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1476 Thomas Lane CITY OF EAGAN N2 13243 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for D CK Est. Value $4,800 Date FEBRU ARY 19 19_a7 Site Address 1476 THOttAS LA.-if", Erect ? Occupan cy Lot 5 Block 3 Sec/Sub. lo-jA .,DEA 11TS 1ST Remodel ? Zoning Parcel No. Repair ? Type of C onst Addition ? No. Storie s N LARRY CARBERRY Move ? Length ame W z Demolish ? r Depth 3 Address c C t V , Int Impr. ? 452-2516 I t ll ? Sq. Ft. i y ns Phone a o Name i,i`'iti? Approv als Fees 0¢ Address 3700 ANNAPOLIS L14 Assessment Permit $56.50 City PLYMIOU?K},ne 631-0450 553-0020 Water & Sew. Surcharge • 50 a F W Name Address < W City Phone 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 1= t A Building Permit is issued to: all work shall be done in accordance with all applicable State of Minneso Police Plan Review Fire SAC Eng. Water Conn. Planner Water Meter Council Road Unit Bldg. Off. Tr. PI. APC Parks Var. Date Copies Total on the express condition that Statutes and City of Eagan Ordinances. Building Permit No. Pem* Hokbr Dab Telephone ff Plumbing H.V.A.C. Electric Softener Inspection Date Insp. Comments Footings I? . Footings 11 Foundation Framing r . Roofing Rough Plbg. Rough Htg. Insul. Fireplace Final Htg. Final Plbg. Bldg. Final Cert. Occ. Deck Fig. Deck Fang. Well Pr. Dap. CITY OF EAGAN ND $94 f 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt * To be weed for SF Est. Vol ue S 63,000 Date A P R T L b 4 19 Site Address 14 7 6 Erect ?h Occupancy Lot 5 Block '} +ec/Sub. 1 ` Alter ? Zoning Z1 I O - , 33 0 0 - 0 5 0- - .' Parcel No Repair ? Fire Zone NSA . Enlarge Q Type of Const. V ac l • Name STJf]:'F?INF Move ? * Stories AS L i I ?rlaor?as r,] i . Address Demolish p Length 44 City Phone z. 54-748 5 Grade ? Depth 36 Sq Ft. . Approvals Fees o Gu Name Assessment Address u r City Phone Water 8 Sew. Police W Name Fire 4K z Address Eng. j% W City Phone Planner I hereby acknowledge that I have read this the information is correct and_ gree to c State of Minnesota Statute*Adlid City of/ Signature of Permittee -K-- A Building Permit Is Issued to: all work shall be done in occo Building Official Council state that Bldg. Off. applicable APC es. Permit $ 3 2'`'- . 0 0 Surcharge 3 . 30 Plan check 161.30 SAC 525. ) 0 Water Conn. 4 7 0 • 'J 0 Water Meter 63. )0 Road Unit ISO. A Total $1,832.50 on the express condition tha+ Statutes and City of Eagan Ordinances. Permit No. Permit Holder Misc. Permit No. Holder Plumbing ff H.V.A.C. `t U 1 4Y1P71 r} 5 r well water Disp. Sewer Electric A ?J387S. n 4S er. -7 "S ? Inspection Date Insp. Other Footings S%Z f 8 Foundation Framing r Rough Plbg. Rough HVA Insulation Final Plbg. Final HVAC _?sd Final Water Describe Location: Well Sewer Pr. Disp. Receipt MECHANICAL PERMIT Permit No. CITY OF EAGAN Fee fill in numbered spaces S/C Type or Print legibly Tot. 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 ? Commercial ? Institutional ? 9. Work Description: New ? Add ? Alter ? Repair ? 10. Describe Fuel Type 11. No. Equipment BTU - M. Ea. Forced Air No. Equipment CFM A H i Mfg. andl ir ng: Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets L 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 `( ' PLUMBING PERMIT Permit No. CITY OF EAGAN i? Fee Fill in numbered spaces S/C i Type or Print legibly Tot. 1. Date 2. Installation Cost 3. Job Address Lot Blk. Tract 4. Owner 5. Contractor Phone 6. Address r 7. City State Zip ' 8. Building Type: Residential ? 9. Work Description: New t,? 10. Describe 11. Commercial ? Institutional ? Add ? Alter ? Repair ? No. Fixtures Water Closet No. Fixtures Ce ool/D i field Bath tubs ssp ra n Se tic Tank Lavatory p S ft e Shower n r o Well / Kitchen Sink Urinal/Bidet Othe Laundry Tray r Floor Drains Drinking Ftn. I 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 g 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 CITY OF EAGAN Remarks J? V- `' , -le ' Addition WALDEN HEIGHTS 1ST ADDN Lot 5 Blk 3 Parcel 0-050- Owner Street 1476 THOMAS LANE State EAGAN MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK p 61.33 A 013730 4-6-84 SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA 2.7- 13-77 IS 137.70 A 013730 4-6-84 STORM SEW TRK <6 5 1984 7 .75 134 5 539.00 A 013730 4-6-84 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT ROAD UNIT 260.00 2397 4-6-84-- WATER CONN. 470.00 11 BUILDING PER. 8947 SAC 525.00 11 PARK CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road P. O. €?ox 21199 PERMIT NO.: 5388 Eagan, MN 55121 DATE; 4-11-84 Zoning: R1 No. of Units: 1 Owner: Sunshine Const ress: Address: 1476 Thomas Lane L5 B3 Walden Hat s Plumber: -Star Plbg - Meter No.: 3 I IX o? 0?0 -T Connection Charge: 470.00 Pd Size: Cfv" Account Deposit: 15.00 pd Reode No.