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1487 Thomas Lane` CITY OF EAGAN 17337 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # 1 I To be used for 3--SEASON PORCH Est. Value $9.000 Date NOV 27 , 19 89 Site Address 1401 l um Lot I 1 Block 2 Sec/Sub. WAL IM VAIONTS OFFICE USE ONLY Parcel No. Occupancy FEES Zoning - W Name JIM WENSON (Actual) Consl Bldg. Permit 108.00 o Address 1487 THOMAS LN (Allowable) 4 City EAGAN Phone 452-2905 k of Stories Surcharge 141 Plan Review Length o Name RALPH HANSON CONSTRUCTION Depth 16' SAC Cit . y Address 71-45 1218TH ST W S.F. Total SAC, MCWCC j City ROSIDNIO >NT Phone 423-2009 S.F. Footprints Water Conn ' On Site Sewage F w Name On Site Well W t M W er a eter _= AddreSS MWCC System <W City Phone city water Acct . Deposit PRV Required SJW Permit I hereby acknowlege that I have read this application and state that the Booster Pump SJW Surcharge information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Treatment PI Signature of Permitee APPROVALS Road Unit a A Building Permit is issued to: RALPH HANSON CONST Planner Park Ded on the express condition that all work shall be done in accordance with all Council _. a applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies Building Official Variance TOTAL 112.50 Permit No. Permit Holder Date Telephone # WATER SEWER PLUMBING G 4 H.V.A.C. ELECTRIC 449ZA/ $c;?O-) Inspection Date Insp. Comments Footings I Foundation Framing f Roofing Rough Plbg. Rough Htg. [Sul. Fireplace Final Htg. Final Plbg. Const. Meter Plbg. Inspector - Notify Plumber Engr./Plan Bldg. Final - Deck Ftg. Deck Final Well Pr. Disp. '? f+`?F'+''"N }. (?, "h?••:R: _s•+.r .;..c.y.?'. .:,`??C A? .?'a i1?''.T?"Y.TIro'A'. ?,`. t'i&.r it .,7R:. Yi/ ? a°s .. g1 !? .r. - •wV • PLUMBING PERMIT For Office Use Only CITY OF EAGAN PERMIT # ?AZ Z CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT# PRICE PHONE 454.8100 DATE: Site Address 1487 Thomas Lane BLDG. TYPE WORK DESCRIPTIC Lot lock Sec/Sub Res. XXX7tXX New Xxxxxx Mult. Add-on N me Gent-R 8n Comm. Repair a - Other Addre 12 ss City Rosemount. M FEES COMMAND. FEE -1% OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APLLES MINIMUM - RESIDENTIAL FEE $12.00 MINIMUM - COMM.IND./FEE $20.00 STATE SURCHARGE PER PERMIT .50 (ADD $.50 SIC P?R EACH $1,000 OF PERMIT FEE) CITY Lavatory - $3.00 Shower - $3.00 Kitchen Sink - $3.00 Urinal/Bidet - $3.00 Laundry Tray - $3.00 Floor Drains - $1.50 Water Heater - $1.50 Whirlpool - $3.00 Gas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMIT) Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 PERMIT FEE: STATES SIC: GRAND TOTAL: ?2' 00 /.r` CITY OF EAGAN? 17230 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121. PHONE: 454-8100 1 ' BUILDING PERMIT Receipt # To be used for FOOTING Est. Value Date OCTOSEA 25 19-t9- Site Address 1487 THOMAS LN 4 Lot 11 Block 2 Sec/Sub. WAY)" HT3 OFFICE USE ONLY Parcel NO. Occupancy FEES Zoning W Name JIM SWANSON (Actual)Const Bldg. Permit 15,00 o Address 1487 TtN3!!?S (Allowable) h City EAGAN Phone 423-2905 x of Stories arge Surc Plan Review Length a o RALPH HANSON CONSTRUCTION Name ? City SAC 00 2135 128TH ST W Address S.F. Total , U? City ROSEMOUNT Phone 423-2009 S.F. Footprints SAC, MCWCC Water Conn On Site Sewage 8 Name On Site Well Water Meter w s Address MWCC system 0 z i w City Phone City Water Acct. Deposit i S PRV Required /W Perm t I hereby acknowlege that I have read this application and state that the Booster Pump SNV Surcharge information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordina6 Treatment PI l Signature of Permitee APPROVALS Road Unit A Building Permit is issued to: Planner Park Ded. on the express condition that all work shall be done in accordance with all Council 3.00 applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies Building Official l? t Variance TOTAL I8*00 Permit No. Permit Holder Date Telephone N WATER SEWER PLUMBING H.V.A.C. ELECTRIC Inspection Date Insp. Comments r ootic ngs I Foundation Framing Roofing Rough Plbg. Rough Mg. Isul. Fireplace Final Htg. Final Plbg. Const. Meter Plbg. Inspector - Notify Plumber Engr./Plan Bldg. Final Deck Ftg. Deck Final Well Pr. Disp. -1 1 PERMIT # MECHANICAL PERMIT C T X 15 RE EIP # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: 7lri,.? 9 A* PHONE: 454-8100 For Office Use Only: Site Address BLDG. TYPE WORK DESCRIPTION Lot Block Sec!,Sub Res New Name - ' - Mutt Add-on Address Comm. Repair c City Phone Other E S F E Name HVAC 0-100 M BTU _$24 00 RES L C Address . . ADDITIONAL 50 M BTU - 6.00 p City Phone ` (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM -1 PER PERMIT) - 1 50 EA . . 1% OF CONTRACT FEE COMM/IND FEE TYPE OF WORK - Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU REMODELS - 12.00 Air Cond M BTU MINIMUM COMMERCIAL FEE - 20.00 . STATE SURCHARGE PER PERMIT - .50 Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # BEYOND $1,000) Other FEE: SI F I E S/C: TOTAL F R: CITY OF EAGAN CITY Of EAGAN 8435 3795 Pilaf Knob Rood Eagas, MN 53112! PHONE: 454-8100 BUILDING PERMIT Receipt # ST DVM/C ut 55,000 September ' 83 TO be Used for Est. Value Date 19 1487 somas Lane R__ 3 Site Address Erect 4 Occupancy Lot 11 Block 2 Se /SubWalden Heip'itts Alter ? Zoning Parcel # Repair ? Fire Zone 11 Enlarge ? Type of Const. sr Sunshine Construction o. Name Move ? Stories # 1466 Richard's Court Address Demolish ? Length - Ci :agar, 55122 Phone 454-7485 Grade ? Depth Sq. Ft. Approvals Fees Name u , i0 o Address Assessment . Permit u? Water & Sew. Surcharge -' Cl Phone Police Plan check Nome Fire SAC Address JC-, Eng. Water Conn. 450.00 - City Phone Planner Water Meter ?? 2517.00 Council Road Unit 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 1909 50 an Ordinances and Cit of Ea St t f Mi t t S t APC 4 . Total . y g ta nneso a a u es e o Signature of Permittee n Co. A Building Permit Is Issued to: all work shall be done in accordance with T- on the express condition that and City of Eagan Ordinances. Building Official Permit No. Permit Holder Misc. Permit No. Holder Plumbing 3 - -7? J 1 ,-??-U ljt L p H.V.A.C. C ?? ?H? ?? l '? ?p o+ Well water Disp. SevveY Electric D(pQ (15 [? lSL ECG Q 'Z2 Inspection Date Insp. Other Footings t'-30 lj Foundation Framing Rough Plbg. Rough HVA Insulation Final Plbg. Final HVAC - Final C Water Describe Location: - - Well 14 ? ?? 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 Cost l 1 `f g;? t- ?/11 = = T Lot?Blk. 3. Job Address f ! / ract - 4. Owner `' ?1( _?1 ?? / ?? D el 5. Contractor Phone 416 J x a r ? s 6. Addres te St 7 Ci ?= G? Zi a . ty p - 8. Building Type: Residential t` Commercial ? Institutional ? 9. Work Description: New ? Add ? Alter ? Repair ? 10. Describe 11 No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield ?- Bath tubs Septic Tank Lavatory Softner elf Shower Well _L Kitchen Sink Urinal/Bidet Other !? ?f }l Laundry Tray s y, d, 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 4545100 Receipt MECHANICAL PERMIT CITY OF EAGAN Fill in numbered spaces Type or Print legibly Permit No. Fee S/C Tot. 1. Date 2. Installation Cost C/)' 3. Job Address ,'?? d ?L//niys Lot / Blk. Tract 4. Owner 5. Contractor 0.oue / S // Phone J' 3 41,0195-5? 6. Address 7. City State Zip 8. Building Type: Residential ? 9. Work Description: New Q 10. Describe Commercial ? Institutional ? Add ? Alter ? Repair ? 11. Fuel Typed/ .',- No. Equipment BTU - M. Ea. Forced Air No. Equipment CFM Ai H dli Mfg. r an ng: Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed: for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464.8100 CITY OF EAGAN Remarks Addition WALDEN HEIGHTS 1ST ADDN Lot- 11 Rik 2 Parcel ''300-11 Owner Street 1487 THOMAS LANE State EAGAN MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 30q 1976 1 -9; -3 - X 1 1f)-22 15. 61.33 A013267 2-9-83 SEWER LATERAL r - ? WATERMAIN WATER LATERAL i WATER AREA Z 2- 1980 206 ' 7 A013267 12-9-83 STORM SEW TRK B 1984 157- - - 114 - 75 539.00 A013267 12-9-83 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT ROAD I IN IT 2S0.00 38409 94-83 WATER CONN. 4SO.00 it BUILDING PER. 843 SAC to n PARK CITY Oc EAGAN 3430 ?'ilot K b R d WATER SERVICE PERMIT no oa P. O. Box 21199 PERMIT NO.: ):iu 4 Eagan, MN 55121 DATE: 9- 6 - 0 3 Zoning: 1 No. of Units: 1 -?unsrdne Const Owner Address: Site Address: 1487 Thomas Lane L11 lit Walden ii& ts Plumber: i.a • ' `'l i 11 C P 1 bh Meter No.: Connection Charge: 4 ' (? • ;)'' i Size: Account Deposit: Reader No.: Permit Fee: 10.00 hd 1 eono to ""ply with the City of Eagan Surcharge: • SC rd 041mmem Misc. Charges: ':) • ) .- mete] Total: BY Date Paid: Date of Insp.: Insp.: CITY L F EAGAN 3ts30 Pilot Knob Road SEWER SERVICE PERMIT P. O. Box 21199 PERMIT NO.: ?r L 131 Eagan, MN 55131 DATE: - Zoning: Sunshine ons O No. of Units: ' wner Address: --- 748 7 Site Address: nomaS Brie: z MITT 7i, --,r Plumber: .A e v 1 e g U Lim ITT I aer" to CM* wNh the Clg of Eaton Connection Charge: . ' 425.00 pd ???IIIOaOM. ? Account Deposit: Permit Fee: 10.00 i'd Surcharge: c • 5 B By Misc. Charges: Dote of Insp.: Total: Insp.: Date Paid: CITY OF EAGAN 4793 POO Knob Read Essen, MN 55144 PHONES 454-8100 BUILDING PERMIT Receipt To be used for SF DWG/GAR Est. Volue485,000 Dote N? 8435 # September 1 1983_ Site Address 1487 Thomas Lane Erect g]{ Occupancy R-3 Lot 11 Black 2 Sec/Sub.Walden Heights Alter ? Zoning R-1 Parcel # Repair ? Fire Zone NA Enlarge ? Type of Consf. Sunshine Construction Co. W Name Move ? # Stories Address 1466 Richard's Court Demolish ? Length 42 ° city Eagan 55122 Phone 454-7485 Grade ? Depth 50 Sq. Ft.- Name Owner o Approvals Fees Z oom Address Assessment Permit 388.00 0? Water 8 Sew. Surcharge 42.50 City Phone Police Plan check 194.00 t, Fw Name Fire SAC 525.00 u-z Address Eng. Water Conn. 450-1710 <W city Phone Plonner Water Meter 60.00 Council Road Unit 250.00 1 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 $1909.50 Total State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee Sunshine Construct o Co. A Building Permit Is issued to: on the express condition that all work shall be done in accordance with oll?6 liwble State f nnesoto and City of Eagan Ordinances. Building Official ?Ii/ fJ 'J L( `1? CITY OF EAGAN Include 2 sets of plans, 0 l 1 site plan Welevations & ?QrBUILDING PERMIT ?AIP?PLLICATION 1 set of energy calculations. To Be Used For Valuation 'j J5, 000 Date r12- 11A-3 Site Address: J?g7 GroN.a? L4c?e OFFICE USE ONLY Lot Block Z Sec. /Sub. Waldt,V4 %V?5Erect Occupancy Parcel Owner: #: Alter Zoning b Repair Fire Zone ? Li L A C nnwe//. ?rrks?r « 4,cti. Enlarge _ Type of Const. Address: " (I`i C(na"!O S C-{- City/Zip Code: cct ij Phone #: ?S 7 aj -r Contractor: S" r i9 Address: 0 L) City/Zip Code: Phone #: Move # Stories Demolish Front ft. Grade Depth SD ft. APPROVALS FEES Assessments Water/Sewer Police Fire Eng. Pl 7?/ anner Arch./Eng.: I'l O? 1 I?. u SEo Ui Ce. Bldg. Off. Address: 1000 02:1 9 /4d 4 S7' APC City/Zip Code: 54 i }{ /0o Phone #: 2"3 z a 0 Permit ' Sfj Surcharge S/? .tom Plan Check 9 y 42 SAC cS ?p S' ':211 Water Conn. ?,/s-d - Water Meter 60 9-- Road Unit -ps-6 es TOTAL D `J U CITY OF EAGAN N2 17230 r . 