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1472 Thomas Lane• CASH RECEIPT CITY OF EAGAN P. 0. BOX 21-199 EAGAN, MINNESOTA 55121 DATE t9 RECEIVED AMOUNT & DOLLARS t00 CASH CHECK f FAY FUND CODE AMOUNT Thank You BY 4 White-Payers Copy Yellow-Posting Copy Pink-File Copy CASH RECEIPT CITY OF EAGAN P. 0. BOX 21-199 EAGAN, MINNESOTA 55121 DATE 19 - RCCEIVED FROM AMOUNT $ ` - A DOLLARS 1 00 ? CASH ? CHECK FUND CODE AMOUNT r J. Thank You v' C? O BY r White-Payers Copy Yellow-Posting Copy Pink-File Copy CITY OF EAGAN ?T 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 lq O 9032 PHONE: 454-8100 _ BUILDING PERMIT Receipt To be seed fee Est. Value u b , O 0 0 Date MAY 3 19 H 4 Site Address Erect . ? Occupancy R ?3 Lot Block sec/Sub. 6',AIJJF'N HTS Alter ? Zoning R1 Parcel No. r Repair ? Fire Zone A Enlarge ? Type of Const. V W Name Move ? # Stories 3 Address Demolish ? Length _ b 4 - 4 `; J T6 City Phone Grade [I Depth Sq. Ft. Name u Address City Phone -11- '1 . . II LAJL ,,,W Name P_ F,200 1? W.B T AVF SO VI Address. W City Phone 1 hereby acknowledge that I hove 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. Permit -131 . 00 Surcharge 3 3 . 0 0 Plan check 165.50 SAC 525.00 Water Conn. 4 7 0.00 Water Meter ' r l Road Unit .SO Total Signature of Permittee A Building Penult Is issued to: on the express condition 1hm all work shall be done irf accordance with oil applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official Assessment _ Water & Sew. Police Fire Eng. Planner Council Bldg. Off. APC Permit No. Permit Holder Mi c. P rmit No. Holder Plumbing l ' 012 s e ? r a 1 f 'a H.V.A.C. 1 l ?0 _[ll 11 erg C J S Well water Disp. Sewer Ebctric CV7,3 3 Inspection Data Insp. Other Footings J Foundation Framing T Rough PIN. 23 Rough HVAC Insulation a _ Final Plbg. Final HVAC Final - `? Water Describe Location `,,,,r - ,-,? l : ,, ,., Well a Sewer Pr. Disp. Receipt PL C 1. Date 2. 3. Job Address 4. Owner 5. Contractor 6. Address IBING PERMIT Permit No. Y OF EAGAN Fee numbered spaces S/C or Print legibly J- j T ot. tallation Cost - Lot Blk. Tract Phone 7. City 8. Building Type: Residential ? 9. Work Description: New A] 10. Describe 11. State Zip Commercial ? Institutional ? Add ? Alter ? Repair ? No. 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 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 Receipt MECHANICAL PERMIT Permit No. 'CITY OF EAGAN I rL? ?? Fee Fill in numbered spaces S/C Type or Print legibly Tot. 1. Date 2. Installation Cost 3. Job Address ??7? f ir?i2? Lot Blk. Tract _ 4. Owner- 5. Contractor ]??(J??/? Phonei1 4 6. Address i L x, 7. City F(?4 State Zip 8. Building Type: Residential L?" Commercial ? Institutional ? 9. Work Description: New 9' Add ? Alter ? Repair ? 10. Describe 11. Fuel Type ^I Z7 CJAS No. ' Equipment BTU - M. Ea. Forced Air No. Equipment CFM Ai dli H Mfg. r an ng: Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. 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 << , _ 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 T 1 ' Addition WALDEN HEIGHTS 1ST ADDN Lot 3 Rik 3 Parcel 10-83300-030-of Owner Street 1472 THOMAS LANE State EAGAN MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK Wq 1976 15-3 - 31 in-22 U; 61.33 A 013773 4-20-84 SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA t(ZL 1980 906-50 13-77 137.70 A 013773 4-20-84 STORM SEW TRK 5 1984 673.75 134.75 5 539.00 A 013773 4-20-84 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT ROAD UNIT 260.00 42977 5-3-84 WATER CONN. 470.00 BUILDING PER. 9032 SAC 525.00 " PARK Plumber. - NMeter N Size: : Reader No.: g il " 1, h 2 ? 1 some to comply with the City of 5-4-84 ion Charge: ?p 4 r U. U U r? y c a(count Deposit: 15.00 pd - Permit Fee: 10-00 pd Surcharge: l . 50nd _ Misc. Charges: G 3 •0 0 Pd mti Total: - By Date Paid: Date kdf4nsp. Insp.: CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road P. O. Box 21199 PERMIT NO.: Eagan, MN ,55121 DATE: Zonin iN. g. ,' 71n!-.Nine 1 Ons r t7 Units: Owner. Address: Site Address: T11 omas .one _ Plumber. _ Star Flbp Meter No.: Size: Reader No.: 1 some to comply with the City of Eagan OrdinaneeL Connection Charge: Account Deposit: Dc Permit Fee: Surcharge: ..JP Misc. Charges: Total: - r n By Date Paid: Date of Insp.: Insp.: CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: Zoning' No, of Units: Owner: 1.'l`? Cn,%9 trust' c)n Address: ?- Site Addn Plumber- 1 some to comply with the City of Eaoe¦ ordinenew By Date of Insp.: Connection Charge: 4 2 5 .0 0 r)(-71 Account Deposit: 15.00 Dc, Permit Fee: Surcharge: Misc. Charges: Total: LZItDning: 1; t No. of Units. er: L,,an. 'uCt ress:( Address 7 lden I1eia}its CITY OF EAGAN NO 3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121 / 9032 PHONE: 454-8100 ( °?Z7-? BUILDING PERMIT Receipt # To be used fer SIP DWG/GAR _ Est. Value $66r 000 Date MAY 3 19J14 Site Address 1472 THOMAS LN Erect {Ij Occupancy R3 Lot 3 Block 3 Sec/Sub. WALDEN HTS Alter ? Zoning R1 Parcel No. 10-83300-030-03 Repair ? Fire Zone N/A Enlarge ? Type of Const. V W Name SUNSHINE CONST Move ? # Stories Address 1471 THOMAS LN Demolish '? Length 62 City EAGAN Phone 454-7485 Grade ? Depth 26 Sq. Ft. SAME Approvals Fees O Name Z? Assessment Permit $ 331.00 o? u? Address Water 8 Sew. Surcharge 33.00 City Phone Police Plan check 165.50 Gw w JAMES R. HILL Name Fire SAC 525.00 ti x 8200 HUMBOLDT AVE SO Address Eng 47[100 Water Conn ? <W City BLMTN Phone 884-3029 . Planner . Water Meter 63-00 Council Road Unit 76+0.00 1 hereby acknowledge that 1 have read this application and state that Bldg. Off. the information is correct and agree to comply with oil applicable 847.50 l State of Minnesota Statutes and City of Eagan Ordinances. APC r Total Signature of Permittee A Building Permit Is Issu all work shall be done ye Building Official SUNSHINE CONST on the express condition thin e with ptf aPgipq.Wl. State of Minnesota Statutes and City of Eagan Ordinances. 1 OF EAGAN Include 2 sets orf plans, 1 Certificate of Surdey & r nom/ BUILDING PERMIT APPLICATION 1 set o'f_' energy calculations. To Be Used For valuation glD 6? ??? Date Site Address: J 7?- cMtia S p OFFICE USE---`0777NL---Y Lot 3 Block _3 Sec./Sub. Cr)4 Erect i Occupancy3 Parcel #: / U "t533 0 -03 a /,o 3 Alter Zoning Repair Fire Zone /Uoff Owner: SC SGlr<< 6t '7azrc i? Enlarge _ Type of Const. t r v. Address: ?4/7/ _ ?2dluas h 6/f.! Move Demolish # Stories Front ( ft. City/Zip Code: arc ? a, ? ,tij _ Grade Depth ft. Phone #: J-4O l g - 7 <K&- APPROVALS FEES Contractor: ?GL 1t ! G S 4L40v P Address: City/Zip Code: Phone #: Arch./Eng.: , is!S h Address: _Ku?-)n City/Zip Code:: Phone #:rf ?L Assessments Water/Sewer Police Fire Eng. Planner Council F_. Bldg. Off. 3 f?! APC Permit Surcharge 33 Plan Check ) 3 ?? SAC 5as Water Conn. Y70 e? Water Meter 6-T ?- Road Unit °160 - /h A-) TOTAL L C 7 /1 U ?5 3=_? 1Bl months from void ` ? ( 0 Y' A 753895 >??63 LJ Request Date Fire No. Hough-in Inspection -" // fie _redz ?No DReatlY Now Will Notify Insper ?7 7 'yes orWhen Reatl Licensed Electrical Contractor I hereby request inspection of above ? Owner electrical work installed at: Street Address, Box or Route No.`y?y?