1465 Thomas LaneY OF EAGAN
3830 Pilot Knob Road
P. O. Box 21199 ,
Eagan, MN 55121
Zoning:
Owner:
SEWER SERVICE PERMIT
PERMIT NO.: 6226
DATE: 1U-19-3 i
No. of Units:
Address:
Site Address: - 1465 Thomas Libre L1 RZ Walden i l^ is
Plumber. Lakeville Plb,? r T
10-7-33 .3914,', 00.0 I'l'
I some to am* wuh the City of Eagan Connection Charge: 425.00 pd
ksOA°? Account Deposit:
k Permit Fee: I n . )1 -d
Surcharge:
By Misc. Charges:
Dote of Insp.: Total:
Insp.: Date Paid:
rY OF EAGAN
3830 Pilot Knob Road
P. O. Box 21199
Eagan, MN 55121
Zoning: it I
Owner: Sunsh
Address:
Site Address:
Plumber: _
Meter No.:
Size:
Reader No.:
1 serve to comply wbh the City of Eoesn
Ordinances.
A.
L7 of Insp.:
WATER SERVICE PERMIT
PERMIT NO.:
DATE:
No. of Units:
Connection Charge:
Account Deposit: _
Permit Fee:
Surcharge:
Misc. Charges: -
Total:
Dote Paid:
00
CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE
19
RECEIVED
FROM
AMOUNT Is
DOLLARS
loo
? CASH ? CHECK
White-Payers Copy
v
Yellow-Posting Copy
Pink-File Copy
Thaq? of?i e
V?
BUILDING PERMIT
To be used for BASEMENT
17338
` I
19-n-
Site Address 1465 THOMAS LN
Lot I Block 2 Sec/Sub. WALDEN HEIGHTS OFFICE USE ONLY
Parcel No. Occupancy FEES
Zoning
W Name DENNIS DECHLY (Actual) Const Bldg. Permit 36.00
Address 1465 THOMAS LN (Allowable) -
00
1
Surcharge
.
city EACAN Phone 454-6058 # of Stories
Plan Review
Length
F Name SAME Depth SAC
City
Z
S? Address '1 S.F. Total .
SAC, MCWCC
City Phone S.F. Footprints
Water Conn
On Site Sewage
W Name On Site Well W
t
M
a
er
eter
48' Address MWCC System -
Q Z
a W
City Phone
City Water Acct. Deposit
-
PRV Required S/W Permit
I hereby acknowlege that I have read this application and state that the Booster Pump S/W Surcharge
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances. Treatment PI
Signature of Permitee?"•• V "-+ APPROVALS Road Unit
A Building Permit is issued to: DENNIS BECHLY Planner Park Ded.
on the express condition that all work shall be done in accordance with all Council
applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies
Building Official
Variance
TOTAL 37'?
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
Re-it #
W
Permit No. Permit Holder Date Telephone #
WATER
SEWER
PLUMBING 512 1411199
HN.A.C.
ELECTRIC
Inspection Date Insp. Comments
Footings I
Foundation
Framing '
Roofing
Rough Plbg. ..y
Rough Htg. -
Isul.
Fireplace
Final Hig. 7 -3 2
Final Plbg. - -?G'
Const. Meter Plbg. Inspector - Notify Plumber
Engr./Plan 6 , n :! A
Bldg. Final
Deck Ftg.
Deck Final
Well
Pr. Disp.
+lni 1
PLUMBING PERMIT
CITY OF EAGAN
CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122
PRICE PHONE 4548100
Site Address
Lot / .
Name UJP
Address
c Q/, City Phone
`zz? 5; 4Z
Address-W-6 00
a City A A/ Phone
FEES
COMMAND. FEE -1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APLLIES
MINIMUM - RESIDENTIAL FEE $12.00
MINIMUM - COMM.IND./FEE $20.00
STATE SURCHARGE PER PERMIT .50
(ADD $.50 S/C PER EACH $1,000 OF PERMIT FEE)
Res.
Comm.
Other
For Off lee Use
PERMIT # %
RECEIPT #
DATE:
WORK DESCRIPTN
New
Add-on_
Repair
NO. FIXTURES
Water Closet - $3.00
Bath Tubs - $3.00
Lavatory - $3.00
Shower - $3.00
Kitchen Sink - $3.00 6A,e
UrinalVBidet - $3.00
Laundry Tray - $3.00
Floor Drains - $1.50
Water Heater - $1.50
Whirlpool - $3.00
Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIT)
Softener - $5.00
Well - $10.00
Private Disp. -$10.00
Rough Openings - $1.50
PERMIT FEE:
TOTAL
STATES S/C:
FOR: CITY OF EAGAN GRAND TOTAL:
CITY OF EAGAN 10 4 3 4
3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121
PHONE: 454.8100
BUILDING PERMIT Receipt #
To be wed fen .. ! r ? it Est. Value Dote 19 show *W?
Site Address 1-' k 5 " iOhll.: 4 c'1 .. Erect p Occupancy
i WL-DEN hTS 1:;T Remodel ? Zoning
Lot Block !---Sec/Sub. Repair ? Type of Court.
Parcel No. Addition ? No. Stories
Name :)F 'v CI kf;i-
19
Address "r
i? City Phone 4 4` - h
Name
Address
s"
City Phone
Name _
Address
Phone
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.
Move ? Length , k,
Demolish ? Depth i
Int Impr. ? Sq. Ft.
Install ?
Approvals Fees
Assessment
Water b Sew.
Police
Fire
Eng.
Planner
Council
Bldg. Off.
APC
Var. Date
Permit
Surcharge i
Plan Review
SAC
Water Conn.
Water Meter
Road Unit
Tr. PI.
Parks
Copies
Signature of Pemuttee Total
A Building Permit is issued to: an the express condition that
oll work shall be done in accordance with all applicable State of Minnesota Statutes and City o? Eagan OrdirwnCSL
Building Official
Permit No. Permit Holder Deft Telephone e
Plumbing
HNA.C.
Electric
Softener
InWection Date Insp. Other
Footings 1 S
Footings 11
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Insul.
Fireplace
Final Htg.
Final Plbg.
Final lid
PIT
CerVOcc.
Water Describe Location:
Well
Sewer
Pr. Disp.
CITY OF EAGAN
i_
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 F`
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be used for
Est. Value
Site Address W5 'THOMAS LANE
Lot I Block a Sec/Sub. WALDEN HBIGHT.i
Parcel No.
a Name ot,V;?IBY
= Address 1465 TAOI?iAS LAWS
City LkCAN Phone
c Name 1-JU EOLITAM FIRM.A=, INC.
u Address - : S;,
City Phone 431-1089
r?
uW
F W Name
_ u Address
X W City Phone
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Signature of Permittee
A Building Permit is issued to: t (Ol?01.ITA-1-F j1 {F IACM,
on the express condition that all vork shall be done in accordance with all
applicable State of Minnesota £.atutes and City of Eagan Ordinances.
Building Official.-
,19
OFFICE USE ONLY
On Site Sewage Occupancy
MWCC System Zoning
On Site Well (Actual) Const
City Water (Allowable)
PRV Required # of Stories
Booster Pump Length
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./Assess. Permit S 24.00
Planner Surcharge .30
Council Plan Review
Bldg. Off. SAC, City
Variance _ SAC, MWCC
Water Conn.
Water Meter
Road Unit
t`C • Treatment Pt
Parks
TOTAL _
Permit No. Permit Holder Date Telephone
Plumbing
H.V.A.C.
Electric
Softener
Inspection Date Insp. Comments
Footings I
Footings II
Foundation
Framing
Roofing
Rough Plbg
Rough Htg.
Isul.
Fireplace
Final Htg.
Final Plbg.
Bldg. Final
Cert. Occ.
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
/1 f p 1
!? a PERMIT # ??lr ai
MEN- IC L PERMIT RECEIPT #
j
4"" CITY OF EAGAN
3630 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: 61 - ffs 7
nunua. wr¦ e4AA
Site Address /49 4442,
Lot i Block _?2 T Sec/Sub
l. 3i BLDG. TYPE
Res.
-
Name Mult
ro Address Comm.
c City Phone Other
Name RES
HVAC 0-1
L
C Address i .
ADDITIONAL 50
p City Phone (RES. HVAC INCLU
1?^KICT011lTIllA 1\
TYPE OF WORK
Forced Air
Boiler
-Unit-Heater
Air Cond.
Vent
Gas Piping Outlets #
Other
M BTU
M BTU
M BTU
M BTU
CFM
FEE:
S/C:
TOTAL:
OR - Ad
WORK DESCRIPTION
New
Add-on
Repair
FEES
GAS OUTLETS (MINIMUM - 1 PER PERMIT)
COMM/IND FEE - 1% OF CONTRACT FEE
APT BLDGS. - COMM. RATE APPLIES
-$24.00
- 6.00
- 1.50 EA.
REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000) ,
SIGNATURE OF PERMITTE
FOR: CITY OF EAGAN
CITY OF EAGAN 8.560
3795 No Knob Road Eagan, MH 55122 -
PHOHEs 454-8100
WILDING PERMIT Receipt
To be wad fos SF DWG/GAR Est.,volue $61,000 Date O ctober 7 , 19_U3_-_
Site Address 1465 Thomas Lane Erect NQ Occupancy R-3
Lot I Block 2 Sec/Sub. Valden Heights Alter ? Zoning P--1
Parcel #'
Repair ?
Fire Zone
TEA
Enlarge ? Type of Const. V
me Name SUnahine Construction Move ? # Stories
i Address 1466 Fichard's Court Demolish ? Length 44
Cit.-Eag an 55122 phone 45L-7485 Grade ? Depth 48 Sq. Ft.
Nome Ozaner Approvals Fees
g u
Address Assessment Permit 3 16 =0C
U
Water 6 Sew. 3 0. 5 0
Surcharge
H r•i... DL.n.,.
Police
Fire
Eng.
'! I City Phone Planner
Council
I hereby acknowledge that I have read this application and state that Bldg. Off. _
the information is correct and agree to comply with all applicable APC
State of Minnesota Statutes and City of Eagan Ordinances.
Plan check '""J"
SAC 525.00
Water Conn. 4;() . nn
Water Meter 60.00
Road Unit 250-00
Total J
Signature of Permittee I
unsi Sine Construct on
A Building Permit is issued to: on the express condition that
all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official r
Permit No. Permit Holder Misc. Permit No. Holder
Plumbing ?) $(,Q L? U ( ?? b -3l
H.V.A.C. l db? ct3 (- I $ 3
Well
Water
Disp.
Sewer
Electric `j$ 70 Et tC . (0-ZO-B,
Inspection Date Insp. Other
Footings 10 {p-g3 (,V 14
Foundation
Framing
Rough PI K
Rough HVA
Insulation
Final Plbg. ?S t ,o/r
Final HVAC ,)4
Final 4w
Water Describe Location:
Well
Sewer v
Pr. Disp.
Receipt PLUMBING PERMIT Permit No.
CITY OF EAGAN Fee `
Fill in numbered spaces S/C
Type or Print legibly
T
t
o
.
1. Date 2. Installation Cost
A)
3. Job Address Lot Blk.
Tract
4. Owner l1,
? J I /a l- :
5. Contractor Phone
s f ' f 'a
6. Address l f" ?? 1
l f
Ci
r S
7 rrI `' '
ty
.
tate f Zip
8. Building Type: Residential It Commercial ? Institutional ?
9. Work Description: New ft1 Add ? Alter ? Repair ?
10, Describe
11.
No. Fixtures
Water Closet No. Fixtures
Cess
ool/Drainfield
Bath tubs p
Septic Tank
Lavatory Softner
Shower Well
Kitchen Sink
Urinal/Bidet
Laundry Tray 1
Other r i
Floor Drains
Drinking Ftn.
` Slop Sink
Gas Piping Outlets
12. 1 hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes overning this type of work.
',
Signed:
for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Receipt MECHANICAL PERMIT
CITY OF EAGAN
Fill in numbered spaces
Type or Print legibly
Permit No. IG
Fee
S/C
Tn+
1. Date-/.' 2. Installation Cost
3. Job Address, - Lot Blk. Tract
4. Owner
5. Contractor Phone
6. Address
7. City State Zip
8. Building Type: Residential 0 Commercial ? Institutional ?
9. Work Description: New El Add ? Alter ? Repair ?
10. Describe
11.
Fuel Type ,
No, Equipment BTU • M. Ea.
Forced Air No. Equipment CFM
Mfg. Air Handling:
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Othe
Air Cond. r
Mfg.
Gas, Piping Outlets
12. 1 hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed
for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
CITY OF EAGAN Remarks p' V' 1.- ? .' I ' /'
Addition WALDEN HEIGHTS 1ST ADDN Lot 1 Rik 2 Parcel 10-83300010-02
Owner Street 1465 THOMAS LANE state EAGAN MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 30q 1976 153, 10,
22 15 61.33 A 1 328 12-19-83
SEWER LATERAL ; ; "•' 1
?., - : i
WATERMAIN
WATER LATERAL
WATER AREA ZZ iqRn 2ofi-sn 13.77 137-70 A.013328 12-19-83
STORM SEW TRK 1994 673-75 134,75 5 539,00 A013328 12-19-83
STORM SEW LAT
1 .4
CURB & GUTTER
SIDEWALK
STREET LIGHT
ROAD UNIT ZS() - 00 39146 10-7-83
WATER CONN. --
450.00 tt tt
BUILDING PER.
SAC it tt
PARK
c CITY OF EAGAN N_ . 10 4 3 4
3830 Pilot Knob Road, P.O. Box 21.199, Eagan, 11155121
PHONE: 4548100
BUILDING PERMIT Receipt #
Site Address 1465 THOMAS LANE
Lot 1 Block 2 Sec/Sub. WALDEN HTS 1ST
Parcel No.
w I Name DE.NNTS ARCHLY
Address SAME.
city Phone 454-6058
Erect XJ Occupancy
Remodel ? Zoning
Repair ? Type of Const.
Addition ? No. Stories
Move ? Length 1_
Demolish ? Depth 14
Int. Impr. ? Sq. Ft.
Install ?
Approwls Fees
o Name
st Adder Assessment Permit 19.00
FFS City Phone Water E Sew. Surcharge 1.00
Police Plan Review
Name Fire SAC
H Address Eng. Water Conn.
<W City Phone Planner Water Meter
Council Road Unit
I hereby acknowledge that I haw read this application and stare that Bldg. Off. 6 / 2 0 / 8 Tr. Pl.
the information is correct and agree to mply with all applicable
State of Minnesota Statutes and Iry Eagan Ordinances. APC
Parma
^
`d
C
•(j / Var. Date Copies
?
e.
?
Signature of Permiftea
20
00
.