• 0 ? L. 6 23 75-- Permit Fee: 10.00 pd 1 agree to eompy with the City of lagen Surcharge: .50 pd Ordi Misc. Charges: - 63.00 Ddmeter Total: BY to Paid: Date nsp.: Insp : . CITY Of -AGAN WATER SERVICE PERMIT 3830 Pilo: Knob Road - P. Q. Box 21199 PERMIT NO.: Eagan, MN 55191 DATE: Zoning: _ No. of Units: Owner: Address. - Site Address: Plumber. - Meter No.: _ Size: Reader No.: I agree to comply with the City of Eagee Ordloonow BY - Date of I nsp.: Connection Charge: 470.00 pd Account Deposit: 15.00 pd Permit Fee: 10.00 pd Surcharge: .50 pd Misc. Charges: 63.00 pdyneter Total: Date Paid: CITY OF .%GAN 3830 Pilot Knob Road P. O. Box 21199 Eagan, MN 551il Zoning: Sunshine onat SEWER SERVICE PERMIT PERMIT NO.: DATE: ' ;• No. of Units: ywnar. Address: _ Site Address - - ---- -- Plumber: t8T Flbg 07 TM-71-- 4-0-57- 42397 425.00 pd I agree to comply with ew. City of Regee Connection Charge: pd Ordieenem. Account Deposit: Permit Fee: pc pd Surcharge: By Misc. Charges: Date of Insp.: Total: I-- . Date Paid: . CITY OF EAGAN p 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ?- PHONE: 454-8100 _ BUILDING PERMIT To be used for DECK $4,800 Receipt 13243 Site Address 1476 THOMAS LANE Erect ? Occupancy Lot 5 Block 3 Sec/Sub. WALDEN HTS 1ST Remodel ? Zoning Repair ? Type of Const. Parcel No. Addition ? No. Stories LARRY CARBERRY Move ? Length W Name Demolish ? Depth o Address SAME Int Impr. ? Sq. Ft City P hone 452-2516 Install ? o AMRE Name wpprova,s $Q Address 3700 ANNAPOLIS LN Assessment City PLYMOUT%ne 631-0450 553-0020 Water & Sew. a Police F w Name Fire a Address Eng. 55 City Phone Planner Council I he reby acknowledge that l have read this application and statethatthe Bldg. Off. info rmation is correct and agree to comply with all applicable State of Permit Y J V- J V Surcharge 2'50 Plan Review Water Conn. Water Meter Road Unit Tr. PI. Minnesota Statutes and City of Eagan Ordina ces. APC Parks Var. Date Copies Signature of Perminee b 1 O U Total A Building Permit is issued to: ANRE on the express condition that all work shall be done in accordance with all ap ==7 to Slat tes and City of Eagan Ordinances Building Official CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ?7 l?l ? 8947 PHONE: 454-8100 ?a p BUILDING PERMIT Receipt # To be wed for SF DWG/GAR Est. Value $ 63 , 000 Date A PRTT. r" 19_$.4_ Site Address 1476 THOMAS LN. Erect QS{ Occupancy R3 Lot 5 Block 3 Sec/Sub, WALDEN HTS. Alter ? Zoning R1 Parcel No. 10-83300-050-03 Repair ? Fire Zone N/A Enlarge ? Type of Const. V W Name SUNSHINE CONST. Move ? # Stories _ z Address 1471 THOMAS LN. Demolish ? Length 44 City EAGAN Phone 454-7485 Grade ? Depth 36 Sq. Ft- SAME Approvals Fees o Name _ SAddress v City . Name City Phone I hereby acknowledge that I hove read this the information is correct an agree to c State of Minnesota Stotut CC4Y oy Signature of Permittee-- A Building Permit is issued to: all work shall be done in acco Building Official and state that oil applicable Assessment Permit S 322 . 00 Water 8 Sew. Surcharge 31 .5 0 Police. Plan check 161.00 Fire SAC 525.00 Eng. Water Conn. 470.00 Planner Water Meter.- 3.00 Council Rood Unit x.00 Bldg. Off. APC Total $1 r 8-32 .5 0 T. on the express condition thm nesoto Statutes and City of Eagan Ordinances. BU? I EAGAN S?Q BUI G PERMIT APPLICATION Include 2 sets ofplans, 1 Certificate of Survey & 1 set of energy calculations. To Be Used For Valuation '!r7 Date 'CIM Site Address: /YA7 I ?m4S Ltoo 'r fi Lot S Block 3 Sec./Sub. ir?a k 4r Parcel #: 16 -9-330--a - 0 S o -a3 Owner: SLt ms ?(KP CA7?f7'Gf7Qh Address: 7/ ?GL6A+a k City/Zip Code: te-agati IZ4"0 OFFICE USE ONLY Erect Occupancy le Alter Zoning LA Repair Fire Zone AIAL- Enlarge _ Type of Const. Move # Stories Demolish Front qz1 ft. Grade _ Depth 36 ft. Phone # : q_$-C-( - 7 Y P??