1477 Thomas Lane*)
City of Kw'
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Date: g- 2(f /
AUG 2IRECJ
vat, CaLVG VI 17L11'+r' IIIK
For,Office Use
Permit #: `j kO4k
Permit Fee:qC!lic' c'
Date Received:
Staff:
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Site Address: 1 `7 77 ! U /c mx 4A/
J
Tenant: Suite #:
RESIDENT / OWNER
C0� ,,���44� /
Name: a-t�-t�l C� �����1�4 Phone: %PSl ' 46-(1' /5-g,7
Address / City / Zip: q 77 /'# Ai
Applicant is: Owner lC Contractor
TYPE OF WORK
Description of work: V .%L ./0-(a Q,✓?, e"t Jc_/VILL
Construction Cost: Multi -Family Building: (Yes / No )
CONTRACTOR
+
Name: �` ,efir �D�+ 4? License #: / 7z7
,
Address: k/74/ vel t 't , City: 75 I--iQ Xa if a
, /a
State: Zip: .5-D tiC1 Phone: 1� ' 7 c( -0,76 (-KP
Contact: (A[(/ /O -&71Y) Email:
COMPLETE
In the last 12 months, has
Yes _No If yes,
THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
the City of Eagan issued a permit for a similar plan based on a master plan?
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=publieinformation. Portions of
the information may be classified as non-public if you provide specific reasonsp`that would, permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One CaII at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
x //J AI
Applicant's Printed Name
rij
Applicant's Signature'�
P
Page 1 of 2
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 NO gg?g
PHONE: 454-8100
BUILDING PERMIT Receipt
To bo rased fen S F DWG /GAF: Est. Vol ue $75,000 pate APRIL 19 i 9A-4-
Site 1477 THOVAS LN
Address R3
Erect 0 Occupancy
Lot 7 Block-----2--Sec/Sub. WALL Ei l' 'iTS 1
00
0
8
070
02 Alter R1
? Zoning
-
-
-
33
Parcel No. 1 Repair ? Fire Zone N/A
Enlarge [3 Type of Const. V
cc S1114SFI INE CONST.
Name ? # Stories
Z
1??71 "'IIO'r?AS LN
Address Demolish ? Length 4 6
--
City EAGAN Phone 4 5 4 - 7 4 6 5 4T Sq. Ft.
Grade ? Depth
o SIV11 F
,o Name Approvals Fees
9U Address
u Assessment Permit S 352.00
5 0
3 6
t- City Phone .
Water S Sew. Surcharge
176.00
P
li
Pl
k
h
.JAMES G? R. HILL an c
ec
o
ce
5
25.00
ww Name
9i ,. D AVF. SO
1
Fin SAC 470.00
Address _
1
s Phone
Ci
Qc Eng. Water Conn.
63.00
Pl
W
M
ty
W ater
eter
anner
Council Road Unit 260.00
1 hereby acknowledge that I have read this application and state that Bldg. Off.
the information is correct and agree to comply with all applicable $1 Z582 r . 50
APC T
l
State of Minnesota Statutes and City of Eagan Ordinances. ota
Signature of Permittee
A Building Permit Is issued to: SUNSHINF. CONST on the express condition that
all work shall be done in accordance p fh all opliaobla State 'o in e
( %oto Statutes and City of Eagan Ordinances.
Building Official
?
Permit No. Permit Holder Misc. Permit No. Holder
Plumbing 3
C L P5- I ,
H.V.A.C. FF
'JoZI ?YZ)t1 "? -?
Well
wale.
Disp.
Sewer
Electric
Inspection Date np.
Other
Footings U?
Foundation I
Framing
Rough
Plbg.
g
Rough HVAC
Insulation
Final Plbg.
Final HVAC spy ,ry1
Ck, d C.?. -/S._SY
Final
T
e
? ? - GD YYP ? h,
Water Describe Loc 'o Cyr
Well
Sewer
Pr. Disp.
Receipt f. % PLUMBING PERMIT Permit No.
f
1 CITY OF EAGAN ;?I?
Fee
Fill in numbered spaces S/C
Type or Print legibly
T
t
o
.
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
11.
6
No. Fixtures
Water Closet No. Fixtures
Cess
ool/Drainfield
Bath tubs p
Se
tic Tank
Lavatory p
Softne
Shower r
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
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
11.
Type
No. Equipment BTU - M. Ea.
Forced Air No. Equipment CFM
Mfg. Air Handling:
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Oth
Air Cond. er
Mfg.
Gas, Piping Outlets
12. 1 hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
CITY OF EAGAN Remarks d t` ?`: ! l g z
Addition WALDEN HEIGHTS 1ST ADDN Lot 7 Blk _
Owner Street 1477 THOMAS LANE
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 3
1976
1
53.31
22
1
61.33
A 013764
4-18-84
SEWER LATERAL .