Total
A Building Permit Is Issued to: T FNNTG RF.CHT.V an the express condition that
all work shall be done in occa*nce ?.yith all,appliaoble State of Minnesota Statutes and City of Eagan Ordinortces.
Building Official
CITY OF EAGAN No 15985
r f 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 l?
PH ONE: 454.8100
BUILDING PERMIT
To be used for FIREPLACE Est. Value
Site Address 1465 THOMAS LANE
Lot I Block 2 Sec/Sub. WALDEN HEIGHTS
Parcel No
a Name DENNIS BECKLEY
Address 1465 THOMAS LANE
0 City EAGAN Phone 454-6058
p Name METROPOLITAN FTRFPT Af FS , TNG
0< Address 906 SCOTT ST_
P CltysHAKOPEF Phone-1,3.1-70
Name-
Address
City
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Signature of Permittee ---
A Building Permit is issued to: METROPOLITAN FTRF.PLACES.r
on the express condition that all work shall be done in accordance with all
applicable State of M' sofa Stat es and City of Eagan Ordinances.
Building Official--//(?,J?) ---
Receipt #
Date DECEMBER 20 ,19
OFFICE USE ONLY
On Site Sewage Occupancy
MWCC System Zoning
On Site Well (Actual) Const
City Water (Allowable)
PRV Required # of Stories
Booster Pump Length
Depth
S.F. Total
Footprint S.F.
APPROVALS
Engr./Assess.
Planner
Council
Bldg. Off.
Variance
INC.
FEES
Permit
Surcharge
Plan Review
SAC, City
SAC, M WCC
Water Conn.
Water Meter
Road Unit
Treatment P1
Parks
TOTAL
_ Sfl
24.552
1 CITY OF EAGAN N2 17338
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 I
BUILDING PERMIT Receipt # C
To be used for BASEMENT Est. Value $1,500 Date NOV 28 19_89_
Site Address 1465 THOMAS LN
Lot 1 Block 2 Sec/Sub. WALDEN HEIGHTS OFFICE USE ONLY
Parcel No. Occupancy FEES
Zoning
M Name DENNIS BECHLY (Actual) Const Bldg. Permit 36.00
Address 1465 THOMAS LN (Allowable)
S
1
00
urcharge .
City EAGAN Phone 454-6058 # of Stories
828 Plan Review
Length
F Name SAME Depth SAC
City
i
004 Address S.F.Total ,
uQ SAC, MCWCC
City Phone S.F. Footprints
Water Conn
On Site Sewage
w Name On Site Well ter Me
W
?
w er
a
reSS
d MWCC System
aW C
Phone
Y City Water Acct. Deposit
Snv P
it
PRV Required erm
I hereby acknowlege that I have read this application and state that the Booster Pump SAN Surcharge
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Treatment PI
,e
Signature of Permitee A-?+"*a a APPROVALS Road Unit
A Building Permit is issued to: DENNIS BECHLY Planner Park Ded.
on the express condition that all work shall be done in accordance with all Council
applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Olt. Copies
Building Official 1 LAft .Ql[?, 1? Variance TOTAL 37.00
/'v/f9
/?
,?ov
E 81644/,/,
Request Data Fire No. Rough-in Inspection
R fired?
? Ready Now XWII
R
Inspector
q
•-aa -f'1 I
6 Yes ? No an
e
When Ready?
? owner
1 )4'licensed contractor hereby request inspection of above electrical work at:
Job Address (Street. Box or Route No.)
L City
Sec4on No. Township Name or No. Range No. County
D
Oocupant(PRI T) Phone No.
- &X9591
Power Supplier Address
nn 11 C(
Electoral Contractor (COmperry Noma) Contra "L
ic
ens
ee No.
?
Li'
^^
Mailing Address (Contractor or Owner Making Imlellallon)
1-168 IVOX&Aogt, ?A,
AuModzed Signature (Contractor/Owner Making stallation) Phone Number
MINNESOTA STATE BOARD OF ELECTRIC THIS INSPECTION REQUEST WILL NOT
Gdgge lyldway Bldg. - Room 5179 BE ACCEPTED BY THE STATE BOARD
1821 Univeralry Ave., St. Paul, NN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 842-0880 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION Ea00001-0
'er
fl? See ikahuctions for completing this form on back of yells. copy.
E 8 1.6 4 4 X" Below Work Covered by This Request
New Add Req. Typeoffluilding Appliances Wired EqulpmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Other (specify) Contractors Remarks:
Compute Inspection Fee Below.,
# Other Fee # ServiceEntranceSize Fee # Circuifs/Feeders Fee
Swimming Pool 0 to 200 Amps
X 0 to 100 Amps
Transformers Above 200 _ Amps I
1 Above 100 Amps
Signs Inspectors use Only: TOTAL
Irrigation Booms
Special Inspection
Alarm/Communication
Other Fee t
I, the Electrical Inspector, hereby
certify that the above inspection has
been made. Rough-in r
Final oat ??,? f -
Data 'tom
OFFICE USE ONLY
This request void 18 months from
This request void to -ZO L j t g :2t
18 month. from /
.7 `E4'sa
Request D'dik
-
/'? ?y Fire No. Rough-in Inspection
, red? ?(
Ready Now W Will Notify Inspec-
?? ' /
LA! T1 J ;Ky
/'0.'TlVes ?No /motor When Ready
6 Licensed Electrical Contractor I hereby request inspection of above
Owner electrical work installed at.
Street Ad res., Bon
S or Route No.
/`o -h-p,
City
Section No. Township Name or No. Range No. County Z?
? R
Occupy PINT) Phone No.
Pow
upplier Address
?
Elect I CnnI a r (COmpap of Coniractnis L icense No.
Making
r
Mail np Addr (Contractor or oQwwwn'e Installation) A
l
.. /J
Authorized Signature actor/Owner Maki g nstallation) Phone Number
- $ al 9
THIS INSPECTION REQUEST WILL NOT
MINNESOTA STATE BOARD OF ELECTRICITY
Griggs-Midway Bldg. - Room N•191 BE ACCEPTED BY THE STATE BOARD
UNLESS PROPER INSPECTION FEE IS
1821 University Ave., St. Paul. MN 55104
pe....e rRVt >9L>111 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION
/? Ir see instructions for completing this form on back of Yellow copy.
A`R 7 "X" Below Work Covered by This Request
EB-00001-95
giigov
qdd Rep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Lighting Fixtures
Apt. Building Dryer Electric Heating
Commercial Bldg. Furnace Silo Unioader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm n - Drher (Specify)
t er Suecify D e Orher
Comoute Inspection Fee Below '
a Fee Service Entrance Size b Fee Feeders/Subfeeders M Fee Circuits
0 to 200 Amps - 0 to 30 Amps 0 to 30 All
Above 200 Amps 31 to 10Amps
2 31 to 100 Am
Swimming Pool _ Above 10
6 Amps Above 100-Amps
Tcum _fonnerS Irrigation Booms Partial 'Other Fee
Si
ns Special Inspection
g $ -
TO
emarks r T
V
Rough-in - 1
C/' /ate y.
^ the Electrical
C???? Inspector, hereby
certify that the above
Final Date
r3 3 'nspection has been
o r- do.
This request Vold 18 months from
This request void
mnths from
9 5 4 9 o )
GI Aa ?611
7-irl5zCo U
Request Da Fire No. Rpugh-in Inspection
Requ netl,
dy Now Q Will Notify. Inspec-
ea
for When
No Ready
?Yes
Licensed Electrical Convector I hereby request inspection of above
owner electrical work installed at:
Street Address, Box or Route No. City ?
