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1481 Lake Park Cir Use BLUE or BLACK Ink For Office use I Permit City of EaV 1 Permit Fee: 3830 Pilot Knob Road I 1 Eagan MN 55122 1 Date Received: I l Phone: (651) 675-5675 IJp I Fax: (651) 675-5694 I - staff- JAN 1 0 2011 INFLOW & NFILTRATION PERMIT APPLICATION Plumbing / Sewer & Water Date: I Site Address: 148 LO U, T W k_ y6--Cl a n M 0 Tenant: rr 1 VV IOA)d /r- ~ Suite J~SI RESIDENT OWNER Name: OU) Qhlw ► IAlr Phone: L05 1- 3a ~g Address /City /Zip: M sl a a (Q 4S 13 A, Name: nn ~l License 14kiV 33 CONTRACTOR Address: City: 1r0 State: Mw- Zip: Phone: - 1 Contact: E il: PLUMBING (Within the building envelope) SEWER & WATER (Outside the building envelope) TYPE OF WORK Sump Pump Repair . Repair Other: Other: DESCRIPTION Description of work: rQ~\ FEES $55.00 /Each (includes $5.00 State Surcharge) (Rev. 6-30-10) TOTAL FEE $ Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit 1/1 repair costs for reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors can be found by visiting www.citvofeagan.com/inflow, or City Hall at 3830 Pilot Knob Rd. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.oro I 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 wor w ch require a review and a roval of pl x O Cx Applicant's Printed Name Ap c n s nature FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground Roucgh-In -Final I~ 0. CASH RECEIPT ? . CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 RECEIVED . ? FROM AMOUNT $ I & DOLLARS +oo E:]CASH Q CHECK --l -4. /r,' ,,,, r /01 ?? ? r, Ti'? { .1i?_ ( !,( °. r .( /'c . FUND CODE AMOUNT - ; yF ? rr Thank You 74056 BY ? ic-.a-1(4 White-Payers Copy Yellow-Posting Copy Pink-File Copy BLDG. PERMIT N0. 01-3210 Bldg. Permit . s. , ? 01-3422 Plan Check r 01-3445+ '?urch./Adm. 01-3446 SAC/Adm. 01-2155 Surcharge 17-3860 Road Unit 20-2275 SAC 20-3865 Water Conn. 20-3868 Water Trmt. 20-3716 20-2252 2a-3713 20-3743 79-3866 11-3855 Water Meter Acct. Dep. Water Permit Sewer Permit Sewer Conn. -'C Park Ded, I ? I ? TOTAL ;? : •??') o CASH RECEIPT ? . CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 'cj< - ,? 1, l 19 15 R6C61VED ? FROM AMOU'jhT• , $ 0 ? , S J ? DOLLARf ?eo E] CASH FIECK BY %-I Cr4L(/ ? - • o<?a / o` ? UVhite-PaYers CoPY ? V Yellow-Posting GoPY 7•2 Pink-File Copy 04 U ? Thank You CITY OF EAGAN Addition Thnmas Lake Ariclitinn Lot 7 eik 1 Parcel #10 75900 WQ fll Owner street 1481 Lake Park Circle State Eagan, MIIV 55122 Improvement Date Asr+ount Rnnual Years Payment Receipt Date STREET SURF. 2956.53 591-31 5 STREET RESTOR. GRADING SAN SEW TRUNK je y 1976 273.90 24.93 * SEWER LATERAL WATERMAIN ? WATER LATERAL A WATER AREA 2S 7 . 250-90 16.72 1 S STORM 5EW 7RK 460 * STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN, BUILDING PER. SAC PARK ? , ". CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454-8100 BUILDING PERMIT Receipt # To be used Site Address / H 6 1 +?. t Lot Block Parcel No. Est. Value el, p 0 1 f OFF ICE USE ONLY On Site Sewage _ Occupancy MWCC System _ Zoning On Site WeU _ Type of Const City Water _ (Actuaq (Allowable) 3 * of Stories Length Depth S.F. Total Footprint S.F. c Name W ? Address ? ? (o y Ciry Phone ¢ o Name . 0 ? Addreas P City Phone_ Addreas City Phone APPRDVALS FEES Asaessments _ Permit Water/Sewer _ Surcharge Police _ Plan Review Fire _ SAC, City Engr. _ SAC, MWCC Planner _ Water Conn. Council _ Weter Meter 1 hereby acknowledge that I have read this application and state Bldg. Off. _ Road Unit thattheinformationiscorrectandagreetoCOmplywithallapplicable APC _ TreatmentPl Stete of Minneaota Statutea and City of Eagan Ordinancea Verfance _ Parks i C Signature of Permittee es Op TOTAL A Building Permit is issued to: on the express condition that all work shall be done in accorda" with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official Permlt No. Permit Holder Date Telaphons 7t Ptumbing H.V.A.C. Electric Softener Inapsction Date Insp. Comments Footings I aJ gG/?= Footings II Foundation Framing Roofing Rough Plbg. Rough Htg. ? / Isul. D Fireplace Final Htg. Final Plhg. tV Bldg. Final by ql?teo, eafp Ceft.OCC. {?G. f C?t f+fp ?eui f '+P Temp. LP Deck Ftg. Deck Frmg. Well Pr. Disp. , . PERMIT # PLUMBING PERMIT RECEIPT # CITY OF EAGAN ?I ! y' I 57 3830 PILOT KNOB ROAD, EAGAN. MN 55121 DATE PRICE: =" ;4 m Name Ht O L il vz , ? AddfB33 /? o v l? -- t c L Name ; 3 Address p CitY - FEES COMM/IND FEE - 1% OF CANTRACT FEE MINIMUM - RESIDENTIAL FEE MINIMUM - COMM/IND FEE STATE SURCHARGE PER PERMIT (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) K s, BLDG. TYPE WORK DESCRIPTION Res. y New Mutt Add-on Comm. Repair 3.0 Other NO. FIXTURES OTAL S 3 Water Closet - $3 00 - _ . / Bath Tubs - $3.00 ?Lavatory - $3.00 _LShower - $3.00 Kitchen Sink - $3.00 Urinal/Bidet - $3.00 /_Laundry Tray - $3.00 $10.00 % Floor Drains - $1.50 ' 20•00 ?Weter Heater - $1.50 .50 Whirlpool - $3•00 -7- Gas Piping Outlefis - $1.50 Softener - $5.00 Well - $10.00 Private Disp. - $10.00 ' Rough Openings - $1.50 FEE FOR: CfTY OF EAGAN STATE S/C: GRAND TOjAL: ? _ ? ? ,. CONTRACT PRIC I 5ite Address - Lot B ik aERM(T # I ?3Co?S ? MFCHANICAL RIERMIT RECEIPT # 7? 