} ?r City ection o. Township Name or No. Range o. County Occ nt(PRINT) u.cr Phone No. 7 6S' Power upplier Address Electrical Contractor (Company Name) Contractors License No. Mailin Address (Contractor or owner Making Installatipnl /-5ScY Cam' /rr, qg- 55-370, Au rued Signature ICpn cim/ r Making Ins [allation) Phone Number C%' _ J ?+'.- /Y/ / T9 C1 MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midwey Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Ph- 16121297-2111 ENCLOSED. 6 P REQUEST FOR ELECTRICAL INSPECTION 10 EB-00001-04 0538 ,' ee instructions for completing `his form on beck of Wltow copy. r(/??' U y A "X" Below Woik C9vered by This Request Add Rep. Type of Building Appliances Wirod 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 they pecly Other Mpeci(y1 t pecify Other Other ompute Inspection Fee Below # Fee Service Entrance Size # Fee .ns/Subfe.dafs # Fee circuits 0 to 200 Amps 30 Am s 0 to 30 Amos Above 200 Amps S 100 Amps 31 to 100 A Swimming Pool 1 e 100Am VA Above 100_Am - ras ormers tion Booms Partial Other Fee Signs al Inspection B? TOT e re rks "F '&F V Rough-in If Oate t Elec 1 , hereby , et the above K Final pat / n has bean W . "/ . T his request Vold 1B months from 2004 RESIDENTIAL BUILDING PERMIT APPLICATION (1 City Of Eagan t b \\ U (? 8 C, 3830 Pilot Knob Road, Eagan MN 55122 . Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements RemodelfReoair Requirements Office Use Oritd 3 registered site surveys showing sq. R of lot sq. It. of house; and all roofed areas 2 copies of plan Cad of Survey Recd __ Y _ N (20% maximum lot coverage allowed) l set of Energy Calculations for heated additions Tree Preis Plan Real _Y _tJ 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pies Required _ Y l set of Energy Calculations Addition - indicate if on-site septic system bn-site SBptig syslem__ ' _Y -:N 3 copies of Tree Preservation Plan if lot platted after 7/1/93 Rim Joist Detail options selection sheet (bldgs with 3 or less units _? Cv Date Constructio n Cost Site Address ? 7hmgS / Unit/Ste # Description of Work Multi-Family Bldg - Y N Fireplace(s) - 0 - 1 - 2 Property Owner C ?? a e_ Telephone #(65-1) Contractor ! gay Address City State ?1/F7P/ Zip Telephone #(?? ? 7 C- t??J COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateeory 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone # ( Telephone # ( N If so, 25% plan review I hereby apply for a Residential Building Permit and acknowledge that the informat' is complete and acc rate; that the work will be in conformance with the ordinances and codes of the City of an-fie MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Nam Applicant's OFFICE USE ONLY Sub Types ? 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 EM. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement "Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # 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 _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas T ests -Final Framing _ Siding _ Stucco - Stone - Brick _ Fireplace _ R.I. - Air Test - Final Windows Insulation _ _ Retaining Wall Approved By: , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total s ?. 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 A`7 © .