- APPROVALS FEES Contractor: Sa_ 6/ae- ct_S' 46s4- Address: City/Zip Code: Phone #: Arch./Eng.: Jc yn_ S Address: kzoc ld'f e so. City/Zip Code: L?lc? '{ny A4,L) SSY3 / Phone #: "E= Assessments Water/Sewer Police _ Fire Eng. Planner Council Bldg. Off. APC Permit 3R ?' Surcharge Plan Check SAC .So'? Water Conn. x1 >0 L 3 Water Meter Road Unit G? G o ??? 3444f., .est vo-d L 5 6 3 wAd e, [B months from A 053376 5--2 - ?Y Ya•ra Bequest Date Fire No. ugh-in imeection red? .?/ Beady N. lCl Will Notify, InsDec- - S-• ?'*0 Yes ?NO Yor When Ready Licensed Electrical Contractor 1 haraby request inspaction e1 above ? Owner elect cel viark iestalled at: Street Address. Box or Route No. / T / ll7 r 26P City No. Section No. I Township rpe No. Cou n t y Dccupaw UNINTI _ - ?.a?? }. a C9 ''') ? Puwer Supplier Adl.rss Name) Elec -cal Contractor (Compaany Contractor's Lice... No. N rFu 1.=l? `Z? 1 C J Ma-1-np Address lCOtdracta a Ormer Making Ir6taiWt-pn S /5S / rr? a r- i/<r S. Authorized SiBrmtore IContracta? r Making Instellatiad Phone Number THIS INSPECTION REQUEST WILL NOT MINNESOTA STATE BOARD - Bourn N-191 BE ACCEPTED By THE STATE BOARD 821 -Y-dwa Bldg. Mom BE ACCEPTED NNE STATE BOARD 1 [827 Universit ty Ave.. , SL Paul. UN YN M104 UNLESS PROPER INSPECTION FEE IS or....... fdpf D979111 ENCLOSED. K 3 651 REQUEST FOR BECTMCAL INSPEMON 5 ?,JY EB.0000 04 n See imtruetiuu far eoepbtiry this farm m back of Yolk emY- A 1 1 q 7 G1 •X.. Below Wmk L avered by This Request Add Rev- Type of Building AppDaptlea Woad Equipment Wired Home Range Temporary Se"" Duplex Water Heats Lighting Fixtures Apt Building Dryer Electric Heating Conmercial Bldg. Fummi a Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other pan other Ispecifyl t r speciry Other ompute Inspection Fee Below tl Fee Service E.Iran:e Sizes tl Fee /Subfoeders tl Fee Circuits .? 0 to 200 Amps if 0 AnW 0 to 30 Amps Above 200 Amps .S- 100 Ate 31to 31 to 100 Arnl, Swimmi Pool : 100-Anqxi Above 100Am s Transtmmers ion Boontss Partial,'Other Fee Sign l Inspection Ronerks ^.? TOT Zell •? Rough-in t Date t ny eeerieal tip 6 tF I wpecTa, Mreby L certify the t above Final Dpares Y O '" / k impaction has been and.. marequest•Wd tBmgttlnhdo //?, c.U/F?/„? /1\ ?3a v3 1987 BUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS 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 - RESIDENTIAL RENTAL UNITS FOR SALE UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND 48op To Be Used For: 0•e<:_4 Valuation: Sj.? Date: Site Address Lot 1-5 Block 0 Parcel/Sub Owner `J^. r ., A (?10 n .. . Address City/Zip Code?n Phone ?? 02 S Contractor A- y ?( Address 3flr fjQntr c c,?•?i,n n City/Zip Code l ?&t- ? iE?!& C) l? Phone G ?vcanollg ?n31-a`?` On Site Sewage Occupancy MWCC System Zoning On Site Well Type of Const City Water (Actual) (Allowable) # of Stories Length Depth S.F. Total Footprint S.F. APPROVALS FEES Assessments Permit Water/Sewer Surcharge Police Plan Review Fire SAC, City Engr SAC, MWCC Planner Water Conn Council Water Meter Bldg Off Road Unit APC Treatment P1 Variance Parks Copies TOTAL Arch./Engr. Address City/Zip Code Z.?-o Phone # ? V111•r-V 1'VL Sunshine Construction DELMAR H. SCHWANZ LANG SURVEYORS IUCt Registered Under Law$ of The State of Minnesota 2878 - 145TH STREET W. - BOX M ROSEMOUNT. MINNESOTA 66086 SURVEYOR'S CERTIFICATE g4t411 0 d6 nv or ?p 7 'v Q 1 .? f 44?. (? ) i? 819 io 3 N PHONE 612 423-1760 39 w 1 /36. =sh- -' o !!^ H17U15? ? o-ar 1 .. ts: ? s 3G s o•r? . Drainage & Utilitiy Easements I ' tU'" N. . -? Z Q q' r- Al 2519 y/-1 ?? ?- 136•.0 22? q % sQ Scale : 1 finch ® 30 feet 1z A O=.Set wood hub ?q O = iron pipe ?*1 ti y ? 93 =proposed elevation v 9 i - 93 existing elevation f = proposed .drainage I hereby certify that this is a true and correct representation of Lot 5, Block 3, WALDEN HEIGHTS FIRST ADDITION, according to the recorded plat thereof, Dakota County, Minnesota. Also showing the location of a proposed building as staked thereon, v Proposed garage floor elevation from development plan, ???'?55U_2? 626 April 2, 1984 0 C' r ll.fa e- /z IF, MINNESOTA REGISTRATION NO.8626 Weatherstrips A Guide \?'% I Doors I Reference Out. ? Wall Int. a- o Yas-iyoiy 19_ - tJ'Ja 1 E7'I AIj4)j Room I Length ll ()'' Width Windows and Dnnrs-Cr.A... -A A... Construction No. I Insulation all Ceiling Roof Floor I Kind How 21 No. Width of Vane He$ ht of pane No, of 5,01. Llnul fL of crank Ana p. ft _ Cocf. Btu Infilvetioa Glass Exp. wall Net exp. wall Int. wall Floor Ced. lotal .Stu. 1 /0 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl?S? h Rn Room Length f 5'p It Width! 