1491 Thomas LaneCITY OF EAGAN Remarks "
Addition WALDEN HEIGHTS 1ST ADDN Lot 12 Blk 2 Parcel 43300-120-02
Owner Street 1491 THOMAS LANE State EAGAN MN SS122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 1976 153-11 in-22 IS 61.33 A013451 1x13-84
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA c(ZZ ?i 137.70 A013451 1-13-84
STORM SEW TRK 1984 673.75 134.75 5 539.00 A013451 1-13-84
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
ROAD UNIT 250.00 38410 9-1-83
WATER CONN. 450.00 tt ??
BUILDING PER. 9436
SAC 525
00
n
n
PARK -
CITY OF EAGAN A` ?4f1
3795 Pilot Knob Read Eagan, MN 5512=
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be wed for SF DWG/P,AR Est. Value $64,000 Date September 1 _ 19 83
A,k ? l noTa R- 3
Site ??•'? s Walden ie n 9 Erect Occupancy
Lot Block Sec/Sub. Alter ? Zoning
Repair ? Fire Zone ` A
Parcel #
W Name uns i ne Construction Co. Move ? Type of Const.
? # Storied
Address 146-:i Richard's Court Demolish ? Length
b
City japan 5 7,77 Phone -7435 Grade ? Depth Sq. Ft.
er Approvals Fees
ZF Name
Su Address
I
?- r 1r..
Name _
Address
1 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.
Assessment
Water b Sew.
Police
Fire
Erg.
Planner
Council
Bldg. Off.
APC
Permit J v
Surcharge 32. 0
Plan check
SAC c.? • ;
Water Conn. 450. X00
Water Meter
Road Unit -77.7-0
Total $1304.50
Signature of Permittee Funs,ime 5`19 u on Co. I
A Building Permit is issued to: on the express condition thnr
all work shall be done in accordance with all applicable ate of Minnesota Statutes and City of Eagan Ordinances.
Building Official ,
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Receipt PLUMBING PERMIT
CITY OF EAGAN
Fill in numbered spaces
Type or Print legibly
Date/ 2. Installation Cost
Permit No.
Fee
SIC
Tot.
3. Job Address f¢ / Lot 12-01k.
?- Tract
4. Owner ecmy' ?
5. Contractor Phone 4e- ! s ! `
6. Address
7. City State Zip
8. Building Type: Residential Commercial ? Institutional ?
9. Work Description: New IZI Add ? Alter ? Repair ?
10. Describe
11
No, Fixtures
Water Closet No. Fixtures
Ce
fi
l/D
i
l
Bath tubs sspoo
ra
n
e
d
Se
i
T
k
_-::,L Lavatory pt
an
c
Soft
e
Shower n
r
Well
Kitchen Sink
Urinal/Bidet Other
'
?L 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 9pverning 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
CITY OF EAGAN
Fill in numbered spaces
Type or Print legibly
Permit No.
Fee
S/C
Tot.
1. Date 2. Installation Cost
3. Job Address Lot J Blk. - Tract
4. Owner
5. Contractor Phone
6. Address
7. City /A', ?r State Zip
8. Building Type: Residential ? Commercial ? Institutional ?
9. Work Description: New Q Add ? Alter ? Repair ?
10. Describe Fuel Type
ill
No. Equipment STU - M. Ea.
Forced Air No. Equipment CFM
Air Handlin
:
Mfg. g
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 454-8100
CITY OF EA
3830 Pilot K
P. O. Box 21199 PERMIT NO.: 0132
Eagan, MN 55121 DATE:
Zoning: A No. of Units: - i
Owner: -- - ,unnhfnn onnt
Address: - -
Site Add
Plumber.
t egree to eonpy with the City of Esroen Connection Charge: 425. 00 ;)d
ordinoeas. Account Deposit:
Permit Fee: V). 00 vd
Surcharge:
Misc. Charges:
Date
Date of Insp.: Total:
Insp.: Dote Paid:
No.:
to eewpiv with the city of saws,
WATER SERVICE PERMIT
PERMIT Nn • 7145
Connection Charge:
Account Deposit: _
Permit Fee:
Surcharge:
Misc. Charges: _
Total:
Date Paid:
' CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
19
Rzc 6i V zo
FROM
AMOUNT $ I
& DOLLARS
100
? CASH ? CHECK
FOR
White-Payers COPY
l Yellow-Posting COPY
Pink-File COPY
T n You
I` By
Certificate for:
r s Sunshine Const.
DEIMAR H. SCHWANZ
LAND SURVEYOR 5 r 1.3-c.
