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1470 Thomas LaneCITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT To be tend for " _ , $131500 E2 10 377 Receipt # Date 19 /{ Site Address Erect r?.t Occupancy Lot Block 'he"tL, " !V '.iTS 15 Sec/Sub 1' Remodel U Zoning . Repair ? Type of Const. Parcel No . Addition ? No. Stories ^`D G2 i? ? SKY Move ? Length MA Name .. . Demolish ? Depth Address ? ;. Impr Int ? S F . . q. t. City Phone Install ? Name :i"!' (::'.` ? !'UCf.L i IVY --?? - - - -- ? Address 13401 NT, f 01% cIT Assessment Permit r,-104. 50 U v City S i T L jWAT "phone `' ? y " 4 `i -r 't. Water & Sew. Surcharge Police Plan Review Name Fire SAC Address Eng Water Conn VO . . W < City Phone Planner Water Meter Council Road Unit 1 hereby acknowledge that I how read this application and state that Bldg, Off. 1 Tr. PI. the information is correct and agree to comply with all applicable APC of Eagan Ordinances te of Minnesota Statutes and Cit St Parks y a . Var. Date Signature of Permittee Copies _77,71-17-71-10 t?.IC=i _ ,nc'.? l?;'.?::4:1•i?,.<.?!Sy; Total A Building Permit is issued to: on the express condition that all work sholl be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official Permit No. Permit Holder Date Telephone it Plumbing HMA.C. Electric 5 3 l / 1 3 V. d Softener Inspection Date Insp. Other Footings I Footings 11 Foundation s ` Framing ` Roofing Rough Mg. P,rugh Htg. Insul. Fireplace Final Htg. Final Plbg. Final CervOcc. Water Describe Location: Well Sewer Pr..Disp. INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: ti H ft ?,, r APPLICANT: t :, (1, (,') I!!. i a'•hN PERMIT SUBTYPE: TYPE OF WORK: Itf`-.('RIPTION i a F ' MI NARk Tf:AROFF AND I FRnc.if 01-ff. is? :,'I'?lf?M I?RMA(i1 Permit Holder Date Telephone # PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL FTG DECK FINAL CITY OF EAGAN Remarks I i Ij ` '/!' Addition WALDEN HEIGHTS 1ST ADDN Lot 2 Rik 3 Owner Street 1470 THOMAS LANE Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK ?0? 1976 153-31 10-22 1S 61.33 A013797 4-30-84 SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA 7, L- lggn 2m-so 13-77 is 1 A013797 4-30-84 STORM SEW TRK fS 1984 673,75 134.75 5 539.00 A013797 4-30-84 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT ROAD UNIT 0.0 40720 1-5-84 WATER CONN. 450.00 BUILDING PER. SAC 25-00 PARK Receipt PLUMBING PERMIT Permit No. CITY OF EAGAN Fee J fill in numbered spaces S/C -? J Type or Print legibly Tot. 1. Date - ; ? 2. Installation Cost 3. Job Address .Let/ Blk. Tract 4. Owner 5. Contractor Phone _ / 6. Address 7. City « State Zip 8. Building Type: Residential ( Commercial ? Institutional ? 9. Work Description: New Add ? Alter ? Repair ? 10. Describe 11. No. c Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Septic Tank / ; !, . Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other / Laundry Tray Floor Drains Drinking Ftn. Slop Sink / Gas Piping Outlets F 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 CASH RECEIPT • ' CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DAT f 19 REC61VED ` FROM AMOUNT E]CASH n CHECK DOLLARS goo V? . N White-Payers Copy Yellow-Posting Copy Pink-File Copy TI ank You a BY Receipt MECHANICAL PERMIT CITY OF EAGAN Fill in numbered spaces Type or Print legibly Permit No. Fee S/C Tot. 1. Date 2. Installation Cost 3. Job Address `7y0/jlil - Lot Blk. Tract 4. Owner ?f-// r! r?i ?7 5. Contractor Phone r? 5''" ? •' r 6. Address,/ ?