1b H Height f f +nJ Windows and Doors-Crackaye anti ATrA No. Width of pane Height of pan. No. of Ilght. Lineal ft. of crack Art. - q. rL it t n IA Coef. Btu Infiltration -)L1 I )a R11 Glass 14 .60 1 0 Exp. wall AqA Net exp. wall Int. wall Floor Ced. Total Btu. Required sq. ft. E.D.R. or sq. ins. WA. Leader area Fl. ?tt'A? Room JLengthl0'&1l Widthd/Q,l Height9,01 Windows and Deors-Craekaoe and Aro. No. Width of Da.. Height of pane No. Of light. Lineal LL of crack Area ". ft. Coef. Btu Infiltration J Glass 60 J/16() Exp. wall Net esp. wall J 7 "17 `7 Int. wall Floor Ceil. Wl ntsows a na floor!- - raeaa ge ana rsr ca No. Width of pane Height of p.aa No. of 11(hb Lywl f6 Ot crack Area e0. [t. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Pon, C-1. Total Btu. 1 /1/0 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area wl naows an a uoorr. -a.racaa ge ana ur ea No. Width of 01.0 Hel(ht of yang No. of Halt" Lineal L. of crack Area q. it. 151 !H ,!, , Coef. to Infiltration Glass _ Exp. wall Net exp. will Int. wall Floor Ced. Total Btu. Required sq. ft. E.D.R, or sq. iris. WA. Leader area F1.1 Room I Length Width Windows and Dnnrs-Crackaae and Area No. Width or,... Height of... No.of Hir 'a Lineal ft. of...ck Area ace. ft. Coef. Btu Infiltration Glass Exp. wal: Net exp. wall Int. wall Floor Coil: Iota] Btu. ar/ - II Total Btu. Required 57. ft. E.D.R. or sq. ins. WA. Leader area Required sq. ft. E.D.R..or sq. ins. W.A. Leader area errtriq; p' Guide lk'imdows I Doors I Reference Out?Wall Int. Vest TC -No 19 Room Length a J) iI,a Wilith ll_ Win we and Dnnrs.-Crenr.n..-A A... " Construction No. i' Height 9ipiI No. W lEth of pane Hst(nt of P.n. Nc. u: liehol Llne.l It. of crack Are. p. ft. I 1 d 1 It 1 if 1 if A?LL Coef. Btu Infiltration Ltlp 1,40 41040 Glass -rD Exp. wall Net exp. wall Int. wall Floor IVU -11 74 Ceil. I otal btu. " ') e7L Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl.I FOV r Room ILength 8'Qi1 Width `1 '(p 1' Height !3 Q' Windows and Doors-Crarka.. nod A... Na Width of pane Height of p.ne No. of light. Llonllt. of crack Ana .a, R ;0° la 1 0 Q !1 if o 1 lj Coef. Btu lnfiltratioe 5 _ 0 gam Glaze 4410 Ad IQ 460 Exp. wall Net exp. wall h& I as lot. wall Floor 1 3 Ceil. 1 I otat btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area fl.l LiY/AlA Room I Length 17%, "Width 1_5 QilHeightlgyQu Windows and Doors-Crackax mind Are. 1'131h Vo. et pan• lielgnt of pane Yo. o[ Ilght. Linea ft. of crack Ara p. fl. ,, ;, q Coef. Btu nbltration 39 Q ?Q :lag ;xp, wall lliB Jet exp. wall - nt. wall Floer veil. r otal tc! II ; equir<d s.;, ft. E.D.R. or sq. ins. WA Leader lea 1-0 4,1Z Insulation F floor II Kind Ho, F1.1 ()lA1j/?a RoomlLength71 'jolt Width Windows and rs--Crackage and Area Btu Infiltration I -//)1 1310 0 Glaze 4/1 1 Q Exp. wall Net clip. wall Int. wall Floor Total Btu. Required sq. ft. ED.R, or sq. ins. W.A. Leader area q-16 7 FIA Ajk)jA Room ILength 13 bo Widthlo'Qij Height 'Qe wi nnows an a v ra -a.racaa ge ana ur ea No. Width of Peas height or Dana No. of light. Llnnl It. of crack Area m. ft. 1 ! ro! r ? Cuff. Btu Infiltration f Q Glass Exp. wall Net exp. wall 12 7 &E Int. wall Floor CCU. Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I FI•IM,y f o,4h Room I Length L71 Widim,14, Windows and Doors-Xrackaae and Area No. Width of pans Haight or,pan* N. of lights Lineal ft. of crack Are. X le. Coef. Btu Infiltration Glass Exp. wal: Net exp. wall Int. wall Floor Cell. 7 H _Total Btu. Required sq. ft. E.D.R.,or sq. ins. W.A. Leader area #XRXX*XXXXXXXXXXXXXXX*XXX*X%XXXX%*kXXM 3 2 2•+ CITY OF EAGAN 3 T%• 5+ CASHIER: 5 TERMINAL NO: 021. t6 I. + DATE: 05/27/99 TIME: 15:34•:45 525 • + 470•+ ID: 63•+ NAME; DAVID SCH14EICH CONSTRUCTION 2 6 0 * + 900i 579 EDEN CIR 63.80 3210 1 9 3 2 • 5 , 2155 9001 579 EDEN CiR 0.90 32,10 9001 1476 THOMAS LN 50.20 2155 9001'1476 THOMAS LN 0.65 Total Receipt AM06nt: 116.15 CRiO986i UI SER ID- NANCY XXX:kXXXXXXX?XXXX?%XX?kX%?X?K*'k*%kXXX*XXYcXX>t 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) S r?S' CITY'OF EAGAN 5 G 3830 PILOT KNOB RD •55122 0 651-681.4675 New Construction Reauiremenh 3 registered site surveys showing sq. ft. of lot, sq. ff. of house and all roofed areas (20`b maximum lot coverage allowed) ? 