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 551 ?1 ry-) PHONE: 454-8100 d- BUILDING PERMIT Receipt # J To be used for FOOTING Est. Value Date OCTOBER 25 7g-$g_ Site Address 1487 THOMAS LN Lot 11 Block 2 Sec/Sub. WALDEN HTS OFFICE USE ONLY Parcel NO. Occupancy FEES Zoning M Name JIM SWANSON (Actual) Const Bldg. Permit 15.00 c Address 1487 THOMAS LN (Allowable) Surcharge City EAGAN Phone 423-2905 p of stories Plan Review Length ' Name RALPH HANSON CONSTRUCTION Depth SAC City i Address 2135 128TH ST W S.F.Total , IT City ROSEMOUNT Phone 423-2009 S.F. Footprints SAC, MCWCC Water Conn On Site Sewage gw Name On Site Well - Water Meter :z Address MWCC System _ ¢z aw city Phone City Water Acct. Deposit S PRV Required AW Permit I hereby acknowlege that I have read this application and state that the Booster Pump Snu Surcharge information is correct and agre to comply wit all applicable State of Minnesota Statutes and City a n Ordin Treatment PI Signature of Permitee f? APPROVALS Road Unit A Building Permit is issued to: Planner Park Dad. on the express condition that all work shall be done in accordance with all Council -- 3.00 applicable State of Mi nesota Statutes and City of Eagan Ordinances. Bldg. Off, Copies Building Official ???..G.C 7?? Variance TOTAL 18.00 CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT To be used for 3-SEASON PORCH Est. Value $9,000 Site Address 1487 THOMAS LN Lot 11 Block 2 Sec/Sub. WALDEN HEIGHTS Parcel No. w Name JIM SWENSON Address 1487 THOMAS LN City EAGAN Phone 452-2905 fi Name RAT-PR HANSON CONSTRHCTTON u°< Address 211% 1219TH ST W City ROSEMOJINT Phone 423-2009 ?a uW Name Address `a W City Phone I hereby acknowlege 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 Permitee A Building Permit is issued to: RALPH HANSON CONST on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official Occupancy Zoning (Actual) Const (Allowable) # of Stories Length Depth S.F. Total S.F. Footprints On Site Sewage On Site Well MWCC System City Water PRV Required Booster Pump APPROVALS Planner Council Bldg. Off. Variance N° 17337 Receipt # `O- 4K Date NOV 27 1989 OFFICE USE ONLY 141 16' FEES Bldg. Permit Surcharge Plan Review SAC, City SAC, MCWCC Water Conn Water Meter Acct. Deposit SAN Permit SAN Surcharge Treatment PI Road Unit Park Ded. Copies TOTAL 108.00 4.50 112.50 f /4813 Repuesl Date ve No. Rough-in Inspection a uirad Yas 0 No Reatly Now ? Will Notiy Inspector When Ready? I licensed contractor ? ow er hereby request inspection of above electrical work at: Job Ad real or Roble City S ion N b ship Name or o. Range No. co; Oc PRINT) P No. Power Supplier Address Eta I Contra (CO party Name) 1 ? UI C)ntrdclorS Lk nse?N,o. ai' Address (Com w w Owner M g Instal ) Aufm C-WraotodOwner M anal na m r- l11ynA STATE BOARD OF ELECTRICnY V THIS 4NSPECAION REQUEST WILL NOT/ VdSZ Midway Bldg. - goom S7T3 BE ACCEPTED BY THE STATE BOARD' 1821 University Ave., St. Paul, MN 83104 UNLESS PROPER INSPECTION FEE IS Phone(612)642-8800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ? 00? See irnt Mbri!Lpleting this form m back of WHM mpy. G 48134 ' "X" Below Work Covered by This Request ew AEo Rep: Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./industrial Furnace Farm Air Conditioner Other (speaty) CantradorS Remarks: ?, ]. Compute Inspection Fee Below: '7 ?f "' # Other Fee # Service Entrance Size Fee J AI Circuhs/Feeders Fee Swimming Pool O to 200 Amps o to 100 Amps Transformers Above 200 _ Amps Above 100 Amps Signs Irspeatoris U. Only: TOTAL -510_ Irrigation Booms Special Inspection Q,O Alamt/Communication Other Fee r I, the Electrical Inspector, hereby Rough-in , O y certify that the above inspection has been made. Rnel Oats c p 'n/ OFFICE USE ONLY _ This request void 18 months from This request Vvis IS month= fromu m E26`3641,11..41A _Ik 93aa x/15 Runit"I Tie I - Fire No. ou0h-iInspection Requ e", eady Now [] Will Notify Inspec- 7 t F ?Yes Og-, for When Ready L cansed Electrical Contractor 1 hereby request inspection of above Owner electrical work installed at: Street Address. Box or Be to No. L K- P 1 ` -?U I' y City CL -- -t aj - ' D F s tmn o. Township Name or No. Range No. County ` (PRINT( S w e, • Phone No. ?sa - a c7a? „% , S x, F dupphin Address Electrical Contractor (Company Namel I Sa("+k S vl-y 1L Contractor's License No. o?lr9 Fof-aL Mailing Address (Contractor or Owner Making Installation) -?' ed Signature (Contractor/Owner Making Installation) x-e a - C?- Ilk, Phone Number &'r - ?? 3 V STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT illy Ave.. SL Paul. MN 55104 16?.A,fN00 ENCLOSED. ay Bldg. -Room N-191 BE ACCEPTED BY THE STATE BOARD UNLESS PROPER INSPECTION FEE IS 7a4/9 REQUEST FOR ELECTRICAL INSPECTION EB-poooot-os , See instructions for completing this form on back of yellow copy. 9da?? E 2 6 3 6 4 "X' Below Work Covered by This Request Hdd a-P ypo of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex water Heater Lighting Fixtures Apt. Building Dryer Electric Hearin Commercial Bldg. Furnace Silo llnloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Othe, peCi v .lhe, lsoncilyl t er pecily Other Other Commute lnsoection fee Below a Fee Service Entrerice Size H Fee Feaders/Subfueders d Fea Circuits 0 to 200 Amps 0 to 30 AMPS 0 to 30 Am DS Above 200 gmps 31 to 100 Amps 31 to 100 q rnm Swin.ing Pool Above 100-Amps Above 100-Amps Transformers Irrigation Booms Partial-'Other Fee Signs Special Inspection / TOTA FEE ? Remarks ^? / Rough-in Dnte 1. the Eta Inspector, hereby certify that the above Final inspection has been r • < made. li, i request void to months from This request void 4` ZZ 18 This .Q. from 33 75Z y`1150 ".quest 0 Fire No. Rough-in, Inspection /y _ R>retl7 Ready No Will otity, Inspec- tnr en ReaY yes ? No tl Licensed Electrical Contractor I hereby request inspection of above Owner electrical work installed at: Street ,Addres s, Box or Route No. City S/ coon owns to Name or No. Range No. / County I ` Occupant (PRINT) . Phone No. iG Power soup l ter Address Ela at Contr ctor ICOmpan Namel Contractor's License No " Mailing A res. (Contra tar or Owner Ma king Install vo.) / I /( ) sN • /Oc / ? - L Authorized Signature (CgpNavner, Yakine tool Phone N er99 MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room Nd91 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St- Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Ptme. 18121297Z?111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION EB-00001-04 iiiL?, 46 ¢.. 