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1760 Monterey Lane Use BLUE or BLACK Ink l I qqo , City of Eajan ;Perm - - I ~ Permit Fee: OD I 3830 Pilot Knob Road I t Eagan MN 55122 1 Date Received: Phone: (651) 675-5675 j 1 Fax: (651) 675-5694 I Staff: I INFLOW INFILTRATION PERMIT APPLICATION Plumbing / Sewer & Water Date: Site Address: 11! ® 1 K \ O v'~Tya ~c r-aa6 N Tenant: Suite RESIDENT / OWNER Name: K~1s-rT~L~~t-I Phone: Address/ City/Zip: 1760 M O NT7= -E'" 44 gAaAW 6 L 2 2- Name: Y License Address: C L-\ "F'F City: E&CA AN C RA TOR State: tnkW Zip: 1 Phone: (E2 1!3 Contact: t Y-E 11-4-- ► A MS Email PLUMBING (Within the building envelope) SEWER & WATER (Outside the building envelope) TYPE OF WORK Sump Pump Repair Repair Other: Other: 1 Description of work: DESCRIPTION ft["Z r FEES $55.00 / Each (includes $5.00 State Surcharge) TOTAL FEE $ *Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit Ill repair costs for reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors can be found by visiting www.citvofea-gan.com/inflow, or City Hall at 3830 Pilot Knob Rd. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.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 wont will be in accordance with the approved plan in the case of work which requi s a revi and approval of plans. x M I-I^ wk A-+P,,\.5 k I x zr„" Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground Rough-in -Final . r----------------- 'qr [or Office Use CAY of ESAY 1 3 2010 j Permit #:I GG--~~ I Permit Fee: .J1 J y 3830 Pilot Knob Road Eagan MN 55122 Date Received: I Phone: (651) 675-5675 I I Fax: (651) 675-5694. Staff: L-----------------I ii 2009 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: I !iV l Site Address: Tenant: r Suite RESIDENT/ OWNER Name: Kra stm"ru L,„Q.1 ► l a Phone: I tZ5) ) )45L 691 10 Address/ City /Zip:. CONTRACTOR Name: _NORBLOM-PLUMBING C.CI. License O(P [ 5~j Address: (612) 827-4033 City: 2905 GARFIELD AVE. SO. State: Zip: MINNEAPOLIS, MN 55408 Phone: Contact Person: TYPE OF WORK -New X -Replacement -Repair _Rebuild - Modify Space - Work in R.O.W. Description of work: r v Ir e r ha PERMIT TYPE RESIDENTIAL Water Heater Water Softener Lawn Irrigation Add Plumbing Fixtures RPZ / - PVB) C__ 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) 5 50 TOTAL FEES $ 5 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 jet I, ayor%olorv X Applicant's Printe Name A icant's Signal ure FOR OFFICE USE Reviewed By: Date: Required Inspections. Under Ground Rough-In Air Test Gas Test Final CITY OF EAGAN 3795 Pilof Knob Road Eagan, Minnesota 55122 Phone: 454-8100 FIEATING Date: ,7uIy 13, 1977 PERMIT Site Address: ' `'0 MOriterey Iane Lot ?' Block 4 Sub/Sec. j-`3gevi ew Acres Name ? ; Address O City Phone: Narm ;?omplete Air fieating & Caolinq . Add ss `- `1 - 152nd St. c? .,?,?, ???,•,?:' City ` Phone: This Permit is issued on the express condition that all work sholl be Minnesoto Statutes and City of Ecgan Ordinances. No. 926 Receipt No.: 0 65gE Single I Residential Multi Res., Comm./Ind. I New /Alter./ Repair new Cost of Installation 2!