7?G7 CITY OF EAGAN 5?- 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: . _ ,. . PHONE: 454-8100 ? Name FRRDRr A ?a Address _ 4Q30 B e a L c City F:aqan ? Name H(1lAF: S R ? Address ?5`; Take P _ p Clty Farra n Phone 4S4-6461 TYPE OF WORK Forced Air _10.Q.,200 BTU Boiler M BTU Unit Heater M BTU Air Cond. M BTU Vent. CFM ? Gas Piping OuNets # FEE: S/C: TOTAL• BLDG. TYPE WORK DESCRIPTION Res. New Mulk Add-on Comm. Repair Other FEES RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.04 (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMI'n - 1.50 EA. COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON & REMODELS - 12.00 MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOIVD $1;000) 50 y SIGNATURE OF PERMITTEE • FOR: CITY QF EAGAN ?°• ? CITY OF EAGAN SEWER SERVICE PERMIT 3830 Piln+ Knob ftad P.O. Box 21198 21 Eagan MN15 5 PERMIT NO.: " Y DATE: 1- --' ? ; ? ? Zornng: Mo. of Units: ' ?i?ercaa, Z?tc. Owner . Address: . . _ , _ . . ._ . _ _ _ _ . _. . , . . . Plumber. 11 _. :. +_? 1 ._8 ;? 72 7 0?2 o,a ? 1 agree to comply wlth the Cltyi'bf tagan Ordinances. o.. Date of Insp.: Insp.: IOO.OOpd Connection Charge: co 5 nae Account Deposit: 1 S _ 00*LA 1 t) (l(}nrl ? Permit Fee: --,Surcharge: `ou; Misc. Charges: ? Total: ? Date Paid: ? .---? .rm? --.Tr ?. CITY OF EAGAN Permit No:_ 3830 PIIoMCnob Road Meter No: _ P.O. Box 21198 Reader No: Eagan, MN 55121 flwnnr Tj.? eZ'Ua, l.ic. -11-- 7 9 ?'7 I DBtB: ? ? ? ? Size: I Date: i SiteAddress: 141-'1 La?;z Fark Gixcle 1.Z '-l T':omas Llc li.ddn, Ptumher P. !'"cDers,att plutrbint Sohnsoti Fxcavat Conn. Chg: 525• d0pd Zoning: R? Acct Dep: 15. OQpc; _ No. ot Units: ? Permit Fee: 10• 00P`1 " Burcharge: •5'Ipd I agree lo comply with the City of Eagan Tr. Plant 1 t`' • OOPJ Ordinancea. ` Meter. b 7 _ on„a I Misc.: 'By IT WATER SERVICE PERMIT ? CITSf OF 'EAGAN Permit No: Date: y 3830 R+Iot.Knob Road Meter No: ,3 9 7 Size: ? I r / o P.O. Box 21199 Reader No: 0??? ? pate: Eagan, MN 55721 Owner. Site Address: fir"i110Ct , ,-... ,',TC%hI1 5011 i }.C8VH1:-L-ti; Conn. Chg: 5 2- Acct. Qep: Permit Fee: t ' • 'i Surcharge: Tr. Plant ` ' • Meter. ' I - GAS Etc: + a to con?p?(y with the Clty ot Eagan o?w ;. Misc 87$0 i ERMIT REQUEST FOR ELECTRICAL INSPEC710N ea-ooo'o/i-os ? 1 See inslrucbons br com0101n9 Ihis form on back of yellow coOY. Z CJ 'X" Be/ow Work Covered 6y 7his Request AdJ Nep. TVOe ol Bmltlme APCI,.dcae WneA Equiument WireA Water Heater k Mi ifyl p Fee ServiceEntrance5iza p Fee Faeders/5ubiaeders d Fee Cucurts i U to 200 Am s 0 to 30 qm s / 0 tn 30 An+ s Above 200 qmps 37 [0 700 qmps 31 to 100 Am s Swimming Pool Above 100_Amps Above 100_Am + Transrormers IrrigaLOn Boorris Partial. Other fee_ Sgns Speaal In;pection $ Nemarks ? TOTAL F , the Elect? I soectoq neroby F?nal ? 1e cerlily that the above ? ? j, ?-^ inspeclion has baen n w 6? ? ? mede. repueet CITY OF EAGAN ` 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ` PH ON E: 454-8100 BUILDING PERMIT Tobeusedfor SF ?WG/GAR Est.Value $100,000 N_ Receipt # 'U 'M ? Date APRIL 22 13495 1987 SiteAd'dress 14251 LAKS YAHK G1XGLt: Lot Z Block 1 Sec/Su6. THOMAS LAKE AD? Parcel No. a Name J.E. PARRANTO = Address 4521 LAKE PARK DR o pity EAGAN phone 454-9059 a Name TIBERON INC ?Q Address 4555 LAKE PARK DR ? City EAGAN Phone 454-6463 Fw Name_ X tl Address 0 aZ City_ w I hereby acknowledge that I have read this application and state thattheinformationiscorrectan reeto lywithallapp'cable State of Minnesota Statutes " of an ina e Signature of Permittee 17 A Building Permit is issued to: TIBERON INC all work shall be done in accordance with all applie of '. Building Official 72,4 ? OFFICE U5E ONLY OnSiteSewage Occupancy R3 MWCC System ? Zaning On Sde Well Type of Conffi _ _ Ciry Water X (Actuaq v (AllowaDle) If # of Stories Length 7 De0[h sq S.F. Total FoWprint S.F. APPROVALS FEES Assessments Permit 503.50 - Water/Sewer _ Sutcharge --50. 0 --- - Police PlanReview Z5T Q 5 Fire S,4C, City 100.00 Engr SAC, MWCC 525.00 Planner _ WaterConn. 