'See instructions far completing this form on back of yellow copy. "X" Below Work Covered by This Request S 3 Add Rep. Type of Building Appliances Wired Equipment W&d I ce rm # Fee Service Entrance Size H Fee Feedets/Subfeeders k Fee Circuits D'O 0 to 200 AMPS 0 to 30 Am s ?. s-? • to 30 Am Above 200 Amps 31 to 100 Amps o Mn%m s Swimming Pool Above 100 -Amps I f .5725 1 Above 100_Am - Transformers Irrigation Booms Partial%0 e Special Inspection the I sped.,, hereby r rtifv that the above spection has been wI'a rMfiraIr of Orru,paury City of (Eagan j3rpbrlmrnt of 18uitding 3mipprum This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: v.ham SF DWG/GAR 8435 Bldy P.n.il No. 0..w..r Type R3 lyp Cmnrv.t V P(.. zo.. NA Z.?e Wl t R1 a...ramms Sunshine Const. CoIdI1466 Richard's Ct Eagan October 19, 1983 ------------------ I ?•? /y7 F'7 1 j Permit #: ?/?/1l y I Permit Fee: Date Received: 46 j 1 I Staff: I I ----------------- 2008 RESIDENTIAL BUILDING PERMIT APPLICATION ' la9rt % L ? Date: / _6_C D1 site Address: / q e".4 Tenant: Suite #: RESIDENT / OWNER Name: Atzwp Phone: 0-1' cfr opi?? Address / City / Zip: / "fit /mod •'? L'9 ? tiw .J ? L Z. Applicant is: Owner-Contractor ???? r1/C7? S ?ci TYPE OF WORK Description of work: l" .;? ?? Construction Cost: d7k6d0. Multi-Family Building: (Yes No I(?-I CONTRACTOR Name: License #: Address: City: State: Zip: Phone: 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 submifare considered fo befpublic iriformatiom Portions of ; the informatimay be ciassfSed as non-pubfec,if you provide specific reasons that would peririit the City to ; conclude'that they are trade secrets` , ... I hereby acknowledge that this information is complete and accurate; that the work will be in con' Eagan; that I understand this is not a permit, but only an application for a permit, and work is accordance with tthheaap,?pproved plane in the case of work which requires a review and approval of qL x A' '??. ' "? A l /U/ J x (/?//'C, Applicant's Printed Name Applicant's with the ordinances and codes of the City of art without a permit; that the work will be in Page 1 of 3 RESIDENTIAL BUILDING uj l p r Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements RemodelReoair Requirements Office Use OnN 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all mofed areas 2 copies of plan Carl of Survey Recd _ Y _ N (20% maximum lot coverage allowed) l set of Energy Calculations for heated additions Tree Pros Plan Recd _Y _N 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Reqd _ Y _ N 1 set of Energy Calculations Addition- indicate ifonsite septic system On-site Septic System _Y _N 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detail Options selection sheet (bldgs with 3 or less units Date Construction Cost Site Address Iwo TkA-OWAC > L J Unit/Ste # RtJ Description of Work ?t)cj?Ffl t- (A > kPJ ? G V Multi-Family Bldg - Y - N Fireplace(s) - 0 -G)- 2 Property Owner WA 'ti(A05TV1J Telephone#(O ) (o('f(1'Oy9b Contractor ?t Qe 40G Address %ib City State iA o (9+l) ?i?-a 7 ?"a Zip -3533-) Telephone # COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Categorv I _ Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted $700 Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone # ( Mechanical Contractor Sewer/Water Contractor 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 i the case of wo which requires a review and approval of plans n) Applicans Printed Name Applicants Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? 05 03-plex ? 06 04-plex Work Types ? 31 New ? 32 Addition ? 33 Alteration ? 34 Replacement Valuation Census Code SAC Units Nbr. of Units Nbr. 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 Insulation Width REQUIRED INSPECTIONS _ Final/C.O. _ Final/No C.O. Plumbing _ HVAC Other Pool _ Ftgs _ Air/Gas Tests - Final Siding _ Stucco _ Stone Windows (new/replacement) Retaining Wall 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 ? 07 05-plex ? 13 16-plex ? 20 Pool ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous ? 30 Accessory Bldg ? 31 EM. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 Windows/Doors `Demolition (Entire Bldg) - Give PCA handout to applicant Occupancy MC/ES System Zoning City Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered Building Inspector 41% •t .ncrstsips AS.H.V.E. Constriction No. (I _ of Doon R Guide erence Out. Wall Int. WaN Ceiling Roof Floor -1-o Ye- s afy 19? F1.1 f'JEe 'A l Room Length \Stb° Width l10" Height ei'O" Fl.I --- Windows and Doors-Crackaae and Area II Windowt and Ne. Width of pane Halaht or Pan/ Nu. Of Iight. L1nM11L of crack Ana q. ft 2'0" 5'0' 1 Z3 2 Coef. Btu Infthration Z3 y0 IzAlcl Glass S p Exp. wall 23 11 Net exp. wall 1 L 1 A?m Int. wall Floor Cea. 1 , n s Total Btu. L{ 152 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 %M:Vl Room I Length ll'O" Width UV' Height 8'O" Windows and Doors-Crackaae and Area Ne. Width of Pen. Height of Pane No. of light/ Ll...I ft. of creek Area b. M Coef. Btu Infiltration Glass Exp. wall L l 33 b Net exp. wall lat. wall Floor Ced. lpto 2te Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area l R.1 QC-e%6 2 Room Length jW k O Width at b" Height 9'O" Windnwt and Doort-Craekaoe and Area No. Wllth of pane Ilelght of pane No. of light. Lineal IL of crack Area A. ft. Z ot, yt o., It 1 Coef. Btu Infiltration lb O Glass Ifc Exp. waN Net exp. waN -k-tAH 1) PIN Int. wall Floor Ceil. l 5b Total Btu. Required s... ft. E.D.R. or sq. ins. WA. leader atw Insulation kind Width •a NO. width er p.Oe Ir.t.Pt of p Ae No. of Ilfht. Lfaul ft. of...tk Are/ /q• fl. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall floor C•q. Trial Btu. Required sq. ft. ED.R. or sq. ins. W.A. Leader area Fl.l Room I Length Width Height Wi ndows an i Loors - racaa gc anu mi ca No. width of pave t1.1,ht of pen, NO. or fish[. Ll neat fl. Or er.tk Ana q. IL Coef. Btu - - - -------------- Insluation Glass Exp. wall. Net exp. wall Int. wall Floor Ceil. Total Btu. Required sq ft E.D.R. or sg. iris. W.A. Leader area Fl.1 Room I Length Width Height mr,A...,.....i n.....elrrarlcaot. and Area No. Width of Pane Helghl O xen* No. of lights Lineal H. of crack Area On. ft. CoeL ' Btu Infiltration Glass Exp. Wal; Net exp. wall Int. wall Floor Ceil. _Total Btu. Required sq. ft. E.D.R..orsq. ins. WA. Leader area Weathetstrips A Guide Construction No. Windows Doors Reference ng Out. Wall Int. WaH Ceili Roof Floor ts-No I Yes-No 19_ 6oA?..lr kks- Room Length p`p Wkhh2to'b" Height tlo• Windows and Doors-Crackaae and Arca No. Width of pane Height of pane No. of 11!11te Lineal it. of eraek Aru ". ft. 2 3.0' b \ y 'Al Z'O S'O' 1 to LAO Cuef. Bttl Infiltration 80 O Zp0 Glaze 8l 50 40,50 Exp. wall 112 Net exp. wall tN, AV 5 1 5 In wall usatsrwx\- $?I t5 l 1 6ci Floor to b4 \ 1, Ceil. Iota] Utu. Z? 9 1 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area U1.I M,-j ?,4 Room I Length I S' la'' Width IS' b Height 8, V' Windows and Doors-Crackaae and Area Nos Width of pane xeight of vane No. of -lights Lintel fl. of crack Area M. M ? 'o" S'o" t 32, 30 Coef. Btu Infiltration L _ At 17g ci Glass o o \ SQO Exp. wall G Net exp. wall \ S51- Int. wall Fluor Cell. 3 q 2 Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl.I\A..t agsy Room ILength 111b" Width 11' Windows and Doors-Craekatn• and Arra No. Width of Dane Height of pane NO. of lighte Llnul ft. of track Area A, ft. 2 1'b" ' o" 1(0 1 t Coef. Btu Infiltration o 0 UL40 Glaze 1 Exp. wall Ip Net exp. wan Z1 Int. wall Floor Cell. \2$ SI locale ' ?, Required d s q. it. E.D.R. or p. ins. WA. Leader artsa \4/t =lag , 0 2c? (34u 1? - Windows Insulation Kind How. Applied RoomlLengthto'o'_ Widthg',," HeightBb ors--Crackaae and Area No. Width of Page BMW of pose No. of Hittite Leal ft. of track Are. eq. ft. Ctsef. Btu Infiltration clan Exp. wall Net exp, wall V \ln Int. wall F!ogr C-1 Sts 4 ZZ Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl.I et Room I Length u 16" Width `I Windows and Door-Ctrackage and Area No. Width oft se• /l eleht ... ne No. of Ilgh to Linea[ ft. of crack Area eq. It. 1 3'O" 1.• 20 Zo \ 2' 8" iii, fj" O It 1 1 1' lo' Coet. Btu Infiltration 5 y0 ZZQe Glass V o0 Exp. wall O Net exp. wall 5 \ Int. wall Floor Ceil. Z \? Total Btu. Required sq. ft. ED.R. or sq. ifis. W.A. Leader area 1 F1.I Kt? ? t_,,,t? Roofn l Length? 'VoO Width 2.,)'o Windows and Doors-?rackaae and Area Na Width of pane Height ef,pue No. of Uitte Lintel ft. of crack Area ft. 2 1` e 3.0" 1 Ito tl 2- 2'c," t.'o" 1 - -L Z Coef. Btu Infiltration z yp Glass (16 bc) Sapp Exp. wal; p Net exp. wall Int. wall Floor cell. lets LA Z o0 Total Btu. Iwe, loyC? d+ A?\ ?/P I ??.S'-1h Required sq. ft. E.D.R.. or so. ins. W.A. Leader area w " 1989 BUILDING PERMIT APPLICATION CITY OF EAGAN 11113© SINGLE FAMILY DWELLINGS 2 SETS OF PLANS 3 REGISTERED SITE SURVEYS 1 SET OF ENERGY CALCS. MULTIPLE DWELLINGS 2 SETS OF PLANS REGISTERED SITE SURVEYS - (CHECK WITH BLDG DIV.) 1 SET OF ENERGY CALCS. 2 SETS OF ARCHITECTURAL d STBUCTURAL PLANS 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCS. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF UNITS NOTES ADDRESSES FOR CORNER LOTS - CONTRACTOR /HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.- SEWER 8 WATER PERMIT FEES AND ACCOUNT DEPOSIT FEES WILL BE INCLUDED WITH THE BUILDING PERMIT FEE. PROCESSING TIME FOR SEWER AND WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED INDICATING A LICENSED PLUMBER. PENALTY APPLIES WHEN: PERMIT IS NOT PAID FOR IN SAME MONTH IT IS REQUESTED. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NC pe-k i l`1" To Be Used For: Valuation: Site Address IK7 7,4was 7 - Lot Block 72 Parcel/Sub l?v:lt//y, /p (r?PY Owner /?i ??tt u f}/u k Address ?Sr? 7 /?wwl' Lade City/Zip Code s?k, Phone /'2?/-J/ 9 6/S? Contractor ?lH `per as ?. Address City/Zip Code I o're6uo?4 J?U 6? Phone ;'ey 1 Arch./Engr. Address City/Zip Code Date: r?Y /a" r/ Occupancy Zoning Actual Const Allowable # of stories Length Depth S.F. Total Footprint S.F. On site sewage On site well MWCC System City water _ PRV required Booster Pump APPROVALS Planner Council Bldg. Off. Variance FEES Bldg. Permit /S- Surcharge Plan Review SAC, City SAC, MWCC Water Conn Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Road Unit Park Ded. 2o? Copies s? SUBTOTAL Penalty TOTAL Phone # I 1989 BUILDING PERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS 2 SETS OF PLANS 3 REGISTERED SITE SURVEYS 1 SET OF ENERGY CALCS. MULTIPLE DWELLINGS 2 SETS OF PLANS REGISTERED SITE SURVEYS - (CHECK WITH BLDG DIV.) 1 SET OF ENERGY CALCS. COMMERCIAL 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCS. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF UNITS NOTES ADDRESSES FOR CORNER LOTS - CONTRACTOR /HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.. SEWER & WATER PERMIT FEES AND ACCOUNT DEPOSIT FEES WILL BE INCLUDED WITH THE BUILDING PERMIT FEE. PROCESSING TIME FOR SEWER AND WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED INDICATING A LICENSED PLUMBER. PENALTY APPLIES WHEN: PERMIT IS NOT PAID FOR IN SAME MONTH IT IS REQUESTED. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. ! ` .ee (E,;)-,, ? To Be Used 'For: '°''z OCT 2 5 1989 AA /o Valuation: _:2e Date: Site Address lyr7 f'a-lf Lot -L Block ?i L Parcel/Sub Ilk Owner J,Jr?1 JLc/Ch?'"u h Address f?? ?/t??rcr 4 City/Zipl?Code Tst k Phone S'S'A -a?f0? Contractor ZA)a AL5;"di Cse..fY?. uu? 474960 VLC4W Occupancy Zoning 'Actual Const Allowable # of stories Length Depth S.F. Total Footprint S.F. On site sewage On site well MWCC System City water _ PRV required _ ? -55- Booster Pump _ City/Zip Code &t ei eMOL4 &I !1.. . APPROVALS Phone ??,J,7-- 0 9. Planner Arch./Engr. Address City/Zip Code Council Bldg. Off. Variance FEES Bldg. Permit 10 8.cn Surcharge y.SO Plan Review SAC, City SAC, MWCC Water Conn Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Road Unit Park Ded. Copies .5l SUBTOTAL Penalty TOTAL 777-1-7 Phone # City of Eagan Cash Receipt Receipt Date 18/18/88 Time Printed 13:26:16 Receipt Number 1262 HANENAUTH NANGROD 1487 THOMAS LANE 9881.2195 1.08 BP 43222 j 9081.4885 69.08 0P 43222 Total Receipt Amount 78.60 User HNCGRAW 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN S-1 O 3830 PILOT KNOB RD - 55122 851.881.4875 New Construction Reaulremenh > 3 registered site surveys showing sq. tl. of lot, sq. ft. of house 2 copies of plan and g(I roofed areas CM maximum lot coverage allowed) 1 set of energy calculations for heated additions 2 copies of plans (show beam & window sizes: poured Ind. design; etc.) 1 site survey for exterior additions & decks > 1 set of energy calculations > 3 copies of free preservation plan If lot plaited aver 7/1/93 DATE: /0- /2 -6' CONSTRUCTION COST. DESCRIPTION OF WORK: CO lAC,< Nb""e STREET ADDRESS: LOT: BLOCK: Z SUED./P.I.D. #: ?NQ ((1Ph v i n I71 PROPERTY OWNER ? A-) LG6 Phone #: Lam Arm 6'j-) - ?, dS> - -/P/ Street Address: / q-g 7 7H6-?19n LAN) F' City C-A-r- ? State: k?4 Zip: />4*J Cr/1vD 1 Ai f9-- Phone #, (, /)- 6 yG 3 Company: (area code) CONTRACTOR Street address: T7?iN `4 License # Exp City ?l??arcv - State: Zip: 13'-?? ARCHITECT/ ENGINEER Company: Name: Telephone #: ( ) Street Address: Registration #: City State: Zip: Sewerlwater licensed plumber (if installing sewertwaterl: Phone #: I hereby acknowledge that 1 have read this application. *ft that the infomtalion Is conch, and agree to comply with all applicable 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 I Not Required- ^?n OFFICE USE ONLY BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 05-plex ? 02 SF Dwelling ? 08 06-plex ? 03 01 of _ plex ? 09 07-plex ? 04 02-plex ? 10 08-plex ? 05 03-plex ? 11 10-plex ? 06 04-plex ? 12 12-plex WORK TYPE ? 31 New ? 32 Addition ? 33 Alteration ? 34 Repair ? 13 16-plex ? ? 17 Garage ? ? 18 Deck ? ? 19 Lower Level ? Plbg _Y or_N ? ? 20 Pool ? 21 Porch (3-sea.) 22 Porch/Addn. (4-sea.) 23 Porch (screened) 24 Storm Damage 25 Miscellaneous 30 Accessory Bldg. ? 36 Move Bldg. 43 Reroof ? 37 Demolish (Bldg)' 44 Siding ? 38 Demolish (Interior) ? 45 Fire Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors * Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code No. of Units No. of Buildings Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Width Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. MISCELLANEOUS INSPECTIONS ? Stucco/Stone APPROVALS Planning - 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: sq. ft. sq. ft. Footprint sq. ft. Census Code MC/ES System City Water Booster Pump PRV Fire Sprinklered Building Engineering Variance Valuation: $ ? 31 Ext. Aft - Mufti ? 33 Ext. Aft - SF ? 36 Mufti SAC Units % SAC _?L 0?bS 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telepbone # 651-675-5675 FAX # 651-675-5694 0 -?-O, 00 New Construction Requirements RemodellReoalr Requirements office Use Only 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cart of Survey Reod _Y _N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pros Plan Recd _Y . _N 2 copies of plan showing beam & window saes; poured found design, etc. 1 site survey for additions & decks Tree Pres Required _y _N l set of Energy Calculations Addition - indkefe if on-site septic system On-site Septic System _Y _14 3 copies of Tree Preservation Planf lot platted after 711193 Rim Joist Detail Options selection sheet (buildings with 3 or less units) /- Date Construction Cost d?? J Site Address ? l? LN Unit/Ste # CA) Description of Work 5/ -C- Z. ` (AOL4 f 5 /t-) l_0 L31 s/?????U (v fJ? / i ?G Multi-Family Bldg _ Y %(N Fireplace(s) _ 0 _ 1 2 Property Owner ++ (C ()3 PSO,&-J Telephone # (60) (0(58 - n Contractor ? L?? Address ?L( 3 I?N/WY/?^- f}? City State Zip _t5Q Telephone # (vLl?" 5?? SEP h(S COMPLETE THIS AREA ONLY IF Energy Code Category - Minnesota Rules 7670 Cateeory 1 • Residential Ventilation Category 1 Worksheet (J submission type) Submitted • Energy Envelope Calculations Submitted A NEW BUILDING "Mhinesma ljiles 7672 New Energy Code Worksheet Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? - Y - N If yes, date and address of master plan: 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, a9d work is not to start without a permit; that the work will be in accordance with the approved jin Work h requires a review and approval of plans. ` Applicant's Printed Name Appl' ant's Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. All - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement "Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MCES System Plan Review 100% or 25% Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ Final/C.O. _ Footings (deck) _ Final/No C.O. _ Footings (addition) _ Plumbing _ Foundation _ HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding _ Stucco - Stone - Brick Fireplace _ R.I. _ Air Test - Final _ Windows _ Insulation _ Retaining Wall 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 Building Inspector r___________ Fk7r OtR USie Permit#:?O I (?' v I Permit Fee: Date Received: I I I Staff: I I 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 3 --o9 -09 Site Address: 1S q -j TJ-FO M A-S Ln1. 4 G A til Tenant: __?fCHIf red ? '(:?ltitgERLY ji7HAisTO J SuiteM RESIDENT / OWNER Name: fi ICl1"fglzb 'J-D t tus-m nJ Phone: sl -G88-08 9 /U$7 7-HOM4-S L.,J Address /City IZip: _ Applicant is: \?_ Owner - Contractor TYPE OF WORK Description of work: Sj b 1 AJG Construction Cost: cf5d0 . O O Multi-Family Building: (Yes _ / No X CONTRACTOR Name: sF? License #: Address: City: State: Zip: Phone: 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 (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 classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. 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 r11A(REP4.Y CtLESNIl2E J6H9)S?O// App icant's Printed Name Appli nt's Si to Page 1 of 3 CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 RECEIVED AMOUNT $ & -DOLLARS so* ? CASH ? CHECK FOR White-Payers Copy Yellow-Posting Copy Pink-File Copy Th rA You Certificate For: Sunshine Construction moo` DELMAR H. SCHWANZ LANOSURVEVORS/ I IJC. Registered Under Laws of The State of M,nnesota 2978 - 145TH STREET W. - BOX M ROSEMOUNT, MINNESOTA 56068 SURVEYOR'S CERTIFICATE gyg.e ?PA?1 9so ? ? r ggp.8 E- = . 30 M J PHONE 612 4231769 SCALE: 1 inch - 31 feet 95Z Denotes existing elevation ? Denotes set wood hub grit Denotes proposed elevation Denotes proposed drainage Proposed garage floor elevation from Development Plan _ 95.6 I hereby certify that this is a true and correct representation of Lot 11, Block Z, WALDEN HEIGHTS FIRST ADDITION, according to the recorded plat thereof, Dakota County, Minnesota. Also showing; the location of a proposed house as staked thereon. DATED: August 13, 1983. J 0 7 Ir, n 22.0 I I i i r9.8 W I ? 1J *41 e dae 0 ? 951. L f l ?? b EA : 7' 3 ? z I ie, MINNESOTA REGISTRATION NO. 8625 City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 1487 Thomas Lane Lot: 11 Block: 2 Addition: Walden Heights PID:10- 83300 - 110 -02 Use: Description: Sub Type: Work Type: Description: Census Code: Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Home Depot At Home Services 656 Mendelssolm Ave. N Golden Valley MN 55427 (763) 542 -8826 e- Windows/Doors Windows/Doors-New/Replacement House 434- Applicant/Permitee: Signature PERMIT City of Eaan Construction Type: Occupancy: A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are required in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector. BL - Base Fee $3K Surcharge - Based on Valuation $3K Total: $90.00 - Applicant - Owner: Richard M Johnston 1487 Thomas Lane Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: $88.50 0801.4085 $1.50 9001.2195 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 with all applicable State Issued By: Signature Building EA087176 10/29/2008 ePermit ï þ ÿ þ ÿÿ þýüüûúú ùþþÿÿúø÷ö ÿî ø ö ÿä îî ÿõ ýüûú ù øô è÷ ÷üú ù ø÷ú ù øô è÷ õ ôèñ ù ÷ùöü ü îïüù Ýÿ ýÜü ÷ ë ù÷á ä ä ÷ Üü÷ ÷ û ÷ å ÷ÿôôù ÿ þ ÷÷ ÿ ÿ ù å ÷ ù ÷ å ÷û ã ÷ ÷ ÷ Üü÷ û ô ÿ ä å ë æîðæåå ôù ýü÷ä ÷ÿ Û ü æîðæåâåâ Û ü îþå óò õñð ùù ÷ ôð û ÷ ý ä÷ íó ä ä á ìúä ó ù óõí ÿ óõ êíçìíí ä ÷ û ô ÿ ä ä á ÷ ä ùù ä ä ÷ ÷÷ ÿ÷ ù ôä ùù û ý ó ý ü ÿ ï÷ å ùù è ÷ ü ýÿ ü÷ . " Use BLUE or BLACK Ink I�� r---------------- I For Office Use ; ,}� �. �� ( Clt of �a �� ; Permit#: !`�� [,f+-'> � � �� s`�' � Permit Fee: 3830 Piiot Knob Road j �/� �I Eagan MN 55122 � Date Received: 1`��` � Phone: (651 j 675-5675 I I Fax: (651)675-5694 � Staff: � � i I 2015 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: / / !� / ��'.S L--� ''� Unit#: Name:�'�� /r:%7� j G�'�f�'�7 Phone: Address/City/Zip: /Y(("`'� /(.,=�`�S:J� �'" � Applicant is: � wner -�ontractor Description of work: �� C'�[�l�' i��'� �'�0� � � "' �.�(; .�,_ro.e�.__ Construction Cost: ' Multi-Family Building:(Yes /No ) Company: �eC�j<<�/ �/C`C h �tA��,/7� Contact: r�'�L E Address: /`��7 �C o�C�'Yk- ��> � City: ,/��I i',f��'� State:�Zip: J'J' Phone:_��"��3��Email:�I'r,�(J['�p7U/��/1°"�c��''�C�'�� License#: ` � � -Lead Certificate#: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) ., _ B�/�r �ti �'3 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: a Phone: CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Ca1148 hours before you intenc�to dig to receive locates of underground utilities. www.qopherstateonecall.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 wilf 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 �'Ch y E� �� x �� ApplicanYs Printed Name Applicant's ignature Page 1 of 3 �L{�' `� %��n�-s ��r� � DO NOT WRITE BELOW THIS LINE � --5�' �%C� � - � SUB TYPES Foundation Fireplace Porch (3-Season) _ Exterior Alteration (Single Family) _ Single Family � Garage _ Porch (4-Season) _ Exterior Alteration (Multi) Mu1ti Deck Porch (Screen/Gazebo/Pergola) _ Miscellaneous 01 of Plex Lower Level Pool Accessory Building WORK TYPES New Interior Improvement Siding _ Demolish Building* � Addition _ Move Building _ Reroof _ Demolish Interior Alteration Fire Repair Windows _ Demolish Foundation Replace Repair Egress Window _ Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant r DESCRIPTION l 7 C2�'O� Valuation Occupancy � MCES System — Plan Review /� Code Edition p/f SAC Units -- (25°/a_100%_�) Zoning , n—! City Water ^ Census Code y�y Stories / Booster Pump �-'� #of Units / Square Feet �lAD PRV ^ #of Buildings � Length � Fire Suppression Required Type of Construction � Width .ZU REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings(Deck) Final/C.O. Required � Footings (Addition) � Final/No C.O. Required � Foundation HVAC_Gas Service Test Gas Line Air Test � Roof: �Ice&Water �Final Pool: _Footings _Air/Gas Tests _Final � Framing � Drain Tile Fireplace:_Rough In _Air Test _Final Siding: _Stucco Lath _Stone Lath _Brick Insulation Windows Sheathing Retaining Wall: _Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression: _Rough In_Final � Braced Walls Erosion Control r--_� - - Other: Reviewed By: , Building Inspector RESIDENTIAL FEES �y, ,�� y0�/� I�/lt� � Base Fee �- !� �'�- , � Surcharge � �' �� —' � . Plan Review �o�� - � ✓�_------"—"" MCES SAC City SAC Utility Connection Charge S�W Permit 8�Surcharge Treatment Plant Copies TOTAL Page 2 of 3 � �x= _.=;� .... . ,�, w . ,�.�-a ;_ � �..� . � ;f�� .:.� �.�'� ,�, � �.� , �. : : F .... � � • : ��- �� " ��` , e, ��. � ,.,� � , �1R _ s �,. :; � a �� -:�- �� r r Gjr �.-.-. =�- �`� � �r� � -�'_: � , _ � �, :�. � nx' . � �` � �:� �s- ' �,�� ; � � � ��"��- = I s� �"' -� � �f�.� �a�jiGy�� .�. " ��, "¥ ; � ��,.� � � �� ,.s� ��ii b� �i : � � �� „� , �� . ��: � - - m. : � � . ..: _ .. �.��N .: r� =�� _.�� - �. � �;� � � = �� y � � � __ : ui��a� �. � �- �` ��.,� '" , � �� '� �,� � � � � � � ��_ _ � � �� a�� _ : ��,��i��N�� j��m.: , _ � � p � 1� ,. � . .. . 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P rfh' q � � � a,. ��,i,. � � �� , < k�5 �+� �' �E.:.' 1. 4•�'��" �� .� a� �, :�. �� 4 .c'£•� ..:'� _c:�b- i�- �f + ,�.<_ �� , �.: z�'k.`t'�".�.. ,�, : 3 �'- Use BLUE or BLACK Ink . r————————————————i 1 For Office Use C1t f�i n � l3/4��;C 14� Ol L��11 � Permit#: I ��• � (J I 3830 Pilot Knob Road � PeRnit Fee: � Eagan MN 55122 � j Phone: (651)675-5675 � Date Received: � Fax: (651)675-5694 I � I Staff: � �-----------------� 2015 MECHANICAL PERMIT APPLICATION ❑ Please submit two(2)sets of plans with all commercial applications. Date: ,��`�� Site Address: C Z lJ � /�U•�G/! '"G"' , C�� L"Z Tenant: ��'� .� ;/(JG7�'�..5�� Suite#: � � �� . ,�� `� ��: Name: Phone: " ��,;�r1,p ,� ;�6is�✓,��- �,Sl-��-�� `� '�� ` . .�'� Y�r� G � r%��.�^J J"�%z2 �a , , � ,^; , Address/City/Zip: � � �� , �� " �� t: % ' � Name: License#: �� ' ��E �� ,��,y� : Address: City: ��, � � ��e �� ' State: Zip: Phone: � �� .... ,.-, \\ �� ,�, ,, Contact: EmaiL• "� �� '� � � � � �F� �� New Replacement Additional Alteration Demolition =� `�`��D� i��'�� Descript�on of work.��G�i�C''t/�'�°�'y� 1'✓s�L- � �� R�t�f rr�� ,� .r�r�mour�t�d , ��'��c�q�� \� `� �� \`�a - � � � � c c a,, ,`.�\�r '��: , �. , crd �;�!'I�ase;�c� ° �ar�9��1 tn;s �" �i��r�r�inf�r�a��a� ,�y��'�'�inng„ �, : ,�... >.,� . �.,.,�,� ,..,, .,. �a� � , .,..:. , ..... . .,; � , ,� �� , y� �`��, RESIDENTIAL COMMERCIAL �� . �� `" ��` � Furnace New Construction Interior Improvement 3� '�. — �� Air Conditioner Install Pi in Processed �e�� . • ��5 P��'1'��# rp@�' Y: — p 9 „< �� ;`� _Air Exchanger Gas E�cterior HVAC Unit ` \�� : ` Heat Pump _Under/Above ground Tank (_Install/_Remove) �� v�� , -� Other , , � M.�.- ; RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit(includes$5.00 State Surcharge) $100.00 Residential New(includes$5.00 State Surcharge) _$ TOTAL FEE COMMERCIAL FEES Contract Value$ x.01 $55.00 Permit Fee Minimum $70.00 Underground tank installation/removal =$ Permit Fee *If contract value is LESS than$10,010, Surcharge=$5.00 =$ Surcharge" *"If contract value is GREATER than$10,010, Surcharge=Contract Value x$0.0005 ""*If the project valuation is over$1 million, please call for Surcharge =$ TOTAL FEE I hereby acknowledge that this information is complete and accurate; that the work will be in conformance wi 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 t tart without 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 ,�� 1 �1��"� x ApplicanYs Printed Name Applicant's Signa re F�� 1�i� i �1�\�� n F `� :l \�\, � �, �. � � k ,�I Z�� J �_ � _^ ., . �. �� s � � ,: - �"��`�' � ��"'k �^t �� '- \� �j�? �ia i { '�4�C�€�IF��lC�@G#JCMt� � �� \\ YI#+.1�� C"�� ` � °� �,�� ; ` �,,,.�Y1 �t1�� .;' C}�`�� u.;'y.--.•��.�11' � � � �"@S�� ., � !� `' �� .,.. yr .. ...: ., a ,.,; . , < ' .,.., � �i��4�� i "�� f � 4,Y1 hp Y� ., ,. ,,.,�,�.,:. .. .:... .......: .. ,..,...:.- ,,,.;-, ,V�� ... ,...��:4,.� � a� • �.� ,r�2., .� ..o-::2,�'a PERMIT City of Eagan Permit Type:Building Permit Number:EA139356 Date Issued:10/19/2016 Permit Category:ePermit Site Address: 1487 Thomas Lane Lot:011 Block: 002 Addition: Walden Heights PID:10-83300-02-110 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - 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: 500.00 Fee Summary:BL - Base Fee $500 $40.00 0801.4085 Surcharge - Based on Valuation $500 $0.50 9001.2195 $40.50 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 - Kimberly S Aleshire 1487 Thomas Lane Eagan MN 55122 (651) 688-0896 Home Depot At Home Services 6224 Lakeland Avenue N, #102 Booklyn Park MN 55428 (763) 542-8826 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA139392 Date Issued:10/20/2016 Permit Category:ePermit Site Address: 1487 Thomas Lane Lot:011 Block: 002 Addition: Walden Heights PID:10-83300-02-110 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - 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: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - Kimberly S Aleshire 1487 Thomas Lane Eagan MN 55122 (651) 688-0896 Home Depot At Home Services 6224 Lakeland Avenue N, #102 Booklyn Park MN 55428 (763) 542-8826 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA149208 Date Issued:05/11/2018 Permit Category:ePermit Site Address: 1487 Thomas Lane Lot:011 Block: 002 Addition: Walden Heights PID:10-83300-02-110 Use: Description: Sub Type:Residential Work Type:Gas Line Description:Stove Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Kimberly S Aleshire 1487 Thomas Lane Eagan MN 55122 (612) 245-1093 Area Lakes Mechanical 9393 140th St W P O Box 146 Montgomery MN 56069 (507) 334-6171 Applicant/Permitee: Signature Issued By: Signature