Registered Under Laws of The State of Minnesota
2978 - 146TH STREET W. - BOX M ROSEMOUNT, MINNESOTA 56068
SURVEYOR'S CERTIFICATE
;f
i f
Drainage & utility
easement
i
I ,?5?•y ?N? 9
36 ?
p 36 No?yE
i
? 31
i Z Y G4K/serZ2
1 1'r-) T? q<,l y
PHONE 612 423.1769
SCALE: 1 inch - 31 feet
4) ???•? Denotes
? existing elevation
Denotes set wood hub
Denotes proposed elevation
_.&--- Denotes proposed drainage
r?
Proposed garage floor from
development plan ==i
+
] ? P r
o
iI"
0
01 4,
I hereby certify that this is a true and correct representation of
Lot 12, Block 1, 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 23, 1983
MINNESOTA REGISTRATION NO 8625
This request void ?o 14 3?d / W [C
18 months from
A 779670 L la 2 ??Qm a? .
Request Date
' Fire No. Bough-in Inspection
R.u??i ed?
?Ready Now Will Notify Inspec-
L/?'es ?No for When Ready
r?r.? yLLicensed Electrical Contractor I hereby request inspection of above
L/l Owner electrical work installed at:
Street dd ress, Box o Route No.
TAO A," .1N City
y 9H
ecUon NO. Township Name or No. Range No. Comny
Occupam (PRINT) //?' -
I
Q
?
I
d Phone No.
e -
UE
e
,
w D31
Power Supplierp4 O/ Cl
Address
Address
.
Electrical Contractor (Company Namel Contractor's License No.
Mailing Address (Contractor or Owner Making Installation)
..SAM t
or ized d Signatur IC ractor er ing Installation) Phone Number
5!,S"YD3/3
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD
1 B21 University Ave., St. Paul, MN 55109 UNLESS PROPER INSPECTION FEE IS
Ph....a (612129]_2111 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION E11700001.04
(+ ' See instructions }or completing this tor- on back. of yellow copy.
A n 7 g R f n ""X" Be.; Iftjl;grk Covered by This Request S.
A d Re0 ' TYPe-of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater - X Lighting Fixtures
Apt. Building Dryer Electric Heating
Commercial Bldg. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm Older pem y then ISperify)
t r Specify Other Other
FP.P Below
# Fee Service Entrance8ize # Fee Fesders/Subfpeders R Fee Circuits
0 to 200 Amps 0 to 30 Amps 0 to 30 An ins
A20Q--Amp. 31 to 100 Amps 31 to 100 Amps
mmin Pool Above 100_Am s Above 100-Amps
nsformers Irrigation Booms Partial-'Other Fee
Signs Special Inspection .,
$
sI
7
TOTALFEE-?`%
Remarks ?Q,
. A'. 01,14
Rough-in
awt4 Date yv-he rE ctrFC6
K^x? Ynspectoq hereb
edify that R. aybove
Final ?I t Di11e p_ ` inspection has been
O made.
This request void 18 months from
18 nap.th,lion,
C 5 6 5 3 IM -
ReeueSt?Date
/'? ?1
G4
C
I Fire No.
No Rc uph-in In pe coon
Re
?geatly Now I I laspec-
W!! W
.
, •
? I
] 6 s ?No hen n Beady
tensed Electrical Contractor 1 hereby request inspection of above
? Owrner electrical work installed at:
Street.Addre s, Box or Rout o. City
action NO. Township Name or No. flange o. County
Occu an IPRI T)
r Phone No.
-1
'?
-
7 o c
C 3
$
-95
3
Power Supplier Address
9AP
ElR lhfoM
trL 6dl Tl
1 Contractor's License No.
3
;
17
.
+ (
4o
1
9
Mailing 1 rest t ,1,110 e a irrkl tti la tionl
D F II 1
Authonze igneture ICoootractor Owner Making nstallatioN Phone Number
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midwey Rldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD
1821 University Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE 1$
gr.,...e 1.121 sgv_strl ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION E9 oooot.oa
, See instructions for completing this form on back of Yellow copy. /??? /
C. 5653 '"X" Below Work Covered by This Request / 76
Adtl wiib. Type of Building Appliances Wired Equipment Wired
-.Home Range Temporary Service
Duplex Water Heater Lighting Fixtures
Apt. Building Dryer Electric Healing
Commercial Bldg. Furnace Silo llnloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm Cher pew v the, (Spedfy)
Other specify Other Other
compute rnspectron fee Below U l di6lJ [ '
It Fee Service Entrance Size fl
F
ae Fenders/Subteeda % Fee Circuits
0 to 200 Am s 0to 30 Amps 0in 30 Awns
Above 200 Amps 31 to 100 Amps 31 to 100 Am
Swimming Pool Above 100-Amps Above 1 O0_Am s
Transtormer5 Irrigation Booms Partial-'Other Fee
Signs Special Inspection
-
T
Bemarks T
TA
Rough-in O/?to l7 Iihe Ele Kcal
certify that the above
Final /y i ' i &e?e? ins pectign has been
?1/ /Y(i61J 'K .meas.
