22172
Eagan, MN 55122
651-681-8252
Fee Summary:PL - Permit Fee (miscellaneous)$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 -
Robert D Tennyson
3767 Linden Lane
Eagan MN 55123
Hessian Plumbing Services
Box 22172
Eagan MN 55122
(651) 681-8252
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA137710
Date Issued:07/19/2016
Permit Category:ePermit
Site Address: 3767 Linden Lane
Lot:18 Block: 1 Addition: The Woodlands 3rd
PID:10-75878-01-180
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
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 -
Robert D Tennyson
3767 Linden Lane
Eagan MN 55123
(651) 683-9753
Haley Comfort Systems
122 3rd St W
Hastings MN 55033
(651) 437-0338
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA165627
Date Issued:11/12/2020
Permit Category:ePermit
Site Address: 3767 Linden Lane
Lot:18 Block: 1 Addition: The Woodlands 3rd
PID:10-75878-01-180
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Robert D & Mariana Tennyson
3767 Linden Lane
Saint Paul MN 55123--242
(651) 683-9753
Milbert Company (culligan)
1801 50th St E
Inver Grove Heights MN 55077
(651) 451-2241
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA165999
Date Issued:12/07/2020
Permit Category:ePermit
Site Address: 3767 Linden Lane
Lot:18 Block: 1 Addition: The Woodlands 3rd
PID:10-75878-01-180
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 -
Robert D & Mariana Tennyson
3767 Linden Lane
Saint Paul MN 55123--242
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature