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1486 Thomas Lane
41". City of Eagan Date: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink Permit #: Permit Fee: �C..) Date Received: Staff: 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Tenant: Site Address: i c - c L ;J Suite #: RESIDENT / OWNER Name: O{.6', t ‘c e i, C=A • 1 Phone: r Address/City/Zip: iX1`•5v '5,-,,, -_,o, s <, J Applicant is: Owner Contractor TYPE OF WORK Description of work: ',`l r‘>r\(-',-c t ITP( ! 1 `-' i 674 r1 '1'1" Construction Cost: 33 ` CC' 0 U Multi -Family Building: (Yes / No S� ) CONTRACTOR Name: 4.Jh:-,,, "h Ch ',;,,,f <' CL:,,,c r., 1 4 '( License #: / 6' Address: �'1 L'() tCA N� A ; AI % e iOP) City: (1�:' y,,)cl,`. State: /1'1 --1 Zip: % -)? t ' Phone: 7b 5 S -7 �. " /8 Contact: 7(' f F k`1 Email: COMPLETE In the last 12 months, has 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: _Yes Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE Plans and supporting documents that you submit are considered to be public information. Porttonsrof the information maybe classified as non-public if you provide specific reasons that would permit the City to conclude that they are:trade-Secrets.=- CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.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 T � je �, s Applicant's Printed Name x Applicant's Signature Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Single Family Multi 01 of _ Plex Accessory Building Fireplace Garage Deck Lower Level Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool 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 Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: Ice & Water Final Framing Fireplace: Rough In Air Test _Final Insulation Meter Size: Reviewed By: Siding Reroof Windows Egress Window Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building - give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Sheetrock Final / C.O. Required Final / No C.O. Required HVAC Other: Pool: Footings Air/Gas Tests _Final Siding: Stucco Lath Stone Lath _Brick Windows Retaining Wall: _ Footings Backfill _ Final Radon Control Erosion Control , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 4,111 City of Eaan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink Permit*: ;.. Yg 4 Qo,19.0 Permit Fee: Date Received: Staff 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: (O I + 10 Tenant: Site Address: N• .! 11/4-)SfN, Suite ft: RESIDENT / OWNER Name: CA A": 4 KA -114- 44 S 2 iV Phone: l "' 2- -?3 yap Address / City / Zip: 1\ --(: Mas L- N . C-41—)6,--• l 1' A • Li, Applicant is: Owner 7\ Contractor TYPE OF WORK Description of work: S ( 0 / ry Construction Cost: 101 ell b. n d Multi -Family Building: (Yes / No X ) CONTRACTOR Name: C>fZ s L A 14-¢- w rJ o a W 4 1 I9 iL cense #: Oo 6 Address: 1 y fb C Le n.f p A D )2 City: $ p Q l.c U State: AA. Zip: / a 4 Contact iJ k R 'N o Phone: `ifa — i?it _ 1441 Email: 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; Mechanical Contractor Phone: Sewer & Water Contractor: Phone: NOTE: Piett the informaf on m g docs rr#s fraf submit are consid ted be pubes � rrna assit�red as non-public I%r� you prii�wic a sp+ecttfc reasons fftat tarawid p conclude that they are trade secrets, CALL BEFORE YOU DIG. Call Gopher State One Call at (651)454-0002 for protection against underground utility damage. CaII 48 hours before you intend to dig to receive locates of underground utilities. www.00pherstateonecaliorq 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 permft, 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 M A- f J o 'L s k• -(t Applicant's Printed Name x Applicant's Sipa Page 1 of 2 CITY OF EAGAN j 865'13795 Pilot Knob Reed -Eagan, MH 55121 PHONE: 454-8100 BUILDING PERMIT l To be wed far SF DWG / GAR Site Address 1486 Thomas Lai Lot 10 Block 3 Sec/Sub. Parcel # 10-83300-100-03 aWc Name Addre b _ 7 9 Name Addre °vu Name W Court $78,000 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Perrnittee A Building Permit is issued to: all work shall be done in accordance with Building Official Receipt .. Jovember 16 83 Erect Occupancy n-? Alter ? Zoning R-1 Repair ? Fire Zone :vrl Enlarge ? Type of Const. y Move ? * Stories 8 Demolish d ? 1 Length D - F Gra e ? epth t. Sq. Approvals Fees Assessment Water & Sew. Police Fire Eng. Planner Council Bldg. Off. APC Co. Permit 39 00 Surcharge Plan check SAC Water Conn. 450.00 Water Meter 60.00 Road Unit 250.00 Total ? 1 777.-3T on the express condition that and City of Eagan Ordinances. Permit No. Permit Holder Misc. Permit No. IM MIMMIMMMMM Holder ? M Plumbing / Q /.L Q; •7 , H.V.A.C. a D I - ao ' Well Water Disp. Sower Electric T (`-ripo ldi lt?rl Inspection Date Insp. Other Footings fp Foundation Framing l y 1 Rau Plbp -/3 -Jr / 3- Rough HVAC -S-Sfl 4-lc- Insulation Final Plbg. Final HVAC _T7_g Final _77. L,-) Water Describe Location: Well Sewer Pr. Disp. Receipt PLUMBING PERMIT Permit No. CITY OF EAGAN Fee fill in numbered spaces S/C Type or Print legibly Tot. 1. Date 2. Installation Costl 3. Job Address V4 Lot Blk. Tract 4. Owner 5. Contractor Phone 6. Address 12201 MINNETONKA BLVD. MINNETONKA. MINN. 55343 7. City State Zip 8. Building Type: Residential 0 Commercial ? Institutional ? 9. Work Description: New El Add ? Alter ? Repair ? 10. Describe 11. 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 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 I - y 6. Address 7. City State Zip 8. Building Type: Residential 2l Commercial ? Institutional ? 9. Work Description: New,© Add ? Alter ? Repair ? 10. Describe 11. Fuel Type ."YrIT (?f No. Equipment BTU - M. Ea. Forced Air No. Equipment CFM Ai Ha dli : Mfg. r n ng Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Air Cond. Other 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 454.5100 Receipt c' PLUMBING PERMIT CITY OF EAGAN Fill in numbered spaces Type or Print legibly J/ Permit No. Fee S/C J Tot. 1. Date /?/i (. ' /(l'•` `2. Installation Cost 3. Job Address Lot/ Blk. .? Tracts ' f { ' 5 4. Owner -? ?!?` / ! r , y?4. 5. Contractor ?-Q /C Phone 6. Address c ?- ?--- 7. City State //F., -1" Zip 8. Building Type: Residential q 9. Work Description: New t 10. Describe 11. Commercial ? Institutional ? Add ? Alter ? Repair ? Na. s Fixtures Water Closet No. Fixtures ool /Drainfield Cess Bath tubs p Septic Tank Lavatory Softner Shower Well / Kitchen Sink Urinal/Bidet 'd? 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$100 CITY OF EAGAN Remarks Addition WALDEN HEIGHTS 1ST ADDN Lot 10 Rlk Owner Street 4691D /?l.i f? ?ANwI L /113 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 3b 61.33 A013557 2-16-84 SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA ZZ 1980 206.50 13.77 is 137.70 A013557 2-16-84 STORM SEW TRK $ 1984 673.75 134.75 5 539.00 A013557 2-16-84 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT ROAD IT 250.00 39999 11-16-83 WATER CONN. 450.00 n It BUILDING PER. SAC 5 .00 it to PARK EAGAN itot Knob Road WATER SERVICE PERMIT il _ ox 21199 PERMIT NO.: MN 155121 DATE: Zoning: 'L 1 No. of Units: Owner: - Sj,.,Q},a up r„-g; trt = 41ft^ Address: Site Address:. 1486 _Thmas Lane L10 B3 'alden Heights Meter No.: Size:- Reader No.: I "Me to corm Ortnonom, By Dote of Insp.; the City of Eagan Connection Charge: `? • uu pu Account Deposit: Permit Fee: 1r). 