` cb New construction Requirements RemodelfReoair Requirements Office U'Odl Cer[af Surgey--R w N 3 registered site surveys showing sq. ft of bt sq. R of house; and all roofed areas 2 copies of plan , d Y t( (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Reo ' _ „ 2 copies of plan showing beam & window sizes; poured found design, etc 1 site survey for additions & decks Tree'Wres liegonred = I I set of Energy calculations Addition -indicate if on-site seph'c system Septic System' pn-slt 3 copes of Tree Pmservation Plan If lot platted after 7/1/93 Rim Joist Detail Options selection sheet (bidgs with 3 or less units Date GI J Site Address Description of Work Multi-Family Bldg - Y ). Property Owner Contractor Address State Construction Costal Unit/Ste # w Fireplace(s) _ 0 - 1 - 2 RENEWAL BY ANDERSEN 1920 COUNTY ROAD "C" WEST ROSEVILLE, MN 55113 651-264-4777 LICENSE 420130983 Telephone # ((p5() 45Z -a039- city Pelephone # ( COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 - Minnesota Rules 7672 Energy Code Category . Residential ventilation Category 1 Worksheet New Energy Code Worksheet (J submission type) Submitted Submitted . Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? - Y fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor N If so, 25% plan review Telephone #( Telephone #( Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the informationci3-se leteand-accuratq; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of NIN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and apptg4val of plans. / /) Applicant's Printed Name pplicant's Signature Sub Types 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 (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width Footings (new bldg) Footings (deck) _ Footings (addition) _ Foundation _ Drain Tile Roof _ Ice & Water _ Final Framing Fireplace _ R.I. _ Air Test - Final Insulation Approved By: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total REQUIRED INSPECTIONS _ Final/C.O. _ Final/No C.O. _ Plumbing _ HVAC Other _ Pool _ Ftgs _ Air/Gas Tests _ Final Siding _ Stucco - Stone - Brick _ Windows Retaining Wall Building Inspector vve ve. ivvy auv tG. JV fap !Od 011 v1400 tcntvlirtw tar anututetstr re al Tune t 2001 City of Eagan 3836 Pilot Snob Road Began, MN 55122 To Whom It May Concern: Elder ]ones is Eider )ones to authorized to pail building petmits for Renewal by Audmseat_ Please allow provide this WWce forus in Hagan, `mis attdwritation is valid for any date beyond 6/6102: until a Wmewai by Anderson manmper - to theCity it to welting I rupest this authoaization be ac,,?,-expeatlomjy, as .. our building PcXcAU arty fuxd= fl "c cad me if th aim a not delay in the roan b trig of contacted. at 763-502-4706, ?Y gneationa., I can be Your immediate attention to this matter is atitneerni_ 9 sinoeialy, and RmRau ffstallation Manager Renewal by Andersen Corporation ('.c: Kam-FId" Inner •cz)?4 V,2?L? t: - 7-?, WUV2 Received Time Jun. 7. 1.07PM RESIDENTIAL ql' / BUILDING PERMIT APPLICATION (, as / a CITY OF EAGAN i 3830 PILOT KNOB RD - 55122 651-681-4675 New Construction Reouirements RewdstlResair ReouiremeMs . 3 registered site surveys showing sq, ft of lot, sq. ft. of house; and all roofed areas • 2 copies of plan (20% maximum lot coverage allowed) . 1 set of Energy Calculations for healed additions . 2 copies of plan showing beam & window saes; poured found design, etc.) . 1 site survey for exterior additions & decks . 1 set of Energy Calculations . Indicate ff home served by septic system for additions . 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 2 VALUATION 3C?? • ` JOB SITE ADDRESS IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER TYPE OF FIREPLACE(S) _ 0 _ 1 _ 2 APPLICANT PHONE# ADDRESS QNo Z.• ??f J ??^? Q?ytyy?e??`.? CAN ZIPCODE?_ PAGER #--763 611' 9?