Loading...
1440 Hemlock CirCITY OF EAGAN Remarks Lot 1 1 sik 3 Parcel 10 24bdO 110 Street 22 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SANSEW TRUNK 1 61.25 C009998 1-1?-85 SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA STORMSEW TRK 1983 403.96 26.93 323.17 C009998 1-10-85 STORM SEW LAT _ CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 280.00 3810 7'9-71 BUILDING PER. 2 Q SAC 240.00 7254 - - PARK 7 INSPECTION RECORD CITY OF EAGAN PERfIAIT TYPE: , 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date issued: (612) 681-4675 SITE ADDRESS: , . ,?1 ML?1C?: r cl? I ' 'lt=NtiRFE N !'AF'k PERMIT SUBTYPE: 11 WA, CIK• APPLICANT: l A - I .' 1 4 (.i TYPE OF WORK: ?', , ,i : ; F.lf-) II /96 R t: I'A I R (PAr 10.0o01k) a IanI ? ? - - - - - - - - - - - - - - - - - - - - - - - - - - - Pertnit No. Permit Holder Date Telephone 0 ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL .. ,. , /i 3 (?-•i • TOWN OF EAGAT3 3795 Pilot ;Cnob Road Eagan, iIinnesota 55121 PERMIT N0. The Board of Supervisors hereby grants to,g, r_ ,^.=,,-rPt i n r,.+, Of nc?(; V_Ct'E,- Pnnl FF717 8 wi ?r-cr/Permit f/or: (Owner) Tilsen Constructian Co. . / ?h' c? y ? ?n ?G n .y at .,_?,__ ?7,,.,.e, r„,,,,, 5512? , pursuant to application dated 7 /10 171 Fee Paid: cqn _nn Dated this ,^,day of 3y) 5, , 197 , .50 S/C Building Inspector //-2 C5, r T047N OF EAGAN 3795 Pilot Knob Roar.l Eagan, Minnesota 55122 PERMIT N0. . 136 The Board of Supervisors hereby grants to Ne31 & Hubbard Seat3ng & Air Cond. of 99 No. Snelling, 3t. Pavlo I+AT. 55104 a Heating Permit for: (Owner) Tilson Construetion at 1$40 Hemloek , pursuant Co application dated Auguet 16, 1971 Fee Paid; , 20.00 Dated this 17 day of AuguSt , 1971 . -50 3 0 Building Inspector CITY USE ONLY PERMIT #: `( 1 T,3 ( RECEIPT DATE: ??? RESIDENTIAl. MEL`$LAMCiA. ? ??PLIC,ATIOR CITY OF SRHAR . . 5880 PQ.OT 1{AOB RD `'' ? `? 1, ???ss12E , D ?? C: I.; 651-681-4675 " APR 01 , jU02 L ?hJ Please complete for: ? single family dwellings townhomes and condos when permits are required for each unit Date: ? - a's v? SITEADDRESS: I`?yU ??fYIICS ? L c Ll°u OWNERNAME: C??"1C? TELEPHONE#: COc?J-y5,??-LD?QC( ? INSTALLER NAME: STREET ADDRESS: CITY: T. fNIC: Place a check mark next to the permit work type ZIP: ? Add-on, modification or alteration to existina dwelling unit $ 30.00 • fumace replacement • air exchanger • air conditioner • other Nature of work: State Surchar e $ .50 Total $ IL" m1?1?' t "0 J" -) ?- SIGNA OF PERMITTEE ' - _ . -- ----"c#: Wo}ilers Southside Htg. & Air., Inc. 6950 W. 146h St., #106 Apple Valley, MN 55124 - (952) 431-7099 t/oz CITY USE ONLY PERMIT #: APPROVED BY: INSPECTOR RECEIPT DATE: 8008 COMMEftCLAL ME CHAftICA1. PERM1T AFPLICATION CITY OP EAfiAA 3$30 PILOT I{ftOB RD ElGkA, b!N 551 EE 651-6$1-4675 Please complete for: all commerciaVindustriai buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: SITE ADDRESS: OWNER NAME: PHONE #: TENANT NAME (IMPROVEMENTS ONLl): WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: INSTALLER: STREET ADDRESSe CITY: TELEPHONE #: STATE: ZIP: WORK T1'PE: New conshuction Install U.G. Tank _ Interior IWrovement _ Remove U.G. Tank _ Processed Piping SpecifyNature of Work: When installiag/removing underground tank, call 651-681-4675 for inspection by Fire Marshal and Plumbing inspector. Fees: 1% of conhact price OR $50.00 minimum fee, whichever is greater. Underground tank removaUinstallatian = minimum fee Contract price; $ x I%= $ (Base Fee) Shte surcharge - calculate at $.50 for each $1,000 Base Fee TOTAL ? $ SIGNATURE OF PERMITTEE Updated 1/02 RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 (t New ConlrucMon Reauiremenb • 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas (20% maximum lot coverage allowed) . 