}.0O Permit Fee Surcharge .50 Total ^•, -r ? done in accordance with oll applicable StoYe of Building Official CITY OF EAGAN Remarks Addition Lot 5 Blk Parcel 10 6400 Owner street 1760 Monterey Lane 5tate Eagan, MN a.v?.+?y•_J--[.-6- Improvement Date Amount Annual Ysars Paymeni Receipt Date STREET SURF. -:?-- 1977 1975.35 197.54 10 STREET RESTOR. GRADING ? SAN SEW TRUNK 30 *SEWER LATERAL 20 WATERMAIN ? WATER LATERAL WATER AREA STORM SEW TRK 1983 561.00 37.40 15 A . STORM SEW LAT 1972 3959.45 197 . 97 20 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER, y? SAC ?n 45 3 7 PARK . PERMIT # A9 41e& MECHANICAL PERMIT CITY OF EAGAN RECEIPT # 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: 454-8100 Site Address 1 74o Mot)f t? i'? ?? k BLDG. TYPE WORK DESCRIPTION Lot Block Sec/Sub X New Res. Y s'?r? fi r r,,;,: -? .i ,. •, d,., .: Name ' Mult Add-on ° ? Address ? 4 Kt Oth°bec: Comm. Repair c City Ali Phone 41S 2 Other ? Name J. I-c , - •?11'ri f F? n F? n n k i, FEES HVAC 0-100 M BTU -$24 00 RES c Address Y% C, r' t? Ytt ?. tt rt ?.. . . ADDITlONAL 50 M BTU - 6.00 p City Phone (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PEkMIT) - 1 50 EA TYPE OF WORK . . COMM/IMD FEE - 1% OF CONTRAGT FEE Forced Air ?6U Q C? M BTU APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CQMDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU $ MINIMUM COMMERCIAL FEE - 20.00 . STATE SURCHARGE PER PERMIT - .50 Vant. CFM ?; (ADD $.50 S/C IF PERMIT PFiICE GOES Gas Piping Outlets # q BEYOND $1,000) Other $ FEE S/C; SIGNATU E?ER EE . TOTAL: i,r? ? FOR: CITY OF EAGAN ? CITY of EAGAN BUILDING PERMIT own.r ...yl.Q.1k :?-j....q.Z.P.?.?a..n .t.7..t ............................. ....-%d<I-J17.4 ....?h. Address (Psesenl) .C1...4-rl?.-... ...... ee 1•' 0 / 8uua.= ....... 2o,r1.,sJ .............. ?.................... Addreea ...1Q.? .......?X..P..?Y../.Y.'.!?.........at ........ f.ll? ?G 0 {'7 h . DESCRIPTION .,. N°_ 4040 3795 Piloi Knob Road Eagaa MinaeaoYa 55142 454-8100 Ds:. _6(.1...... ../...?.?.lf7..? Bloria To e sed For F:on! Deplh Heigh! `? Eet. Cos! PermS! Fea Asmarks ? ?`9?/J?J ? 9a r 6 ?2 3? - I ?l9?° 3lree2. Road or olhee Deacriplion of Loealion I I:ot ( IBlock I Additioa or Traa 0 ..r- Thls permit daes not authorize 3'fie use of alseets, roads, alleys or sidewalks nos does it gCve the owns= or his agsa! the righi !o cseale anp silvaiion whiah is a nuisaaea or whSch presenls a haaasd !o the heallh, esielp, coarsnienes and general welta:e !o anpone fa the eommunity. THIS PEAMIT MUST B?E iKE Tn ON E PRTM E WHILE THE WORK IS IN PRO?rGR 38?y Thia ia !o cer2ify. !hal.u(,?.....&115. .l...___?V..._. hasparmiasi erec! ?.y ....?!?._.?-.?.?..?R.C...:...._uyoa the above describ,e, pzemise subjecf fo the provisions of all appl' e Ordinan es f r tfie C'?J o agan. c...?...1..._..../.....!1...1._.?...