This request void 18 months Imm
64 ..wooeu uewiwi wnunuu' 1 hereby request inspection of above
? Owner electrical work installed at:
Street Address, Box or Route o. City
f
ec
bon No. Township Name or No. Range No. County
If
Occupa f
(PRI NT)
. Phone No.
'
C {? 1 kf
- ?)- -Z)
U
V1 f.
?V ! c?I1L.??. CT A,
Power Supplier
01-
Elect l Contr' ctor (Comp n Name) _ Contractor's License No.
'
mailing
Addr (Contraclo or caner g Insta ilafionI \
?
l s-S ?- W
9
Authorized Signature rector/Owner Maki g loatallationl P
hone ber
Num
?3
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST V BE ACCEPTED BY THE STA
1T'
921 University Bldg. St. Paul. N-191 - Room 1821 ty Ave.. , St MN 55104 UNLESS PROPER INSPECT'
Phone (612) 297-2111 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION EB-00001-04
' Sae instructions for completirg this form on back o1 Yellow copy.
J!
g
i X" Below Work Covered by This Request 3
3q5
Add Rep Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Lighting Fixtutes
Apt. Building Dryer Electric Heatm
11 Commercial Bldg. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm y Other lSnerilvl
[ er Speci y t Dthei
ompute Inspection fee Below _
p Fee Service Entrance Size tr Fee Feeders?Subteeders Circuits
0 to 200 Amps 0 to 30 Amps rg ? 30 Amos
Above 200 Amp
s
31 to 100 Amps
to 100 A s
Swimming Pool
Above 100Am s
15-4
ff
ove 100_Am s
Transtormers Irrigation Booms tial,'Other Fee
Signs Special Inspection
Remarks ??
` 1
I Rough-in ate IN
t
• ? 6 Inspector, hereby
v certify that the above
Final ?j ,J Oey F ? spection has been
• /t.r/V// i./ made.
This request Vold 18 months tram
Trr#ifiratr of (Orrupaury
Citp of (Eagan
Departmmt of Budding 3noprrtion
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
ordinance of the City regulating building construction or use. For the following:
SF DWG/GAR
8436
0-MM yP- R3 T) Caeq 4" V Fmz NA z,,Dt m R1
ao,,,tsadd. Sunshine Const. Ad,,,1466 Richard's Ct., Eagan
B,a%jm,?149)1 Thomas Lane ,-,,yLot 12.Block 2,Walden Hts
By:
October 28, 1983
9795 Pilot
BUILDING PERMIT
N° 8436
Receipt # "'/?O
To be need for SF DWG/GAR Est. Value $64,000 not. Se ptember 1 _ 19 83
1491 Thomas Lane
Site Address
Erect gX
Occupancy
R-3
Lot 12 Block 2 Sec/Sub. Walden Heights Alter
?
Zoning R-1
Parcel # Repair ? Fire Zone NA
Enlarge ? Type of Const. V
W Nome Sunshine Construction Co. Move ? # Stories
Address 1466 Richard's Court Demolish ? Length 41
6 Ci Eagan 55122. Phone 454-7485 Grode ? Depth 48 Sq. Ft.-
o Name Owner Approvals Fees
uE Address
Name -
Address
CITY OF EAGAN
Knob Rood Eagan, MN 55122
PHONEs 454-8100
Assessment _
Water B 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 all 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 accordance with all
Permit ?cj.uv
Surcharge 32.00
Plan check 162.50
SAC 525.00
Water Conn. 450.00
Water Meter 60.00
Rood Unit 250.00
Total $1804.50
on the express condition that
and City of Eagan Ordinances.
Building Official
CITY OF EAGAN
s? pw G0. r
e 2 sets of plans,
1 site plan w/elevations &
?. 0 BUILDING PER= APPLICATION 1 set of energy calculations.