00 pd Surcharge: .5n pd Misc. Charges: F'n • 00 pd meter Total: Dote Paid: Insp.: Cl fY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: Zoning: ? 1 No, of Units: - 1 Owner: t r1.rt inn Address: Site Address: 14'10; 1 nNO to oomply 11 l/ i w /F,3 with the Oily of Egew Connection Charge: 100.00 pd 42§ @@ ordinen Account Deposit: , r-1- Permit Fns: 10.00 pd Surcharge: _,d By Misc. Charq= Data of Insp.: Total: Insp.: Date Paid: CI 'v OF EAGAN 383...'. at Knob Road WATER SERVIC E PERMIT P. O. Box 21199 PERMIT NO : Eagan, MN 55121 . DATE: 12 / 1'i _ 3 Zoning: 11 No. of Units: 1 Owner: _ sunS 111:a coast Address: - Site Address: 1416 THomas Lane Lli' 33 -ia dlcn iigts iPlumber: LLIL'- v lle Pltuibinn Meter No.: Connection Charge: X11SX2A 4-5.M Sire: Account Deposit: phi Render No.: Permit Fee: -1.00 pd . I agroo to comply with the City of Eagan Surcharge: .50 pd Ordih acm Misc. Charges: 60.00 pd met Total: By Dote Paid: Date of Insp.: ,-_ , CITN IF EAGAN 3830 Pilot Knob R P. 0 Box 21 oad SEWER SERVICE PERMIT 199 PERMIT NO.: Eagan, MN 55121 Zor.ing: DATE: Owner: No. of Units: 1 Address: Site Address: Plumber: = nvf s>> „„,1,r 3 :1aIL?n t"ytc I ogres to comply wlHr the City of IEagas Ordineness. By Date of Insp.: Connection Charge: 42,;. Jo Account Deposit: Permit Fee: Surcharge.-Misc. Charges: Total: Date Paid: RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 New construction Requirements aamodagReoair Reauirements • 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 heated additions 2 copies of plan shoving beam & window saes; poured found design, etc.) • 1 site survey for exterior additions & decks 1 set of Energy Calculations • indicate if hone served by septic system for 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE TL-51k JOB SITE ADDRESS 071D -T-h inznn?S la li° IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER ?M'k TYPE OF WORK 110 APPLICAP ADDRESS PAGER # CELL PHONE # 9-?_ 01 ions ?. ???rtrt11-S(d?N FIREPLACE(S) _ 0 _ 1 _ 2 PHONE# C_ZIPCODE F__Tnb3-_1 FAX # br,?l -q D -hD16 VIEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted n M D MINNESOTA RULES 7672 Ll lJ - New Energy Code Worksheet Submitt ed 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 # 41-11175 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 cone and agree to comply with all applicable State of Minnesota Statutes and City of Eaga Or finances. Signature of Applican?J/LlS? VALUATION _ Phone #: Lawn Sprinkler No. of R.I. Baths Phone # Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 1101 OFFICE USE ONLY I w ? 01 Foundation ? 02 SF Dwelling ? 03 01 of - plex ? 04 02-plex ? 05 03-plex ? 06 04-plex F 31 New ? 32 Addition ? 33 Alteration ? 34 Replacement ? 20 Pool 21 Porch (3-sea.) ? 22 Porch/Addn. (4-sea.) ? 23 Porch (screened) ? 24 Storm Damage ? 25 Miscellaneous ? 30 Accessory Bldg ? 31 EM. Alt - Multi ? 33 EM. Alt - SF ? 36 Multi ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 37 Demolish (Bldgr ? 43 Reroof ? 46 Windows/Doors 'Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation o Census Code 3 ` SAC Units /J` Nbr. of Units Nbr. of Bldgs ^L Type of Const S-? Occupancy e-3 MC/ES System Zoning f/y - 1 City Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered Width REQUIRED INSPECTIONS Footings (new bldg) Footings (deck) 10 Final/No C.O. Footings (addition) !! Plumbing Foundation IiVAC Drain Tile Roof _ Ice & Water _ Final _ Other Framing _ Pool _ Ftgs _ Air/Gas Tests - Final Fireplace _ R.I. -Air Test -Final _ Siding _ Stucco _ Stone Insulation _ Windows (new/replacement) Approved By , Building Inspector 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 13 07 05-plex 13 13 16-plex 13 08 06-plex 13 16 Fireplace 13 09 07-plex 13 17 Garage ? 10 08-plex 13 18 Deck ? 11 10-plex 13 19 Lower Level 13 12 12-plex Plbg_Y or- N ?4 ,a /p, _ Final/C.0. CITY OF EAGAN Np 8657 5795 Pilot Knob Road Eagan, MN 55122 • PHONE: 454-8100j- BUILDING PERMIT Receipt To be mad for SF DWG/GAR Est. Value $78,000 Date November 16 19 83 Site Address 1486 Thomas Lane Erect IM Occupancy R-3 Lot 10 Block 3 Sec/Sub. Walden Heights Alter ? Zoning R-1 Parcel # 10-83300-100-03 Repair ? Fire Zone NA Enlarge ? Type of Coast. V a Name Sunshine Construction Co. Move ? # Stories z Address 1500 Auburn Court Demolish ? Length 81 C; Eagan 55122 Phone 454-7485 Grade ? Depth 26 Sq. Ft. Name Owner Approvals Fees uf uu Address Name _ Address I hereby acknowledge that 1 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 ------S-unSTi5 A Building Permit Is issued to: all work shall be done in accordance with all Building Official Assessment _ Water 8 Sew. Police - Fire Eng. Planner Council Bldg. Off. _ APC Permit .cur. Vu Surcharge 39.00 Plan check 183.50 SAC 525.00 Water Conn.450.00 Water Meter 60.00 Road Unit 250.00 Total $1874.50 Co. - on the express condition that City of Eagan Ordinances. CITY OF FAGAN S? ?u7 BUILDING PERMIT APPLICATION U G0. ? Include 2 sets of plans, 1 site plan w/elevations & 1 set of energy calculations. To Be Used For Valuation (?Q Date ?D- zS -? Site Address: ,;y ?Q {1 OFFICE USE ONLY Lot _IC> Block ? Sec./Sub. "/&, _s.Erect Occupancy Parcel #: To ' 60 /60 p Alter Zoning / ?v Repair Fire Zone etc C A1ne f YN- Enlarge Type of Const. Owner: Lk(/1,/., .. Y C b -? pQ move # Stories Address: Demolish _ Front/ ft. City/Zip Code: f- a ,L, MA) Grade' Depth [ ft. Phone #: 4-Fq - 7 YP,S' Contractor: -W-Au r- d?, Address: 4z2o o ? City/Zip Code: Phone #: Arch./Eng.: d " s 9 i-LIL Address: )-Oo 4,.,,Jm fJ4- A, 2 So City/Zip Phone #: APPROVALS FEES Assessrrents Water/Sewer Police Fire Eng. Planner _ Council Bldg. Off. APC Permit Y 7 0-0 Surcharge ? 9 - Plan Check 3 -5 SAC SoZS' ?- water Conn. ,5,y U Water Meter Gip Road Unit ; 2 SD° TOTAL `?? 1 SCE c3 Lto r33,(c7atdPn fS. Yol 35 q4 t S? -quest aired? E:]ReadY Now Will Notify losp Yes ?No for When Read, ady n Licensed Electrical Contractor I hereby request inspection of above ? Owner electrical work installed at: Street Address, Be. or Route No. City eMlOn W. Township Name or No. Range No. County Oc, upant (PRINT) Phone No. l l CGvl - f Power Supp/lire Address Electrical Contractor (Comp @\y Name) Coen-tectlor1'S License No. Mailing Add s (Contractor or Owner Makin `Installation) 7S- T `?- Il.?.-?.L) j? Lyt Authorized Signature (COntracto"Own r Making Installation) ? Ph. Number 3C ? ?A?r v'. CQ ? MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N•191 BE ACCEPTED By THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS e?___ rat'r'Arz 7221 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION . Es- ' See instructions for completing this form on back oil yellow copy. -X" Below Work Covered by This Request Cep ?j S kove Add Rep. Type of building Appliances Wired Equipment Wired Home pK Range Temporary Service Duplex _ Water Heater )G Lighting Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other peci y other !specify) t +er pacify Other other Comoute lnsoection Fee Below fl Fee Service Entrance Size a Fee Feeders/Suhfeeders a Fee Circuits 1 a--00 0 to 200 Amps 0 to 30 Amps l3 ?.5 0 to 30 Amos Above 200 Amps 31 to 100 Amps 1 5 . cx> 31 to 100 Amps Swimming Pool Above 100_Amps Above 100_Amps Transformers Irrigation Booms Partial,'Other Fee Signs Special Inspection ' 8 TOTAL FEE Remarks .SD De- Rough-in Date, u the Electrical `/ r/ Inspector, hereby Final certify that the Fi above Da.t(a action has been ? 