(..h ...................................... Per ?......1?c.!I.?. ............................... Hulldiny Iaapeclor Mayor R;drtVlcv! /QcreS 4 5, 8 CLTY OF Ei;GP.N 3795 Pi.lot Knob Foad Eagan, IDiinnesota 55122 PERNiIT NO.: 716 The City of Eagan hereby grants to Ed Brown Plumbina of Route #1, Stillwater _ g PLCtdBING Permit for: (Owner) Lemanski - ` at 1760 btonterey Lane , pursuant to application dated _ 9/1/76 _ Fee Paid: $20.00 dated this 1 day o£ Sept. .50 s/c Building Ir,spector Mechanical Permits: Sid Total: Eagan Tomnship pEAMIT NO. .. . Dakofa Counly. Minnesoia Date ............... Appliaation fox Bailding Permit Tppe of building or wozk eonlemplated. Circle correaf descripiiona. AesidanSial'-'? Commercial Induslrial OSher.............................................. .._._... Evild? Enlarge Alier Repair Insiall Move Wreck Oiher..... ....... Dimensiona...: . ................ Deiails or LocaYion Number SYreei Belween whaf csoss sireeis Siso Esf. Valualion Lof Hloclc Addii?on RearrangemenY or Tracf `------- Address '--""-------.---------------------- ' ... Owner .?.t "' -' " _"-- -------?- -------- --- ----' ------- L '__-.... . ----'---------- -"°---- ' ----"-- ` Confraator ....--_!...??....."__,--'.. :Q? ..... ........ ........ Addross 1?.0?.??-f.?--1. '. • -'-1.L?-[/.j?-!.? - - --- - -- " --- - . '-' The undersigned 6ereby makes apnlicaiion for a permi! !o ? do work as herein specified, agseeing !o do all wo:k in striol Total fee collecied. aceordance wilh fha building ordinance adopled April 11, 1855 bp !he gan Towns ip S ard of Supernisors. I Permif fees are not refundable. / Irl'`?L?2t.c P..k.e??! ? -'-.-.-?' ..[...-'----------'.....-'----'------'-'-'-""-.._-- -----._..__""---............ 5igned ? YILL46E OF EAGAN WATER SERVICE PERMIT 3795 Pilot Knob Rood , PERMITNO.: 2054 Eogon, MN 55122 DATE: 9I z'1 / 7 6 Zoning; RI ' No. of Units: Owner. A.M.G ons fox J. -? -?.?,emanske Addrrca• Ordinancm. ' +-- --"'"-.'?. '.. ?8??--- Misc. Charges: 60. 00 Dd Total: By Date Paid: Date of Insp.: lnsp.: IlLAOE OF E40AN SEWER SERVICE PERMIT '95 Wbe Knob Road PERMIT NO.: 2804 ,gan, MN 55122 DATE: oning: _Rr No. of Units: 1 wner:_4 r.T g Co RSt fnr T r r - ddreas: nska ite Addrees: 7760 .,,,. r , lumber:_Ed Brown ._Lene T. 18d R Aq,PSC1e...u?ac Plunq 8/10/76 #3767 100.00 pd °Vry' t° CumPW wifh }M Vill oya ef Eopon Connection Charge3511_ flll nA rdi°°°°Of' Account De poeit: Permit Fee: 10 • n 0 pd Surcharge: -50 pd y` Misc. Charges: ate of Insp.: Total: 1ep" Date Petd: ,r . .. . DAZT:_ BUILDTIIG P?P?iTT AFr^Z.IC9:iT,.CPd CHE K Lot? Block?^ Adc3ition Parcel and section nvr?ber Street d r iQi;mber Owner r, t ?jAd3ress ...r.??ya-t Developer dQM a . [roKS???L4,. Address /D,? v ? /L1't/'NiE? ? _ yb Zone-ordinance#52 /P•( • j409,0 Lot Szze X Total area Platted. Unplatted Build3.ng Size % Tatal area occnpancy 9t-Tr -7? Type of ccnstruction Setbaeks: Street sides Rear '' Sides ?A Parlcin.g a Tota1 area Tota]. Parking area setbacks: Street side i?.ear spaces 5?des ? ?ov Landscapa approval Bond required Specia7. Assessments: S?lC charge @ $450.00 = loo Water areas ^ I Il' ?., Assessed ,?J??a,sessed ? ?j v If aesessed: Connection charga •,? 0,00 0 D If uiZassessecl; Connection chnrge `5' Lot divisione Additional assessments needed Lateralse Assessed 1.