.y)
,
ection No. Township Name or No. ange o. County
(PRI
Occupant ) Phone No.
eL? .S? -?s'or3
Power Supplier Address '
Electrical Contractor (Company Name) Contractor's License No.
HARRISON ELECTRIC Inc. 421867
Mailing Address (Contractor or Owner Making Instaitationl
3640 Mo an bivenue No. Minneapolis, MN 55412
Authorii
r ( ?n t r Ma k' Ins[allationl Phone Number
) 521-0520
MINNNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
MINESOTA S - Room LE BE ACCEPTED BY THE STATE BOARD
G-Midwev Bids. N-191
1821 University Ave., St. Paul. MN 66104 UNLESS PROPER INS PECTION FEE IS
Phone(612)642-0600 ENCLOSED.
5/-t?//$ 7 REQUEST FOR ELECTRICAL INSPECTION JIM ES-000001-05
/ It See instructions for completing this tor. on back o1 Yellow copy.
Ills Q G A C•a "X" Be/ow Work Covered by This Request
h1e4Addl Rep.l Type of Building I Appliances Wired I Equipment Wired
I I I I Industrial Bide. 1-.d-Air Conditioner 1 I Bulk Milk Tank I
g Fee Service Entrance Size a Fee FBedersrSubfeader8 g Fee Circuits
U to 200 qm s
I 12 30 Am s
0 0 to 30 Am s
Above 200 gmps ,
3to 100 Amps 31 to 100 A
Swimming Pool Above 100-Am s Above 100_Am s
Transformers irrigation Booms Partial.'Other Fee
.5°
.,,.,.v..
- I, the ectrical
If I Inspector, hereby
A ,
ey that the above
Final O?tela-linspnepeetion has been
made.
? 5 d
This request void
virdifiratr of (Orrupaury
Citp of (Eagan
Drpartnrm of Builbing Jnsprrtion
This Certificate issued Pursuant to the requirements of Section 306 of the Uniform Building
Code certifying that at the time of issuance this structure was in compliance with the various
ordinance of the City regulating building construction or use. For the following:
u..c,,e..e® SF DWG.GAR. MS.NmIN. 8560
o-stye. R-3 TrF.cm.?m V FiwZa.. NA z..mMD.W R-1
D`m oe BWldNe Sunshine Const.,,dd.a 1466 Richard's Ct.
1465 Thnmaa Tana. ... T.ntI RI 9 w.t Acre L
By:
Buds gofflwi ?.g D,.,: November 23, 2983
CITY OF EAGAN NO 8560
3795 Pilot Knob Road Eagan, MN 55122
PHONEt 454-8100
BUILDING PERMIT Receipt #
To be used for SF DWG/GAR Est. Value $61,000 Date October 7 , 19 u-
Site Address 1465 Thomas Lane Erect an
Occu R-3
p
cy
Lot 1 Block 2` Sec/Sub. Walden Heights Alter ? Zoning R-1
Repair ? Fire Zone NA
Parcel #
Enlarge ? Type of Const. V
x Name Sunshine Construction Move ? ! Stories
z Address 1466 Richard's Court Demolish ? Length 44
city Eag an 55122 Phone 454-7485 Grade ? Depth 48 Sq. Ft.
z Name Owner Approvals Fees
Address
Name
Address
Assessment -
Water & Sew.
Police
Fire Eng.
Planner -
Council _
Permit '?v 0 VV
Surcharge 30.50
Plan check 158.00
SAC 525.00
Water Conn. 4 50. D0
Water Meter 60.00
Road Unit 250.00
I hereby acknowledge that I have read this application and state that Bldg. Off.
the information is correct and agree to comply with all applicable APC
State of Minnesato Statutes and City of Eagan Ordinances.
Signature of Permittea
Sunshine Construction
A Building Permit is issued to:
all work shall be done in accordance with all applicable State of Miga
Total $1789.50
on the express condition thn,
y of Eagan Ordinances.
Building Official
4L? M
Ju9? ?? CITY OF EAGAN
/?y? S? p? r far BUILDING PERMIT APPLICATION
To Be Used For Valuation
Site Address L4 ?- !te n s no I Le u e,
Lot / Block Z sec./Sub. Wa EN ?+SErect J
Parcel #:
Owner: -')(A IAC1AIM10 T C onrfi
Address: 1 TES ?\ I ?C?? «p L?au
city/zip code- 6 u i 2 Z
Phone #: gSy- (vIFiT-
Contractor: SffwC? a? c
Address: ?? D c/CJ
City/Zip Code:
Phone #:
Arch./Eng.: X72&( Y
Address: e /
City/Zip Code: _
Phone #:
Include 7 sets of plans,
1 site plan w/elevations &
1 set of energy calculations.
Date Jr B
OFFICE USE ONLY
Occupancy T I<3 --
Alter zoning 4
Repair Fire Zone
Enlarge Type of Const.
-
Move # Stories
Demolish Front ft.
Grade _
Depth _ yX ft.
APPROVALS FEES
Assessments Permit 4/(e ?
?9ater/Sewer surcharge '?0?
Police Plan Check
Fire SAC y
Eng. Water Conn. '4,S-6 =
Planner Water Meter / D lap-
Council Road Unit a' @r
Bldg. Off.
APC
217PAL -19- ' SCD
G-?, U
J O
? ,O O
City of Evan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
2008 RESIDENTIAL BUILDING PERMIT
------------------
For OHice Usv/e / ''1
j Permit #: 7--O 7Ot j
Permit Fee:p?.
Date R ived. 1 V? l
I?
I Staff: 1??? I
I I
APPLICATION L_6 65?Fl
Date: ?? 7 v Site Address: 7174 W 1-r 0"
Tenant:
Suite #:
RESIDENT/OWNER Name: ?111114( ' E f- IL, Phone:
Address/City/Zip: /961
Applicant is: _ Owner zz?__Bontractor
TYPE OF WORK Description of work: /Z-1 o -1 4 ddi?s
Construction Cost: <tu o Multi-Family Building: (Yes / No
CONTRACTOR Name: &,--' e.., o? c/s License #: /J-ls
Address:o2/ d J 1 y3 S?
/*?t/ Zip: ?.?3 d 6
S
e:
City: ?G 4. r t/ i C?c
ttat
--
-
?
'
Phone: 9c5? - 9 %'/1t - 6_9 a o Contact Person
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7672
_ Minnesota Rules 7670 Cateaorv 1
_
Energy Code • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
Category Submitted Submitted
(J submission type) • 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?
_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 the are trade secrets.
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 77;;;
Applicant's Printed Name Applicant's Signature .
Page 1 of 3
SUB TYPES
DO NOT WRITE BELOW THIS LINE
? Foundation ? 05-plex ? 16-plex ? Accessory Building ? Pool
fl Single Family ? 06-plex ? Fireplace ? Porch (3-season) ? Ext Alt. - Multi
? 01 of - Plex ? 07-plex ? Garage ? Porch (4-season) ? Ext Alt. - SF
? 02-Plex ? 08-plex ? Deck ? Porch (screen/gazebo/pergola) ? Multi Misc.