7 Z? tide. "" request Vold 18 months from 4 5?g ?2 -7 RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3630 PILOT KNOB RD, EAGAN MN 55122 651-681.4675 New Construction Reaulrememe • 3 registered site surveys showing sq. 9. of lot, sq. tL of house; and all roofed areas (200/6 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 If lot plated after 711M • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE D7-02- 0 Z SITE TYPE APPLICANT STREET ADDRESS /ZZ TELEPHONE # 975z- WCoe"9CELL PHONE # a00. -7-5 RemodeliReoair Reaulrements • 2 copies of plan 1 set of Energy Calculations for heated additions 1 site survey for exterior adduions & decks • Indicate t home served by septic system for additions /? co VALUATION t !b • 1? S. AULTI-FAMILY BLDG _Y -tfl FIREPLACE(S) _ 0 _ I _ 2 ?Yer'ez& STATE M4) ZIP - 332 FAX # t%SZ - ZJ? CJ° L? PROPERTYOWNER /UTELEPHONE# 6-rl-4Sy/!7L COMPLETE THIS SECTION FOR -NEW,, RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I _ M (4 submission type) • Residential Ventilation Category 1 Worksheet Submitted • e • Energy Envelope Calculations Submitted F W 1 0 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 # Lawn Sprinkler No. of R.I. Baths 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 Ordinal s. Signature of Applicant ----°....... ............... ---............ °-- ......... _?®.?.. OFFICE USE ONLY Certificates of Survey Received - Tree Preservation Plan Received - Not Required _ Updated ao2 r 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. Ak - 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_Yor_ 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) _ FinaUNo 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 ,Certificate for: Sunshine Construction DELMAR CHWANZ La uavEVOR Z f I%XN RpistasC U Lws of The Stab 4 2975 - 145TH STREET W. - BOX / ROSEMOUNT,18iMIR ?U L?1 SURVEVOR'S?CERTI g ,(#/ q ati i k AyP ?x Drainage & 9Kf utility easement o r ? h 1 3i.e h jY;0 961 z a,? 9eP NN6 gbtiA 'Si' / 5 • 7 '7147 P#MM 012 422-17M e ?r s r 992. Ter /IUB lid -1? ? ? qy2 5 jYBb. 40 -0 Z; 96? 9? 2-5 7oacui SCALE: 1 inch a 30 feet proposed garage floor frcml- 9S? 8 t l 957s Denotes existing elev. - an p developmen Denotes set wood hub O Denotes proposed elev. -..- Denotes proposed drainage I hereby certify that this is a true and correct representation of Lot 10, Block 3, WALDEN HEIGHTS FIRST AMITION, according to the recorded plat thereof, Dakota County, Minnesota. Also showing the location of a proposed house as staked thereon. Dated: October 24, 1983 W.eathmirips Rndow*I De Ne. Width Ol pano Heleht of pane N, u; liehl• UneaI ft. of cram Ana p. ft. 1 I Coef. Btu Infiltration Glass Exp. wall ) Net exp. wall Int. wall Fluor Coil. Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl.I f'_Yl U Room j Length j $1/r'' Width /p lO I' Height f(,n'1 Windows an Doors--Crackage and Area - No. Width of pane "ffht of pane No. of Ilrhte Lineal ft. of crack Arh q. K 31 Il Coef. Btu Infiltration 1 c Glass JI)OO Exp. will Net exp. wall 7 Ink. wall Floor Ceil. total Btu. 1 J12 Required sq. ft. E.D.R. or sq. ins. WA. Leader area ) R-I 146r AD Room ILength Width Height Windows and Doors-Crackage and Ana No. width of pane "eight of pane No of 119ii Lineal ft. Of eraek Area eq. ft. /01 11 j 1 Coef. Btu Infiltration j 9 7D -,-15 0 Glass Q Exp. wall Q Net exp. wall 22 1-51 Int. wall Floor Ced. Total Btu. q Required s q. ft. E.D.R. or sq. ins. WA Leader area A 5 ti E Guide Construction No. s Reference Out. Vrall Int. Wall Ceiling Roof Floor Kind Vo 19 _ Room