/Q 7. City ''cvJ State Zip 8. Building Type: Residential Commercial ? Institutional ? 9. Work Description: New t Add ? Alter ? 10. Describe 11. Repair ? Type T<<%i No. Eaujpmen STU . 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 : r t ?? for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454,8100 Permit No. Permit Holder Misc. Permit No. Holder Plumbing 7 H.V.A.C. Well Water Disp. Sewer Electric 7Z . p ?[ 5-O T Inspection Date Insp. Other Ftwtings Foundation Framing v l Rough Plbg. Rough HVA / Insulation Final Plbg. Final HVAC 1.74q KQt i Final Water Describe Location: Vllail Sewer Pr. Disp. CITY ' EAGAN MO Pilot Knob Road WATER SERVIC E PERMIT P. O. Box 21199 PERMIT NO.: S Eagan, MN 55121 DATE: 1 ' S -a 4 Zoning: No. of Units: 1 Owner Sunshine Cost Address: Site Address: 1470 THOMAS LANE L2 B3 Walden fiQ ts Plumber: Thompson Plbg Meter No.: Connection Charge: 450.00 Pd Size: Account D o it : ep s Reader No.: Permit Fee: 10.00 pd 1 elm to empty wuh the City of Bogen Surcharge: .50 Pd ordiaenow Div ri.---. 60.oa nd meta, By Dote of I nsp.: I else to -on Phi W" the CUy of Bogen ordlMaoee. By Dote of Insp.: Insp.: SEWER SERVICE PERMIT Connection Charge: 425.OQ Id Account Depo t: Permit Foe: 10.00 Ed Surcharge: .50 Pal Misc. Charges: Total: Dote Paid: y 30 35 REQUEST FOR ELECTRICAL INSPECTION Ee 000011-w EE , S. inst tions for wtpDletiM this form m beck of yellow copy. I _ 9 J 3 ""X"" Below Work Cbvese?! by This Request P-L 8 Y BIWAAadl Iteo_l T. of auildma I Amlianeoe Wired I Equipment Wired I Fi Bulk Milk ice Fee Service En[renaro Size a Fee Feeders/SUbteeders N Fee Circuits " 0to 200 Ajrtps to 30A s Oto 30 Am Above 200 Amps 31 to 100 Amps 31 to 100 Am - Swimmi Pool Above 100-Amps Above 100_Am - Transtotmers Irrigation Booms Partial: Other Fe Bmwrks sig¢ Special Inspection $ 3° >?) TOTAL FEE v O( Ibuph-in a e Elecviral d? pector, ereb V certify that the bove Final etspectim has been D J Ames. 1W teptaelwid 1anlnNetmm BUILDING PERMIT CITY OF EAGAN 3795 Pilot Knob Rood Eagan, MN PHONE: 454-8100 66122 N°e 8745 Receipt $ To be uud for '" SF DWG/GAR Est. Value $72,000 Date JAN. 4 _, 19___84 Site Address 1470 THOMAS LANE Erect pj Occupancy R3 Lot 2 Block 3 Sec/Su b.WAT.TTF.N HTS _ 1 Alter ? Zoning R1 Parcel {p 10-83300-020-03 f Repair ? Fire Zone N A w Name SUNSHINE CONSTRUCTION z Address 1471 THOMAS LANE 9 EAGAN 454-7485 o Name _ Bu Address Name JAMES R. HILL INC. Address 8200 HUMBOT DT AVF _ SO _ Enlarge ? Type of Const. V Move ? * Stories Demolish ? Length 54 Grade ? Depth 48 Sq. Ft- Approvals Fees Assessment _ Water & Sew. Police Fire Eng. <' ICity BLOOMINGTON Phone 864-3UZV Planner Council I hereby acknowledge that I have read this application and state that Bldg. Otf. j the information is correct and agree to comply with all applicable APC State of Minnesota Statutes and City of Eagan Ordinances. Permit Y 347.VU Surcharge 36.00 Plan check 174.50 SAC 525.00 Water Conn. 450.00 Water Meter 60.00 Road Unit 250.00 Total $1.844. 0 Signature of Permittee - I A Building Permit Is issued to: SUNSHINE CONSTRUCTION on the express condition that all work shall be done in accclance with allocable State of Minnesota Statutes and City of Eagan Ordinances. Building Official B. P F 7 SAS CITY OF EAGAN Include 2 sets of plans, 1 site plan w/elevations & Res. BUILDING PER= APPLICATION 1 set of energy calculations. To Be Used For 111e10 Cvhs,?7%L,6 YValuation &' 70Z o-a-D Date ) a-/`? ?- 3 Site Address: 1`170 °/ strutzs Za.4 y. Lot ? Block s? Sec./Sub. ?Ia?rjewt{'Es. Parcel #: :3D C7 0a O b 3 Owner: c hs?i rn? L°oL, <S {*-u cY?a?, Address: !4{7( :1Av%+ias ca o e- OFFICE USE ONLY Erect_ Occupancy Alter Zoning / Repair Fire Zone Enlarge _ Type of Const. Move # Stories Demolish Front ft. _ ade D th ft City/Zip Code: ?a a? se a 00 Ao' Gr ep /A/? Phone #: 'fS?{- 7 SF6 APPROVALS FEES Contractor: S'4A1 r Address: Al City/Zip Code: 'q de dE Phone #: Arch./Dng.: S'a sM2s h // `-Al? qtr g- Address: jf -o v /4k,, bo/d¢ /ss'e S , City/Zip Code: &Aas ",'(31 Phone #: Assessments Permit 379 Water/Sewer Surcharge Police Plan Check _/ 7 - Fire SAC s a? Eng. Water Conn. y6O 10 - Planner Water Meter Go ? - Council Road Unit ? Bldg. Off. )? - 4 ?- S/ APC 71?TAL , ; I' 4 1#. S 0 7 0 YO ?5?32 CITY OF EAGAN N°- 10 3 7 7 3830 Pilot Knob Road P O Box 21-199 Eagan MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # T. Mused fm POOL Est. Value $13,500 Date JUNE 12 1985 Site Address 1470 THOMA r.N Lot 2 Block 3 ?ec/Sub. WALDEN HTS 1ST Parcel No. W Name RICHARD GRISCHKOWSKY Address SAME City Phone ff Name ST CROIX POOL INC ?s Adder 13401 NO 60TH ST F City STILLWATE*hone 439-4476 GW Name W Address <W City Phone Erect I2 Remodel ? Repair ? Addition ? Move ? Demolish ? Int Impr. ? Install O Occupancy _ Zoning _ Type of Const. No. Stories _ Length Depth Sq. Ft. Approval. Fees Assessment Permit $104.50 Water b Sew. Surcharge 7.00 Police Plan Review Fire SAC Erg. Water Conn. Planner Water Meter Council Road Unit 1 hereby acknowledge that I hew read this application and state that Bldg. Off. 6/11/85 Tr. PI. the information is correct and agree to comply gy?ith all applicable APC State of Minnesota St ute and City of Eaay?Mina n L - Parks Yy//Jl Signature Per d Var. Date Copies mitte30 RICHARD GRISCHKOWSKY Total ? A Building Permit Is issued to: on the express condition that all work shall be done in accordance with all applipa#ls State of s?a Statutes and City W Eagan Ordimnces. Building Official This request void 18 months from A %97? -s-uy yIr 0/ 9• So `f067S( Request Date i '9 Fire No, Rough-in Inspection R quired?' Heady Now Will Notify Inspec- /-.? yes ?No _ for When Ready Licensed Electrical Contractor 1 hereby request inspection of above Owner electrical work installed at: Street 9ddress, Box or Route No. / City !? v -_ ecLnn o. Township Name or No. Range No. y CoUw tt ? n Occupant (PRINT) Phone No. R-xi Pow r Su pplior Address 7 L r-/ Elec - al Contractor (Company Namel Contractor's License No. D & v V 2 /z ) 3 I -/ Maw iill-/iin A ress ontrrn?cro-r or Owner Mo /m g Installation) .t/ AJ Authorized Signatur ICOotragter/OWVaking Installation) Pone Number MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. -Room N•181 BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phnnn 16121297.2111 ENCLOSED. -AA REQUEST FOR ELECTRICAL INSPECTION r. EB-a0001=09 Ill' / See instructions for completing this form on back of yellow copy. Lz/? vl r "X" Below Work Covered by This Request New Adb Rep. N 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 Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other peu v Other (5 nerifyl Other Specify Other Other Compute Inspection Fee Below n Fee Service Entrance Size k Fee FeedorsrSubteeders # Fee Circuits 0 to 200 Amps 0 to 30 Amps 0 to 30 Am Above 200 gmps 31 to 100 Amps 5--,1& 31 to 100 Amps Swimming Pool Above 100Amps Above 100_Am s Transformers Irrigation Booms Partial."Other Fee Signs Special Inspection s TOT L Remorks ?Jb.1?TJ I Rough-in to J the Elac nwl Inspector. hereby certify that the above Final. Date Fspac tion has been P d de. This reaueet Vold 18 months from T 18 his request wid S 3 0 ? Owner -/q,-??, Electrical contractor ! hglSS, 3 cJ??/ 3v • v Rough-in Inspection Required? ?Ready Now arWi 11 Nolify Inspec- ?Yes ?No lqr When Ready 1 hereby request inspection of above electrical work installed at: Street Address. Box or Route No. / zn ?• L„ city Section No. Township Nano or No. Range o. County . Occupant (PRINT) ?4?'e-.40C0-1c,' g l?° Phone No. Power Supplier ddress Electrical Contractor (Connanw Name) W7TLL-jj?7 i L- (/ . Cnnctor"s License No n Mailing Address (Contractor or Owner Making Instailatr 7X Ale C . Au orized 1 tune (Contracto 'Ma i I Installation) PhvJlear C/J /I MINNESOTA SPATE BOARD OF EIECTiII THIS INSPECTION REQUEST WILL NOT to BE ACCEPTED BY THE STATE BOARD Gri,,-YidweY Bldg. - Ruoor N-191 UNLESS PROPER INSPECTION FEE IS 1R7 University Aw_. SIL Paul. MIN 55109 ENCLOSED. Phorw 16121 297-2111 Certificate for: 'Sunshine Construction DELMAR K SCNWANZ LANDSURVEYORB, iwcc, Ragistar00 UnOar laws of The State of Mimtasota 2878 - 146TH STREET W. - BOX M ROSEMOUNT, MINNESOTA 86088 SURVEYOR'S CERTIFICATE ?Ib 1(or aJ? y1 10 O b _ . off. /O 1 ?i i? 1 1dP- 0. /b ?'h UT ? --l f 5? Z O ?1 r '/B Z 30 f4 12 v$ Iti? 1C* q P 0,6 col SCALE: O Denotes ODenotes ft•1Denotes -0- Denotes Proposed garage floor from development plan a18•S' OK. i5 / >0 PHONE 812 123.1769 f ~ y O, I ? 1inch set wood proposed existing proposed 9 30 f4et hyb elev. elev. drainage I hereby certify that this is a true and correct representation of Lot 2, Block 3, 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: November.29, 1983 MINNESOTA RE 6 RATION NO. 8625 Weatherstrips P111pr Room aa.rt.v.t Construction No. Guide Reference Out. Wall Int. WAN Cedinn Width Height R ' Wi ndowsT n-d Doors -Cracka ge and A rca No. Wldtll or pane Jblght of Dane Nu.. li5 Lineal ft. ofcnrk Arva wft- r 1 1 d )q I D U if ib J IA1- /10 Coef. Btu Infiltration 1 1,511 1 44 1 1Q1)97T- Glass 46 -61) A 9 /it) Exp. wall rq;r Net exp. wall lot. wall Floor Ced. /-,,If J- IQ510 total Btu. Rewired sq. ft. E.D.R. or sq. ins. W.A. Leader area FI.1 1.J?i4Q RoomI Lengthyl11,,JO Width %,,f Windows an Doors-Crackaae and Are. N6 Width or pane Nelent of pane No. of light. Lineal It. of Cffck Are. M. M Ia I 1 11 _ Cuef. Btu Infiltration CIA" Exp. wall Net esp. wall IaL wall Floor Celt. Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl. Room I Length lI Width f i1 K-4-lit 19)/))l Windows an ours-Crackage and Arca No. Willi, er pane li el[AI of Dena :J O. O( Ilrnis Lineal M of crack Ar,. p. ft. 11 Whit, Coef. Btu Infiltration a 19.36 Glass Exp. wall Net exp. wall 17 5 Int. wall Floor Ced. Total Btu. Required sn, ft. E.D.R. or sq. ins. WA. i. ader area lo?-U.Z ??? .53;303 huh. Floor Insulation How and Area --- No. Width of pan. Height of M" No. of Ilg.tes fdw.I lt. of,nek Are. sq. ft. if 3 ,If 10 Coef. Btu Infiltration I lip Glass /0 MI Exp. wall I Id Net exp. wall lot. wall Floor C-g. 1 J-18 ?5 6.20 Total Btu. Required sq. fL E.D.R. or sq. ins. W.A. Leader area Fl.l Room 1 Length / d Width/,7 / O Heigh ' wi nnows an a Lioorg racaa gc anu Am o. No. Width of Vane Ifelght of Dana No. of llrhht Line I S. es Crack Area eq. ft. Cuff. Btu Infiltration Glass Exp. wall Net exp. wall lot. wall Floor ced. Total Btu. Required sq. ft. E.D.R. or sq. iris. W.A. Leader a J F1.1 R Room I Length r71 6u-Width V/:Artnw. and Ilnn.al'raelf.rre Anil Area Na W Wth f pans Ifolrht f.pa"s Ne. of light, Llne.)ft. of er.ck I Coef. Btu Infiltration Glass Exp. wali Net exp. wall Int. wall Floor Cal. _Total Btu. . 11120 Required sq. ft. E.D.R., or sq. ins. W.A. Leader area weathrrsttrys Construction No. Insulation I Guide __ _ V`indows Doors Reference Out. all Int. Wall Ceiling Roof Floor ?F:ind_ How Applied r? o Y- ci-?o 1 19 -- F1.1 D Room LrngthJ)spdWidth/// l/Height 1 n ?' F1_.f Room 1 Length // 1/o 10 Width r I t Windows and Doors-Crackage and Area r (I 1V n 4 /De '? d Dmr&--1'rarkace and Area Ne. W'lath Of rand N.Irht o: p.ne .1 a! lichee l.lnul ft. Of crack Area p. !t. Coef. Bta Infiltratioa Glass Zia Esp. wall Net esp. wall ) Int. wall Floor Cell. 7T -T Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 211 Room I Length I TO' Width'3')o d Height q'f/)r' Wi ndows a nd Doors -Crackage and Ar ea Na Width Of pane Neirht of Dane No..f Ilskt. Llpaal (l. of cock Arn a.. Coef. Btu Infiltration --- CJua Esp. wall Net esp. wall '. Int. wall Floor Total Btu. . Required sq. ft. E.D.R. or sq. ins. W.A. Leader area R. Room Length 1000 Width Windows and Dnnrs-Crarkao' and A,.- Na 1.1, .f pane Heirhl of pane NO. of Ilahte Ll...I fL of crack Area q. ft. I Il 1 II Coef. Btu Infiltration Glass Q Exp. wan Net esp. wan Int. WON Floor Ceil. ) Total Btu. Required s... ft. E.D.R. or sq. ins. W.A. Leader area Wrote Nn of Pane N.lrbt of pew No. of Ilrbu Lineal ft. .i.r.ek Are. Q. ft. f p r If - i -- Coa l Btu infiltration Q Gla"? Exp. wall ) Net cap. wall AIDL Int. wan t';aor ('.:t Total Btu. Required sq. fL E.D.R. or sq. ins. W.A. Leader area ]g'PYI b) ) Room I Length /- "Width,g W W. and tk.r.r.___rrarkape and Ares No. Width Of v&.8 rlalaat rat paw N...f Ilabu Llnul ft. Of crack AMa tape fl. 1 ll / " i Il ! It f ' r/ t Jt I if Coef. Btu Infiltralion Glass Exp. wall Net esp. wall All 'Oaj Int. wall V)PHO Floor Ced. Total Btu. s/ A1. 7W &U h F /P Required sq. ft. E.D.R. or sq. ills. W.A. Leader area 171.1 Room I Length Width Windows and Doors--Crackage and Area N. Width of Pane ' fl.laal Orman. N. of liable Lineal ft. .(.rack I Coe I. Btu Infiltration _Glass Exp. wal: Net exp. wall Int. wall Floor Cdl. _Total Btu. Rcgnired sq. ft. E.D.R.. or sq. ins. W.A. Leader area 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:SwiwwiW( Pooh Valuatio bObvto Date: Site Address: 1N 70 y4cw lls LAO f. OFFICE USE ONLY Lot: DL- Block 3 Sect/SupU)&(Jen Erect Rf S-? Remodel a^^^^ iE Re air Owner R 1@(? UIScAbLO.SKI Address N20 100,6 L" City/Zip Code EA(alo . 55' ZZ Phone P _ Enlarge _ Move Demolish Grade ------------- APPROVALS Occupancy Zoning Type of Const A of Stories Length Depth Sq Ft Contractor 97, L1 oi ftftj Sb E, Assessments Permit Water/Sewer Surcharge // Address 17WP1 bj}t-1 Police Plan Review Fire SAC City/Zip Code ML LO TM1O'iw 0 516M Engr Water Conn Planner Water Meter Phone y % Council Road Unit Bldg Off Parks Arch./Engr. APC Treatment Pl Variance Address City/Zip Code Phone 0 TOTAL I? •50 w 1 0, ii/ . s o PERMIT .CI'Y OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 0 3 2 8 8 3 (612) 681-4675 Date Issued: 08/12/98 SITE ADDRESS: 1470 THOMAS LANE