? 03-Plex ? 10-plex ? Lower Level ? Storm Damage
? 04-Plex ? 12-plex ? Miscellaneous
WORK TYPES
? New ? Interior Improvement ? Siding ? Demolish Building"
P Addition ? Move Bui lding ? Reroof ? Demolish Interior
? Alteration ? Fire Repair ? Windows ? Demolish Foundation
? Replacement ? Egress Window ? Water Damage
' Demolition (entire building) - give PCA handout to applicant
DESCRIPTION:
Valuation B oc o .^ Occupancy e- I MCES System
Plan Review Code Edition M-A-2 1 SAC Units
(25%_ 100% Zoning ?- l City Water
Census Code 113 4 Stories Booster Pump
# of Units Square Feet 43 PRV
# of Buildings Length Fire Sprinklers
Type of Const Width 3 / 1,
REQUIRED INSPECTIONS
Footings (new bldg) Sheetrock Meter Size :
Footings (deck) Final/C.O.
_
Footings (addition) W Final/No C.O.
Foundation p HVAC
Drain Tile Other:
Roof: PIce & Water ?d Final Pool: -Footings -Air/Gas Tests -Final
Za Framing Siding: -Stucco Lath -Stone Lath -Brick
Fireplace:-r R.I. NPAirTest Final Windows
Insulation Retaining Wall
Reviewed By:
-17
Building Inspector
RESIDENTIAL FEES:
Base Fee /
t o w ee l IjCI y3 S X
1 o
Surcharge mA,PA Level 43s
Plan Review
MC/ES SAC y
1! / q (fp? , 6d
?
City SAC O
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
Total
Page 2 of 3
Oct 07 08 03:49p Tom Ellis
(952) 898-7198 p.2
Compliance Certificate
Energy Code: 2000 Minnesota Energy Cade
Location: Dakota County, Minnesota
Constriction Type: SIngie Family
Glazing Area Percentage: 18%
Climate Zone: 2
Construction Site: Owner/Agent: Designer tractor.
Compliance: 7.3% Better Than Code Maximum UA: 123 Your UA: 114
Ceiling 1: Flat Ceiling or Scissor Truss 100 44.0 010 3
Ceiling 2: Cathedral Ceiling (no amc) 346 44.0 0.0 8
Wall 1: Wand Frame, 16" o.a 786 19.0 0.0 45
Door 1: Glass 20 0.330 7
Basement Wall 1: Masonry Block with Empty Cells 262 13.0 0.0 7
Wall height: 4.0'
Depth below grade: 3.5'
Insulation depth: 4.0'
Window 1: Basement <= 5.6112:Wood Fmme:Doutde Pere with 'i51 0290 44
Low-E
Compliance Statement: The proposed building design described here Is consistent with the building plans, specifications, and other
calculations submitted with the permlt application. The proposed building has been designed to meet the 2000 Minnesota Energy Code
requirements in RR/nEEScheck Version 4.2.0 and to comply with the mandatory requirements listed in the REScheck Inspection Cheddist.
Name - Title ' Signature D is
Prgeet Title: Report date: 10/07108
Data filename: CAProgram FIIes%ChecklRESchedk1Bechlyrdk Page 1 of 3
DELMAR H. SCHWA
LAN SURVEYOR IS Imp
w :The Stab o/ Mfnnata
RNistwed Untl: L..Su
2878 - 145TH STREET W. - BOX M ROBEMOIMS, MINNESOTA St PHO 877 4231789
l?\ W
?PN4B SURV CERTIFICATE
" IV94C ? 26lB ? P'
TcP• ,VaD
4B.oB 30. qg 3 A
I
Drainage & M
utility
easement aoPt
-?I j? tlv o y
N
°p L d T 9z4 Z, sz.ss - f psu',aal ?y" i
zs67 ? `? °• I. o ?` `
$ Pti"? fr , I` r
` a
-? ? q Teo u+
'Cti /39. 6/ N87-S'I- 33E" ? 3°
?qu.zf
SCALE: 1 inch - 30 feet ycPNuB
CS Denotes existing elevation
? Denotes set wood hub Proposed garage floor from development
C)Denotes proposed,elevation plan 92?.b
ar-Denotl* proposed drainage
I hereby certify that this is a•true and correct representation of
Lot 1, Block 2, WALDEN HBIGRTS FIRST ADDITION, according to the
recorded plat thereof, Dakota County, Minnesota.
Also showing the location of a proposed house as staked thereon.
Dated: October 5, 1983
r,
r g
r
RESIDENTIAL ate.
C,?3c' BUILDING PERMIT APPLICATION
CITY OF EAGAN 1
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New construction Requirement
• 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 saes; poured found design, etc.)
• 1 set of Energy Calculations
• 3 copies of Tree Preservation Plan if lot platted after 7/1193
• Rim Joist Detail Options selection sheet (bldgs with 3 or less units)
DATE e
SITE ADDRESS 1
TYPE OF WORK
APPLICANT-
STREET ADDRESS
TELEPHONE #7M
Remodel/Repair Requirements
• 2 copies of plan
• 1 set of Energy Calculations for heated additions
• 1 site survey for exterior additions & decks
• Indicate if home served by septic system for additions
VALUATION
'&&
PROPERTY OWNER S TELEPHONE # 6J' - 901-&&
COMPLETE FOR KNEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category
(J submission type)
Plumbing Contractor:
MINNESOTA RULES 7670 CA'T'EGORY t _ MINNESOTA RULFS 7672
• Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing system includes:
Mechanical Contractor: _
Mechanical system includes:
Sewer/Water Contractor:
Phone #
I hereby acknowledge that I have read this application, state that the information i orrect, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant
OFFICE USE ONLY
Water Softener _
Water Heater
No. of Baths
Phone #
Lawn Sprinklgr) ( nJ q ` 8
No. of R.I. Baflas L5
lI CCT 2 8 2002
uLI
Phone #
Air Conditioning
Heat Recovery System
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 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 (Bldgp ? 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 INSPECTIONS
- Footings (new bldg) _ FinaVC.O.
- Footings (deck) _ Final/No C.O.
- Footings (addition) _ Plumbing
_ Foundation _ HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
- Framing _ Siding _ Stucco _ Stone
- Fireplace _ R.I. - Air Test - Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Building Inspector
RESIDENTIAL
BUILDING PERMIT APPLICATION
i CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122 /
651-681-4675
New Construction Reaulrements RemodeyRepair Reauirements
• 3 registered site surveys growing sq. ff. of lot, sq. ft. of house; and all roofed areas • 2 copies of plan t
(20% maximum lot coverage slowed) • l set of Energy Calculations for healed addition
• 2 copies of plan showing beam & window sizes; poured found design, etc.) 1 site survey for exteror additions & decks
• 1 set of Energy Calculations • Indicate If home served by septic system for addaons
• 3 copies of Tree Preservation Plan r of platted after 7/1/93
• Rim Joist Detail Options selection sheet (bldgs with 3 or less units)
DATE 5 I ?) -U :? VALUATION U 375.dO
SITE ADDRESS 1 L'6-? MULTI-FAMILY BLDG _Y _N
TYPE OF WORK FIREPLACE(S) 0 1 2
APPLICANT )°' C 0 r/ n C -0 '
STREET ADDRESS qL `1 ?V xplc, 4a CITY An Q,PLL0'1' ATE_ZIP'YJ 'j,1
TELEPHONE # P I- 191 y CELL PHONE # I n) 1. 901- 1-7 (n FAX #
PROPERTY OWNER A o n y\VS C IS I I TELEPHONE # ?S -4S L1`G Ll?