-\rl.) CELL PHONE # L I? 27 s- 19 7 FAX # NIEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor: Plumbing System Includes: Mechanical Contractor: _ Mechanical System Includes: SewerJWater Contractor: Phone # Phone # Fee: $90.00 Fee: $70.00 All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinanaqs. Signature of Applicant Certificates of Survey Received Tree Preservation Plan Received _ Not Required _ Updated 2002 Lt Water Softener Water Heater No. of Baths _ Phone #: Lawn Sprinkler No. of R.I. Baths - Air Conditioning - Heat Recovery System 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 (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 - Ice & W ater _ Final _ Pool _ Figs _ 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 Weatherstrips AS.H VE Construction No. Guide 13"h&we noors Reference ut OWall Int. Wall Ceiling es- o Al -Y -, I 1 1711 I;t?1rtj Room Length )..11. q Width n I n 11 FLiaht 471A P 11 L Infi Coef. Glass - Exp. wall "go I I __ Net exp. wall Int. wall Floor CCU. Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area _ I Fl.) Ljj;jy1p Room Length ))?'b 4 Width/'1 Windows an(J Doors-Crackaae and Area Na width of pane Height of pane NO-Of light. Liaoaltl. of crack Area q. !t 1 n / r Coef. Btu Infiltration Glass I JA no Exp. wall " Net exp. wall Int. wall Floor Ced. total Btu. 1157 JA Required sq. ft. E.D.R. or sq. ins. W.A. Leader area No. Width of pane Height of Pane _ No. Of Ilghi. Lineal ft. of crack Area q. fl. I ,I jAjL I 3AI 1 7 I l 11 Q I it X10.1 Coef. Btu Infiltration 52, 0 Glass 60 0 Esp. wall Net exp. wall Q Int. wall Floor Cell. 60 Insulation How Room wl naows 11 1201 voor - racaa l;c ciao Mi ca He. Width of pace Height of pace et NO. liahla Lneal (4 e} took Aree ea• ft- I! I II Coef. Btu Infiltration 1 8 o Glass Exp_ wall Net esp. watt 7 Int. wall Floor - Total Btu.' Required sq. k:' E.D.R. or aq. ion. W.A. Leader area / FIA T, eMRoomILength M1)." Width/'a'/,' H? tR_TO7' wlnaows ar ia Uoors--Lraeea ge aria ar ea No. Width of "am, 'Hal0l of pane' -Na. of liabY Lineal It. of eraok Area m. ft. ! w , Coe(. Btu Infiltration Q IaQ Glass Exp. wall Net exp. will 7 TSAR Int. wall Floor Ced. 1 ! Total Btu. 1 'Y 710 Required sq. ft. E.D.R. or q. iris. WA. Leader area Fl. a RoomlLengt6 G"Width "Height ? wmaows aria troors?.racea ge aria arcs Na. Width Of pane Height of.pans Na. or riahto lineal fL of crack Area N• m „ Coef. Btu Infiltration Glass DO Exp. wall Net exp. wall: t Int. wall Floor Celt. I )AILI AT Iota] Mo. 7 jJr7 11 . Total Required s:7. ft. E.D.R. or sq. ins. WA. Leader area Requi f? uh -r64-a)_ ??i, = -4/8, 3a ,q .nd3ws Doors Reference 11 out. -Y"---NO-11 19_ 11- and Doors-Crackage and Area Btu Exp. wall Net exp. I Int. wall Floor Ceil. Total Btu -Required sq: ft. E.D.R. or sq. ins.: W.A. Leader area F- '- Fl.1 Room Length Width Height Windows and Doom-Cracka ge and Area Na Width of pane Height of pane No. of llghte Lineal ft. of eraek Ana p. fe Coef. Btu Infiltration Glaze Exp. wall Net exp. wall Int. wall Floor Cell. Iota) Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl.1 Room I Length Width Windows and Doors-Crackage and Arc, T No. Width of pant Height of pane N. of lights Lineal tL of creek Ana p, it. Coef. Btu Infiltration Glaze Exp. wall Net exp. wall Int. wall Floor Cell. total Btu. Required sq. ft. E.D.R. or sq. ins. WA. Leader area Construction No. Wall Ceilins c . Insulation Floot. I .. Kind, Room I L w l ntwWS?a m u rr -uacaa gc aoa ev ca No, Width' or poor Height of Dana No. of Itch" IJa"ItL of crack Area p: it. 1. Coef. BM Infiltration Glass Exp., wall Net exp. wall int. wall Floor C•9. Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl.I Room l Length Width Height Total Btu. Required sq. ft: E.D.R. or sq. ins. W.A. Leader area Fl.1 ( Room I Length Width Height' wlnaows ma Moors--.racaa ge ana ev es No. Width of he"' Height at WM NO. Of lights Uneal ft. of clack Ana p- ft. Coef. Btu . Infiltration Glass - Exp. wall Net exp. well lot. wall Floor Ced. wl naows a nti voors -t,racaa ge am n na No. width orp.ne Height af,p.ns No. of light. Lineal ft. oferack Are, M. CL Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Floor Cdl: Total Btu. Required sq. ft. E.D.R..or so. ins. W.A. Leader area Certificate for: .. Sunshine Construction Co. -1,4^1 Thomas Lane Eagan, Minnesota 55122 DELMAR H. SCHWANZ LAND SURVEYOR 51 l Uc., R"istarart Under Laws of The State Of Min Mfota 2978 - 146TH STREET W. - BOX M ROSEMOUNT. MINNESOTA BOB! SURVEYOR'S CERTIFICATE Scale: 1 inch = 30 feet Bic: I1/ e PHONE 612 423-1789 m Denotes iron monument Z p Denotes wood hub set 2 18 ? ?Jg t??,Q la zg?3Ay % /,7 3 ?p Drainage and 4o Utility Easement , a W 01 ? ? 62 y it /? N yL i1 I _ , J A 1 ?? 6 y lop 'nz- 0 Z 31 S5. ??P?:? q?q 2 ? q3?, N e / q,:0 7, Denotes existing elevation ( } Denotes proposed elevation Proposed garage floor elev. I hereby certify that this is a true and correct representation of Lot 3, Block 3, WALDEN HEIGHTS FIRST ADDITION, according to the re- corded plat thereof, Dakota County, Minnesota. Also showing the location of a proposed house as staked thereon. April 27, 1984 MINNESOTA REGISTRATION ..74.. w zt ? ? ? C ?k ac :r?M Y,t ?i „c Xt rh ?k>k %k h::Rt ? C:it $c Xc Pr:M k: l? ?k 7 k Xi >K :r? >X ? k: YF Xt Xv'F>k CITY OF E-AGAN CASHIER: S TERMINAL. NO: K2 DATE ; 04/14/99 TIME: 0:0901 Iii:: NAME:. DANIEL BETZ 3210 9001 1.472 THOMAS LN 60.00 205 9001 1472 THOMAS LN 0.50 Total Receipt Amount„ 60.50 CR106429 USER ICS. NANCY >k?>'F>X%cXcm?C??kXcXc:+??k%c%:Rc>tiX:rt:$?88c?%c>kr„>kkok;k?C>k>k>X>K??# 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 0. 651-681-4675 New Construction Reaulrements > 3 registered site surveys showing sq. it. of lot, sq. k. of house and all roofed areas (207, maximum lot coverage allowed) > 2 copies of plans (show beam b window sizes; poured fnd. design; etc.) > 1 set of energy calculations > 3 copies of tree preservation plan R lot platted after 7/1/93 . 11 `? Remodel/Repair Requirements 2 copies of plan 1 set of energy calculations for heated additions 1 site survey for exterior additions a decks CONSTRUCTION COST: 2060 DATE: Z/-/3 - 92 /< DESCRIPTION OF WORK: /D e =-??yy STREET ADDRESS: / --/ 7a, /i?a?4 f ?+? LOT: BLOCK: 3 SUBD./P.I.D. #: } R, In V`-P t S PROPERTY OWNER Name: Aft Phone C 6 S-Z - Last Jam) ^ /?'l First / ei-4 AAA-- City Z- A e.-9;5/ State: All zip: 'rS Company: Phone #: (area code) CONTRACTOR Street Adc City ARCHITECT/ ENGINEER Company:. Telephone #: area code ( ) Street Address: Registration #: City Sewer & water licensed plumber (required for new construction anlv): State: Zip: Name: State: Penalty applies when address change and lot change Is requested once permit Is Issued. Zip: I hereby acknowledge that I have read this application, state that the information Is correct, and agree to comply with all applicable r State of Minnesota Statutes and City of Eagan Ordinances. / Signature of Applicant: OFFICE USE ONLY License # Exp. . Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 03 1 of _ plex ? 08 6-plex ? 13 16-plex jib 18 Deck ? 23 Porch (screened) ? 04 2-plex ? 09 7-plex ? 14 Apartmen ts ? 19 Lower Level ? 24 Storm Damage ? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous WORK TYPE 31 New ? 35 Tenant Impr ? 39 Gas Line On ly ? 43 Siding/Soffits/Fascia ? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors ? 33 Alteration ? 37 Demolish Bldg. ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof GENERAL INFORMAT ION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Width Basement sq. ft. Main level sq. ft. i sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq, ft. 2 yd Census Code y3,/ SAC Code No. of Units No. of Bldgs ?- MC/ES System City Water Booster Pump PRV Fire Sprinklered APPROVALS Planning Engineering Building :2-- AeA Variance Permit Fee Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: SAC Units Valuation: /OXZ f 1 I % SAC i -T I III-?z= <-/o•( Se ? A ?? naE Eo sco/e 22'6 D.+ u .l3e7,t /472 Trf'oMAS LN. LCA6AN MN 4Q D ? I u. o.. 6Z=0„ -? ? C z/a4 f CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION - (PLEASE PRINT) ` 1) PROPERTY ADDRESS: f 4/)L `??ff?r a s ?y e, =-AL DESk^2TPTICN: LL f (? Ja Ogle s A7 (Lot/Block/Subdivision or Tax Parcel I.D. Number) STRU=1RE, DATE OF ORIGINAL BUIIL DITIG P=T T_SSUA ;C^: ? '. - - - - PR?S?' a-5- Y R-1 SINGLE FAMILY l ? R-2 DUPLEX (Two WITS) ? R-3 TajNTHCUSE (THREE + UNITS) ( UNITS) ? R-4 APARa!E T/CONDcmNILryl ( CNIIS) ? CON9vERCIAL/RETAII?OFFICE ? INDUSTRIAL ? INSTITUTIONAL/GONTRNMENT 2) APP=-.N-r (PLEASE PRINT) ADDRESS: 7/ n KS Cry P__ CITY, STATE, ZIP: ?cco d 41 AD SS PHCNE:J ?--'J'-($r SE PRINT) 3) PLL:1BIr' FOR CITY USE ONLY NAME. S /v ?/}^ ADDRESS: lbilmii 5•n?i IV rI L PLUMBERS LICENSE: . 0j/ . Active CITY, STATE, ZIP: Lam i N<zg N 'SSx/2O &4m ? Expired . FId? c . -PHONE: '?•-[?//L% j PLUMBER LICENSE H e? ;Z Not of Record e5) Starr inttta 4) GY:C TA_%.7r/CwilER (PLEASE PRINT) NAME: Sa Lq ff Ci'_5 ?h d c ADDRESS: CITY, STATE, ZIP: PHONE: 5) INDICATE WHICH PEP.%UT IS BEING REQUESTED: ® CONNECTION TO CITY SEPIER ® CC:INECTION TO CITY WATER ? OTIER (PLEASE DESCRIBE) 6) I DIC:,. 0:4.: 7) SIC::-=E: 11 PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABLT. PLEASE '.NAIL APP ID PERtIT TO 1, 203 4 ABOVE (Circle one) DATE: s:as:a?.A A b{ ir:ii:i is III R Pl ?FJ?:a?fiF'lE! f? ? ?[ sisaaaL a F O R PEP_tIT = ISSUED 1 -1 I T Y U S E O N L Y FEES: $ .?4- a5 O $ l ?. O $ a r? $ ++? $ $ / .F P $ $ ?-J S S $ S SEWER PERMIT (I`ICL DE SURCHARGE) WATER PERMIT (INCLUDE SURCHARGE)' WATER METER/COPPERHORN/OUTSIDE READER WATER TAP (INCLUDE CORPORATICN.STOP) SEWER TAP ACCOUNT DEPOSIT SEWER ACCOUNT DEPOSIT - WATER WAC SAC TRUNK WATER. ASSESSMENT TRUNK SEWER ASSESSMENT LATERAL BENEFIT/TRUNK SE?9ER LATERAL BENEFIT/TRUNK WATER OTHER TOTAL // $ / ? AMOUNT PAID/RECEIPT # DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE NO ENGINEERING DIVISION. LIST AS A CONDI- TION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY:,??efJ (? DATE : h - -= !i MOM w wdm wfO Wag "CM M 4 dlif4 w:4WM% W )R FJM y4i !k= R f A W M öëö ðÿ ÿ þýý ðûûü úýýü ÿë ýè ññó ë ññññ þýö þýüûúùîý ûúùöø ùîý Þý ù ô ïý ô ëýü ã ÿþ ù ÿ ý ä öë ú ó ëøúñ ã ôîáõùô ßæêê õú þý ë îèæêäêä ôïóï öòñ ùù ÜÛõúýôü Ýó ó ó ëøúñûëô ý ìãöññ ãö áäßà ë üúø ë ëì ë ùù ëëé ô ôùúøëùùüþ éã þý òúé í ê ùù÷ ôþ ý ýúþ ý PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA124324 Date Issued:06/27/2014 Permit Category:ePermit Site Address: 1472 Thomas Lane Lot:003 Block: 003 Addition: Walden Heights PID:10-83300-03-030 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Renae Frienwald 2200 Hwy 13 W Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 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 - Hans L Aanning 1472 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 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA162393 Date Issued:07/13/2020 Permit Category:ePermit Site Address: 1472 Thomas Lane Lot:003 Block: 003 Addition: Walden Heights PID:10-83300-03-030 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater 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. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$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 - Hans L Aanning 1472 Thomas Lane Eagan MN 55122 (952) 412-2370 Noah Acquisitions Llc 5718 International Pkwy Brooklyn Park MN 55428 (612) 822-5292 Applicant/Permitee: Signature Issued By: Signature I— E AG A N EcEivE0 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651) 675-5675 I TDD: (651) 454-8535 I FAX: (651) 675-5694 • Zvi buildinginspectionsna cityofeagan.com 211 Y t 2020 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 8 Site Address: bm43 LyN 1� For Office Use (�,1�� 71) aa o Permit #: Permit Fee: Date Received: Staff: Unit #: t 1 Resident/ Owner Name:v\ S C2�� CiA t FC�VkY1\ Phone: Address / City / Zip:• � Applicant is: Owner Contractor /r / Wtn7( C,6 6/I Ji't, I J Work Typeof irk Description of work: l OCR- ('2p`aCe{'ttii - j- '�Ou,S S (i) 1 3e o fef ail c I i Construction Cost: 'k).O Multi -Family Building: (Yes / No _) Contractor Company: JL ( tM.Q_ C04-6C-C- nq Contact: V12_. Address: \ \ SO L tN City: a (• r State: Zip:7^SZYI Phone:51^353"17b3Email:. 11tiI ,. n ) License #: S C-5d'bSa tk Lead Certificate #: ) If the project is exempt from lead certification, please explain why: . IJo keC.I WOK- C 4U //sr) VI COMPLETE THIS AREA ONLY IF CONSTRUCTING In the last 12 months, has the City of Eagan issued a permit for Yes No If yes, date and address of master plan: A NEW BUILDING a similar plan based on a master plan? Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Fire Suppression Contractor: Phone: Phone: Phone: Phone: NOTE: Plaits and supporting documents that you submit are considered to he 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. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaqan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. 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.000herstateonecall.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 inthecase of work which requires a review and approval of plans. S Applicant's Printed Name Applicant's Signature f DO NOT WRITE BELOW THIS LINE 1y.7.? 1 hom/3-s Li SUB TYPES Foundation Single Family Multi 01 of Plex Fireplace Garage Deck Lower Level WORK TYPES New Interior Improvement Addition _ Move Building Alteration Fire Repair Replace Repair Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100% // ) Census Code # of Units # of Buildings Type of Construction Porch (3-Season) Porch (4-Season) Porch (Screen/Gazebo/Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Foundation Before Backfill Roof: Ice &water �-Final Framing 30 Minutes 1 Hour Fireplace: _Rough In Air Test Insulation Sheathing Sheetrock Fire Walls Braced Walls Shower Pan Reviewed By: i✓ _Final Siding Reroof Windows Egress Window Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Accessory Building Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building — give PCA handout to applicant lo %L-! Meter Size: MCES System SAC Units City Water Booster Pump PRV Fire Suppression Required Final / C.O. Required Final / No C.O. Required HVAC _ Service Test Gas Line Air Test _ Hood Pool: _Footings Air/Gas Tests _Final Drain Tile Siding: _Stucco Lath _Stone Lath _Brick _ EFIS Windows Retaining Wall: _ Footings _ Backfill _ Final Radon Control Fire Suppression: _Rough In _Final Erosion Control Other: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Radio Meter Read Copies TOTAL l GL j5 Rt��,4i%L 0 G Page 2 of 3