2 copies of plan showing beam & window s¢es; poured found design, etc,) • i set of Eneyy Calculations . 3 copies of Tree Preservation Plan if lot patted after 7l1193 • Rim Joist Detail Options seledion sheet (61dgs wiN 3 or less units) DATE JOB SITE IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY RemodellReoair Raouirements • 2 copies of plan • 1 set of Energy Calculations for healed addilions • 7 sile survey for exterior additions & decks . Indicale'rf home served by sepfic system for addilions S O? VALUATION TYPE OF WORK 6992 [? "A?Z?- APPLICANT ADDRESS PAGER # PHONE# ZIP CODE CELL PHONE # - ?i/2'?'ZY.GOG0 FAX # NtIV RESIDENTIAL BUILDING ONLY - FILL OUT CO Energy Code Category MINNESOTA RUI.ES 7670 CATEGOR J?p? 2 7 2002 (check one) - Residential Ventilation Category t Worksheet mi e - Enargy Envelope Calculations Submitted sA) _ MINNESOTA RULES 7672 By - New Energy Code Worksheet Su6mitted Plumbing Contractor. Phone #: Plumbing System Includes: _ Water Softcncr _ Lawn Sprinkler Fee: $90.00 _ Water Heater _ No. of R.I. Baths No. of Baths Mechanical Conhactor: Mechanical System Includes: Sewer/Water Contractor: Air C;onditioning Heat Rccovery System FIREPLACE(S) _ 0 _ 1 ` 2 Phone # Phone # Pee: $70.00 All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that th 'r?(orm ' n is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan rdi b Signature of Applican Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 2002 ^'!' s'/_ j 0 esT OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Eut. Alt - Multi ? 03 01 of _ piex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch(screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? OB 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 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 Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED WSPECTIONS _ Footings (new bldg) Final/C.O. _ Footings (deck) FinallNo C.O. _ Footings (addiUon) _ Plumbing _ Foundarion 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/replacexnent) _ Insula[ion _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S8W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Building Inspector (Y !'tr. F:(di:;6:?'2 ,{1..1i_.. ?."•./OE;:`?'?r, 'T.I.'J'_a ''.f;:i.'e?r:i !Tln EL..I1G.R-'.1!'NE.''; CNC ,. ca_(? `)JI::1:1. .'•.440 Fil_f?i_f I!_i< f'i 6??.,;=,_ (:r.. 113ii::`_? .i`??,. ?ltll"i?.•?',, _ . PERMIT CITY OF EAGAN 3830 Pibt Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 029193 (612) 681-4675 Date Issued: jI -1-8 / 0 8/ 9 6 SITE ADDRESS: 1440 11EMLOCK CIR LOT: 11 BLOCK: 3 EVERGREEN PARK P.I.N.: 10-24880-110-03 DESCRIPTION: (PATIO DOOR) wuilding,Permit Type SF (MISC.) 6t]iI[ling tWbrk Type REPAIR Cens;us Code ° 434 ALT. RESIDENTIAL T?1 , \ •-? #":,i:? ? ' . ?' F r Jr° ? y c ,. t ? E• r l?r ?f lk I. Th. ...e .. P2 '..sa -c_.. ..t ?..._.- 3 ?''