595 n0 Council _ Water Meter np Bldg. Oft _ Poad Unit 4l1 S_(1Q APC _ Treatment P1 1 R!1 _ fl0 Variance _ Parks Coples TOTAL 2 507.25 on the express condition that nnes" Statutes and Ciry of Eagan Ordinances. ?S lb0u¢Sl VOIfill1rs/p 7 18 rtwnths fram ° D 19 4 2 5L a6l, ??ujma-,(7)a-10- °' t J?;'& 5;e st? ?? & clz?? I Ren??es? a?e ". A' Rre No. Rouph-in InsVecfion qµned> ? Rcady Now'66Will Nouly Insper v»-L. ? ??8/ Ves ?NO tor When Readv ?icensetl Eleclncal ConVaclor 1 hereby request ins0ectmn of abova ? Ow^e, electrical work mstalied at SVeet Atldress, Bot or Foute No. ? c r Cny 1 ? rcs E A,t 91v ecuon m Township Name or No, qange No. Counry ? OccuOant (PqIN ?,-?.?TO gs Phone No. Af Power SuOUher / ,?d T? f/F6 , Adtlress / f?-m Electncal Co a tor IComp ny Na ? In,q Contracmr's Li nse No. ZlL ?10 Mailin0 AdJress/(ConVaMOr or Ow r MakinB In lationl /60' 73?z . ?` Au[h?na{ure IContra ne akinB ?nstallauon) i O Phon Nyp?p?r ?/ ? a? MINNESOTq STATE BOARD OF ELECTqICITY THIS INSPECTION qEaUEST WILL NOT Griges-Ml Bldg. - Poom N•191 BE ACCEPTEO BY THE STqTE BOAflD 1827 Universitv Ave.. 51. Peui, MN 55104 VNLESS PFOVEN INSPECTIpN FEE IS Phone (612) 642-0800 ENCLOSED. iLo I I RESIDENTIAL BUILD[NG ->Q ?L ' Permit Application City OfEagan ' 3830 Pilot Knob Road, Eagan Mn 55122 ?a?b 3 Telephone # 651-675-5675 FAX # 651-675-5694 New Conswdion ReauiremenLS RemodeVReoair Reauirements Office Use OnN 3 registered site surveys shaxing sq. fL ot lot sq. ft. of house; and all roofed areas 2 copies of plan Cert of Survey Recd (20°k maximum bt cove2ge allaved) 1 set of Energy Calculafions Por heated addiUons Tree Pres PWn Recd 2 copies ot plan showing beam 8 window sizes; poured found design, etc. 1 site survey for addNOns & decks Tree Pres Not Reqd 15etofEnergyCalculatlons Addition-indicafe6on-sdesep6csystem _On-siteSepticSystem 3 wpies of Tree Preservalion Plan if lot platled afler 711/93 Rim JoislOetail Oplions selection sheet (61dgs with 3 or less units Date6? / '2e:-, /3 CoetructionCost ?5 _ Si[e Address Z"T,& e Unit/Ste # Description of Work Multi-Family Bldg _ Y>-N Fireplace(s) _ 0?Z- 1 _ 2 Property O er Telephone # 00f ) 4-;6 `CJ `? 9? ? C QiGI Contractor 47 a <?J? Address Citi' State Zip Telephone #( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1??? ?? M?esota Rules 7672 Energy Code Category J submission ryPe) • Submitted q ? Residential Vcntilation Category 1 W rk t` ? • Hew Energy Code Worksheet ( ? U i?? 2?J ? ?ubmitted . n e r g y n v e l o p e a l c u l a ti o n s u b m i l t e Licensed Plumber Mechanical Contractor Sewer/Water Contractor 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 permit; that the work wiil be in accordance with the approved plan in the case of work which requires a review and approval of plans. k, ekl eg'AAv bkz?? Applic t's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 04 02-piex ? 10 08-plex )R( 18 Deck ? 23 Porch (screen/gazebo) ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-pleX Plbg_Y or _ N ? 25 MiscellaneOUS Work Types ? 31 New 32 Addition /O 33 Alteradon ? 34 Replacement .-- ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Eut. Alt - SF ? 36 Multi Misc. ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors 'Demolition (Entira Bidg) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code U?y Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width Faotings (new bldg) K Footings (deck) T Footings (addirion) Foundation Drain Tile Roof Ice & Water Final _ Framing _ Fireplace _ R.I. _ Air Test _ Final Insulation REQUIRED INSPECTIONS FinaUC.O. ?C FinaUNo C.O. _ Plumbing HVAC Other _ Pool _ Ftgs _ Au/Gas Tests _ Final _ Siding Stucco Stone _ Windows (new/replacement) _ Retaining Wall Approved By7-2- Base Fee Surcharge Plan Review MCIES SAC City SAC Utility Connection Charge S&W Pertnit & Surcharge Treatment Plant License Search Copies Other Total )0 6-l"e Building Inspector ?1 C'm"so-0 _'?V SlGMA iURVEYING SERVICES INC. 3730 P9ot Knob Raotl Eapm. Mlmesoto 55122 (612)452-3077 House Certifrcafe For: Homes by PARRANTO DRAINABF AND Ui1LIfY lAJEMfNi3 AR[ aHOwN rHUS, ?s s -I - -J ?---- 0 0 BNnp 3/?M fn •idlh• unl*u OMvrbs I 1nHeerw, aelernrno Ler Nn.. , ena f0 /wf in •1dfh, unHu ather.rb? IiMIeMed, edJolnlny SfnH Ilao, as sIrorn E// I V ' en fhe olet. l I '1 L .. l . `i 7 ? m 9M1' - w +° - S89°42?06°C' 120.00 --- ,"" ? ?n' •?-?tior A :I?_ ? 1 5 it? ° 0' ? lo , a?}y- a o tl? N,?v 0 O ? BA.. ?% ? %. •.a. i e_' ',I q1'??e p 7R \\Q Q I ? o I N ?oQ \\\\?: a , o --? ? d v`\\y\?}py I1 I I '^ a?,? ` 1\?oJ \?---• ,o.n-, I , W I F \\?\ 1 \? 1 I I V' !? ( '? " -- \ PG M1 ? o?,.<w>y !? J I ?\ o O ?? rti?\°.°\ N,_ I__ O I ?o ae.e o, ` --- ----?? ? •r ' caa "' ? x e N89°42'06°W 120.00 93??'b I ? a ?