% Idaiver of hearing: Needed ?- Assessment clk? Water &, Sewer Dept Not assessed Not needed ? k 14. F3uilcling Dept Police Dept Fire Dept (Comm & Snd only) r , . ? \?" "/ ? - - - -- - ---- - -- - --- -? - ? ? - - - - _ -- ------ ? - -- --- ? _ -- --- _ _ - _----__ --__ - _ . ?. _ ?'? _ c _ _ __ ___ ___ _ _ _ __ ___ , __ _. _ _______ ___ ___________ __ ___ __ MASTER CAR,D -r-- 'i A i dLv d/Cd01 OWNER L STRUCTURE AND IAND USED AS Permit No. Issued Issued io Coniractor Owner BUILDING PLUMBING ad /•?? /?, ? CESSPOOI - SEPTIC TANK WELL ELECTRICAL HEATING 77 GAS INSTALLING SANITARY SEWER OTHER I OTHER I I Items Approved (Initial) Date Remarks Distance From Well FOOTING SEPTIC FOUNDATION CESSPOOL FRAMING . TILE FIEID FT. FINAL ELECTRICAL HEATING . DEPTH OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD 'n PWMBING _S?7G ) 6 WELL SANITARY SEWER - a v Violations Noted on Back COMMENTS: COMPLIANCE INSPECTION REPORTS TO BE USED ONIY IN EVENT OF OBSERVED VIOLATIONS PERMIT NO. CONDITIONS OF CONSTRUCTION AT THIS INSPECTION NO EVIDENCE OF NON-COMPIIANCE ? OBSERVED. - a ACCEPTABLE SUB5TITUTIONS OR DEVIATIONS. DATE OF INSPECTION NON-COMPLIANCE. BUILDER WILL COMPLY WITHOUT DELAY. ITEMIZFD AND DESCRIBED AS NON-COMPLIANCE. BUIIDER DOES NOT INTEND TO COMPLY.? COMPLETION OF CERTAIN IMPROVEMENTS WILL BE DELAYED BY CONDITIONS BEYOND CONTROL. ? REINSPECTION REQUIRED REINSPECTION REVEALED DATE OF REINSPECTION CERTI FICATION - I certify that I have carefully inspected the abwe in which I have no interest present or prospective, and that 1 have reported herein all significant conditions o6served to 6e at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific require- ments for off-site improvements relating to the propetty inspected. a ALL IMPROVEMENTS ACCEPTABIY COMPLETED COMMENTS: 'tq'! ?. z. . r' • 3(,3 ? '7 1999 FIREPLACE PERMIT APPLICATION CITY Of EAGAN 3830 PILOT KNOB ROAD - 55122 651 681-4675 Date: \ J?T -??---6 l s c=) U.S? Descrip6on of Work: ? Construct new fireplace _Gas _Masonry _ Install pas insert only _ Other Alterations to existing Install p,as line anlv Job address: Lot: ? Block: Subdivision/P.I.D. #: U Applicant (circle one only): Owner ontractor Permit Fee: $60.50 (? 61- Y' Name: J?11C K ?' ?? h ?I Phone #: - D ??6 PROPERTY Last - Firs? OWNER _ Street Address: ? 1?r01 / ?"?'/('1rI / . f^ ef A City ? State:? Zip: lSl.(aC Company: t N Phone,#?-:- M,)'U 257 (azea code) FIREPLACE IN L?? ??/? I? STALLER Sheet Address: , / City 6o ?()i ( (? State: R [/ r Zip: J- Company: Phone #: (area code) GAS LINE INSTALLER Street Address: City State: Zip: 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 a}4 City`r s. ??- ? Signature r j OFFICE USE ONLY BUILDING PERMIT TYPE ? 16 Fireplace WORK TYPE ? 31 New ? 32 Addirion ? 33 Alterations ? 34 Repair ? 39 Gas Line ? 41 Wood Stove ? 40 GasInsert GENERAI. INFORMATION Census Code 434 SAC Code Ol REMARKS Chimney/flue must be inspected before concealing. t:,r,,' r-r' .>,t.aN C:i?.':ii7ri?•'S:i7 .n ?'.lF:'r:•1':r?'?.?'