*...?..d. ? REMARKS: FEE SUMMARY: VALUATItlN $2,000 8ase Fee $62.25 Surcharge $1.00 Total Fee $63.25 f ? CONTRACTOR: - Applicant - sT. LIC OWNER: RENEWAL BY ANDERSEN 14307255 2004063{ ZELLEN CINDY 1700 BWERKLE 1440 HEMLOCK CIR WHITE BEAR LAKE MN 55110 EAGAN MN 55122 (612) 430-7255 (612)452-6799 I here6y aaknowle,dge thdt.. S hav?e rea=d thisaRplioation an.d sCate that theinformation is correct and agree to comply with all applicable State of Mn. Statutes and City':of Eagan 0rdinances. ?flru? R?, r?.l y1l ? APPLICANT/PERMITEE SIGNATURE ITSSUED-H?': S N U E - I ? ` CITY OF EAGAN ??? ? 3830 PILOT KNOB RD - 55722 1896 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 New ConeWCtion Reaulrements RamodaLReoair Reavirement= ? 3 reglatered sRe surveys ? 2 copies ot plan ? 2 copies of plans pnelude beam & window sizes; poured fnd. design; etc.) ? 2 site surveys (ezterior add8ions 6 dedcs) * t energy calculatlona ? 1 energy calculalfons for heated additioos ? 3 copke M hee preservetion plan H IM platted aHer 7/7/83 required: Ves _ No ' DATE: I y'19(' CONSTRUCTION COST: vJ DESCRIPTION OF WORK: $TREET ADDRESS: LOT BLOCK eo?GC? ? Pa.f+o doo. ?`?`fU 17evn I oc (? i o-r l SUBD./P.I.D. #: ;? h??c w%??n e?orsf'L4 o,peK^ L - PROPERTY Name: Phone#: ?s3-67?g OWNER '/ StreetAddress ?`ryv 77c `?"° Pgg /oclc 6'ro (? _ City; E-7a State: ?N Zip: ?S/ /C?:;- CoNTRACTOR Company: Rehw .,a! &c(e•se., Phone #: 'Y30 -2ass-1 Street Address: 170U ?u?rkl? License #' a0CV063-0 City: wAife. a.- La.ke.. State: MitJ Zip- '0710 ARCHITECTI Company: 1VIA- Phone #: ENGINEER Name: Registration #- Street Address, City: State: Zip: Sewer & water licensed plumber: change are requested once permit is issued. Penalty applies when address change and lot I hereby acknowledge that I have read this application and state that the informatlon 's correct and agree to comply with all appflpble State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservatfon Plan Received _ Yes _ No OFFICE USE ONLY BUILDING PERMIT TYPE •& ..? ??.? 0 01 Foundation ? 06 Duplex o 11 Apt./Lodging ? 16 Basement Finish 0 02 SF Dwelling ? 07 4-plex o 12 Multi RepaidRem. ? 17 Swim Pool 0 03 SF Addition a 08 8-plex o 13 Garage/Accessory o 20 Public Facility ? 04 SF Porch o 09 12-piex ? 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. 0 10 = plex o 15 Deck WORK TYPE ? 31 New ? 33 Alterations ? 36 Move 0 32 Addition ? 34 Repair o 37 Demolition GENERAL IHFaRMAT?flN Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS ? Planning _ Permit Fee Surcharge Plan Review License MCNVS SAC Gity SAC Water Conn. Water Meter Acct. Deposit 5NV Pertnit SNV Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Buiiding Engineering Valuation: $ MCIWS System City Water Fire Sprinkiered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit Variance % SAC SAC Unfts L'/ BL ? CITY USE ONLY RECEIPT #:??jDS'? L SUBD. .?.Y? DATE: 3Y' FS 1995 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dweilings ? townhomes and condos when permfts are required for each unit _ New construction ? Add-on fumace _ Add-on air conditioning Add-on airexchanger, i.e. Vanee system, etc. Date: 3 - /7 - 9,5E FEES ? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00 ? HVAC: 0-100 M BTU 24.00 Additional 50 M BTU 6.00 ? Gas Outlets (minimum of 7 required @$3.00 each) ? State Surcharge .50 TOTAL ?0 • -?D SITE ADDRESS: ?yy? ,¢.??2,?hGK ? l!