_ •_J--;- ? I -N- ? I I $COIB: 1"= DO' -LEGEND" O Opnotes Ircn Manuvent m Genotes N'ad Nub Set x4Qas Llenotes Exisfing Spot Elevatian U^notes Proposed Spot flevation _.?Opnotes Drainage Direction -PRDPERI'Y DESCRlPflp+l- LAi ? ,BLGrN I 7HOMA5 LAKE A001710N accardirg to ihe reccrded p/at thereof, oakoro Cptnty, Nimesota E ?W IJ Q: v ? a Y ?J s PROPOSEO GARAGE FLOOR fLEVATlON= 931 PIdOPOSED Top of 81ock ELEVATION= 9-62.3 RQae - 924.3 PROPOSED"BASfMENT FLOOR ELEVATlON- PlopoSeA Brr"'1t. 1.eWer l.f.vt1 = `3 4.3 NUTE: Verrfy all flaa- heights with Final HaLse Plans. §J@EKRS CERfIFICATIpV- I hereby certify that this survey, plan or report was prepared by me or u'der my direct supervisim aM ihat 1 am a duly Regisfered Lard Surveyor urder the laws of Jhe State of Minneso`????g?i;I?IIs;O?, CJ??- ??- ?,e: :??.???.......a Wayre D. Cordes. Ninn. Reg. No. .110 ??`IAYNE D. CORDES 6? A? m 30 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 9? E830 PILOT KNOB RD - 55122 651-681-4675 New Consirucllon ReauhemeMs Remodel/Reoah Reauire? 1` ? 1 D 3 rogbtered sfte surveya ahowing sq. H. of loT, sq. R. oF house 2 copies of plan and all roofed areas (20% mmcimum lot eoveraae allowed) 1 set of energy cakulaHona ia healed addiNom ? Y copiei of plana (show beam a window sizes; poured tnd. design; etc.) 1sIFe iurvey for exlerior addlNons 3 deeks D 7 set W energy calculaHOns ? 3 copies ol hee presmaNon plan 91ot plalfed aHer 7/1/93 ? DATE: k-19-?Q / CONSTRUCTIONCOST: ??-? DESCRIPTION OF WORK: STREET ADDRE55: W/ iowe LOT: D-- BLOCK: _1_ SUBD./P.I.D. #: Name: &+/ Phone B: 195?( 41?1{ ??33 PROPERTY Last FUd OWNER f'AfGIG Street Address: City Starte: m1LI Lp: CONTRACTOR ARCHITECT/ ENGINEER Company: ZATdGYl,e- ,?Dc?IJ-?U/JS Phone #: ? C2. 'fo7-6 Pl? (area code) Sfreet Address: c .Y.'r-g- r Cffy ?ad?? Stale: IyIA?l ucense *,?bld 93?7 ?,. Zlp: ?3;76 Company: Name: Telephone #: area code ( J Sheait Address: Regizhation #: City Sewer 3 water Iicensed plumber (reauired tor new conshucHon onlvl: State: Penaly applies when address change and lof change Is requested once permM k issued. Zip: I hereby acknowledge thaf I have read lhis application, sfafe that 1he InformaHon Is cortect, and agree fo comply wHh all applicabl State of Minnesota Stafules and Cfty W Eagan Ordinanees. ? , Signature of ApplitanY. f ---- - OFFICE USE ONLY ? ?,. -- - Certificates of Survey Received _ Yes _ No 120CA::) , Al1G I 9 Tree Preservation Plan Received - Yes _ No _ Not Required 1987 BDILDING PERMIT 9PPLICATION - CITY OF SAG9N . SINGLE FAMILY DWELLINGS INCLQDE 2 SEfS OF PLANS, 3 CSRTIFICATBS OF SIIRVEY, 1 SET OF ENERGY CALCOLATIOAS HOTE: ADDRESSES FOR CORNBR LOTS - CONTRACTOR/HOHEOWAIER MQST DESIGAAYS AHICH 9DDRESS IS DESIRED. NO CHANGSS WILL BE ALLOWSD ONCS BOILDIDiG PERMIT IS ISSDSD. HOLTIPLE DHELLINGS - RFSIDENTIAL INCLUDE 2 SETS OF PLANS, CER 1 SET OF ENERGY CALCULATIONS COPMERCIAL RENTAL OAITS FOR SALE OHITS OF SOHVSY - CHECK WITH BLDG. DfiPT., INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE HOND To Be Used For: -hkzrliLi Valuat ion: [COi00<n Date: ?/ Site Address ,??J/?k? OFFICS IISE ONJ.Y Lot Z Bloek On Site Sewage_ Oceupancy (z 3 MWCC System ? 2oning fZ ? Parcel/Sub ?/jyyJ/¢5 Type of Const On Site Well _ City Water ? (Actual) S[ Owner (Allowable) -y- # of Stories Address Length -7 Z - Depth ? City/Zip Code b?qG/Aq? 5""S%Z Z- S.F. Total Footprint S.F. Phone Z/3"' ?-/ - 9f5 9PPROVALS FEFS Contractor / / [3L;2?OhJ //I?G • Assessments Permit 503 Water/Sewer Sureharge r-O. ? " Address ,/ y 5 5?5 /7??/f? ee!!' Police Plan Review ZS I,?S . Fire SAC, City ? t:30 City/Zip Code Lj'-?-(?l?/v ?/?5?%z'L Engr SAC, MWCC ZS. Phone y5-y- 6 y6 3? Planner Water Conn 525, Couneil Water Meter (01. Bldg Off Road Unit 3c?5• Areh./Engr. APC Treatment P1 180. Varianee Parks Address Copies TOTAL Z -l. ?S City/Zip Code Phone ll ?? ? ??3/97 2- ?c 4cQ 1? co 8 fi2G c? a? ???3 (,C-) ?2? 22 = Z??x tZ - - ?rc?8 Y,- I z = c? 9 7 co ??5?? SlCMA ;URVEYING SERVICES INC. 3790 PNOt Knob Rood Eagon. Mro+esota 55122 (612)452-3077 CRAINA6F ANO UTILIiY EAS[MfNfi AR[ 7NOWN TXUd? ?-D 6 ? - - -J ?- - - - 0 0 Belnp 3 IeH in •Idfhr unless OMerwIse I lnllealyd, alfoinln0 Lof Ilnes 6 ond f0 Mt in rNfh, unleu elAer.rb• In!/raled, odJoinirq 9free1 IUes, o. ?nern ' en IM 0l<f- I i ? L? 0 w It ? n 0 O 2 ? ryb :' - S8904206?E ? SF-i --=.-i O I I N og° ° ? ? :x oQ \ \. i 3 L^ a?ti + *?ap \ i --- I ? p \\\ ?? I i < i ? IN 5 .N I?_-. GOA r g ti N ? -N- ? Scole+ 1"= 30' Dr'.veway I ? I 30 W a J T~ 6` ? APm ? o U ? ? I T 3 ? ? ? ey p `i ^ e O i 'I -- I ' ---J i 71 N89°42'06°W 120.00, -" c6? Nouse Certificafe For: Homes by PARRANTO 7 ' I -- ? 120.00 vti ? 'ed?9 •?`e Hoo I R. aA N lo r° ?f \YL II \ \ a k 1 W Y J ? 30 rL -LEGEHD - O 0.riotes I ran Maxmnt 0 Iknotes Woai Hub Set Xvae.s penotes Existirg Spvt Elevafion Opnofes Proposed Spof E/evation ,?-Iknotes Drainage Diretticrr -PAOPEKiY DESCRIPfIQN- LOT ? ,BLLCK 1 THOMAS LAKE ADDITION accordirg to the reca'ded p/at thereof, oakora Canty, Mimesota PROPOSED 6ARA6E fLDOR ELEVATION= 931 PROPOSED Top of Block ELEVATlON= 932.3 Raar 92V,3 PROPOSED"BASfMENT fL00R ELEVATlON = Preposed 0sv•?. lewaf l.v.ve? = 424.3 NOTE: Verify all floor heights with Fina! House Plans. .SUAVEypRS [ERrIFfC.01061- 1 hereby certify tFdt this survey, plan or report was prepared by me a' vder my direct supervision arrl that 1 am a duly Regisfered Lard Surveyor urder the laws of he State ot Yinneso;j W?fMa_?• uYd?s?..-- Date: 7SO, Wayne D. Cordes, Minn. Reg. No. pg`I,5 WAYNE D - _ CORDES TA STATE E:IE )wner 'Z(;f`?.,'o A-) ;ite Address Lo-t 2 13LIc un RCY VODE rALCULATI0N5 P'CEIt ) GF THE qDE -lyTT-E D [TtON :r.ctivr. 111/84 Phone rarP :ontractor?? z' ' -- - - Phane 4 Suilding Classification: Type A1 (Single Fa:nily b Duplex)?Type A2 (Residential (3 stories or ess (Other) (Orer 3 stories) ScNERAL 1NFORMATION 1. 8uilding PerimeterGj6E (tZgr,,94Tft. ?. Wall height (ground to eave)?gr,/km&?,y-rft. 3. 2 1. x 2. (above) gross wall osg? ?A'0 ft. a. Bui;ding dimensians (L) S?i9,Vd(LIC,cil*l'(w) ft.2 roof 8 floor area S. Square fcot area of rim joist - floor joi:t size (2 x?_) ? 2 x Perim = Ri t o ¦?S? f ? e er m ist area t j 2 ?( 6; 'QLors - Area ' Thic nesk s - in U factor ¢ , - Type of Canstruction . Pdrimeter ft. Manufacturer 7. Total door's perimeter ft ' 8. Windorrs: Manu c ?rer State approve3 4 U factor ? TYPE SIZE- AREA (FL.2) !1UMEER OF TOiAL FE:T Z ' EACH UNITS ' .g. Total ft.2 Glass ZO.?j 106 Fireplace area: Width x heiaht = :c = Ft.2 11. Exposed foundation: Hei ht x Perimeter 7, x- = z 9 L. l.1?. L2ca Ft. ;)PiPLETION OF THIS FORM IS ReQUIRED FOR ALL NEi1 COilSTRUCTID;d. MAJOR REIaODELING AND BUIIDiNGS BEING 4)VE7 WNERE ENERGY, OTHER TH/1Y THE 14INIMAL CODE AIIOMAtICE, IS USED. . f ' 12. F,•uming area ¦ lOX of gross Nall area. 13. Gross aall area ? Windaa area A Mvft.2 Rim jo15t area A ft.2 : Z ' Doo?area A ft. i ?Eirepl-ece area A 7jj ft.Z : Exposed foundation A ft.2 , Framing area A Z? qtq ft.2 ^ Net wall area A 14q 7j ft. ft.2 U Hindows ¦ .`T (D U x A¦.1.30,1P? UrimJolst? .?35 UxAa U door area ¦ , 14- _ U x A- f J, I(p U fireplace a , 47 U x A?1 (4 4,5 U faundation • i082U x A s 0. 7 U framing area ¦,, O(oj U x A n b, U wall (138) 70TA1. . _ . 7 UxA= ,2 ......... UXA=Z4 11 14. Grass wall area x 0.11 (A-1 single family b duplex • allowable U x A/Code (13. above) x 0.23_ (A-2 other residentlal) x .Z3 (Other buildings) . x .28 (Over 3 stories) x U ?sde. ".8 ?,7F. 138tabovearger tl a ? 2ro5 15. Ceiltng framing area (Af) equals lOS of ceiling area ?. or the same as) ISA. Gross ceiling area •(L) (W) • A?f ft.2 158 joist area (Af) ¦ lOx ceiling area ¦ ) (O 3 ft.2 15C. Net ceiltng area (Ac) (15A - 158) ¦ ft.2 U ceiling x A cn x `C(fI = ZLA9 U framing x A pa , 07-'_ x (?J ¦ 3. Z(Q 150. TOTAL U x A ........................................ ?L,,r? - 16. Ceiling area (15A) x 0.026 (A-1 single family S duplex - code allowable U x A • x 0.033 (A-2 other resldential) x 0.06 (other) /' BaUH Must be larger than 150 (above A(15A) x U(code)= ,Iz,?-f?0 F (or the same as) NOTE: Use U and A values obtained from ops 1, 3 and 4. ? _................._..,... _._.......... .......... 67§e6e covuuu rAoa Ix W.E.A. N16-9 ` R u rMLUG LHLLULHI IUN?, . ? SN?ATN 1NG ALUE , NALL 5F.C'fION STUD 3ECTIOH 2HD S1ALL SECTION 8IH JOIS; U VALUE Ineide air film .68 Ineerior vall .t5- (Nall) U . a . [nsulation ?? pp Sheathing Siding ? /&"7 . Outslde air Eilm .11 R TOTAL_ 0,q7 Inside air film .68 inteeiot va11 ,t!? 4" seud R= 4M&•5'0 (Framtng)U. A . Sheathing (P,(?p S ld i ng i(al ,Q? Q Outaide air film .11 B TO?AL ? 1 4-7 Inside air film R= .68 In[erior rall sn?.cr, ' Extetiot vall co ng ExGerlor air film R .. fulation fl ?OTAL *^'-rtor air Film Insulation neh eoEt NUUd R= .68 R=1.88 (Rim U Joist) thing ?p`aD rior xall eoveting eoi r? rlor air fllm Rz ,17 A TOTAL 2$,4-6 rior air film R= .68 lation *k5B I0,no idation 1,29 1 (Fdn.) U = R ¦ rLor atr film R' .17 R TOTAL sed 91uck 1Z1/77 (Hall ) U . R . z .. ?. ," < . . 0.61 Air Film 0.61 4- Aa Total R 5053 1 1oZ u = ? • oiG F! AT RCOF OA CATHEORAL CEILIPIG Y 'i-a ue R 'lALUE FR:,P•1ING CEILING 0.61 0.17 Inside air film 0•61 Ceiling Joist (stud) Insulatian Air space Roaf decking Insulation Built-up roaf Outside air film 0.17 Total ? U R? R Iindow infiltratian .5 cfm/lineal foot af crack tesidentiai door infiltratien 0.5 cfm/squzr2 foot or door and minimum code requirement !cn-residential doar infiitration 11.0 cfm/lineal foot of crack Jb 12" conct•ete 61ock na insulation =.47 R 2.1 !b 12" concrete block insu'lated cores =.26 R 3.8 Jb 12" liglitxeiaht block •?,32 R 3.1 :b 12" ligh*_tiaeight block lnsulated cores ?.12 R 8.3 1 single glass = 1.13; 1 double glass = .55 J criple glass = .41 CEIIINr +lt?H 'lEi1T:D :.TTIC SPACE ABOVE R ::+IUE V lUE fRAM[tIG CEILING 0.61 / 1'L •00 Atr Film 0.61 Insulation 5L}60 Joist S(? Ceiling 00 with storm.windoN .54 111 excerior walls and ceilings must have a vapor harrier (0.10 perm max.). :apor barrier must be on the inside (heated side) of wall. iapor barriers of the polyethelene thin film have no R value. .. . 