To Be Used For / vaaluation e,? a} > n Date
Site Address: '?/Jo ?4 4?3 LaJ4 e
Lot /Z- Block Z Sec./Sub "tdEA Erect
Alter
Parcel #:
Repair
// / / Enlarge _
Owner: ?rw l? Szl P Ld r STS uc ?7c^? Move
Address: n
YCtc?,rtaC C?- Demolish
Grade
City/Zip Code: a a X4 L) $$72Z_
OFFICE USE ONLY
Occupancy
Zoning
Fire Zone J1
Type of Const.
# Stories
Front y/ ft.
Depth 4/A ft.
Phone #: 41,49 -?8? APPROVALS FEES
Contractor:
Address:
City/Zip Code:
Phone #:
Arch. /Eng.:?? r C ??? _ ?C'yl// G P
Address: J/70n / 54? Sfie,
City/Zip Code: rOD
Phone #:vh Zvi /? Ss 33
?f3z^ao??
Assessments Permit 3a 7 a&
Water/Sewer surcharge 3?2 Aza
Police Plan Check /0g .5-
Fire SAC `S ds -ea
Eng. Water Conn. y5? ..00
Planner Water Meter /Dp
Council Road Unit fiSO
Bldg. Off.
APC
TOTAL ? S Q
Windows
es-No
s trips Guide Construction No.
Door Reference Out. Mall Int. Wall Ceiling
_?es-fivo 19_
NU- Room Lengl1-2 11'idthG(e Height J'1 II
and Dnnrs-rrar6e..F.7 A..
Ne. Width
of pee. H•laht
of pes• No. pf
Il.ht• Lineal IL
of crack Ana
•e. fL
t ' t% S s L-;
Co-cf. Btu
Infiltratio0 L
Glass
I
C-) Q
1
Exp. wall nQ4
Net exp. wall
I0L wall uN t t4 L
Floes
Ced.
local btu. 1
R%1.60 VIE
equired sq. ft. ED.R. or sq. ins. WA. Leader area
nl i.
11 ai•I r o .e'C noomll.engtn ,Q
WI(ih" Itb Heigh tj}
Windows and Doors-Crackage and Area
wroth Helrks NO. of LIeW It.
Ns. et Wn. et pew 11[hts of enek Arw
ft. ft
Chef. Btu
Infiltration
640 _
5 O
Glow
14
1CL
1950
Esp. wan -
I -
Net exp. wall
10L wall
Floes
Ceil.
tA
-
Total Btu.
Required sq. fL ED.R. or sq. ins. WA. Leader area I
1 I Ll 1Ct-t Noom ILengthll`V` Widthll'Q' Height tQ"
Window: and Dnars-Cur6.e ....1 A...
Ns. Width
of pone H•Irot
of wee He. e( IAwal IL
11[he. of
creek Arr
se. ft.
l
2 I`. a I Q) L
Coef. Btu
Infiltration -CiE
Glass 5 C)
Esp. wall
Net exp. wall
lat. wall
Floor In Ti JTq
Ced. I2 4
I etal tstu.
Required sq. fL EDJL Of sq. ins. VA. Leader area
TOZR>_ 4 /L, = 541f)65.4-v tA --
F1.I O114tN !5 Room
Windows and Doors-"(
Insulation
How i
? m:a.l.tlt
and Area
No, wldlo
of Md. H•laht
of pW r4o. of
11ght, L1erl IL
of enek Are.
r. (t.
`\^11
1ZLt 7z
Coef. Btn
lafiltration Q Igbo
Glaas O 45C) 2noo
Exp. wall 1
Net exp. wall
Int. wall
Floor 264
r.1.
Total Btu.
Requited a 1. fL E.D.R. of sq. ins. W.A. Leader area
1 Fl.l Vi, two, Room ? Length2%%L' Width VyIdi-Heightwo
Windows and ors--Crackage and Area
wlf to
Ne. .(p,.* H•Ighl
e! m" No. of Llneel ft.
lights e( enek Ane
r. ft.
2tf ' S O" l 1 b 12,0
1 y\O?t O" t
Coef. Btu
In6lratioa
40
14RO
Glass - - p00
Exp. wall
Net exp. wall
Int. wall
Floor
Ced.
Total Btu. %CL Q-T 71 ,P 6NOSO
Required sq. ft. MR. or sq. itis. W.A. Leader area
\ I Ll eke I Room 1 Length 1C Ip" WidthlO'O-' Heigh
Windows and Doors-"Crackaee and Area I
N. Width
of pane Helakt
ofyan• N. of
ll[hl• L heal fL
of creek Area
r. fL
yt ZO 6
Coef. Btu
Infiltration 11,0
Glass SO
Exp. wail'
Net exp. wall
Int, wall
Floor
C.