------------------------------------------------------------°---------------------------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ MINNESOTA RULES 7672
(J submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor: __
Plumbing system includes:
Mechanical Contractor: _
Mechanical system includes:
Sewer/Water Contractor:
Water Softener
Water Heater _
No. of Baths
Air Conditioning
Heat Recovery System
Phone #
Lawn Sprinkler
No. of R.I. Baths
Phone #
Phone #
Fee: $90.00
Fee: $70.00
----------------------------------------------------------------------- --- -°-------- -- ----------------------- -
hereby acknowledge that I have read this application, state that the information is c act and a r ly
with all applicable State of Minnesota Statutes and City of Eagan Crain ces.
Signature of Applicant
---._._............ _._ .................. .--....... ........?
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Aft- Multi
? 03 01 of- plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 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 INSPECTIONS
- Footings (new bldg) _ Final/C.O.
- Footings (deck) _ Final/No C.O.
- Footings (addition) _ Plumbing
_ Foundation _ HVAC
_ Drain Tile Other
Roof _ lee & Water _ Final - Pool _ Ftgs _ Air/Gas Tests _ Final
Framing - Siding _ Stucco _ Stone
- Fireplace - R.I. - Air Test - Final _ Windows (new/replacement)
- Insulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Building Inspector
Total
Certificate for:
,Sunshine Construction
DELMAR H. SCHWA
LAN SURVEVOR'+1
RpiBMW UnMr Law / Ttla Statt Of Minna to
2878 - 145TH STREET W. - BOX M ROSEMOIIM[?MINNESOTA PH 6612 423-1769
IRMY CERTIFICATE ti
9sb ?2
7 be#u's
It - ?P N B G
4-1
i. I r" g q
t
Drainage &
utility
easement oI
? Ala
L d T 9?.=
I
I ?
•3
? sl ` I J
g
s\I
yI4 I to
,? 2 Z
a I ? ?
X39, ?? ?YS7-sI- 33E
'?g26.af
SCALE: 1 inch - 30 feet jW Ave
07.E Denotes existing elevation
O Denotes set wood hub
C)Denotes proposed elevation
s- Denotes proposed drainage
X 7 - > .
H N `V
\? v
ugZSi
0 ?F cukBl ?
N
aL p
r, i
8 x qZS 4
A 7A"!t+
Proposed garage floor from development
plane ?7,7.(o
I hereby certify that this is a?true and correct representation of
Lot 1, Block 2, WALDEN HEIGHTS FIRST ADDITION, according to the
recorded plat thereof, Dakota County, Minnesota.
Also showing the location of a proposed house as staked thereon.
Dated: October 5, 1983
MINNESOTA REGISTRATION NO. 8625
Weatherstrt' Aa H V k
ps Construction No.
?. Guide
bws . Ds ReferenceOut. Wall Int. Wall Ceiling
-Nro Yesoor-No 19-
1-1 D?P? Room Length 7l/.a Width /(1011 Height glo"
windows end Doors-Crackaue anld? Area II
No. Width
of Dan. Haight
of pan. Nu, of
II!htt L[nul ft.
of crack Ana
q. ft
! )1 , l! 1 14 10
;f
ZLE q
Coef. Btu
infiltration
Class
Exp. wall
Net exp. wall
Int. wall
Floor
Cell.
Total Btu.
Rewired sq. ft. E.D.R. or sq. ins. WA. Leader area
nI LiV7/?Q Room Lengthoj&lrwidth
Windows an Doors-Crackasre and Area
No, Width
of D... Het .ht
of Dan. No. of
light. Lie.0 ft
of crack Area
q. it
1, O 11 C'
C«f. Btu
Infiltration
Mss
Exp. wall
Net exp. wall
Int. wall
Floor
Ceil.
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
/ Fl.) DiWIY61 Room I Length U 1011 Width )Q
Windows an Doors-Crackarfe and Area
No. W nllh
of Dana "eight
of Dane No. o[
.1. to Lineal ft
of crack A.M
F. [t.
/, ,l It
Coef. Btu
Infiltration Q Q
Glass p
Exp. wall
Net exp. wall Jai
Int. wall
Floor
Ceil. 1 110
Total Btu.
Required s:7. ft. E.D.R. or sq. ins. WA Leader area
To+k 4,L = 50, L)OI Abc
Floor
....t
Jstsalation
Kind How
om Length / a Width
_1'.a?4aon And Area
No, Wtath
of pa.. H.I.ht
of paw No. o[
ll.hb 1JOU1ft.
.f track Art.
e. fl.
T Coef. Btu
Infiltration qO L320
Glass
Exp. wall
Net exp. wall 7
Int. wall
Floor
1
(.?.
0/
Total Btu.
Reouired aq. ft. E.D.R. or sq. ins. W.A. Leader area
Winrlnwa and Iktnrs-Crackatfe
No, Width
of pao. Ile tool
of pant No. of
I"". l.lnul It
of crack Area
p. it.
Coef. Btu
Infiltration 7 Q tqo
Glass
Exp. wall
Net exp, wall
Int. wall
Floor
Coil. 7
Total Btu.
Required sq. ft. E.D.R. or sq. iris. W.A. Leader area
Fl.1 '4 Q Room I Length /??QII Width
Windows and Doers-Craekaee and Area
No. W IJtn
of pma H.I.EI
of,pm. No. of
Il.h0. Lineal It.
of crack
Aru
.e. I0.
,
t) f ,1
COCE. Btu
Infiltration Q
Glass Q I
Exp. w•ali
Net exp. wall Q f
Int. wall
Fltwr
Cal.
11 _Total Btu.
Required sq. ft. E.D.
'15 M or NO PO
or act. ins. W.A. Leader area
G'indows, Doors Reference Out. Wall Int. WaN Ceiling
Zuc
2'e Yes-No 19_ _
l FLT `s 91) Room LenitthV6lirl"Width 11711MIRWobiAf/tlf
Windows and Doors-CrackRe and Area
Hat ht
.[pane Ne. u;
Ilfhle Ll owl (l.
of crack Ar.a
p. It.
i 11
r
Coef. Bt
lju?filtratiou
Glaze
Exp. wall
Net exp. wall 7
Int. wall
Floor
Ceil. 1 +?
Total Btu.
Rewired sq. ft. E.D.R. or sq. ins. W.A. Leader area
Fl.? Room) Length 17 f N Width' f' Height f Ji
Windows a nd Doors -Crackage and Area
Now Width
of pane NeICM
of p.ne Ne.ef
Ilchte Lineal It.
of crack Ana
m. It.
Coef. Btu
Infiltration _
Glass
Exp. wall
Net exp. wall `7
Int. wall
Floor
Cell.
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Fl. Room jLengthqs if Widths f/ Height / 11
Wi ndows a nd Doors -Cracka ge and A rea
idth
pane Ilelchl
f pane No. of
Ilrht. Lt...I ft
of crack Area
p. ft.
Coef Btu
n
g
Exp.
wall
Ceil. '
Total Btu.
Required s,. ft. E.D.R. or sq. inf. WJL Leader area
Floor II Kind How
Fl.I All Room Length
Windows and Doors--Crackage
- d.t.h. NHCht
of Pape No of
licit. LI...1 ft.
at track Area
ae. ft.
j
j ffl
j , II
?r N
i 11
,jq
11,1
12-W
1
I
f 1 % N
Coef. Btu
Infiltration 1 • -
Glass 96 mtm
Exp. wall
Net exp. wall 6) q
In t. wall ey
Poor
"
1
_r.a.