^ • OWNER NAME: ?. lll al, Z-e `le/? _ PHONE #: 799 INSTALLER NAME: ?L?z STREET ADDRESS: '7623Q - C-0 ? ys eA CITY: &f.C/ STATE: ?1I ?I ZIP ?l°?"? - PHONE #: n ?? ? awa _ CITY USE ONLY L BL SUBD. 1995 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? all commercial/industrial buildings. ? multi-family buildings when separate permits are = required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION DESCRIPTION OF WORK: RECEIPT #: DATE: INTERIOR IMPROVEMENT FEES: - $25.00 minimum fee QC 1% of contract price, whichever is greater. • Processed piping - $25.00 • State surcharge of $.50 per $1,000 of oermit fee due on all permits. CONTRACT PRICE x 1% PROCESSED PIPING STATE SURCHARGE TOTAL SITE ADDRESS: OWNER NAME: TENANT NAME: (IMPROVEMENTS ONLY) INSTALLER: . ADDRESS:_ CI7Y: TELEPNONE #: STATE: ZIP: PHONE #: SIGNATURE: SIGNATURE OF PERMITTEE CITY INSPECTOR 4 EAGFN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERTUT FOR SJATER SGRVICE CONNSCTION Date: Suly 9, 1971 Number: 676 11-3 (51F• Billing Name: Tilsen Construction Co. Site Address: 1440 Hemlock Owner• Plumber: Luecken Excavating Co. Billing rkidress Meter Size--'?W Connection Ghg.28o.oo od 7/9/71 Meter Permit Fee io.oo Pa 7/27/71 No,?isc9?ao Meter Reading MeCer Dep. •50 pd7 ffl7 1 s/c? Meter Sealed: Yes Add'1 Chg. NO ITotal Chg. Building is a: Residence xxxx Multiple go, Connercial Iadustrial Other Inspected by Date Remarks; $25.00 RE-INSPEC71LIfJ F?E FpR IMPROPERCY !NSaA? L€D iNE7ERS. By: Chief Inspector In consideration of the issue aad delivery to me of the above permit, I herehy agree to do tYm proposed work in accord e ith the rules and regulations of Eagan Township, Dakota Count , P4iran ot:a., e Ludcken Excavating Co. Please notify the above office when ready for inspection and connection. EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR SEWER SERVICE CONNECTION DATE• July 9. 1971 OWNER: Tilsen Construction Co. PLUMBER Luecken Excavating Co, NUMBER 834 Address 1440 Hemlock 11-3 C,P TYPE OF PIPE Cast Iron DESCRIPTION OF BUILUING Industriall Commerciall Reaidential I Multiple Dwelling I No, of uniCs Location of Connections: Connection Charge '0" Permit Fee 10.00 pd 7/27/71 .50pd72771sc Street Repairs Total Inspected by: DaCe Remarks• Bv Chief Inspector In consideration of the issue aud deliverq to me of the above pernait, I hereby agree Co do the proposed work in accordance with the rules and regulationa of Eagaa 1bc•mship, Dakota County sota BY ? Luecken Excavating Co. Pleaee notify when ready for inspection and connection aad before any portion of the work is covered. 0 ._- EAGAN TOWNSHIP BUILDING PERMIT lq? 2507 Ownex ....... J.4_.'t ------.................................................... Ea9an Township Address (Presenf) ""----?!-`-?-_`.... 11$.7£Y-`.'.`...?..?............................... Town Hall Su;,der .... . .....-.-.-............................................................................. Addrest Dale .................:.... ........... ........................................ -.......................................... DESCAIPTION Bloriea To Se Used For Froni Depih Heigh! I Esf, Cact lm'l Fee Aamarka r • d %w? LOCATION ? or s ast{ o, I /! I 3 I This permiY doea ao2 eulhorise the use of slreels, roads, alleys or eidewalks nor does it give the owner or hfa agan! the righ! !o create aay situalion which is a nuisance or whieh presents a hazard !o the health, aafelp, convenience and generel welfare !o anyone in the eommuniip. THI$ PERMIT MUST SE ?g/EPT ON TH£ PREMISE WHILE THE WORK IS IN PROG ESS. This ia fo aeslify. !hal.....r-r.