.L. F1. ' .1_ rr'?'i 1_'J'r'Ii __ f„?J'" '?'f?j' .....L... ...i.._I.L. ?: .. . I r.'.J..n cl."'i.`.; I::!lf;:!. '1.7?rr,0 147F!.rc:'Y" ..._.,`.;G ? I I , :.. , .... ' CITY USE ONLY LOT C5 BL ? RECEIPT #: ?D 9 SUBD. RECEIPT DATE: -`4zf/ MECHANICAL PERMIT # -';;5q ? I 1999 MEcxAxtcAL ?ERMrr QftEsanENrtAw crrY of, EAs,vv 3$30 PILOT KN08 iW £AfiAN MN 55122 (651) 681-4675 ?ate: Complete this section onlv if you aze installing HVAC in a single family dwelling, townhome or condo under construction and not owner /occunied. • HVAC: 0-100 M B T U ADDITIONAL 50 M BTU • Gas outlets (minimum of one required @$3.00 ea.) $ 30.00 6.00 State Surchazge .50 Total $ Complete this section anlv if you aze remodeling, adding to, or repairing an existing single family dwelling, townhome, or condo. Please indicate if it is a new item, alteration, or repair. _ New Alteration Repair ? Other Reminder: Cal1681-4675 far inspections. _ Fumace _ Air conditioning _ Air exchanger Other ? $ 30.00 State Surcharge .50 Minimum Total Due $ 30.50 SITE ADDRESS: 1-)40 !/''? Un t -. erQ u LEt n 2 OWNERNAME: L ey"?-a n St K1 PHONE #: 65 l INSTALLER NAME: ea6) c O ? PHONE #•_?M-_-S STREET ADDRESS: }' -D • bO X 2 -Z---V ? (AREA CODE) ciTY: Rn P./DOI.. STATE: ??I z. s Z Z SIGNATURE OF PERIVIITTEE :1 L BL SUBD. APPROVED BY: INSPECTOR RECEIPT #: RECEIPT DATE: MECHANICAL PERMIT #: 1999 M£CHRNICAL PERM[T (C0113M£ftC1AL) CI1'Y Of EkflAN S$SO PILOT KNOB RD E4fikN, MN 551 EE (651)6$1-4675 Please complete for: all commerciallindustrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: CONTRACT PRICE: WORK TYPE: _ NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: 1°/a of conhact price OR $30.00 minimum fee, whichever is greater. Processed piping - $30.00 CONTRACT PRICE x 1 % PROCESSED PIPING PERMIT FEE STATESURCHARGE TOTAL SITE ADDRESS: OWNER NAME: TENANT NAME (IMPROVEMENTS ONL1): INSTALLER: ADDRESS: CI7'Y: CITY USE ONLY ZIP: ($.50 per $1,000 of uetmit fee due on all permits.) PHONE #: (AREA CODE) PHONE #: - (AREA CODE) STATE: SIGNANRE OF PERMI'CTEE PERMIT# "f2_41--- RECEIPT DATE: MIDENTllekL PLUM$INfi PEgM1T MPLICATION crrYog EAem 3$30 PILOT KA08 RD F-?s,4x. aeiv s51$2 651-6e1-4675 Please complete for: ? single family dwellings ? townhomes and condos when permiGs are required for each unit _? backflow preventer for irrigation system LEMANSKI, CHRIS . SITE ADDRESS: 1760 MONTEREY LANE EAGAN, MN 55122 OWNER NAME: : (set) 454-6410 TELEPHONE #: (AREACODE) INSTALLER NAME: NORBL.OM PLLAAB= CA_ TELEPHONE #: STREETADDRESS: (61??'? (??+CODE) CITY: - - ?"" --- STATE: Place a check mark next to the oermit work tvue ZIP: New residential dwelling unit under construction and not owner/occupied $ 90.00 X Add-on, modification or alteration to existinp dwelling unit, including: $ 50.00 • abandonment of septic system • new installation/repair/rebuild of RPZ • lawn irrigation system • water turnaround Nature of work: r012 _d WQ Il/r hea-Ee,f Septic System, new/refurbished - $ 225.00 • includes County & Consulting inspector fees • requires MPC license State Surcharge $ .50 Total $ IF30. 