2 copies of plans (show beam d window sizes; poured Ind. design; etc.) D 1 set of energy calculations D 3 copies of tree preservation plan R lot platted after 7/1/93 DATE: g'p Remodel/Repair Requirements 2 copies of plan 1 set of energy calculations for heated additions 1 site survey for exterior additions 3 decks CONSTRUCTION COST: 43 0o DESCRIPTION OF WORK: !?S //f C? Zh/? /??SM}? ?G?T? /??? STREET ADDRESS: NOrl7ieJf Z4 LOT: S BLOCK: ' 3 SUBD./P.I.D. #: U?®"'W^ PROPERTY OWNER Name: < Lost first Phone #: I9y-)74?0 Street Address-./q7 L ?,t/oy?i?as j< ae' $ LA City 6-,4Zj A) State: ? ? Zip: Company: QA (/le9 ,TLS L?El i4 '/?S i n?7/D iO /- V 47 ` VJ"3Q (area code) CONTRACTOR Street Address: I L?)0 a2 License # City 4A ee1/1 L. C State: /)?--- ARCHITECT/ ENGINEER Company: Name: Telephone #: area code ( ) Street City State: Sewer 3 water licensed plumber (required for new construction only): Penally applies when address change and lot change Is requested once permit is Issued. ^40?3/ 1.07 Exp. -566 O Zip: SSrbYS° Zip: t I hereby acknowledge that I have read this application, state that the Information is correct, and agree to mply wit all applicabi 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 Required Registration #: 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 ? 18 Deck ? 23 Porch (screened) ? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage ? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool O?:25 Miscellaneous WORK TYPE Pa? Wl?j 0" WL-LL- ? 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 9 33 Alteration ? 37 Demolish Bldg.` ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof " Give PCA handout to applicant for demol ition permit GENERAL INFORMATION Const. (Actual) S Basement sq. ft. Census Code 3 (Allowable) 5 ' N Main level sq. ft. SAC Code 6 UBC Occupancy sq. ft. No. of Units Zoning p I sq. ft. No. of Bldgs c # of Stories sq. ft. MC/ES System Length sq. ft. City Water Width Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS Planning Building Engineering 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: Valuation: h' SAC Units % SAC u. 0 D /84 CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION (PLEASE PRINT) 1) PROP &?.TY ADDRESS: H7(? moo, , L-e, H e =L DESCRIPTICN: e t S 3/c Ux 3 (,t1 a 146 /4`7?s (Ir?t/Block/Subdivision or Tax Parcel I.D. NLunber) is EX-77-:G STRUCP'RE, D.?'I~,' OF ORIGP IAL BUILDLNG P -ST ISSN???CE: PR_= 2^,`l :r/F?CPCS% i5 *-R--1 SINGLE FAyEILY ? R-2 DUPE (Iti%O UNITS) ? R-3 TGNt,1 ISE (THREE + UNITS) ( UNITS) ? R-4 A'-I ( UNITS) ? CU4MERCIAL/RETAIL,/OFFICE ? R 7USTRIAL ? INSTITUTIONAL/GOVE.Ri7 P 2) pppT7C-,.?.. (PLEASE PRINT) // NAhIE: ? L't SG, ? v? ?'?•,•, s"Fye.r? rie,v, ADDRESS: ("y 74 `Viol.w s Ga 14e- CITY, STATE, ZIP: h 114A) . PHONE : q5-4 7 YJ 3 3) Pu7-sFP `3^ ASE PRINT) NAME: M FOR CITY USE ONLY PLUMBERS LICENSE: ADDRESS: /Q/ IbIln'.1w(y S 19 Active 1 CITY, STATE, ZIP: IVoIm i Ir. /V, &Z4 n ?ty20 0 Expired . ILM PHONE: LVI41? PLUMBER LICENSE H ;Zg'y" Q Not of Record arr ni is 4) OCCt,TA-1T/Cr,- IM. (PLEASE PRINT) NNIE: SGIn e O S 'ggCAK /I ADDRESS: CITY, STATE, ZIP: PHONE: 5) INDICATE WHICH PERMIT IS BEINr, REQUESTED: ® CONNECTION TO CITY SEWER ® CCC.IIECPION TO CITY WATER ? OnIE2 (PLEASE DESCRIBE) 6) 2,1)= C`W: ? PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE ? PLEASE :MAIL APP ED PERMIT Z0 1, 2 03 4 ABOVE (Circle one) 7) SIC y 7z DATE : I_ l ' .' / F O R C I T Y U S E O N L Y PERMIT 4 ISSUED F7 -7 cc r.5: $ $ / O . es- d $ S S $ $ /S,oo $ $ sa<5` a $ S S $ TOTAL $ AMOUNT PAID/RECEIPT $ DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? C' 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 FOLLOS•7ING CONDITIONS: APPROVED BY: ?° (f_ TITLE:-el, DATE: geZ_ / O - SSA SET4Eo DVn%TTT (T"CL::DE SURCHARGE) WATER PERMIT (INCLUDE SURCHARGE) WATER METER/COPPERHORN/OUTSIDE READER WATER. TAP (INCLUDE CORPORATION STOP) SEWER TAP ACCOUNT DEPOSIT - SEWER ACCOUNT DEPOSIT - WATER WAC SAC TRUNK WATER ASSESSMENT TRUNK SEWER ASSESSMENT LATERAL BENEFIT/TRUNK SEWER LATERAL BENEFIT/TRUNK WATER OTHER as W?A Elite waves W""!=so sum MUaM!WAFwn wM 840 0&40 MIWJM 4*94 w-M !M!R 0"M R-W/4§WA% M?M w? L- 5 rb Sunshine Construction Company DESIGNERS&BUILDERS CUSTOM ONE 11 AUGUST 9, 1984 DALE PETERSON CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MN 55122 DEAR DALE PETERSON: SUNSHINE CONSTRUCTION WILL FIX THE FRONT CEMENT STEPS AT 1476 THOMAS LANE, EAGAN. UPON COMPLETION, THE STAIRS WILL BE.THE HEIGHT OF NO LESS THAN 78 INCHES TO MEET CITY CODE. SUNSHINE CONSTRUCTION WILL HAVE THE STEPS COMPLETED BY AUGUST 17, 1984, WEATHER PERMITTING. IF YOU HAVE ANY QUESTIONS PLEASE FEEL FREE TO CALL, 454-7485. RAK/RTT 1466 Richards Court, Eagan, MN 55122 THANK YOU, RICHARD A. KOT VICE-PRESIDENT OF OPERATIONS SUNSHINE CONSTRUCTION COMPANY 454-7485 Each member firm is independently owned and operated. C PLUMBING (RESIDENTIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 Please complete for: Single Family Dwellings Townhomes and Condos when permits are required for each unit Date 690,3 Site Address -o /y ?j /f/17P Unit # Pro ert Owner ) T l h # p y _ e ep one Contractor m Q 04- Address city State -1.* ?0)/./--(l 1??W Zig-5,'6_0 ;I Telephone # The Applicant is Owner 7X Contractor Other Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00 Includes County fee. Additional consultant fees may apply. Alterations To Existing Dwelling Unit, Including $ 50.00 Adding fixtures to lower levels or room additions, excluding water softener and water heater - Abandonment of septic system Water turnaround (+ 5/8" meter if needed - $121.00) Other: _ RPZ _ new installation _ repair _ rebuild $ 30.00 Lawn irrigation system Water softener - Water heater °T $ 15.00 replacement additional _ ' $ .50 l State Surcharge Sr uu Total 1 $ 13y- I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is not a pen-nit, 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 appro d plan in a case o work which requires a review and approval of pl Applicant's Printed Name App icant' i at 40? City of Eapn 3630 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 06-z(i c Mir, Ij 2 6 2008 F----------------- i Ew?lL?fl I I I j Permit r3: e66 I Permit Fee: Date Received: j I I I Staff: I I ----------------- 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Data: 8 a6 08 SlteAddress: 147j. Tho?vlQS L a Faaatn WIN 2 Tenant: Suite #: RESIDENT / OWNER 21'd- Name:RrI1e n 4 kkek2 f?- IphAsoir1 Phone:/ ?1- 4C r? -S Address y?^ /City /Zip: 4i1P DotKofS L4Y1P?y MN S? 1?a Applicant is: X owner - Contractor TYPE OF WORK Description of work: F614 r seaso1•?, 6cck Add ±j Lin Multi-Family Building: (Yes No _? Construction Cost: CONTRACTOR /- I Name: tl-simani-o ber- aS Cnrn4rAJ-hr License #: Address: City: State: Zip: Phone: Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateoory 1 Minnesota Rules 7672 _ Energy Code • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet Category Submitted Submitted (d 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 ciass~ as non-public N 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 confo a 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 i t star(17, out ertnit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval I \ ?// x ! t f ili e b- JI>hV)s64) Applicant's Printed Name Applicant's Signatu Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES ? Foundation ? Single Family ? 01 of _ Plex ? 02-Plex ? 03-Plex ? 04-Plex WORK TYPES ? New Addition ? Alteration ? Replacement ? 05-plex ? 16-plex ? Accessory Building ? Pool ? 06-plex ? Fireplace ? Porch (3-season) ? Ext. Alt. - Multi ? 07-plex ? Garage X Porch (4-season) ? Ext. Alt. - SF ? 08-plex ? Deck ? Porch (screen/gazebo/pergola) ? Multi Misc. ? 10-plex ? Lower Level ? Storm Damage ? 12-plex ? Miscellaneous ' ? Interior Improvement ? Siding ? Demolish Building' ? Move Building ? Reroof ? Demolish Interior ? Fire Repair ? Windows ? Demolish Foundation ? Egress Window ? Water Damage Demolition (entire building) - give PCA handout to applicant Valuation Plan Review T (25% 100% 7?.1 Census Code ITT" # of Units # of Buildings Type of Const. Occupancy h&/,r Code Edition ;Gr7y(o Zoning Stories Square Feet Length Width MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Footings (new bldg) Sheetrock Footings (deck) Final/C.O. Footings (addition) FinallNo C.O. Foundation HVAC _ Drain Tile Other: Roof: _fee &Water -Final Air/Gas Tests Final Pool: Footings ! Framing - - Siding: -Stucco Lath -Stone Lath -Brick Fireplace:_R.I. _AirTest -Final Windows Insulation Retaining Wall Reviewed By: Building Inspector RESIDENTIAL FEES: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies Total ON W " J 7(x!9 2 Page 2 of 3 REScheck Software Version 4.1.4 Compliance Certificate Project Title: Room Addition Plans for Arlie & Michelle Johnson Report Date: 08/20108 Data filename: \\Front_desk\ubuilditdientfilesWOhnsonlJohnson[2].rck Energy Code: Location: Construction Type: Glazing Area Percentage: Climate Zone: Construction Site: 1476 Thomas Lane Eagan, MN 55122 Owner/Agent: Arlie Johnson Homeowner 1476 Thomas Lane Eagan, MN 55122 (651) 452-5712 adjohnsl476@usfamily.net Porch Ceiling: Raised or Energy Truss Porch walls: Wood Frame, 16" o.c. All porch windows: Above-Grade: Wood Frame:Double Pane with Low-E Sliding glass door: Glass Porch Floor; All-Wood Joist/Truss:Over Outside Air Main House Ceiling: Raised or Energy Truss Main House Walls: Wood Frame, 16" o.c. Main Floor Windows: Above-Grade:Wood Frame:Double Pane Entry Door: Glass Lookout Wall: Wood Frame, 16" o.c. Lookout Windows: Above-Grade:Wood Frame:Double Pane Basement Lookout Wall: Masonry Block with Empty Cells Wall height: 4.0' Depth below grade: 3.5' Insulation depth: 4.0' Basement Full Wall: Masonry Block with Empty Cells Wall height: 6.0' Depth below grade: 7.5' Insulation depth: 8.0' Egress Window: Basement> 5.6 ft2:Wood Frame:Double Pane Designer/Contractor: Rod Sandboe Sandboe Drafting and Design 1874 Dell Street White Bear Lake, MN 55110 (651) 770-5369 sanddraft@comcast.net 252 0.0 38.0 b 402 19.0 0.0 16 96 0.290 28 40 252 30.0 1368 0.0 1112 19.0 93 38 168 19.0 45 168 10.0 776 10.0 8 0.290 0.0 38.0 0.0 0.370 0.300 0.0 0.370 0.0 0.0 0.370 12 8 34 58 34 11 7 17 12 46 3 Compliance Statement The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building ha an esi to meet the 2000 Minnesota Energy Code requirements in REScheck Version 4.1.4 and to comply with the mandato re I" f On the REScheck Inspe n Checklist. Name - Title Signature Date Project Notes: Homeowner is the contractor 2000 Minnesota Energy Code Dakota County, Minnesota Single Family 19% 2 Project Title: Room Addition Plans for Arlie & Michelle Johnson Report date: 08120108 Data filename: \\Front desk\ubuilditclientfiles\Johnson\Johnson[2].mk Page 1 of 3 Compliance: Passes Compliance: 0.3% Better Than Code Maximum UA: 293 Your UA: 292 r?(, REScheck Software Version 4.1.4 REScheck Inspection Checklist Date: 08/20/08 Plan Review and Inspection Issues This list of items may be helpful for Plan Reviewers and Building Inspectors to use as a guide for enforcing the Minnesota Energy Code. The items apply to Group R, Division 3 Occupancies, one- and two-family residential dwellings. The items marked with' apply only to detached one- and two-family residential dwellings. Plan Review Issues Foundation Inspection: Foundation wall insulation R-5 minimum. U Foundation insulation extends from top of wall down to top of the footing. Exterior foundation insulation is covered by a protective coating finish. Concrete Slab or Under-Slab Inspection: Lj Slab on grade perimeter insulation R-5 minimum. Li Slab insulation extends from top of slab to design frost line or top of footing. F1 Floors over unheated space R-30 minimum. Windows I Doors I Skylights: ? Average U-value is 0.37 maximum for windows and glass doors (excludes foundation windows). F1 Window U-values consistent with building plan and REScheck Certificate. ri Window and door areas consistent with building plan and REScheck Certificate. Mechanical Ventilation Issues: Lj Residential mechanical ventilation system provides adequate ventilation per code requirements'. F-1 Furnace efficiency is consistent with REScheck Certificate or building plan. ? Protection against excessive depressurization is installed per code requirements'. Envelope Insulation for Plan Review: Interior basement insulation R-5 minimum (if no exterior insulation). ? Ceilings with attics R-38 minimum or consistent with building plan and REScheck Certificate. L I Wall framing and insulation level is consistent with building design and REScheck Certificate. Inspection Issues Concealed Insulation Framing and Sheathing: F1 Wind wash barrier installed at attic edge. Lj Exterior wall comers framed so that insulation can be installed after exterior sheathing is installed. Lj Intersections of interior partition walls and exterior walls framed so that insulation can be installed between the partition and exterior sheathing after exterior sheathing is installed. ? Gaps between framing less