-.-_Cc!.?Y....?....?.`------------- hes pasmissioa !o erect a ... ........ .....?l.._.... ?. ..._upon the abova deseri6ed psemise subjeet fo the provisions of the Sullding Ordinance fos Eag Townshi adopted Apsil 11. 1955. ?/pn '-"..... ................. ........"_"'."--'-4---"1__`:.'.`.':...-`.^-----. Per ---- '•-_-......,.....?f.`?r':.._"_I3-..'.<?_? a-?.-""•"'_"...-""" Chairman of Tnwn Board ? ? Huildin Iae eclos MASTER CAR,D • / y yo i/- - OWNER ;2 SAir d/ STRUCTURE ANO LAND USED AS Permit No. Issued Issued To ContraCtor Owner BUILDING zS v '? •] (? ? '?/ _I ?-?? ?/ .?.? • L PLl1MBING fy? ? CESSPOOL - SEPTIC TANK WELL ELECTRICAL HEATING ? GAS INSTALLING SANITARY SEWER ? OTHER OTHER I • • Items Appraved (Initiel) Date Remarks Distance From Well 1=00TI NG .? SEPTIC FOUNDATION FRaMING eV_ 12 CESSPOOL TILE FIELD FT. FINAL ELECTRICAL _ HEA7ING DEPTH OF WELL GAS INSTALLATION SEPTIC TANK CFSSPOOL DRAINFIELD PLUMBING WELL SANITARY SEWER O, _ • - - _7 _-? Violations Noted on Back COMMENTS: , COMPLIANCE INSPECTION REPORTS TO BE USED ONLY IN EVENT OF OBSERVED VIOLATIONS r 1 U PERMIT NO. CONDITIONS OF CONSTRUCTION AT THIS INSPECTION ? NO EVIDENCE OF NON-COMPLIANCE OBSERVED. 1:1 ACCEPTABLE SU85TITUTIONS OR DEVIATIONS. DATE OF INSPECTIQN ? NON-COMPLIANCE. BUILDER WILL COMPLY WITHOUT DELAY. NON-COMPLIANCE. BUILDER DOES NOT INTEND TO COMPLY. ? COMPLETION OF CERTAIN IMPROVEMENT$ WILL BE DELAYED BY CONDITIONS BEYOND CONTROL, AND DESCRIBED AS FOLLOWS: ? REIhSPECTION REQUIRED DATE OF REINSPECTION • REINSPECTION REVEALED CERTI FICATION -1 certify that I have carefully inspected the above in which I have no interest preunt or prospective, and that I have reported herein all significant conditions oLserved to be ai variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific require- ments for off-site improvements relating m the property inspected. ? ALL IMPROVEMENTS ACCEPTABLY COMPLETED owre • 9 Qp??. .. PERMIT # ? I ?T RECEIPT DATE: 8008 RES1DEPTIlkL PLITM$INfi PERMiT APPLICATION crrY o? KAGM 3830 eu.or xiroa gn HAaeAA, MA 55122 651-6$1-4676 Please complete for: single family dwellings, townhomes and condos when permits are required for each unit, backflow preventer for irtigation system SITEADDRESS: IyilO G?e,-i XpG,/c L-N OWNERNAME:: _C-10W/4 ZG11Pe7 TELEPHONE#: (AREA CODE) INSTALLER NAME: L4,&I/i I?-P Pl u-r TELEPHONE #: S.a' ' 89,9- -OBG 2 STREET ADDRESS: / 7 712 410 „/o? (! y-' ?- (AREA CODE) CITY: [-q kPVi11-e I STATE: 44, !2 ziP: ssay?) _ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00 includes $40.00 County fee Note: Additional consult2nt fees may apply • MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING: _ Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00 _ Abandonment of septic system. _ Water turnaround - existing dwelling unit (+ 5/8" meter'rf needed -$118) Other: _ RPZ: new installation/repair/rebuild $ 30.00 _ lawn irrigation system Replacement/additional: _ watersoftener 14 waterheater $ 15.00 State Surcharge $ .50 TOtal $ . Sd 1 hereby acknowledge that I have read this applicatlon, state that