99 Reminder. Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc. 1 hereby acknowiedge that I have read this application, sfale that the informatlon is wnect, and agree to complywith all applicable Ciryof Eagan ordinances. It is the appllwnPs responsibility to nolify the property owner that tha City of Eagan assumes no liability for any damages caused by the Cily during its normal operatlonal and maintenance activities to the taciliUes consWCted under this permit within City property/right-of-wayleasement. SIG T R OF PERMITTEE Updated 1I01 PERMIT City of Eagan Permit Type: Mechanical 3830 Pilot Knob Rd Permit Number: EA076611 Eagan, MN 55122 . Date Issued: 02/05/2007 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 1760 Monterey Lane Lot: 005 Block: 004 Addition: Ridge View Acres PID 10-64000-050-04 Use Description: Sub Type: e - Furnace & Air Conditioner Work Type: Replacement Description: Furnace & Air Conditioner Comments: Questions regarding electrical permit requirements should be directed to Mar k Anderson, State Electrical Inspector, 952-445-2840. Cindy Lilienthal 2 1210 Eaton Ave Farmington, mn 55024 651-344-4253 cilienthal@controlledai r.net Fee Summary: Surcharge-Fixed $0.50 9001.2195 ME - Permit Fee (Replacements) $50.00 0801.4088 Total: $50.50 Contractor: -Applicant - Owner: Controlled Air John R Lemanski 21210 Eaton Ave 1760 Monterey Lane Farmington MN 55024 Eagan MN 55122 (651) 460-6022 X253 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA113853 Date Issued:09/09/2013 Permit Category:ePermit Site Address: 1760 Monterey Lane Lot:5 Block: 4 Addition: Ridge View Acres PID:10-64000-04-050 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes . Amy Jilk 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 - John R Lemanski 1760 Monterey Lane Eagan MN 55122 Lindus Construction 879 Hwy 63 Baldwin WI 54002 (715) 684-4647 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA118269 Date Issued:10/30/2013 Permit Category:ePermit Site Address: 1760 Monterey Lane Lot:5 Block: 4 Addition: Ridge View Acres PID:10-64000-04-050 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors- Bow Window 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 - John R Lemanski 1760 Monterey Lane Eagan MN 55122 (651) 454-6410 Pella Northland 15300 25th Ave N #100 Plymouth MN 55447 (763) 355-1300 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA130775 Date Issued:05/13/2015 Permit Category:ePermit Site Address: 1760 Monterey Lane Lot:5 Block: 4 Addition: Ridge View Acres PID:10-64000-04-050 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 - John R Lemanski 1760 Monterey Lane Eagan MN 55122 (651) 454-6410 Pella Northland 15300 25th Ave N #100 Plymouth MN 55447 (763) 355-1300 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink � r-----------------� � i For Office Use ��II� • �'o"�T �� ,� Cit of �a aIl ; Permit#: � r ��.. Y � � � Permit Fee: /��` �� 3830 Pilot Knob Road � � Eagan MN 55122 '" �� }� � Date Received: ^' � � � Phone:(651)675-5675 �ii�.�'.�..�1,�� I Fax:(651)675-5694 A�� i # 1�� i Staff: i 2015 RESIDENTIAL BUILDING PERMIT APPLICATION Date: � ^�'� " � � Site Address: �� fM�f`��e-Y ��- Unit#: x � � � � �� J�r►s l-��l� ; �51 - �-f5u- ��t a ��.�� Name: Phone: 5 F �� M b r�'�E("� .�IJ�C. , �C1.c�Q� !"`9�" S S�2� �� . � ' Address/Ci /Zi � t ry p� i 7 � � �� {�/ ��s x��, �. Applicant is: Owner J� Contractor � �� .i � sr? ��. ' �� Ty, . ) _ �� . � - - Description ofwork: �LI+�� `�^��I ��y ��OI'� �� ,�ry �� Construction Cost:� �/Z�'� Multi-Family Building:(Yes /No � ) � � �� l!�Yjc� �C�C1��,�'tA C.��On u�, Contact: /��}/ �V1�C � ; �f �: Company: �#�� I � '_...�� Address 21��Z� ��-�w�(�� ' �City: �C'.i� �fCt�j �C � ��C�nt�� l `� } �� :. ' State:�� Zi I � ��5 �-�$1� AnC��/�c�p��Co�nSf�w��i�dt , Cc�M � , p: .�,C�� Phone:y Email: �� R�� License#: J7� �� Lead Certi�icate#: ��"�"�� If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLYJF CONSTRUCTING A NE1� 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: Fire Suppression Contractor: Phone: �VOTE.�P'a��;�r�d supp'�� ocum�r� a��rou subrri��`µ �e cbr� � r h�� ;; �r�ons of, i �,� �� t��x�m��e cl��e�l�� p��?��f,Yvuy� ' �spec��c�aso��#h�f' ld�re ��#th� i r �� `�. rt � � � � �� o�cru�l} �t.th� �..� _ � �c��`��, K�5 � � � �,� ��: �. � r� �:. ,�.��. �� ;,: t�� 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.qopherstateonecall.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 �TJ� ��t'�/�J /''�'4,L/� X ApplicanYs Printed Name Applicant's Signature Page 1 of 3 � /t�C � r2�� C� r DO NOT WRITE BELOW THIS LINE ��c� �� C� SUB TYPES Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) Single Family Garage Porch(4-Season) Exterior Alteration(Multi) _ Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Miscellaneous 01 of_Plex Lower Level Pool 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 j�,� Valuation `p �� Occupancy a�` t��,� MCES System Plan Review Code Edition � �'' SAC Units (25%_100%�) Zoning City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required 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 Roof:_Ice &Water _Final Pool: _Footings _Air/Gas Tests _Final Framing Drain Tile Fireplace: _Rough In Air Test _Final Siding: _Stucco Lath _Stone Lath _Brick �G Insulation Windows Sheathing Retaining Wall: _Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression: _Rough In_Final Braced Walls Erosion Control Other: Reviewed By: ��"' , Building Inspector RESIDENTIAL FEES Base Fee �--'�G�� Surcharge �� Plan Review � �� MCES SAC �`� City SAC Utility Connection Charge /�/ ,/ � / � �'"'^ � ._ � t,� �� - � � �," S&W Permit 8�Surcharge � Treatment Plant � Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA160400 Date Issued:03/09/2020 Permit Category:ePermit Site Address: 1760 Monterey Lane Lot:5 Block: 4 Addition: Ridge View Acres PID:10-64000-04-050 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - John R Lemanski 1760 Monterey Lane Eagan MN 55122 (651) 454-6410 One Hour Heating & Air 11825 Point Douglas Rd S Hastings MN 55033 (651) 437-4177 Applicant/Permitee: Signature Issued By: Signature