LOT: 20 BLOCK: 3 WALDEN HEIGHTS P.I.N.: 10-83300-020-03 DESCRIPTION: T.O. & REROOF @erl^din'g!, Permit Type ,Building W'v,rk Type 'Census Code 1 - STORM DAMAGE REPAIR 434 ALT. RESIDENTIAL REMARKS: TEAROFF AND REROOF DUE TO STORM DAMAGE. FEE SUMMARY. CONTRACTOR: - Applicant - ST. LIC. OWNER: TIMMERS CONST 14594568 0003033 GRISCHKOWSKY BEV 2600 BAILEY CT 1470 THOMAS LANE NEWPORT MN 55055 EAGAN MN $5122 (612) 459-4568 (651)452-9679 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 Mn. Statutes and City of Eagan Ordinances. L APPLICANT/PERMITEE SIGNATURE SUED M'. SIGNAT RE a3 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 [3 ?( 681-4675 O - a New Construction Requirements Remodel/Repair Requirements ? 3 registered site surveys ? 2 copies of plans (include beam & window saes; poured fnd. design; etc.) ? 1 energy calculations ? 3 copies of tree preservation plan if lot platted after 7/1/93 required: _Yes _ No DATE: OF WORK: ? 2 copies of plan ? 2 site surveys (exterior additions & decks) ? 1 energy calculations for heated additions CONSTRUCTION COST; LOT: D-0 BLOCK: J SUBDJP.I.D.#: Name:/.Y Phone #: PROPERTY Last rst OWNER Street V State: ?w Zip: 7? 1 City Company: Phone #: t '`lJ F? O CONTRACTOR J? ?? 331 loll 9 Street Address:z 0CJ License # City State: 2-" Zip: ARCHITECT/ ENGINEER Company: Phone #: Name: Registration #: Street Address: City State: Zip: Sewer & water licensed plumber (new construction only): and lot change is requested once permit is issued. I hereby acknowledge that I have read this application and state that the State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant OFFICE USE ONLY Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No Not Penalty applies when address chang correct ar?d.agr?e to comply with all applicabl C// J a II -0 BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 02 SF Dwelling ? 07 4-plex ? 03 SF Addition ? 08 8-plex ? 04 SF Porch ? 09 12-plex ? 05 SF Misc. ? 10 _-plex WORK TYPE ? 31 New ? 33 Alterations ? 32 Addition 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning OFFICE USE ONLY ? 11 Apt./Lodging ? 16 Basement Finish ? 12 Multi Repair/Rem. ? 17 Swim Pool ? 13 Garage/Accessory ? 20 Public Facility ? 14 Fireplace J? 21 Miscellaneous ? 15 Deck ( 9 ? 36 Move ? 37 Demolition Basement sq. ft. MC/WS System _ Main level sq. ft. City Water _ sq. ft. Fire Sprinklered _ sq. ft. PRV _ sq. ft. Booster Pump _ sq. ft. Census Code. _ Footprint sq. ft. SAC Code Census Bldg Census Unit Building Engineering Variance Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Park Ded. Trails Ded. Other Copies Total: Valuation: $ % SAC SAC Units ------------------ For OfficeUse I rj Permit #: I ? Permit Fee: Date Received: 1 Staff: l'7? I 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Tenant: Suite #: RESIDENT / OWNER Phone: Name: J?? ? f24.-7 / Address / City / Zip: I Lf 1.J 1-,f2 ?i ?- Applicant is: _ Owner Contractor ? ' TYPE OF WORK r /? Description of work: ?' ?y Cost: Multi-Family Building: (Yes / No ? Constructiion ,, nse #: As??(73 Li m CONTRACTOR ce Na e: Address: state: . 4 zip: _ City: ?1`?- C"'r7y?L - r / / Phone: (Sa- 5__i _Ie // Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Cateoorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet Category Submitted Submitted (q 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 plaJr a: x :L, M Applicant's Printed Name Site Address: Page 1 of 3