the iniormalion is correct, and agree to complywith all applicable Cityof Eagan ordinances. It is the appllcanYS responsibiliry to notiry the property owner that the City of Eagan assumes no liabiliry for any damages ca ed by the Cily during its nortnal operational and maintenance aclivities lo the facilities consWCted under fhis permit withi Ity p drty/p t-o way( -. / SIG A URE OF PERMITTEE 1l02 Use BLUE or BLACK Ink I For Office Use I I Permit 7e j City of EaRd Permit Fee: ' l 3830 Pilot Knob Road Eagan MN 55122 RECEIVED Date Received: Phone: (651) 675-5675 X012 j staff: Fax: (651) 675-5694 AQ~ 1 I 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date: V A94- 42- Site Address: )'4'7D I cl/Uck r~ a6LL' Unit Name: CJ qw-r Phone: RESIDENT / OWNER Address/ City/ Zip: Applicant is: Owner Contractor ~j Description of work: Q✓L'Z 1L TYPE OF WORK Construction Cost: / Multi-Family Building: (Yes / No ) Company: 1 I b%1 L~ t l~ Contact: CONTRACTOR Address: 6316 1~-4-rrn l G LLLc! City: ~1 -1/'~ State: /n/7 Zip: Phone: GI License Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) AW al 0 &#W4 $g 1T 1 t 11-7 /r 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: Mec4anical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.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 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 " 0112?l x App i nt' nted Name Appli an s Signature Page 1 of 3 Cl"~'DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation _ Fireplace Porch (3-Season) _ Storm Damage Single Family Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) Multi Deck _ Porch (Screen/Gazebo/Pergola) Exterior Alteration (Multi) 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 OccupancyG MCES System Plan Review Code Edition Gam? SAC Units (25% 100% Z) Zoning - ! City Water Census Code 4341 Stories Booster Pump # of Units _ Square Feet PRV # of Buildings Length 3 Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC Gas Service Test Gas Line Air Test Drain Tile M ` .Other:,, Roof: -Ice & Water -Final Pool Footings Air/Gas Tests _Firi.If ` Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In -Air Test -Final Windows Insulation Retaining Wall: _ Footings _ Backfill _ Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By: , Building Inspector ~i RESIDENTIAL FE VS ~ ~►~L,G~ ~ 9~ Base Fee 73 Surcharge Plan Review y 7 MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 r ~f . ~ 1 Tti b : N 1194 3 1 00 0 _900 0 m~ 155o29 ra !IT ' V 0 P4 I oop"m ML k 9 29 - _F N 89043'W -AMWI 000 Use BLUE or BLACK Ink For Office Use 41b~ j Permit City of Eap ( Permit Fee: I 3830 Pilot Knob Road Eagan MN 55122 j Date Received: j Phone: (651) 675-5675 I I Fax: (651) 675-5694 1 Staff: I I I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 8h S (i '1 Site Address: A'V 0 k>1e k. 10144 Ct^1' Unit ?Name: Ju~C~ 1Ce~~~ Phone: 0/ s Resident/ Owner A Address / City / Zip: ~f,~/B/'G~~w- 1~. ~s<►-.L rte' e y y..` 3 Z 's Applicant is: Owner Contractor Q _....._._o~_,... Description of work: Type of Work Construction Cost: Multi-Family Building: (Yes /No ) Company: ('ez7~a f ~1N va4A Contact: y^ Y'..~~,(frsd-z s Contractor Address: 20 fir ~v s e City: C a ~V 6GG~ State: Zip: S 6-0 2dq Phone: Q~L 2 2-~ ~U~ 7 s K License J3 t!1 yZ 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 may be classified as non-public if you provide specific reasons that would permit the City to conclude that their are trade secrets CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-=2 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.oro 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. 1 x S.1((, ea"Ad S* r,_P_ x Applicant's Printed Name Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA140761 Date Issued:01/19/2017 Permit Category:ePermit Site Address: 1440 Hemlock Cir Lot:11 Block: 3 Addition: Evergreen Park PID:10-24880-03-110 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - 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: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Joshua D Mckoskey 1440 Hemlock Cir Eagan MN 55122 (612) 234-5447 Custom Remodelers 474 Apollo Dr Lino Lakes MN 55014 (651) 784-2646 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA146766 Date Issued:11/13/2017 Permit Category:ePermit Site Address: 1440 Hemlock Cir Lot:11 Block: 3 Addition: Evergreen Park PID:10-24880-03-110 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: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Joshua D Mckoskey 1440 Hemlock Cir Eagan MN 55122 (612) 234-5447 Custom Remodelers 474 Apollo Dr Lino Lakes MN 55014 (651) 784-2646 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA160986 Date Issued:04/28/2020 Permit Category:ePermit Site Address: 1440 Hemlock Cir Lot:11 Block: 3 Addition: Evergreen Park PID:10-24880-03-110 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: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Joshua D Mckoskey 1440 Hemlock Cir Eagan MN 55122 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA161391 Date Issued:05/21/2020 Permit Category:ePermit Site Address: 1440 Hemlock Cir Lot:11 Block: 3 Addition: Evergreen Park PID:10-24880-03-110 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 - Joshua D Mckoskey 1440 Hemlock Cir Eagan MN 55122 (612) 234-5447 Custom Remodelers 474 Apollo Dr Lino Lakes MN 55014 (651) 784-2646 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA163427 Date Issued:08/31/2020 Permit Category:ePermit Site Address: 1440 Hemlock Cir Lot:11 Block: 3 Addition: Evergreen Park PID:10-24880-03-110 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 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 - Joshua D Mckoskey 1440 Hemlock Cir Eagan MN 55122 Lasalle Heating & Air 901 Crystal Lake Road West Burnsville MN 55306 (952) 435-3633 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA166125 Date Issued:12/14/2020 Permit Category:ePermit Site Address: 1440 Hemlock Cir Lot:11 Block: 3 Addition: Evergreen Park PID:10-24880-03-110 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater 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 - Timothy P Horn 1440 Hemlock Cir Eagan MN 55122 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA170499 Date Issued:07/06/2021 Permit Category:ePermit Site Address: 1440 Hemlock Cir Lot:11 Block: 3 Addition: Evergreen Park PID:10-24880-03-110 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 210-0754. 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 - Timothy P Horn 1440 Hemlock Cir Eagan MN 55122 Gv Heating & Air Inc 5182 West Broadway Crystal MN 55429 (763) 535-2000 Applicant/Permitee: Signature Issued By: Signature