,
TotalRtu. inP) Flo r7g/i ,7 17 I /I
r
Required sq.fL E,D.R. or sq. ins. W.A. Leader area
FI.I Room I Length Width Height
Wi ndows an d Doors-Cracka ge and Ar ea
No, Wl?th
of pane Helcnt
nt paoa No. of
11th(. Llusl ft.
of eratk Area
q. tt.
Coef. Btu
Infiltration
Glass
Exp. wall
Net exp. will
Int. wall
Floor
Ceil.
Total Btu.
Required sq. ft. E.D.R. or sq. iris. W.A. Leader area
F1.1 Room I Length Width Height
Windows and Doors--Crackage and Area
No. Width
of p. ne Ilelchl
of,p... No. of
Inch(. Lineal ft.
of crack Are.
Q. It.
Coef. Btu
Infiltration
Glass
Esp. w•aC
Net exp. wall
Int. wall .
Floor
Ceil.
I olal )Stu.
RcgLired sq. ft. E.D.R..or sq. ins. W.A. Leader area
r
City/Zip Code &aq qn S,:r/AA
Phone Vs-q- &D r?
1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
To Be Used For: 1)eck Valuation: )/00 Date: 6110/&s-
Site Address: /SIGs" ThoM
s
,
/c,c OFFICE USE ONLY
rr
..
II
Lot: _1 Block Sect/SWY6tdz-,- Erect X Occupancy
li-T Y + .Remodel _ Zoning
Parcel 0 Repair Type of Const
-b Addition
1 # of Stories
Owner
e 0AJr ecM
Move Length 1L
Demolish Depth
Address 141.5 'TLio pr Int.Impr, Sq Ft
Install
Contractor
Address
City/Zip Code
Phone
Arch./Engr.
Address
City/Zip Code
Phone 11
APPROVALS FEES
Assessments Permit ?°1•-
Water/Sewer Surcharge
Police Plan Review
Fire SAC
Engr Water Conn
Planner Water Meter
Council Road Unit
Bldg Off l-)R-$TSTreatment P1
APC Parks
Variance Copies
TOTAL 1 vv
1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
j5 qg-
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL &
1 SET OE SPECIFICATIONS AND 1 SET
STRUCTURAL PLANS,
OF ENERGY CALCULATIONS
/
To Be Used For:l-a ? c,,, _ Valu/0-010 Site Address
tion: _? Date: /a-
Lot L Block i
Parcel/Sub 4p,,
Owner bauw(S eecLl 5?ti
Address & $-Tk M45 Zn c.
On site sewage
MWCC system _
On site well
City water _
PRV required
Booster Pump
City/Zip Code T,j j S(a a
Phone 41,5`/- co 0S9 APPROVALS
Contractor
c.aauaaca-
Address 'g-C& $ o ?? 5 Council
Bldg. Off.
City/Zip Code /yt` .Zc 573?5 Variance
Phone 70
Arch./Engr.
Address
City/Zip Code
Phone #
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F.
FEES
Permit
Surcharge
Plan Review
SAC, City
SAC, MWCC -
Water Conn
Water Meter
Road Unit
Treatment P1
Parks
Copies
TOTAL
s
ay 0")
50
v
f
. ?l
0•*
36.00+
1 .()0+
3!•00*+
1
SINGLE FAMILY DWELLINGS
1989 BUILDING PERMIT APPLICATION
CITY OF EAGAN
I'733
MULTIPLE DWELLINGS COMMERCIAL
k
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCS. (CHECK WITH BLDG DIV.) i SET OF SPECIFICATIONS
1 SET OF ENERGY CALCS. 1 SET OF ENERGY CALCS.
MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF UNITS
NOTES ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED..
SEWER & WATER PERMIT FEES AND ACCOUNT DEPOSIT FEES WILL BE INCLUDED WITH THE BUILDING
PERMIT FEE. PROCESSING TIME FOR SEWER AND WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS
BEEN COMPLETED INDICATING A LICENSED PLUMBER.
PENALTY APPLIES WHEN: PERMIT IS NOT PAID FOR IN SAME MONTH IT IS REQUESTED.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
To Be Used For: gqSev",f' +btir4 Valuation: /Soo Date:
Site Address /yloS 7ho-was Lar»e
Lot Block _
Parcel/Sub ?a lwtm t
Owner Zenn1S Bechly
Address Nlos' 7'ha«or Loos
City/Zip Code Ea a 0.4 S"5/ l .;l
Phone N= '/SS/- (v?SB W.' 1W -6160
Contractor Se /-r
Address
City/Zip Code
Phone
Arch./Engr.
Address
City/Zip Code
Phone #
Occupancy FEES
Zoning
Actual Const Bldg. Permit ??.
Allowable Surcharge
0 of stories Plan Review
Length SAC, City
Depth SAC, MWCC
S.F. Total Water Conn
Footprint S.F. Water Meter
Acet. Deposit
On site sewage S/W Permit
On site well S/W Surcharge
MWCC System Treatment Pl.
City water Road Unit
PRV required Park Ded.
Booster Pump Copies
SUBTOTAL
APPROVALS Penalty
Planner TOTAL Krn
_
Council
Bldg. Off. EjoI1rL2
Variance
A 11
I
¢
jd?
y
Permit #: L
I 4
I Permit Fee:
I
Date Received:
I -
I
I Staff:
L---------
// y 2C0/08 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: ! 1?l 1"V b Site Address: f &L 1-120, e f' e-,,4 Ae
Tenant:
Suite #:
RESIDENT/OWNER Name: Phone:
Address/ City /Zip:
f9(/
W
CONTRACTOR Name:
License #:
/
Address:
U rJ?,IS64 vt Ct Ch 64
°?-- ^7
l?
l
51// ?Q State: ? Zip??-' -7J
City:
t
?i
Phone: 691A 3 a & Contact Person: ?C S? r
TYPE OF WORK -New Replacement Repair X Rebuild _ Modify Space _ Work in R.O.W.
Description of work:
PERMIT TYPE RESIDENTIAL
Water Heater Water Softener
_ Lawn Irrigation a, Add Plumbing Fixtures
I RPZ / _ PVB) (_ Main X 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 Tumaround* (includes $.50 State Surcharge)
'Water Turnaround (add $147.00 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 $
V
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 appcw3l of plans.
x ? ?I ec? se ( x eA
Applicant's Printed Name Applicant's Signature
- - - - - - - - - - - - - - - - -
??
I Permit #: I
I yyid? I
Permit Fee: ? O
I
I Date Received: I
I I
Staff:
-----------------
2008 MECHANICAL PERMIT APPLICATION
Date: 1 13 ?? Site Address: V I{ jr ?- W L-?)
Tenant:
Suite #:
n
:-t
,5;)--01s `&q tom'
i.L NP?N 1S Ph
RESIDENT / OWNER -
o
e
Name:
Address /
Ci
y /
Zip: 14 to S -rkoyn S L?
t
/
W,
Name: &lE51S Eri-77t-1 et Ak, License
CONTRACTOR
M
Address: 1500-(
lj Toc) "
?r qq
..?
City: Pf-104- ?TTLk- State: tt?N_zip: J? 37Z
Phone. &I 3.z) ` 1,S 37 Contact Person: i" i tLE, L.I,ATi
TYPE OF WORK New Replacement -Additional )<_Alteration _Demolition
n
= ?"?
?
C
?