WATERMAIN
WATER LATERAL r 4
WATER AREA ZZ- 1980 206.50 is 137.70 A 013764 "
STORM SEW TRK '90 1984 673.75 134.75 5 539.00 A 013764 "
STORM SEW LAT '
CURB & GUTTER
SIDEWALK
STREET LIGHT
ROAD UNIT 260.00 2701 - -
WATER CONN. 470.00
BUILDING PER. 8988
SAC 525.00
PARK
CITY OF EAGAN WATER SERVICE PERMIT
. 30 Pilot Knob Road
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE:
Zoning: Z 1 No. of Units: 1
Owner: _ SU6MLdL*' C t8t-
w, A-- . ',... .
en Hots
No.: o,.ection Charge: 474.00 pd
7 f.,
lfiCcoount Deposit:
No.. _L2_?/?? 3z a2g Permit Fee: ,
to emply W" the city of Be a Surcharge:
Met' .1-V I ) Misc. Charges: - 63.00 pd meter
Date Paid:
Insp.:
CITY OF EAGAN
3830 Pilot Knob Road
P. O. Box 21199
Eagan, MN 55121
Zoning: 1
Owner :3•: t'_ C i:;:c
Address:
Site Address, 1 7 7 I no:'a? la,
t`-
Plumber: 7-1
Meter No..
Size:
Reader No.:
1 agree to comply will the City of Eagan
Ordinances.
By
Date of Insp.:
Connection Charge: 470.00 pd
Account Deposit: J
Permit Fee: ?n rr -
Surcharge:
Misc. Charges 5 3 . GG pd met <, r.
Total:
Date Paid:
CITY OF EAGAN SEWER SERVICE PERM
3830 Pilot Knob Road
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE:
Zoning: No. of Units: I
Owner. Sunshine Const
Address:
Site Adds
Plumber:
1 agree to comply with the city of Eagan
Ordinances.
By
Date of Insp.:
to let
WATER SERVICE PERMIT
PERMIT NO.:
DATE:
No. of Units: s
Connection charge: _ 425.00 pe,
Account Deposit: I Posit: -- -,0 - L. c.
Permit Fee: ' ', G -
Surcharge: r (1 ,
Misc. Charges:
Total:
Dote Paid: -
CITY OF EAGAN N
3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121 ? 8986
• PHONE: 454.8100
BUILDING PERMIT Receipt #
To be used for SF DWG/GAR Est. Value $75,_00.0 Date APRIL 19 , 19-8-4-
Site Address 1477 THOMAS LN Erect [I} Occupancy R3
Lot 7 Blocky-Sec/Sub. WALDEN HTS 1 Alter ? Zoning R1
Parcel No. 10-83300-070-02 Repair ? Fire Zone N/A
Enlarge ? Type of Const. V
Name SUNSHINE CONST.
Address 1471 THOMAS LN
City EAGAN Phone 454-7485
R Name SAME
;j? Address
r City Phone
Name JAMES R. HILL
Address 8200 HUMBOLDT AVE SO
City BLMTN Phone 884-3029
Move ? # Stories
Demolish ? Length 46
Grade ? Depth 48 Sq. Ft.-
Approvals Fees
Assessment
Water & Sew.
Police -
Fire
Eng.
Planner
Council _
I hereby acknowledge that I have read this application and state that Bldg. Off.
the information is correct and agree to comply with oil applicable APC -
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Pennittee
A Building Permit Is issued to:
all work shall be done In acco
Permit t-35? 00
Surcharge 36.50
Plan check 176.00
SAC 525.00
Water Conn. 470. 00
Water Meter 63.00
Road Unit 260 _ 00
Total $1,882.50
on the express condition thin
and City of Eagan Ordinances.
Building Official
CITY OF EAGAN Include 2 sets of plans,
11 o \ 1 Certificate.of .Survey' &
y BUILDING PERMIT APPLICATION 1 set of energy calculations.
To Be Used Fore Valuation `?7?d'? Date ??lfY
I -T
site Address:/ 4177 +Va?cas Lau e t OFFICE USE ONLY
Lot 7 Block Z- Sec. /Sub. moo/ e f Erect_ Occupancy /P3
Parcel #: ?0 '? 33?a -b7 U- n Alter Zoning
Repair Fire Zone /V
Owner: ?N <h.sf W
Address: /L/7/ "1&tu as are
City/Zip Code: 66-aaa yr S? ?L Z
PS-
Phone #: IfJrq f? '(
Contractor: SO `a9.. y4
of
Address: /,?atL
City/Zip Code:
Phone #:
Arch./Eng. ,A a-t k !2/L- .
Address: dod ag,L,? uj- uc So.
city/Zip code: A" ? u S3?f3/
Phone #: ?,? 30 Z
Enlarge _ Type of Const.
Move # Stories
Demolish _ Front ft.
Grade Depth y ft.
APPROVALS FEES
Assessments
Water/Sewer
Police _
Fire
Eng.
Planner
Council
Bldg. Off. --SC
APC
Permit 3 oZ v?
Surcharge Z 6O
Plan Check 7 °v
SAC Sa Y.
Water Conn. 41 6
Water Meter b-1
Road Unit b
TOTAL /, if (?.:? . J5" y
This request void
18 months from V 305T L 0-7 140 ?I-
A 053373
._?_. _-.o ' -.- ......._.__.._..
'/ e4?m"red? ?Re?.Y Now Will Notify, Inspec-
S, r dd as ?No ur When Ready
A!R Licensed Electrical Contractor 1 hereby request inspection of above
? Owner electrical work installed at:
Street Address, Box or Ro
te No. City
u
/
7re7
Section No. Township Name or o. anBe No. County
Occu t (PRINT) Phone No.
?S/ eS
Power Supplier Address
T ?c?T
Electrical Contractor (Company Name; Contractor's License No.
?
<
/ C // d
0
S
Mailing ddress (Contractor or Owner Making Instaitation)
L
B-3
20
K ?-
1 z
issue
AuMoriz, Signs a (Contractor Own aking Installation) Phone Number
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
821 University Bldg. -Room MIN RE ACCEPTED R THE STATE BOARD
1
FEE IS
1821 Ave., St. Paul. . MN 56184 UNLESS PROPER INSPECTION FEE IS
pr.....e 19121 297Bt111 ENCLOSED.
3U ?j REQUEST FOR ELECTRICAL INSPECTION FB.00001-04
(? r7, (See instructions for c?-pletirp this form on back of yellow copy.
A (? "'X" Belaw Workri!?overed by This Request -
I I i/ 75
Neel Addl l l Type of Building 1 ADDIIe DDea Wired ? J Equipment Wired I
N Fee Service Entrancesize q Fee Feeders/Subfeeder8 q Fee Circuits
0 to 200 Am S O - 0 to 30 Amps 0 to 30 Am s
Above 200 Am s 31 to 100 Amps 31 to 100 s
A
Swimming Pool Above 100_Amps _Am
Above 100
Transformers Irri ation Booms S o Partial-'Other Fee
' ]Signs I I ]Special Inspection
Rerrerks - TOTAY15,'?
---°- // -?-
l
cth e Electrica hereby
-arti}y that the abpye
certify that
Final / Dat/
nspection has been
r M? made.
TIW
W (So 0
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Requirements
3 registered she surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas
(20% maximum lot coverage allowed)
2 copies of plan showing beam & window sizes; poured found design, etc.
t set of Energy Calwlafions
3 copies of Tree Preservation Plan If lot platted after 7/1/93
Rh Joist Detail Options selection sheet (buildings with 3 or less units)
C?Jpa--? / ?//(
RemodebReoaif Requirements Office Use Only
2 copies of plan Cart of Survey Rood _Y _N
I set of Energy Calwlagons for heated additions Tree Pres Plan Rood _Y _N
1 she survey for additions & decks Tree Pres Required _Y _N
Addition - indicate ifonsdeseptic system On-site Septic System _Y _N
Date Construction Cost
Site Address ?Ali1?Af Unit/Ste #
Description of Work ihlll ntw 1 ?12,f
Multi-Family Bldg - Y N Fireplace(s) 0- 1 _ 2
PropertyOwner 4/U4 / Telephone # b?
?
/(/QrL (?? r / ??
Contractor
C? 12c' ?
Address 4940)7_V /
City
State Zip u?U Telephone # (g IIA
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Category 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 _ N If so, 25% plan review
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #(
Telephone # (
I hereby apply for a Residential Building 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 the State of 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
approval of plans.
-Ci2U - C?K, I?AA
Applicant's Printed Name Applicant's Signature
i.?y ? 5 2005
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo)
? 05 03-plex ? 11 10-plex 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex iL
Plbg_Y orl N ? 25 Miscellaneous
Work Types
? 31 New
? 32 Addition
x 33 Alteration
? 34 Replacement
Valuation X1W
Census Code a(3y
SAC Units
# of Units
# of Bldgs
Type of Const
- Footings (new bldg)
- Footings (deck)
Footings (addition)
Foundation
_ Drain Tile
Roof _ Ice & Water _ Final
Framing
_ Fireplace _ R.I. _ Air Test _ Final
?E 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
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi Misc.
? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 37 Demolish Building" ? 43 Reroof ? 46 Windows/Doors
'Demolition (Entire Bldg) - Give PCA handout to applicant
Occupancy A-3
Zoning
Stories
Sq. Ft.
Length
Width
MCES System
City Water
Booster Pump -
PRV
Fire Sprinklered
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
5 _ RESIDENTIAL
BUILDING PERMIT APPLICATION
5b,3 Iq 0 CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Construction Requirements RemodelfRegalr Requirements
. 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) • i set of Energy Calculations for heated additions
2 copies of plan showing beam & window saes; poured found design, etc.) • i site survey for exterior additions & decks
. I set of Energy Calculations . Indicate if home served by septic system for additions
• 3 copies of Tree Preservation Plan if lot plaited after 7/1193
• Rim Joist Detail Options selection sheet (bldgs with 3 or less units)
fp
VALUATION
ULTI-FAMILY BLDG _Y XN
FIREPLACE(S) _ 0 _ 1 _ 2
APPLICANT 06gA(ft!?G14h1 ?GltcD!?2/l C6iJl/CRCpp?tS.
STREET ADDRESS 1 2Zy? MCalliC? lqve-- S -CITY PaRtiswt?c STATE /y/ZIP SS33?-
TELEPHONE # JAV-(15f)70? CELL PHONE # FAX # 95Z - -
6 rog5y - - ,.
PROPERTYOWNER u'a?7fW iM?ieY 7IC7y/I9rt/ TELEPHONE# CoSI-YSy-lS?Z
-----------------------------------------------------------------------------------------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category MINNESOTA RULES 7670 CATEGORY I _ MINNESOTA RULES 7672
(J submission type) . Residential Ventilation Category 1 Worksheet Submitted • r y?L QyoThT ?u itted
• Energy Envelope Calculations Submitted 1u7 tl IJ ?C
MAY 16 2002
Plumbing Contractor: Phone # _
Plumbing system includes: Water Softener Lawn Sprinkler By Fee $90 Q
Water Heater No. of R.I. Baths
No. of Baths
Mechanical Contractor: _
Mechanical system includes:
Sewer/Water Contractor.
Air Conditioning
- Heat Recovery System
Phone #
Phone #
Fee: $70.00
--------------------------------------------------------------------------------------------------------------------------
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 Ordi es.
Signature of Applicant
--------- -------------- -------------- --------------------------------- ---------- --°° °-° -----------------'
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required
Updated 4/02
DATE -05 ?/3 / 0
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 Parch (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
Ftgs
Air/Gas Tests Final
Framing _
_
Siding
Stucco
Stone -
- Fireplace - R.I. - Air Test - -
Final _ _
_
Windows (new/replacement)
- Insulation _ Retaining Wall
-------------------- -
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
Approved By
Building Inspector
Total
5 0 33
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
CP16'c d-
New Construction Raeufrements
• 3 registered site surveys showing sq. ft. of lot sq. ft, of house; and g1l roofed areas
(20% maximum lot coverage allowed)
• 2 copies of plan showing beam & window sizes; poured found design, etc.)
. 1 set of Energy Calculations
. 3 copies of Tree Preservation Plan g lot platted after 711193
• Rim Joist Detail Options selection sheet (bldgs with 3 or less units)
DATE
? i
SITE ADDRESS
TYPE OF
RemodeVReoair Reauirements
• 2 copies of plan
. 1 set of Energy Calculations for heated additions
• 1 site survey for exterior additions & decks
• Indicate If home served by septic system for additions
VALUATION l` MO •
LTI-FAMILY BLDG _Y XN
FIREPLACE(S) _ 0 _ 1 _ 2
APPLICANT U1C-6W L6- (,4/-01X9C7o'<s
STREET ADDRESS IZZtl5?- IVIC011 CI yL S. CITY "1-STATE OW zipS 33 .
TELEPHONE # ?SZ ?D>2 (e9Srj CELL PHONE # _ FAX # PROPERTYOWNER w?LT?? F ?i9?y 2'1EfWIZ4,1 TELEPHONE# 6s?- SSy-?5?2 .
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ MI 51I{I
(J submission type) • Residential Ventilation Category 1 Worksheet Submitted • N ,dig lye ?o y? e
. Energy Envelope Calculations Submitted p MAY 1 6 2002
Plumbing Contractor: ____
Plumbing system includes:
Mechanical Contractor: _
Mechanical system includes:
Sewer/Water Contractor.
Water Softener _
Water Heater
No. of Baths
Air Conditioning
Heat Recovery System
Phone #
Fee: $70.00
--------------------------------------------------------------------------------------------------------------------------
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 Ordipcjnces._--/
Signature of Applicant
OFFICE USE ONLY
Phone #
Iawn Sprinkler
No. of R.I. Baths
Phone #
Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory .81dg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace O 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 Bidgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
- Footings (new bldg) _ FinaVC.O.
_ Footings (deck) _ Final/No C.O.
- Footings (addition) _ Plumbing
_ Foundation _ HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing Siding _ Stucco _ Stone
- Fireplace _ R.I. _ Air Test _
- Final _ Windows (new/replacement)
Insulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Building Inspector
o•?
352.00+
3 6 5 0 +
1 7 6 0 0+
525.00+
4 7 0. 0 0+
6 3 0 C +
260.00+
1 8 7 2 5 0
Certificate for:
sunshine Construction Bk: 72/34
1471 Thomas Lane
Eagan, Mn. 55122
DELMAR H. $CHWANZ
LAND SURVEYOR is i Iuc,
Reoittered Under Law' of The State of Minnesota
2978 - 148TH STREET W. - BOX M ROSEMOUNT, MINNESOTA 88088 PHONE 617 42$1769
SURVEYOR'S CERTIR", TE
D
s' ISO. so y3 5SB^ 4/ 3E -for d-6 T' AL3
? ` -¢go ;... X0.0
I Drainage and
-
f Utility Easement
N
2*114
`l r 3 n? I
9t7
1 Proposed__ ti
House r r o
Garag% W, ' 10 q?
4 1 .,: o YN b
fr Ocale s
l63.? q rop q ?..
N 94 - p(o , S4 uJ Tof'//p ` ?s
a c
O Denotes iron monument go
o Denotes wood hub set
c
945-,7 Denotes existing elevation
Proposed garage floor elevation
?3, Denotes proposed elevation
(yizom oEvEZOPm?arrPCAn()
I hereby certify that this is a true and correct representation of
Lot 7, Block 2, WALDEN HEIGHTS FIRST ADDITION, according to the recorded
plat thereof, Dakota County, Minnesota.
Also showing the location of a proposed house as staked thereon.
April 11, 1984
MINNESOTA REGISTRATION NO. 8625
' Weatherstrips -"n .L Construction No.
Guide
9endows Doc
AR Out. Wall [nt. W.N Ceiling Roof
es-.'o. Yes=Vo 19-
F1.1 r-QVP r Room Length B'61' Width height till j Fl
' a
Windows nd DoorsCrackage and Area
No. W kith
or P.oe Nelgnl
of Dan• Na u
Iit1" Lineal fl
of crack Ana
y. it.
D q
U
'A
'b 1 AF All
Coef. Btn
Infiltration
Glass
Exp. wall
Net exp. wall Q
Int. wall
Floor
Ced.
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Fl.I 6YLAI Room I Length 1.7'/dlr Width
Windows and/Do-orsCrackage and Area
No, Width
of P.n. Netant
or pane ND. of
Ilint. Ltd..] It.
of crack At..
we. ft
IoI 1 It
_ Coef. Btu
Infiltration
Glass
Exp. wall
Net exp. wall
Int. wall
Floor
Ced: /106
Total Btu. y
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
F1.1 giA(jA1Lj Room I Length f1 Width / f "He ght 11
Windows an oors-Crackage and Area
No. wldtn
or Pana 11 icht
of Pane Yo. of
116ab Llnul It.
of creek Are.
p, ft.
11 11
I
Coef. Btu
Infiltration 30?
clan
Exp. wan 'f
Net esp. wan
Int. wall
Floor
Cell. Imo
Total Btu.
Required sn,. ft. E.D.R. or sq. ins. W.A. Leader area
1 o at )41,- m 53,303 NA
Floor II Kind
Insulation
How
I
Room?Length/3'Q' Width
irs--Crackage and Area
No. Width
of Pao. N•Iaat
of D.aa No. of
llaate l.lneel ft.
of crack Are.
. ft.
84
/ f 1 10
Coef. Btu
Infiltration ?
Glass A&I
Exp. wall /
Net exp. wall
Int. wan
Floor
C•q.
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
/ F1.1 A4417 Room ILengthAIft Widtf/DII
Ninrlnvr. and Dmrs--Craeka¢e and Area
No. W IAIn
or Dave tialaat
of D.M No. of
Ilsats In .1 ft.
of crack Area
sq. ft.
Cad. Btu
Infiltration
Glass
Exp. wall
Net exp. will
Int. wall
Floor
Coil. 1r,71 I
_
tal Btu.
quired sq. ft. E.D.R. or sq. ins. W.A. Leader area
•l.1 04 - ?l Room I Length c7'6" Width JT
\L:.,.J,... ...1 Ilnn.a-1'rwrkaee and Area I
Na. Wldtn
of Pena -L.laal
ogP.n. No. of
Nahls Llne.I fl..
of crack Are.
.q. ft.
CoeE. Btu
Infiltration
Glass
Exp. wal:
Net exp. wall
Int. wall
Floor
Ceti. Z -7
-Total Btu. I /rte
Required sq. ft. E.D.R., or sq. ins. W.A. Leader area
\L'egthcrstrips A51-I.V.E, Construction No. Insulation
Guide _ _
Windows Doon Reference Out. Wall Int. WaH Ceiling Roof Floor _ Kind Now Applied
Yes-No I- f? co 19
Room Length)b'ntt Wkhh )) '/,,it Height 9 10 R ll Fl., Room Length' (, Wkkh / 1 eight '
Windows and Doors-Creckage and Area II Windows and Daora--Crackaae and Area
No, Width
of yano Nelght
.t Pane No. of
light• Llneal ft.
or crack A
an. ft. -
,, f II r
Coef. Btu
Infiltration
Glass
Exp. wall M4 1
Net exp. wall )
Int. wall
Floor
Ced.
Total Btu.
Required sq. ft. E.D.R. or sq, its. W.A. Leader area
F1.1 tL)) Room ( Length 17'Q" Width'3'),, d Height
Width
No, of pane lrelghl
of pan No. of
light. Ll out ft.
of .,..it Area
ea. tt. -
( fl ( If
i
Coef. Btu
Infiltration Q
Glaw? JLIL -po- r500
Exp. all
Net exp. wall 7
Int. wall
F!naf
r•q.
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Room I I ength ) 'Vidth fj' '' Height 'O'
Wi ndows a nd Doors -Cracka ge and Ar ea
Ne. Noat
Ilght. Llneat ft.
or crack Arak
A.;
m
Coef. Btu
Infiltration
Glaze
Exp• wall
Net esp. wall
Int. wall
Floor
Cell.
Total Btu.. _
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Fl. Room 11-ength )ololl Width
Windows and Donn-Crarkaf[e and Area
Ne. Aydin
of ea ne HeIgM
of Lane e. of
Ilgat. 1.I neat ft.
of crack Area
R" fL
I i1 / 11
Coef. Btu
Infiltration
W
90Q--
Glass &0 a00
Esp. wall - -1
-
Net up. wall -7 1
1-77
Int, wall
Floor
Ceil.
Total Btu.
Required s?. ft. E.D.R. or sq. ins. WA. Leader aria
wi ndows an d UOora- -a.raeaa ge ana cir ca
N" Width
of pa.a "eight
of Dana No. of
Ilght. Llnol ft.
f crack
y Area
t.
q
.
t
t "
,
/
T
)
19 (1
", ( (f I )
1 // ! Ir
t / N Coe f.1
vation
Glass L? 7
_
Exp, wall LLU
Net exp. wall ?!1
Int, wall 5
Floor
Ceil.
Total Btu. ' F
Required sq. ft. E.D.R. or aq. iris. W.A. ader area
F1.1 Room I Length Width Height
Windows and Dnnrs-Xrarkace and Area
No. Width
of Dane Height
of.ytoa No. of
light. Llneal ft.
of crack wren
.n. ft.
Coef. Btu
Infiltration
Glass
Exp. wali
Net exp. wall
Int. wall
Floor
cd.
_Total Btu.
Required sq. ft. E.D.R..or sq. ins. W.A. Leader area
1
( z/a4
CITY OF EAGAN
APPLICATION FOR PEIL%IIT
SEWER AND/OR WATER CONNECTION
(PLEASE PRINT)
1) PROP"'RTY ADDRESS: d77 76'(d10's zIT sv f:
LECAL D._SC2IPTICN: Z.e f 7 /aCK 2- GdC, /dtc, /y-el AA4s
(Lot/Block/SubcLLvision or Tax Parcel I.D. NuTber)
IF EXIS='= :G STRUCTURE, DATE OF ORIGTNm UILL'DTG P=,-:,IIT ISSUAN=.:
PR:SE;.. XR-1 SuiGLE F?-%ILY
? R-2 DUPE (7NO UNITS)
i ? R-3 TCWNHCUSE (THREE + UNITS)( WITS)
? R-4 APAR?S1E`:P/CCNDamLNIu,1 ( L1:Ii )
? COPIAERCIAL/RETAIL/OFFICE
? DMUSTRLAL
? INSTITUTICNAL/GOVM%TMEv'T
(PLEASE PRINT)
2) APPLICA%T
//
NAh' : A s4Ibt'P (bN C'--V'4C N'4g
ADDRESS: i'47r ilo rka s Li n e-
CITY, STATE, ZIP: C1 CTn M A-1 SS %a Z--
PHONE: ?y - ? (Ir
Y ASE PRINT)
3) PLC.?';BE° `
ti FOR CITY USE ONLY
NA
1E: J
J /.
ADDRESS: Q le t ek S `rpi PLUMBERS LICENSE:
Active
CITY, STATE, ZIP: e) leonn i nr<'7p Iy Al t y20 C] Expired
? A'iB.
PHONE: PLUMBER LICENSE q Not ot_ Record
err initIa
4) OCCLTANP/g{NER (PLEASE PRINT) ,
NN,IE
S
4
?
?
:
, 1
.
" ", "
.2.? c<xr(ra ,
ADDRESS: 1q7/ds?r L4t.?
CITY, STATE, ZIP: ?Lt G u L: A ki 5 Sj Z,a?
u
PHONE: CAS 7 5?k_-
5) INDICATE WHICH PERMIT IS BEING REQUESTED:
® CO,TN ICN TO CITY SEJM
® CONNECTION TO CITY WATER
? MIER (PLEASE DESCRIBE)
6) C,W:
? PLE,SE HOLD APPR= PERRIT FOR PICK-UP BY ONE OF ABO?
? PLE
PER,1IT TO 1, 2 0 4 ABOVE
(Circle one)
7) SIC,-=mE: DATE:
;ix ??
? ?! q:?;??fA;}p ?r ! mtw::?? ! ! I!Ilt l:la:a:w l? o s r: is:w ?! a ? w?mFJ?:r I;!-1?.? ! fA ! ?! l:?rgaL m
F O R C I T Y U S E O N L Y
PE^%SIT ' ISSUED
rrrS. $ /o Ord
$ ?Q. SB
$
$ /
$
$
$
$
$
SE's'ER PERMIT (I`ICL[: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
TOTAL
AMOUNT PAID/RECEIPT # - zz ? 7 0 7
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 FOLLOTNING CONDITIONS:
APPROVED BY:
TITLE:
DATE: -<-/-/9--F5-?
.?w-sue??!ww,ar?w w??+wwwfsawp+w.aw4wrflw:wdspq w?wt searewawmmwrwm
II v CITY USE ONLY
PERMIT #: 4 lO o ` RECEIPT DATE:
RESIDENTIAL MECHANICAL PERMIT APPLICATION
crrY OF EASAN
3830 PILOT KNOB PD
EAGAN MN 55112
651-6$1-4675
Please complete for: > single family dwellings
--y /townhomes and condos when permits are required for each unit
Date: I U (O a 1
SITE ADDRESS:
I
OWNER NAME: ef`rN-4G_Y'\ TELEPHONE #:
INSTALLER NAME: 3S, GQp " TELEPHONE #:
???^SE-
STREET ADDRESS:
CITY: y.l Lud??? STATE:J ZIP:
Dlar. a .hcrl, marl, navt fn fhe ncrmif wnrl, funo
C05 / Ll5q- I SE,Z
(AREA CODE)
(9 51-42-3 -89z4o
(AREA CODE)
New residential dwelling unit under constructionand not owner/occupied $' 70.00
Add-on, modification or alteration to existing dwelling unit $ 50.00
• furnace replacement
• air exchanger
• air conditioner
• other
Nature of work:
State Surcharge .50
L Total $_?ZG
Reminder: Cal! for inspections.
S] ti TURF OF PERMITT
Updated I:UI
CITY USE ONLY
PERMIT #:
APPROVED BY
INSPECTOR
RECEIPT DATE:
COMMERCIAL MECHANICAL PERMIT APPLICATION
CITY OF Em"
S$SO PILOT KNOB BD
FAG", MN 55122
651-661-4675
Please complete for: all commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE:
SITE ADDRESS:
OWNER NAME: PHONE #:
(AREA CODE)
TENANT NAME (IMPROVEMENTS ONLY):
WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME:
INSTALLER:
ADDRESS: PHONE #:
(AREA CODH)
CITY: STATE: ZIP:
WORK TYPE: New construction Install U.G. Tank
Interior Improvement Remove U.G. Tank
- Processed Piping
Specify Nature of Work
When installing/removing underground tank, call 651-681-4675 for inspection by Fire Marshal and
Plumbing Iinspector.
Fees: 1% of contract price OR $50.00 minimum fee, whichever is greater.
Underground tank removal/installation = minimum fee
Contract price: $ xl%=$ (Base Fee)
State surcharge calculate at $.50 for each S1,000 Base Fee
TOTAL $
SIGNATURE OF PERMITTEE
Updated 1/01
?-----------------
I err mice U? ?
Permit #: j
I
I Permit Fee: 90,00
Date Received:
I Staff: ? I
I 2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: • 69Site Address: 14 -101 ?-"'`?r MQ? 1-
Tenant:
Suite #:
RESIDENT / OWNER Name: W &t_?*(_ _Z I f m 0- n Phone:JW
Address / City / Zip:
Applicant is: _ Owner _)( Contractor
TYPE OF WORK Description of work: L
V 3? 7.' 00 Multi-Family Building: (Yes NOV_)
Construction Cost::
CONTRACTOR /
/
Name: I.rl? License #: 2_04T 7 4YSb
Address:
j
City:3m wC&L State:m -zip:
Phone: i-)4 L9 '43 Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Category 1 Minnesota Rules 7672
Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
(J submission type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. PofVons 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 Qof to start without a permit; that the work will be in
a rdance with the approved plan in the rase of work which requires a review and royal o n3.
X 1
Applicant's Printed Name Applica re
Page 1 of 3
CASH.RECEIPT
CITY OF EAGAN
P. O. BOX 21-199
EAGAN, MINNESOTA 55121
DATE 19
RECEIVED
AMOUNT
as DOLLARS
loo
? CASH ? CHECK
FOR
/y/?7
FUND CODE AMOUNT
Thank You
BY
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
CASH RECEIPT
S
' CITY OF EAGAN
P. O. Box 21-199
EAGAN, MINNESOTA 55121
DATE 19
RECEIVED
FROM
AMOUNT $
& DOLLARS
'00
CASH CHECK
FOR
FUND CODE AMOUNT
Than ou
BY
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
City of Eagan
PERMIT
City of Eaan
Permit Type: Building
Permit Number: EA111339
Date Issued: 06/19/2013
Permit Category: ePermit
Site Address: 1477 Thomas Lane
Lot: 007 Block: 002 Addition: Walden Heights
PID: 10-83300-02-070
Use:
Description:
Sub Type: Windows/Doors
Work Type: Replace
Description: Two or More Windows/Doors
Census Code: 434 -
Zoning:
Square Feet: 0
Construction Type:
Occupancy:
Comments:
Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes.
Fee Summary:
Valuation: 4,000.00
BL - Base Fee $4K
$103.25
Surcharge - Based on Valuation $4K $2.00
0801.4085
9001.2195
Total: $105.25
Contractor:
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
- Applicant -
Owner:
Walter R Zieman
1477 Thomas Lane
Eagan MN 55122
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.
Applicant/Permitee: Signature
Issued By: Signature
City of Eagan
PERMIT
411' CityofEaan
Permit Type: Building
Permit Number: EA134052
Date Issued: 11/19/2015
Permit Category: ePermit
Site Address: 1477 Thomas Lane
Lot: 007 Block: 002 Addition: Walden Heights
PID: 10-83300-02-070
Use:
Description:
Sub Type: Windows/Doors
Work Type: Replace
Description: Two or More Windows/Doors
Census Code: 434 -
Zoning:
Square Feet: 0
Construction Type:
Occupancy:
Comments:
Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:
Valuation: 4,000.00
BL - Base Fee $4K
$103.25
Surcharge - Based on Valuation S4K $2.00
0801.4085
9001.2195
Total: $105.25
Contractor:
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
- Applicant -
Owner:
Walter Zieman
1477 Thomas Lane
Eagan MN 55122
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.
Applicant/Permitee: Signature
Issued By: Signature
City of Eagan
PERMIT
411' CityofEaan
Permit Type: Plumbing
Permit Number: EA134271
Date Issued: 12/08/2015
Permit Category: ePermit
Site Address: 1477 Thomas Lane
Lot: 007 Block: 002 Addition: Walden Heights
PID: 10-83300-02-070
Use:
Description:
Sub Type: Residential
Work Type: Replace
Description: 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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:
PL - Permit Fee (WS &/or WH) $59.00
Surcharge -Fixed $1.00
0801.4087
9001.2195
Total: $60.00
Contractor:
Tony's Appliance
2090 County Road 42 West
Burnsville MN 55337
(952) 435-2442
- Applicant -
Owner:
Walter Zieman
1477 Thomas Lane
Eagan MN 55122
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.
Applicant/Permitee: Signature
Issued By: Signature
CityofEa�all
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
RECEIVED
12017
r
Use BLUE or BLACK Ink
For Office Use
Ail
Permit #: / 1 I 6 /7
Permit Fee: ! ! G2' 6 C7 4,6,
Date Received: .7 7 7 (C
Staff:
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: } \ - Site Address: \ 1 14\ ni L Unit #:
Resident!
Owner.
Type of Work
Contractor
���
Address / City / Zip: ' \ t\ci-p. ai Lt.-)
Applicant is: Owner
Phone: 667- 314 - 0 (col
Description of work: Li jp� Jc• S �� .k eo,o,
Construction Cost: 3 ) Multi -Family Building: (Yes
Company: I
Address: I t 3J9 1et
� G�
State: M Pi Zip: 5 5 3 3
License #: 3 C S'L, 3
Contact: .i1 ✓ ,I eli t '
/ No
City: Rv1/tial>l,�/l1
Phone: t 17-' Jai • 131, i Email: J i /d4 g (� A lAs . (,
Lead Certificate #:
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
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:
Phone:
Sewer & Water Contractor: Phone:
Mechanical Contractor:
Fire Suppression Contractor: Phone:
g 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 thv are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.00pherstateonecall.orq
1 hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
x ) /✓2
/—/:21/
Applicant's Printed Name
44,
App ant's Signature
Page 1 of 3
{
L/77 hcole
DO NOT WRITE BELOW THIS LINE
SingTYPES
Foundation
Single Family
Multi
01 of _ Plex
WORK TYPES
New
Addition
Alteration
')t Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25%_ 100% X )
Census Code
# of Units
# of Buildings
Type of Construction
Fireplace
Garage
Deck
Lower Level
— Interior Improvement
Move Building
Fire Repair
Repair
Ul
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)
�v Footings (Deck)
Footings (Addition)
Foundation
Roof: Ice & Water _Final
Framing
Fireplace: _Rough In Air Test _Final
Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Reviewed By:
_ Siding
Reroof
Windows
/' s7''
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Accessory Building
Demolish Building*
Demolish interior
Demolish Foundation
Egress Window _ Water Damage
*Demolition of entire building - give PCA handout to applicant
WO 2vr 5
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Suppression Required
Meter Size:
Final / C.O. Required
Xp Final / No C.O. Required
HVAC _ Gas Service Test Gas Line Air Test
Pool: _Footings Air/Gas Tests _Final
Drain Tile
Siding: Stucco Lath _Stone Lath _Brick
Windows
Retaining Wall: Footings _ Backfill — Final
Radon Control
Fire Suppression: _Rough In _Final
Erosion Control
Other:
, Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Pian Review
MCES SAC
City SAC
Utility Connection Charge
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Page 2 of 3
Certificate for:
$;anshine Construction
1471 Thomas Lane
Eagan, Mn. 55122
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Goff) fin.
DELMAR H. SCHWANZ
LANDSURVEYORG, y -,
ReeiitSr.4 Unger Lawa of The State of Minnesota
2978 - 145TH STREET W. - BOX M ROSEMOUNT, MINNESOTA 55068
SURVEYOR'S CERTIFICATE
iN,11.03
s 5BB- 41- 3e ,:rorAke
Bk: 72/34
PHONE 812 42$1788
Drainage and
Utility Easement
L4)r
/
4\4
1\
.16
9- ' Proposed
-� n,
House '
arage
4
4<3.Z4
o Denotes iron monument
o Denotes wood hub set
`HT.q Denotes existing elevation
74.3 Denotes proposed elevation
(Aend) DflEio/0MENr /%4Nv )
I hereby certify that this is a true and correct representation of
Lot 7, Block 2, WALDEN HEIGHTS FIRST ADDITION, according to the recorded
plat thereof, Dakota County, Minnesota.
Also showing the location of a proposed house as staked thereon.
3°
to I
Ja
calf"
1 •inch. '
30 Peet
"`51,
h 'Fs1
3a
Proposed garage floor elevation
April 11, 1984
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MINNESOTA REGISTRATION NO. 8825
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA179057
Date Issued:09/16/2022
Permit Category:ePermit
Site Address: 1477 Thomas Lane
Lot:007 Block: 002 Addition: Walden Heights
PID:10-83300-02-070
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the
water damage.
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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 -
Walter & Mary R Zieman
1477 Thomas Ln
Eagan MN 55122
New Life Contracting Inc.
9050 Highview Lane
Woodbury MN 55118-5512
(651) 336-9966
Applicant/Permitee: Signature Issued By: Signature