1 *R7PE: PAYMFNf OF FF..E AT TIME OF APPLICATION DOES NOT CONSTITLlI'E APPROVAL OF PF•E2NIIT. INSPE7C.TION OF SEFIIR ADID/OR MTFR TTLS'I`AT7.ATTONS WII.L NOP SE SCHED- ULID UN1ZL PERMIT HAS BFEN APPI2()VID. , _._. xxxxx__,,...,..____.._________________ P ease Print) 1) PROPERTY ADDRESS: LEGAL DESCRIPTION: Lot Block Sub ivision or Tax Parcei ID ) IF EXISTING STRCCIL?RE, DATE OF ORIGINAL BLILDING PERNITT ISSL'ANCE: " _ Mon Year1 .. CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTtON PRFSENf 7ANING/PROPOSID I?SE: ? CO?tiYIMCIAL/FtETPSL/OFFICE Q IAIDP5IRIAL n INSTI2L'TIONAL/GOVERNMENp ?R-1 SINGLE FAFffLY Q R-2 DL'PLEX (1wo Onits) ? R-3 10WNH0CT5E (Three + Units) ( L?nits) R-4 APARTv=/COAIDOMIIVILTI ( Units) 2) ? PHONE: 3) u ?:7• For City Use . ?ME? .? ? ?c Deh/ho7t Pu.,n,6,"n-j Plumbers License: ADDRFSS: Active (? 00 F?cpired CITY, STATE, 2IP: Rja?^il.i Ui//g- ltilh ,j'S'3 37 • Not recorded rxorE:g'9 v- os-S-6 MASTER LICINSE# ooRy -76 rvr y sta?f -J" 4) •ar • • i i?- ,p ,y7 /J NAMEt_ ADDRESS: ' CITY. STATE, ZIP: PHONE: • •5) ? ? «• ?• ? u?: • ?• ? • o. u:.yi7. ? CONNE(.TION TO CITy SEWII2 55 CONNECfION TO CITY WATII2 D OTHE[t '. . 6) '? ?• ?• '?• [? PLEASE HOLD APPROVFD PIItMIT E'OR PICK-L?P BY ONE OF ABOVE _-- - P7.F.ASE MAIL APPROVID PERMIT TO 1, 2, (D 4. ABOVE , . L _, A z, - (Circle one) ADDRESS: CITY, STATE, ZIP: 7) 46d?.R 'nA? FOR CITY USE ONLY - " PERMZT # ISSL'ED `- 7 F O Pd w/Bldg. Permit FEES: $ $ lG ' S? SEWER PERMIT (INCLUDE SL'RCHARGE) $ $ /c - SZ WATER PERMIT (INCLODE SC'RCHARGE) .. $ a-Z' $ WATER METER/COPPERHORN/OL'TSIDE READER $ $ WATER TAP (INCLL'DE CORPORATION STOP) $ $ SEWER TAP $ ACCOUNT DEPOSIT - SEWER $ $ U-2) ACCOL'NT DEPOSIT - WATER $ J?" Z S 'Cr? $ WAC $ $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRONK SEWER $ $ LATERAL BENEFIT/TRLNK WATER $ l A U'cr z' $ WATER TREATMENT PLANT SURCHARGE $ $ ' OTHER: S -72 70 ?- $ a? -7G/- G TOTAL ? 31 RECEIPT RECEIPT DOE S UTILITY CONNECTION REQCIRE EXCAVATION IN PUBLIC RIGHT OF WAY? F--j YES IF Y ES, THEN A"PERMIT FOR WORK WITHIN POBLIC Q NO ROAD DIVI WAY" MUST BE ISSUED BY THE ENGINEERING SIO N, LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APP ROVED & BY: TITLE: DATE : 1-7 . locitVicIF 3830 PILOT KNOB ROAD. P.O BOX 21199 BEA BLOM9UIST EAGAN. MINNESOTA 55121 Mwor PHONE, (612) 454-8100 THOMAS EGAN - JAMES A SMITH J3nuaiy 7, 1986 VIC ELLISON iHEODORE WACHTER • Coumd Members - ' iHOMAS HEDGES Ciry nammrstmlor EUGENE VAN OVERBEKE J. BYRON WATSCHKE OHC?k FORTUNE REALITY 4940 VIKING DRIVE ' MINNEAPOLIS MN 55435 Re: Thomas Lake Addition - Stree[ Lights Dear Mr. Watschke: In discussions I have had recently with Ed Kirscht, you expressed the intention of contac[ing Dakota Electric about installation of three street lights. I have enclosed a reduced copy of the pla[ and indicate where two street lights are to be placed. The third street light will be considered resolved upon payment of the street light at the intersection of Cliff Road and Lakepark Drive. Due to the fac[ that these lights were to be ins[alled by April 3, 1980, and have yet to be placed, the City of Eagan will not issue building permits on the following lots until Dakota Electric has been paid: Lots 1, 2, 3, 8, 10 and 11, of Block 1, Thomas Lake Addition. Please have Dakota Electric contact me once they receive payment so the hold on building permits can be removed. -Sincerely, Craig E. Knudsen Engineering Technician cc: Ed Kirscht, Engineering Technician Ed Brunkhorst, Dakota Electric Dale Peterson, Chief Building Official Enclosure CEK/jj THE LONE OAK TREE.. THE SYMBOL OF SiRENGTH AND GROWfH IN OUR COMMUNIiY rtM--r? '' -Ueht HAUGE, EIDE SC KELLEH, P. A. ATTORNEYS AT LAW WATER VIEW OFFICE TOWER. SUITE 303 1200 YANI(EE DOODLE ROAD EAGAN.MINNESOTA53723 PAUIH HAUGE KEVIN W. EIDE DAVID G KELLER I.ORI M BELLIN DEBRA E SGMMID7 Mr. Thomas Hedges Eagan City Adminietrator 3830 Pilot Rnob Road Eagan, MN 55121 December 10, 1986 AREA CODE 612 TELEPHONE456-BO00 454-4224 RE: lo[s 2, 3 6 8, Block 1, Thomas Lake Addition 10--)SW00 -0a0 -01 Dear Tom: You asked that I explain our goal relating to a Notice that was received by the City of a Land Title Summone relating to the three lots in Thomas Lake Addition, mentioned above. Jean Parranto asked that we clear the title on the three lots which were tax forfeited that he purchased about three or four months ago. This meant that becauae the property ie torrens, that we then start a proceedinge auhsequent through the Torrene