than one-half inch are eliminated by securing framing together or are insulated at the time of assembly'. All penetrations between conditioned and unconditioned spaces made prior to framing inspection are sealed'. Interior Air Barrier: F1 All fire stops are air sealed. Fl Pipes, ducts, wires, equipment and flues and chimneys through the interior air barrier are sealed. Project Title: Room Addition Plans for Adis & Michelle Johnson Report date: 08/20/08 Data filename: 11Front_desklubuilditdientfleslJohnson%Johnson[2].rck Page 2 of 3 A sealed continuous interior air barrier is installed on the warm side of the building envelope at ceilings, walls, and floor rim joist areas'. Air barrier behind tub and shower is sealed and protected. ? Recessed light fixtures are sealed. Envelope Insulation: Basement insulation R-5 minimum. Wind wash barrier on wall separating house and garage is sealed. Loose fill insulation is prevented from entering the eaves. Insulation on skylight shafts and walls exposed in attics is supported on the unconditioned side. Attic Insulation: ? Attic access panel insulated to R-38 for ceiling panel and R-19 for wall panel. Q Attic card attached to framing near access opening. ? Notification of attic R-value and date of installation posted near building permit inspection card. This is a summary only. Other requirements may apply. See the Minnesota Energy Code. Questions? Call the Department of Public Service Information Center at 651-296-5175 or 1-800-657-3710. Project Title: Room Addition Plans for Adle 8 Michelle Johnson Data filename: \\Front_desk\ubuilditclientfiles\Johnson\Johnson[2j.rck Report date: 3 of3 Sunshine Construction DELMAR H. SCHWANZ LAND SURVEYOR'S / itic, Rpist.r.0 UnO.r L.w$ of The State Of Mifl-O&OU 2978 - 145TH STREET W. - BOX M ROSEMOUNT, MINNESOTA 88088 SURVEYOR'S CERTIFICATE gA??oP?? ti Ir??c? e o v ?I 1 l r- . V ?n F N .. Is 3 t -/ -3h- f/ptl5? 11 11 _ zl5y PHONE 612 4231769 titt?04 36. 03 L 0 7- 0 o ?• G Drainage & Utilit?r Easements N .' Q q'; Al Bg 5//- 39 A/ 0 I? sQ Scale: 1 inch = 30 feet ? -.Set wood hub =?A O = iron pipe ?fl y sG 93 = proposed elevation = existing elevation f = proposed drainage I hereby certify that this is a true and correct representation of Lot 5, Block 3, WALDEN HEIGHTS FIRST ADDITION, according to the recorded plat thereof, Dakota County, Minnesota. Also showing the location of a proposed building as staked thereon. Proposed garage floor elevation from development plan, ?? +fSrUillh?? 4E7/ April 2, 1984 f;Ms /A MINNESOTA REGISTRATION NO. 8625 Arlie D. Johnson 1476 Thomas Lane Eagan, MN 55122 651452-5712 home 612 919-4395 cell April 4, 2009 City of Eagan Inspections Department 3830 Pilot Knob Road Eagan, MN 55122 Reference: Building Permit Number EA085580, issued 8/28/2008 Greetings: The purpose of my letter is update you regarding the progress of my home addition project related to Building Permit Number EA085580, issued 8/28/2008. 1 will be completing the application of siding and a step/deck surface next month, and I will contact your office for final inspections at that time. Thank you for the professional assistance that I have received from each of the staff that has helped with my project. Sincerely, Arlie Johnson CASH RECEIPT ` CITY OF EAGAN P. O. BOX 21-199 EAGAN. MINNESOTA 55121 DATE 19 RHCE VIED FROM 4 -., ._. t,,.c._- r "!r" AMOUNT $ -ac -DOLLARS loo 0 CASH Jff-QHECK Thank Y" ?i BY White-Payers Copy Yellow-Posting Copy Pink-File Copy FOR / 1 ` City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 1476 Thomas Lane Lot: 5 Block: 3 Addition: Walden Heights PID:10- 83300 - 050 -03 Use: Description: Sub Type: e - Fumace Work Type: New Description: Furnace Comments: Fee Summary: Contractor: Apple Lake Heating & Air Conditioning 207 150th Street West Apple Valley MN 55124 (952) 431 -4328 Quesetions regarding electrical permit 952- 445 -2840 Beth Janohosky 207 W. County Road 42 ME - Permit Fee (Replacements) Surcharge -Fixed Total: Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - Owner: Arlie D Johnson 1476 Thomas Lane Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: equirements should be directed to Mark Anderson, State Elec $50.00 0801.4088 $0.50 9001.2195 $50.50 Mechanical EA087414 11/13/2008 ePermit cal Inspector, 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 Issued By: Signature