J
-
Descriptlon
of work: - U
NOTE Both root mounted and gi'ourld mounted mechanical equipment Is required to
se screeuraed b? bity Codes Please Conta?} the N1 ahankili Inspector prone of t/re
' Planners tbn formation orr, ermitfezt sareenin methods. "
RESIDENTIAL COMMERCIAL
PERMIT TYPE Furnace (9 #,s -to (7I - New Construction - Interior Improvement
Air Conditione4kS 44O PC, Install Piping - Processed
Air Exchanger Qo _ Gas _ Exterior HVAC Unit
HVAC units must be screened
_ Heat Pumnnp-- ry1- , ^
Other ?P 1 r I AFL Under / Above ground Tank Install / _ Remove)
" When installingtremoving tank(s), call for inspection by Fire
Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge)
$90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
$ TOTAL FEE
COMMERCIAL FEES:
$70.50 Underground tank installation/removal OR Contract Value $ x 1%
$50.50 Minimum (includes State Surcharge)
$ Permit Fee
- If Permit Fee is less than $1,000, surcharge is $.50.
- If Permit Fee is > $1,000, surcharge increases by $.50 for each =$ State Surcharge
$1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge).
$ TOTALFEE
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance
I understand this is not a permit, but only an application for a permit, and work is not to s)Ac out a
plan in the cas of work pwhich requires a review and approval of plans.
x-Ail Pl F- l L y Applicant's Print Name nt's
es of the City of Eagan; that
will .A„n a ordance with the approved
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1465 Thomas Lane
Lot: 1 Block: 2 Addition: Walden Heights
PID:10- 83300 - 010 -02
Use:
Description:
Sub Type:
Work Type: Gas Fireplace (new)
Description:
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Hearth and Home Technologies
2700 N. Fairview Ave
Roseville MN 55113
(651) 633 -2561
PERMIT
City of Eaan
e- Fireplace Construction Type:
Census Code: 434 - Occupancy:
Chimney /flue must be inspected prior to concealing. Smoke detectors are required in all sleeping rooms prior to final
inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are
acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector.
Wendy Schroeder
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total: $90.00
Applicant/Permitee: Signature
- Applicant -
Owner:
Dennis F Bechly
1465 Thomas Lane
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
Issued By: Signature
Building
EA087302
11/05/2008
ePermit
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply with all applicable State
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1465 Thomas Lane
Lot: 001 Block: 002 Addition: Walden Heights
PID:10- 83300 - 010 -02
Use:
Description:
Sub Type:
Work Type:
Description:
e - Water Heater
Replace
Water Heater
Meter Size Meter Type
Comments:
Fee Summary:
Contractor:
Ben Franklin Plumbing
32018 Dahomey Ave.
Northfield MN 55057
(507) 645 -4037
Total:
Manufacturer
Gary Kes
32018 Dahomey Avenue
Northfield, MN 55057
PL - Permit Fee (WS & /or WH)
Surcharge -Fixed
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Serial Number Remote Number
Owner:
Dennis F Bechly
1465 Thomas Lane
Eagan MN 55122
$50.00 0801.4087
$0.50 9001.2195
$50.50
Issued By: Signature
Plumbing
EA087510
11/19/2008
ePermit
Line Size
•
4006
City of Eaaafl
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
RECEIVED
APR 1 8 2012
Use BLUE or BLACK Ink
For Office Use J
Permit #: 1. q--10:-/
��✓°_'
Permit Fee:
Date Received: % _ // / /
Staff:
J V
2012 RESIDENTIAL BUILDING PERMIT APPLICATION Ci , L
"1
Date: Site Address: Unit #:
RESIDENT I
OWNER
Name::) .1')r) i 5 B -Cil / Phone: 69 - 454 - tehJ-8
L
Address I City I Zip: ,:�
Applicant is: Owner Contractor
TYPE OF WORK
Description of work: 1P -'t .S'c9LC64- A09ec„ii
Construction Cost: /67/Thre Multi -Family Building: (Yes / No )
CONTRACTOR
Company:eh 1l1 e. 5.RL,,J'l ontact: ik,
Address: " f 2/ 1 _Sf- 1 City: 1V?(iriLn
State: PA /" _Zip: ,`-A.5-1) la Phone: 16 I. " oL-0 _l L(612—
D$1 License #: 5-7Lead Certificate #:
License
If the project is exempt from lead certificati • n, please a plain why: (see Page 3 for additional information)
x,11
In the last 12 months,
Yes _No If
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
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 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.orq
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 Mi%nesota Ste Bu (n Code must • completed within 180
days of permit issuance.
1,, n
Applicant's Printed Name
Applicant's Sig
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
SOB TYPES
Foundation
Single Family
Multi
01 of Plex
_ Accessory Building
WORK TYPES
New
.% Addition
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25%_ 100% t/I
Census Code
#of Units
# of Buildings
Type of Construction
Fireplace
Garage
Deck
Lower Level
Interior Improvement
Move Building
Fire Repair
Repair
.7®c
3
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: _Ice & Water _
G. Framing
Fireplace: _Rough In
Insulation
Sheathing
Sheetrock
Reviewed By:
Final
Porch (3 -Season)
Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Siding
Reroof
Windows
Egress Window
/03
d�Joa5
Storm Damage
_ Exterior Alteration (Single Family)
_ Exterior Alteration (Multi)
Miscellaneous
_ Demolish Building*
_ Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building - give PCA handout to applicant
MCES System
SAC Units
City Water
Booster Pump
74/7 PRV
Fire Sprinklers
zd
s
Meter Size:
Final I C.O. Required
pe- Final I No C.O. Required
HVAC _ Gas Service Test Gas Line Air Test
Other:
Pool: _Footings _Air/Gas Tests _Final
Siding: _Stucco Lath _Stone Lath _Brick
Air Test _Final Windows
Retaining Wall: _ Footings _ Backfill
Radon Control
Erosion Control
, Building Inspector
Final
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
/117 S�v Acs
(,O . e ?
93'
Page 2 of 3
•
DELMAR H. SCHWA
L.API SURVEYOR S I IML.
Registered Under Lawf The State of NIinnefita
2978 - 148TH STREET W. - SOX M ROSEMOUW MINNESOTA
%36 12 WRY CERTIFICATE
r M4.6 I d
924 2-9
Nee-�37- 3Z 4,1
/33
A.c 7t//
PHO 612 423-1769
W
C g
(03707
30
•
L
774.5/
7'brNuB
4141
/39.6/ jY$7-5-I-
SCALE: 1 inch - 30 feet
!. Denotes existing elevation
0 Denotes set wood hub
° Denotes proposed,,, elevation
x--Deno'g proposed drainage
3Z' Kv
(gz4.zf
yar ,410B
05:4
ai
Proposed garage floor from development
plan.; _ 917.6
I hereby certify that this le a•true and correct representation of
Lot 1, Block 2, WALDEN HEIGHTS FIRST ADDITION, according to the
recorded plat thereof, Dakota County, Minnesota.
Also showing the location of a proposed house as'staked thereon.
EAGAN
REVIEWED'
Dated: October 5, 1983
GI
Lau-. i
3D
f
•
BY:
DATE: f —4A3fit
"..! DI \IC, rqpiv
Y�
ION
���f/"drr•,
MINNESOTA REGISTRATION NO.8625
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA138815
Date Issued:09/21/2016
Permit Category:ePermit
Site Address: 1465 Thomas Lane
Lot:001 Block: 002 Addition: Walden Heights
PID:10-83300-02-010
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Fixtures
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (miscellaneous)$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 -
Dennis F Bechly
1465 Thomas Lane
Eagan MN 55122
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature