1350 Quarry LaneCity ofEaaaa
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675~5675
Fax: (651) 675-5694
AUG 1I RECO
Use BLUE or BLACK Ink
oreftletAill
Permit #:
Permit Fee:
Date Received:
tafi:
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Dam: Site Address: 1 QUaxril L r) . to
t1i1 e/ 11 r2� r r 8/
RESIDENT / OWNER
Name: nThar _ Phone: (C31 4.5 D10 ' Z
Address / City / Zip: 1 /X3(p,,�0 :� L.' � , 1 T) )
_ J
Applicant is: 1, Owner Contractor ,2,%
TYPE OF WORK
Description of worts: _I— r -C .,I 4 �` r K/<<��` �-JtD `
Construction Cost Z 7 , Multi -Family Building: (Yes / No )
CONTRACTOR
( r y/
Name: � License 3
Address: /2-2— - �J' `'' `EDF,City: 1-11
State: fl -r) Zip: C.iSC.J Phone:
Contact: t e.V / 'VIII:
COMPLETE
In the last 12 months, has
Yes �No If yes,
Licensed Plumber:
THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
the City of Eagan issued a permit for a simitar plan based on a master plan?
date and address of master plan:
Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor:
Phone:
NOTE: Ptans and strppotati g documents,titY subntlit+»Cons 1 Ili rll irrw 1 s
the information maybe classified ars ruin pubNc if you pr�gnride spr c r+ sr tl t p tete Cfty to
co►tclude that they earls ode secrets.
CALL BEFORE YOU DIG. Call Gopher State One Cali at (651) 4540002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. wwwciopherstateonecall.orq
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 ID 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 plat*.
Applicants PrI
Page 1 of 2
CITY OF EAGAN Remarks
Addition nnYSniood Addn_ Lot 5 Blk 1 Parcel Amoff•?sim-m-
Owner?V'ffC L-CU,!?;X t?i+Zr"1 Street 1350 Quarrv Lane State_ EdCfdI1,MN 55121
Improvement Daie Amount Annual Years Payment Fieceipt Date
STREETSURF. ',, ? 1952 686.63 65.66 10 (PS? •(Q?1 COO vZoIgI
*STREET RESTOR. ? ].97$
GRADING
SAN SEW TRUNK '3 1970 62.80 2.51 25
. SEWER LATERAL 1975 227$.7$ 455.75 rj
WATERMAIN
3c WATER LATERAL & Stu'bS 1975 5
WATER AREA 1975 rJ
* STORM SEW TRK 1975
? STORM SEW LAT 1975
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. • 3319 6-25-76
BUILDING PER. #3999
sac 450.00 3319 6-25-76
PARK 190.00 3319 6m25-76
/o aG f? ? a?a o/
w
GITY.OF EAG,1_N
3795 I'ilot Enob Road
Ea,riz,-, NIinne3ota 55122
P?R= N0. ,
The City of Eagan hereby g.rants to KlammPlumbing
oi' 12909 Co. R?, 11
a PLUMBIPtG Permit for: (Owner) Cadence Corp
at 1350 Quarry Lane , pursuant to application dated 819,Z76
Fee Paids S20. QO dated this 12 day of August
.54 s/c
Builc?ing Inspec-tor
Meehanical Permits:
Bid To'cal e
s_/
CITY 0F EAG??N
370,5 I'ilot I?nob Road
EaS,,.n, M-innesota 55122
PER'VIT NO , ;
873
The City of Eagar, hereby grants to Fred Vogt & Co.
ot 3260 Gorham Ave. So. 55426
a HEATING Permit for:
(Owner)
7AFC0
at 1350 Quarry Lane ? pursuant to application dated 8/20/76 „
Fee Paid; $20.00 dated this 23 day of August , 1y 7Ei ,
., s c
Builc?ing Inspectoil
Machanical Permits:
Bid To-tal:
. . . . ,?? _-owd
CITY OF EHGAN
3795'Pi1ot Knob Road '
Eagan,. Minnesota 55122 . .
PERMIT NO.: AA .
?jihe City of Eagan hereby grants to Lindsay Water Gonditioninq, .Co.
?f 4215 Ceclar Avenue So.
WATER SQFTENF R. L. Davis Jr. '
a FPermit for: (Owner)__?_V,_Un,?.a#
1350 Quarry Lane & a,t ?9 m W?. ? 13-, pureuant to application dated 11 / 15 / 7 H •
Fee Paid: $10.00 dated--thzs 23 day of r3ovemher ,. ?976 •
• 1.00 s/c
• Building Inspector .
Mechanical Permits: , . .
Bid Tota.l. s '
?'. . . _ ?
, . - ? ",
Eagan 'I'ownship
Dakota County, Minnesota
Appl'acation for Building Peranit
Type of building or work contemplated. Circle correct descriptions.
esidential Commercial Industrial Other.............................................. _...................
uil Enlarge Alter Repair Insiall Move Wreck Other ...............
Dimensions........ :.4..!..9.T.46 -•--••-----•--•-•- Cos!..................................
PERMIT NO. sl_l.T? ........
Date .?--•-c?`.!?-°2 ..............
Detaiis or remarks.......................................................................................................................................................... -........................... ....
Location
Number I S4reet IBetween what cross streeis I Sizo ? Est. Valuation
Lot Block Addit:on Re
J!' l DOAJOYWOOP
Owner tupg46_--° (.:?/C?---•••...•-••-----------°
Coniraclor /*TG`''?.....................................................
or
Address --?l7.'-------4/?liG Z
Address ?!v!•" ' ??• ?•
------•---•-----•-------•____...-- --- ---------•------•--•--••---------•---•
The undessigned hereby makes application for a permit to
$ : do work as herein specifned, agreeing to do all work in strict
Tofal fee collected. accordan with the build' ' ce ado ted April 11, 1955
by th Townshi oar S pervi s.
Permit fees are not
?
refundable.
•-••- •- •-• -•-•••---•-••-••-------------••---•••-•--------- -°-------- °•-----•-••--••••-•--••--°
Signed
VILLAOE OF EAGAN WATER SERVICE PERMIT
3795 PiFot Keob Road PERMIT NO.: 2032
Eagan, MN 55122 DATE: 8/12/76
Zoning: R3:I No. of Units: 1
Owner: -Cadene
Address:
Site Address: 1350 Quarry I,a ne L5 Bl DonneYwood
Plumber: Klamm Plumbing Co.
ter No.: ?`v a? Connection Charge:160. 00 pd
r
Size:
Account Deposit:
Aeader No.: Permit Fee: 10. OOpd
I ag?, ?t cr?VOit?i the Village of Eagon Surchazge: .50 Ud
Ordinbdees. Misc. Charges: 60.00 pd
Total:
By ?--? Date Paid:
Date of Insp.: Insp.:
ya,klaoE oF EaoaN
~ SEWER SERVICE PERMIT
3795
Pi6 Knob Road PERMIT NO.: 2783
Eagon, MN 55122 DATE: 8/12/76
Zoning:
I No. of Unics: 1
Ca
ence Corp.
Owner:
Address:
Sice Address: 1350 Quarry Lane L5 Bl Donneywood
Plumber: Klamm Plumbinq Co.
6/28/76 #3319 100.00 pd
I ag?ee to eomply wit6 the Villoge of Eogan Connection Charge: 350. 00 pd
Ordinances. Account Deposit:
Permit Fee: 10.00 Ad
Surcharge: .50 Ad
By: Misa Charges:
Date of Insp.: Total:
Insp.: Date Paid.
?
e
CITY of EAGAN
BUILDING PERMIT
...
Owner ....... . .. .? ......_. . . r. ......................................
Address (Presen!) . .........?i:c?:ys.e?.J1•-.??-:r.??..
Builder ...L7?"..?......................................................................
Address ..................................••.............................................__...........
DESCAIPTION
N°_ 3999
3795 Pilot Kaob Road
Eagan, Minnesota 55122
454-8100
Date 49, 2.4 L...
5tosies To Be Used For Frons Depth Height Est. Cos! 'Permit Fse Aemarks
.iYc? / ,Y? ' ?39 3cO 116-1 v 0 LOCATION
Slree2, Road or olher Descripiion oi Localion I Lo! I Slock I Addilion or Tsact
,.6- I 1
This pezmit does not su2Korize the use of sireels, roads, alleys or sidewalks aor does it give the owaer os his agen!
the righ! !o creale any siiuaiion which is a nuisance or which presents a hazard to the health, safety, conveniencs sad
geaeral welfare to anyone in the co:nmuniip.
THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PROGRESS.
This is io ceriify, tha!•-4.......................................... has permission !o erec! a..??.1' ?-••`-'-'-?•• -???:........ _upoa
the above described premise subject to the provisions of all applicable Ordinances for the City of '£agan.
s
?_ _ . .s• .................................................. Per ••• . ...... oot. ....
. . . . .•-•---......• ..... ..... ...............
...... . ••-•----... 47 . Mayor Building Inspecto?.
Dn mE°- - z a?Z. i, -- T--- 2: ?_..._
B'lILD?i?u? PE'iTT ??);?C?.'?'O?* CHECK
Lot??_ Block Adj.ztiwi
Parcel and seetion rruniuer
Street
Owiier Ada.ress
Develcp-er (f A?dreGs
?,1 ?
Zcne-Ord.inance ?52_ , Vz)
Lo-c Size X Tota1 area
Platte.d &-2 Ur.pa.atted _
Euilding Size X . To :a1 arFa
Occt? pax?.cy ??754
Type of ccnstructlion
Se t-backs a Strept sides
Sides -
Rear
Parkir.go Total area T:;ta1.
Pat°k:l_zig area setbacks a
Street side
spaces?.
Ftear
-- V-) ?
Landscapa a;pprova]. Bol1d re ;u:?red
n c• n
Speuial Asse.,?:.?cntse
SAC chaxge Q $450.00
Water a..reao /)
Assessed '?
Urassessed
I.f a.ssFSSeds ConneL,tioan charga
.if lznassFSSeda Co-r:?ection chiu-ge
Let divisiozza
Adrlitional assessments need?d, Not needed L--
Lateralso ?•
Assessed V? Not assessed ?m
tgaiver of hearing o
N--eded Not needed
Assessm-ant clkoW TrJater & Sezrer Dept? F3uilding Dept _
Police Dept Fire Dept (Comm &- Ind only)
a
?
?
scaLE
I INCH=90FEET-
CER T/F/ CA TE OF SUR t/E Y
? FOR
THE CADE/VCE CORPORAT/ON
_ .;
. ..
:? -
QUA,Q/z Y LXNE
A? .?9 p."'1.3 ",6-
----- 75,Uo _
0 •
?: ETi.?Acx ? i/vf ti
-- -----• -- ? --- - ao. o ?
?1 G.ard.
„
Z 9- 33 0.33--5
fPa
,JDUEL L , b
? 7 ?•.
4
S :
., .
? ' - 73700
'
?
A41
/??K/DG?/.? .u "
' ' .
?
I hersby oertify thot this survey wae,.pre6arad
by me, or un der my direct su psnr is ion , and
that I amta duly Reqisterod Lond Surveyor
under the bws of t State of Minnesota.
- - --- = -- -- ------------- ,
PLn10waG raaNSpx+ra.
Dcft ftg• NO• BAil*R RINGROSE WC
. 7101 yORK AVENUE SOl
i
Crj
-10
-.0
---kj
MASTER CARD
LOCATION
O
OWNER
STRUCTURE AND
LAND USED AS
Permit
No.
Issued Issued To
Contractor Owner
BUILDING
PLUMBING
-
*
CESSPOOL - SEPTIC TANK
- ?
V
'?ELL
ELECTRICAL
HEATING 7673 $ -;L3 -,6
GAS INSTALLING
SANITARY SEWER
OTHER
07HER
Items Ap,proved
(Initial)
Date
Remarks
Distance From Well
FOOTiNG
FOUNDATION SEPTIC
CESSPOOL
FRAMING TILE FIELD FT.
FINAL
ELECTRICAL
HElaTING DEPTH
OF WELL
GAS INSTALLATION ?
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING
WELL
SANITARY SEWER
Violations Noted
on Back
COMMENTS:
COMPLIANCE INSPECTION REPORTS
TO BE USED ONLY IN EVENT OF OBSERVED VIOLATIONS
PERMIT NO. DATE OF INSPECTION
CONDITIONS OF CONSTRUCTION AT THIS INSPECTION
? NO EVIDENCE OF NON-COMPLIANCE
OBSERVED.
? ACCEPTABLE SUBSTITUTIONS OR
DEVIATIONS.
NON-COMPLIANCE. BUILDER 'WILL COMPLY
WITHOUT DELAY.
1-1 NON-COMPLIANCE. BUILDER DOES NOT
INTEND TO COMPLY.
? COMPLETION OF CERTAIN IMPROVEMENTS
WILL BE DELAYED BY CONDITIONS BEYOND
CONTROL.
ITEMIZED AND DESCRIBED AS FOLLOWS:
? REINSPECTION REQUIRED DATE OF REINSPECTION.
REINSPECTION REVEALED
CERTI FICATION - I certify that I have carefully inspected the above in which I have no interest present or prospective, and that I have reported herein
all significant conditions observed to be 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 property inspected.
F-I ALL IMPROVEMENTS ACCEPTABLY COMPIETED
BUILDING INSPECTOR
DATE
COMMENTS:
23
?-- q b. 6?
? 6'?
2008 R.ESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reauirements
3 registered site surveys showing sq. ft. of 4ot, sq. ft. of house; and a11 roofetl areas
(20% maximum lot coverage allowed)
1 Soils Report if proposed building is to be placed on disturbed soil
2 copies of plan showing beam & window s¢es; poured fountl design, etc. '
1 set of Energy Calculations
3 copies of Tree Preservation Plan if lot platted after 711l93
Rim Joist Detail OpGons selection sheet (buifdings with 3 or less units)
Minnegasco mechanical ventilation form
RemodeUReaair Reauirements
2 copies of plan showing fiootings, beams, joists
1 set of Energy Calculations for heated additions
1 site survey for additions & decks
Rddition - indicate if orrsrte septic system
2
, ?
/'°?• /
V
(3fi?ce?se?{?iilv
?ertofS?iveyR?cxl ?' ? ?.,.,N
Soil5 Repdrt `
Tree Pres,Ptan?iecd k"?„?;?,`N
?ree Pres ?tequtred ' s Y ?
Date ?? l L g l D-7 Construction Cost q)qr
Site Address a v?C Unit/Ste #
Description of Work t B ? v- ? ?" ? ? ? ? d ?
Multi-Family Bldg _ Y_ N Fireptace(s) _ 0 _ 1 _ 2
Property Owner Telephone # ( ?j ?t ) ??l b " ? g 2$
Contractor ?.? ??`/L?y GLl? G'(?" ???I S?le ? 77 (!e?
Address : ?
?__?6'?`7 .?? . ? .
City
State Zip t_§:52?F,,7 Telephone # (?p57) 5?i CJ,
COMPLETE TH1S AREA ONLY t'F CON'STRUCTING A N'EW BUILDING
- Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672
Energy COde Cat2gory '. Residential VentilaGon Category 1 Worksheet • New Energy Code Worksheet
(4 submission type) Submitted Submitted
. Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Teiephone # (
Telephone # (
Telephone # (
I hereby apply for a Residential Building Permit and aclrnowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan a.nd the State of MN
Statutes; I understand this is not a permit, but only an applicatian 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. ?
NO-V,R ?R lie
Applicarit's Printed Name Applic 's Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA107915
Date Issued:11/02/2012
Permit Category:ePermit
Site Address: 1350 Quarry Lane
Lot:5 Block: 1 Addition: Donnywood
PID:10-20960-01-050
Use:
Description:
Sub Type:e-Windows/Doors
Work Type:Windows/Doors
Description:House
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 -
Mark A Buck
1350 Quarry Lane
Eagan MN 55121
Window Concepts MN
291 Eva St
St Paul MN 55107
(651) 905-0105
Applicant/Permitee: Signature Issued By: Signature
From:Angela Fjelsted fax:(866)224-9495 To: Far: +1 (651j 675•5694 Page 2 of 2 12J3012014 2:10
Use�Lt�E ar BLACK Ink
�--------
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! Permit Fee: t
5830 Pilot Knob Road I �
� Date Received: �
Eagan MN 55122 �
Phone:(651)b75-5675 � i
Fa�c:(651)675-5694 � Staff: I
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2Q'i4 RE��D�IV�I�L �UtLfi9iiVG PERN91�'APPLlCATB�N � ,�1
���,{�! Si4e Address: �.�.�L� L:c,��f�' r�rZ� �l��:�. ��
Date: �t'� �f'`� '" °� ? , � �- � e r i pJ lJnit#:
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� �Name: ��"�IL1fi�E�, �`�t a:K Phone: �;�9 - G,�(,�- c`7�r��',.,�.,
� R`QSldeht/ F �
r QW11i21' � Address/City/Zip: i��tP.� iv�cr.�,�v�r v �-!� v-r�r�-�i,�u f'�u {
f ,�Applicant is _Owner �Contractor �
�� � Descriptian of work:u.�,�#1 t pv:v✓�w���C e�,'�.4c�:c�c4 c�;�,f ��4-K� �ic�cj t i�% ��c�r��:�C �f F�..��„�gNp.,Mp�.,�.�
; TYp�c�f Work � �
i �- � - . r � �.c:' - �
i � Consfruction Cost_ � Cl�c� Multi-Family Building:(Yes_/No �f'' } �
�� �,Company,.a.,�}cm G^r!°1-�c:^^,e. ���:�c,.�i C;^s �N�. .....,,.a.,. Contact: ���i�"�i �'��.i���,�,�.w.m.—w.,_.M..�..,__�.�
� � � �
z � AddfeSS: [�'���� ��'tE:.Sts!�d l�r?tiJE'i City: �r;''se'r:^�rc�:�t! •�' €
� Cantractor � �
� � State:;�'J Zip:��r<_?�;4� Phone.�,�•i 3�1. �13cE Email: �1('vn�r! �ir.�.^re.�n�.v;��r��;^; l� ��c�u i(.Ce,��.
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�„ ^m.���N� License#: �if (�-£�';71?� Lead Certif�cate#: ��Y"'{� F.� '�r�7`�(.?" 1. �
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� If the project is exempt from lead certification, please explain why: (see Page 3 for additiorral information) �
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t..„...>,.,.,.,.,.�.,....r..,. �.,,.,�.....,...�,...,,,,,F....�w,a..,�.,�.,..w,s..�.....�.,,....w.«,,.,...,.,.,.,.,...�.....aw..a..:.,_,.-.....,.....,-..,�,..w......:�M�..,,,.�...a�.,..,..,,.,...�,.,..,........�.Ka.....�.A....n.,,�.u..,.....,,-,.n-, _....__.,..rw,,.....y...,,�...._ .,,.. .....................,,......
i COMPLETE THIS AE�EA ONLY IF CONSTRUCTING A NEW BUILDING '
_ €,
� 'f,
z In the last 12 months,has the Ci4y of Eagart issued a persnit for a similar plan based on a master plan? '
� �
� _Yes _No If yes,date and address of master pian: �
a
� Licensed Plumber: Phone: �
�
�� �
Mechanical Contractor. Phone:
's �
� Sewer$,Water Contractor Phone }
�t.urr.ea=wa�.en.KV:uneu�va�,�,,.n.a�w �wr�mr:a�w, �.,xam, ��.n.on.w+�:,w .+nsw.mw�w -xvinnr.w�nwarv.�wu�:r.�.:ru,��dw�.m.�.��w�.,:�wa.xm.Y�..v.a,wmw«.+.,m...wa,.ma�:.o a..nr.m,mm,.lNww;w�,M..a�«,,,.m,..wwmmM..mnw.cawxa:ra.��...�w�n�,_�
N�TE:Plans and supportfng documents tfrafyou.sub.mit are considered ta be pubfic infarmafian. Pottiuns of �
� the infarmation may be c(ass�ed as non-public if you proVide specific reasons tha�;would permit the City ta �
�.;.._..�.e��.,,..,.�.�,u,..�.a.�...�._:��.,M�.,......�,,.�,._,�,.,�W conclude thattheyare trade secrefs� m.,��n ..�.�..._.,�.�....��..._�,...,�,...:.>�.„,�.,.. �T„An�:.�,s
CALI.BEFORE Y4U D1G. Call Gopher State One Call at(651�454-0002 for protection against underground u1ility damage. Ca1148 hours �
before you intend to dig to receive lacates of undere�round utiPties. www.¢ay�horstatcareecafLorg
f hereby acknowledge that this information is complete and accurate;that the work will be in conformance witli tbe ordinances and codes of the Ci[y oF
Eagan;that I understand fhis is not a pertnit, @ut only an application for a permit, and woric is not to start without a permit;that the woric will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior wark authorized by a building permit issued in accordance with the Minnesota State Buildirtg Code must be co�repleted within 180
days of permFt issuance. �
i'
X �`�i��'t �:.:i`�:�`;'�C"(1 x,��1.�1���z 1�`��
Applicant's PrinEed Name Applican�5 S�gnature
Page 1 of 3