Length i1 Width 'O" I-kight q Room I ors-Crackage and Area Windows and Door"r, Insulation How „ Width 4 Coef. Btu Infiltration Q Glass Exp, wall Net exp. wall r/ Int. wall Floor C•a Total Btu. uAr1_ :quired sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 14#1 BOA Room I Length h)'Q'' Width 61 Windows and Doors-Crackage and Area No. wrath of pave Ilelaht of path No. of Hahn Llnaal ft. of creek Area W. it- Coef. Btu Infiltration Glass _ Exp. wall Net exp. wall 7 Int. wall Floor C a. ?2 Oil Total Btu. quired sq. ft. E.D.R. or sq. ifis. W.A. Leader area -1.1 / Room I Length grrp s Width f_ Windowe and Donrs- rackare and Area No. Width of pane Height Vpana No. of liahn Lineal ft. of crack Area aq. ft. 11 / 1 j ' Coef. Btu Infiltration L1 1 )106 Glass Exp. wal; Net exp. wall Int. wall Floor Ceil. _Total Btu. I -A? Required sq. ft. E.D.R.,or sq. ins. WA. Leader area ` Weathcrrtrips Windows I - Doors Yes-?o H.I QVIff Room Windows and nnrs-( Ce:' Construction No. ui de Mareace Out. Wall int. Wall Ceiling Roof 19_ ` Il Width Lif .,A A- No, WICIL of Vane H.Ight of pane Nc. u: Nthte Linul it. of crack An. p1 ft. 1 It 1 a Coef . Bta Infiltration Glass Exp. wall Net exp. wall Int. wall Flour Ced. Total Btu. 2ag b Rewired sq. ft. E.D.R. or sq. ins. W.A. leader area _. aj) Fl.1 oom Length I' Width' ' 't Height ' /I Wi ndows a n Doors -Cracka ge and Ar ea Na N'loth of pane Height of pane No. of light. Lln..l It. of crack Ana q. te. 1 To 77 11 / if -LT Coef. Btu Infiltration _ Glass '73 50 1 Q Exp. wall r Net esp. wall 16 )606 InL wall Floor Cea. Total Btu. Aa )07 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Room Length '' 'I Width ` II Hdght 1 ,( Windows an d Doors- Cracka ge and Ar ea Na WLJth of Oana "eight of Vane a0. or light. Llnul fL of Crack Area q. Il. Coal Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Floor Cad. Total Btu. Required s;. ft. E.D.R. or sq. ins. QIA Leader area Insulation K nd? How F1.1 Room Length WmnrlnWs and Drkrrs-•Crackage No - Width of hap. H.tght of papa No. of tights LIOHI it. of crack Are- ea. fl. i Coef. Btu Infiltration Gleu Exp. wall Net exp. wall Int. wall Fluor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 Room I Length Width Windows and Doors-Crackage and Area No. W lath of Do.. 3le1 ght of Dana No. of Ilihta Llnul ft. of crack Area q. fl. Coef. Btu Infiltration Class _ Exp. wall Net exp. wall Int. wall Floor Ced. Total Btu. Required sq. ft. E.D.R. or sq. ifis. W.A. Leader area FI-I Room I Length Width Windows and Doors-Crackaee and Area Nd Width or O.ne Halahl 01,0an. Na a[ Hfhb Lineal ft. Of Crack Area .O. ft. Coef. Btu Infiltration Glass Exp. waC Net exp. wall Int. wall Floor Cd. _Total Btu. Req irecl sq. ft. E.D.R.,or sq. ins. W.A. Leader area A- A '514-c- P( a r-l Tk o ffuv? L, n- E-aa O (VA on; n 30' r'1i?) 1 Z1 , ?4t (e T l- o w,- s Ian EA35 vi im IV 55 J -2-z- (_123V 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION ?Q ,SS-b CITY OF EAGAN'l 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date Z 1 I by Site Street Address HANSEN, GARY Unit # 1486 THOMAS LANE EAGAN, MN 55122 ( ) Property Owner (651) 454-1172 _ Telephone # NORBtOM-PLUMBING CO. ( ) Contracto4612) 827-4033 Telephone # Address 2905 GARFIELD AVE_ SA_ City State Zip MINNWOLIS, MIN 5540s The Applicant Is: - OwnerQ Contractor -Other Alterations to existing dwelling $ 50.00 -Add fixtures to rooms, excluding water softener and water heater -Septic System Abandonment -Water Turnaround (add $121.00 if a 5/8" meter is required) Other: -Water Softener Water Heater $ 15.00 ?C replacement - additional Lawn Irrigation System RPZ_ new _ repair -rebuild $ 30.00 State Surcharge $ .50 Total $ l? 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 the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. c I ? C-1 Iy y?W?riyy? :.l Applicant's Printed Name ' j? ?I aftll? City of Eap 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 A Contractor Date. .-I. 08 Site Address: 7 I hcim s u1 Su its #: RESIDENT I OWNER I Name: TYPE OF WORK CONTRACTOR 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Address / City / Zip: Applicant is: _ Owner Description of work: Construction Cost: i ----------------- Permit #: V I U j I -o I Permit Fee: j Date Received: j I I I Staff: I Phone: 00 Multi-Family Building: (Yes _ / No X 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 Pfumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: I hereby acknowledge that this Information is complete and accurate; that the work will be In conformance wllh 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 permll; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. r6K, G-wn 0 oCo x K. L0.WF(-0C( Applicant's Printed Name Applicant's Signature Page 1 of 3 Name: 1 I Q Std rc raf EX ICrI tore License #: ?10I 1 ';?(n A l0 CASH RECEIPT .--s CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 OATE 19 - RKCKI,vm FROM AM NT $ ? CASH ? CHECK DOLLARS roe FOR d BY Pink-Fi Posti Copy Copy Thank You RESIDENT OWNER Name: el k. Ql 1 Phone: :9 L(SU (n Address City Zip: CJ lU a If CONTRACTOR Name: BURNSVILLE HEATING A/C. INC License q I 411 3451 W. Bumsville Parkway Address: State: Zip: Suite 1 20 City: Burnsville, usville, MN 55337 Phone: "1S -SA Contact Person: 6 TYPE OF WORK PERMIT TYPE New Replacement Additional Alteration Demolition Description of w r ork A3 P 9 ,f 4 gd J/q ..?Yn�$ r.ee i3T. RESIDENTIAL Furnace M d 6 1 Y lfrt fl 3^ '"Fy o 1 y ry yl 4 F4 k 3 6 ��f n b uma. e�ims -s COMMERCIAL New Construction Interior Improvement 's Install Piping Processed X Air Conditioner Air Exchanger Gas Exterior HVAC Unit Heat Pump Under Above ground Tank Install Remove) C X Other SL When installing /removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum Add or alteration to an existing unit (includes out appliances, ductwork, etc.) (includes $.50 State Surcharge) $.50 State Surcharge) $90.50 Fire repair (replace burned $p TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank $50.50 Minimum (includes installation /removal OR State Surcharge) surcharge is $.50. increases by $.50 for each $2,000 Permit Fee requires a $1.00 surcharge). Contract Value x 1% Permit Fee If Permit Fee is less than $1,000, State Surcharge If Permit Fee is $1,000, surcharge $1,000 Permit Fee (i.e. a $1,001 TOTAL FEE CityofEaall 2009 MECHANICAL PERMIT APPLICATION Site Address: u 9 ��1 (J Tenant: Dater -1)-c9 h ere b y ac 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 iip -the case of work which requires a review and approval of plans. 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 x cj c51')( '1 Applicant's Printed Name PorPtAit Permit Permit Fee: Date Received: Staff: Suite bt,000-ML' Applicants Signature J PERMIT City of Eagan Permit Type:Building Permit Number:EA174600 Date Issued:02/07/2022 Permit Category:ePermit Site Address: 1486 Thomas Lane Lot:010 Block: 003 Addition: Walden Heights PID:10-83300-03-100 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: 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 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: 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 - Jose Vasquez Vargas 1486 Thomas Ln Eagan MN 55122 Home Depot Usa Dba The Home Depot 2455 Paces Ferry Rd Atlanta GA 30339 (763) 852-1044 Applicant/Permitee: Signature Issued By: Signature