Examiner's office in Dakota County. The next step is for the Torrens Examiner to iasue a report which was done several montha ago, and in the report, three parties were named for aervice, including Fortune Real[y, the former fee owner of the pzoperty, Firat National Bank of St. Paul, which was the former mortgage holder, and the City of Eagan. The Land Title Summona has been served on each of those three partiea and each is given 20 days to respond if there is any objection to the title clearance. In the case of Fortune Realty, there is no basis for objection becauae the real estate taxes were not paid and the taxee then became forfeited. In the case of the Fira[ National Bank of St. Paul, likewise, the bank did nat redeem the land at the tax forfeiture sale and its mortgage would also not be effective. Ae to the City of Eagan, its interest is as follows: 1. Lot 2, Block 1, Certificate of Title No. 54535 - There would only be asaessments that would be involved in that lot. When Jean purchased the lot, he paid, what I underatood were eome delinquen[ taxes but primarily all of the epecial assessmente levied against the property, and the County in turn will pay the City, if it hae not already done eo, for the apecial aeseasments. We will check [o determine the etatua of thoae aseessmente. 2. Lot 3, Block 1, Certificate of Title No. 54536 - The aesesamente ie the only iesue that ie outatanding on that lot also. City of Eap 3830 Pilot Knob Roed Eagan MN 55122 Phone: (651) 675-5675 Fau: (651) 675-5694 (f^? DetB: s L ----------------- ? For Olfice Use f I , rermic n: 7 I ? ?91 ? PermitFee: Vv ? Date Received: i ? i starr: ---------------- 2008 RESIDENTIAL BUILDING PERMIT APPLICATION d g sne nddress: I LI k1 ?'i k..f= Fl?2 ?'(. Tenant: Q6- N *440- U(4 Lfl1V o-- 2 suite #: RESIDENT/ WNER Name:F)?,-1?-? D Nt-A? C) IL? Phone: '29'L4 Address / City / Zip: /Y V L-k PA 2 K, C( fZ. Applicant is: _ Owner (.4contractor TYPE OF WORK Descrip6on of work: Construclion Cost: MuRi-Family Building: (Yes _ / No ? CONTRACTOR Name: ?YZ4 C.?'(, LU ILJ?j?, c,O, Licenselk: 5Y ?2 Address: I ? ZZ- t gh Il.)E cay: N Af-Y° V E K State: Vbl" zip: 57f3 Y ? Phone: 7?? -l (6 7 '1ContactPerson: L-A Z Qat 617Y COMPLETE TH15 AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672 Energy Code • Residerrtial Ventilation Category 1 Worksheet • New Energy Code Warksheet CetCyOry Submitted Submitted (4 submission lype) • Energy Envebpe Calculations Submitted In the last 12 moMhs, has the City of Eagan issued a permit for a similar plan based on a mester plan? _Yes _NO If yes, da[e and address of mas[er plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: SCWBY & WBtE? COMfBCtOf: PhOne: NOTE: Plans and supporfing documents that you submit are considered to be publ/c lnformation. Portions of the FnformaHon may be classH(ed as non-public ff you provide specitlc reasons that would pemiit the Cily to concliMe thaf the are trede secreis_ I hereby acknowledge that this information is complete and accurata; that the work will be in confortnance wi[h the ordinances and codes of the Cily of Eagan; that I unders[and this is not a pertnit, but oNy an application for a permit, arid work is not to start xtithout a permit; that the work mll be in accordance with the approved plan in the case of work which requires a review and appoval of plans. x ? cLIx :Z? ApplicanYs Pri Name ? ApplicanYs Sig re LA ? 2? 0??(,?? Page 1 of 3 Use BLUE or BLACK Ink F" Office Use I f / Permit # l ✓ City of Eapn I Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 14P A 1 Date Received: j Phone: (651) 675-5675 R ` 7 2010 I Staff Fax: (651) 675-5694 2009 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: ---i-= e k Q Site Address: 15 L k e PaA r- Cl- j ' - (-C Tenant: Suite RESIDENT/ OWNER Name: i ~L I C ~ yj e Phone: 6 SL '15q-q933 Address / City / Zip: q 19 1 LLl Kle 1 cuV-- G I Y`CI e- CONTRACTOR Name: vv~ (,~t A ,i r t, P11 ,t 1 License ) 12n- Address: YlU~ G City: '~ks& c~ S-ta~t-e: Zip: 55 3 / Phone: G' S~ - ~{slf l C ! O Contact Person: / 1 1-n Ll ylZ' {'LCI Yv~ TYPE OF WORK _ New v/ Replacement _Repair -Rebuild - Modify Space _ Work in R.O.W. Description of work: PERMIT TYPE RESIDENTIAL Water Heater Water Softener Lawn Irrigation Add Plumbing Fixtures L_ RPZ / _ PVB)(_ Main _ Lower Level) Septic System Water Turnaround New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge) "Water Turnaround (add $165.00 if a 5/8" meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ SZ) 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.oopherstateonecall.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. x ~C~t'1 GtJ Z l x Applicants Printed Name Applicants Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In ^Air Test Gas Test Final Use BLUE or BLACK Ink h ^----------------i For Office Use I I > I Permit qk3 1 j CRY of Eap 1 0 a~ 1 Permit Fee: 3830 Pilot Knob Road "l sl I Eagan MN 55122 I Date Received: j Phone: (651) 675-5675 1 1 Fax: (651) 675-5694 1 Staff: 1 I 1 - - - - - - - - - - - - - 22013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: J Site Address: Unit Name: 12EN y 4/ i VP oIn ta~td~~ Phone: Resident/ n G/ Owner Address / City / Zip: 114T I L1" %94- Ci k lQ LGtga N. Al N Applicant is: Owner ✓ Contractor Type of Work Description of work: UMPYL ' 749W • U (p I/ Construction Cost: m Multi-Family Building: (Yes / No ) Company: Contact: Ai i Johl so N Contractor Address: IWV Ll100 W. N City: State: MN Zip: 6641 *2q Phone: ~lDr7 ' J - !5 5no License r.(fl _I tY 70 Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x x - Applicant's Printeld Name Applicant's Sign a re Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA116092 Date Issued:10/03/2013 Permit Category:ePermit Site Address: 1481 Lake Park Cir Lot:2 Block: 1 Addition: Thomas Lake PID:10-75900-01-020 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, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . 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 - Bengt-ake Ohlander 1481 Lake Park Cir Eagan MN 55122 (651) 454-4833 Crew2 Inc 2650 Minnehaha Ave Suite 100 Minneapolis MN 55406 (612) 276-1680 Applicant/Permitee: Signature Issued By: Signature For Office Use �� e� '-:#:' e ) Permit#: / `fd76 EAGAI\I- QR 26 2018 Permit Fee: le lS 6-6 ...----.... r Q` 3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 Date Received: 3"c lD'CO (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 buildinginsnections ar7citvofeagan.corn L Staff: 2018 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: (.4,-'kl-- Site Address: ,� � r:l pi� ?o Tena" A �- h / f Suite#: � `{p dent/ '� _ ,.t A A.//_�� Phone: ' � ,ti, pr '4414131iiiirtill''-,Aii-:.- e t , 3 � Name: MILBERT COMPANY dba CULLIGAN WATER License#: WC641376 '.5 �� '' ?" 4 Address: 1801 50TH STREET EAST City: INVER GROVE HEIGHTS°�ry.Gon ack4*-'= . s , x t„ State: MN 651-451-2241 I V Zip: 55077 Phone; Itli tom" �� , Contact: BILL MILBERT Email: gloria.abas@culligan4water.com '47. a�j�s fTyp 0 t _New Replacement Repair Rebuild _Modify Space _Work in R.O.W. �` � � %,,, Description of work: ' ' 1 �r ' ; 41 RESIDENTIAL � � j. v , _Water Heater `;� �� t X Water Softener , r 4 _Lawn Irrigation( RPZ/ PVB) RerrnitTyee k ,�T,t • . . _Septic System _Add Plumbing Fixtures( Main/____Lower Level) a u bt ,`) i`, _New Water Turnaround r�r` r a r %+t�� Abandonment RESIDENTIAL FEES: $60.00 Water Heater,Water Softener,or Water Heater and Softener(Includes State Surcharge) $60.00 Lawn Irrigation(includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment,Water Turnaround*(includes State Surcharge) "Water Turnaround(add$280.00 If a 3/4"meter is required) $115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES$ 60•00 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.orq You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeagan.com/subscribe. 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,it the approvedd n In the cis of work Ich requires a review and approval of plans. .(A. . Applicant's Printed Name int Applicants Sl Signatu e FO Q�,.i Io- v; , '}��r g}',„$$'. }, 3 g . 4 {�,�.� i ' rate — 4 f 7 ij 1?+' C^k' ' $ i 3<'" # t, 4 ${„'}.{1 t. eV I y d , `+.-' \' k 1�, »t+' _-_,.-Aix,,,,,,,, ' .a l Fi t a s t r ViiDate , pmt ,X dc: Rei-,„A,s .ct` s' " 5 .-A- �4 R ),4'', -P '' ''' '' '' t l- 4 q p o flet'G • r a _ ,' �� m � � ,„ , �� F� 'AR* � 1r Te 1�,� Ge -est'`` ��in I�� , f glRf `.,�, a'a,, q 3A',Q,.0., �F f.' F A �i t` �,s ,,t� '' �¢"�T �4 , Met'er}gelate• Itetirns,{ {Metervs'1-41`,f#. 7;4 iFtadfopRead ` t95.-4V a Sta `° Z� 4- ,Manome �,> ft. -N . PERMIT City of Eagan Permit Type:Building Permit Number:EA158301 Date Issued:10/08/2019 Permit Category:ePermit Site Address: 1481 Lake Park Cir Lot:2 Block: 1 Addition: Thomas Lake PID:10-75900-01-020 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. 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 - Bengt-ake Ohlander 1481 Lake Park Cir Eagan MN 55122 Craftsmans Choice Inc 5680 Quam Ave NE, Suite A St. Michael MN 55376 (763) 276-7465 Applicant/Permitee: Signature Issued By: Signature Jeffrey Wheeler From: Cyndal Fletcher- Craftsman's Choice <cyndal@craftsmanschoice.com> Sent: Thursday, November 14, 2019 4:19 PM To: Jeffrey Wheeler Subject: Craftsman's Choice- EA158301 RECE " +' 1110 b4KiiPhiaK NOV 14Z019 Hello! Permit#EA158301 Description: Reside south side including west wall of garage Thank you! Cyndal Fletcher Administrative Assistant Office - 763.276.7465 CRAFTSMAN'S CINOICE