Total Btu.
ta?a
?uthnariq A
Coaatrnetion No. Insulation
ndows -II Refereau II Out. Wall lnt. WaN Ceil ng Roof Floor kind How Applied
F7.1 oom Length lp'0 Width ' Ffeight
Windows and Doors Crackage and Area I Liu t Room Length2p`O` Width \ Z O` Height
width Height No. Of Llnwl 14 A... I? Windows and Doom--Crackage and Area _
Ne. et pane of p.n• q.hb d!<ratt
a IL a';da H.Igtt No. of III fL All,
II __No of p.e• of pae• Ilfab _ et rr.eY I .e. el,
jNet Coef. &a
s
wall xp. wall
all
Floor
II laliltration
Glass
Exp. wall
?I Net exp. wall
Int. wallF!oor
ft. ED.R. or sq. ins. WA- Leader a to
Room Length IK`f? Widthij
and Doors--C+aekaee and Area
IDL WISH
F6w
Ceii. ` I
Total U.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
A. T Room Length k IV' Width ? at He
Windows and Doors-Crackage and Area
W'Hel
No. gLt No. of Lineal tL Arm
of vane Oft, llght• Of track
F, fl.
Floor
Ced.
Total Btu.
Required s
Btu I
I r 1 1 f
Total Btu.
Required sq. ft, E.D.R. or sq. ins. W.A. Leader area
FLI Room I Length Width
Windows and Doors-Oaekage and Area
wldt6 H•Irkt Ne. et Lln•.1 ft. T wr•a
No, or e.u wr..... ..
F.1 Btu
Glass
'-Sb
Exp. wall 4y
Net exp. wall
Int. wall
Floor
Ceil.
w.A. Leader area I
Windows and
W ld' 1
No, of pane a
Glass
Exp. Wali
Net exp. wall
Int, wall
Total Btu.
Required sq. ft. ED.R.,or sq. Ms. WA. Leader area
W-0 2005 RESIDENTIAL BUILDING PERMIT APPLICATION P0
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694 Co.L ?6 r314q Q?r_
New Construction Requirements RemodeVReoair Requirements Office Use OnN
3 registered site surveys showing sq. ft. of lot sq. ft. of house; and all roofed areas 2 copies of plan Cart of Survey Recd -Y _N
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd _Y -N.
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Required _Y _N
1 set of Energy Calculations Addition - indicate don-site septic system On-sfte Septic System _Y _N
3 copies of Tree Preservation Plan If lot platted after 711193
Rim Joist Detail Options selection sheet (buildings with 3 or less units)
Date 119 l h /D'S
Site Address 14% l r\OV1q$ ? Construction Cost
aw.e E,45A ? Unit/Ste #
Description of Work ??^5}a?? pa}ip bpx
Multi-Family Bldg - Y N Fireplace(s) _ 0 ZC 1 - 2
n
Property Owner A r?
iry w\e 44_ ?jtaw?loo in l i ?1,N Telephone # (&51 ) &8(c -ftQq
Contractor
Address
State
Zip City
Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Catet=_orv 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
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, 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 re uires-a review and
1
approval of plans.
mI?VI.I I _ _ r
Applicant's Printed Name App ant's Signature I
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool
X- 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 Plbg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45
? 33 Alteration ? 37 Demolish Building` ? 43 Reroof 46
? 34 Replacement *Demolition (Entire Bldg) - G ive PCA handout to applicant
a )
Valuation -
o i Occupancy MCES System _
Plan Review 100% or _ 25%
Census Code 3. Y Zoning City Water _
SAC Units Stories Booster Pump _
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered _
Type of Const V 6 Width
- Footings (new bldg)
- Footings (deck)
- Footings (addition)
_ Foundation
_ Drain Tile
Roof Ice & Water _ Final
` Framing
_ Fireplace _ R.I. -Air Test -Final
Insulation
Approved By:
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi Misc.
Siding
Fire Repair
Windows/Doors
REQUIRED INSPECTIONS
Final/C.O.
7°- Final/No C.O.
Plumbing
_ HVAC
Other
Pool _ Ftgs _ Air/Gas Tests _ Final
Siding _ Stucco - Stone - Brick
Windows
Retaining Wall
Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
ktl? 000;?l
-? Yv o
,r U ZC- v
2007 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 site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas
(20% maximum lot coverage allowed)
1 Soils Report if proposed building is to be placed on disturbed soil
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 platted after 711193
Rim Joist Detail Options selection sheet (buildings with 3 or less units)
Minnegasco mechanical ventilation form
RemodepReoair Requirements Office Use Only
2 copies of plan showing Wings, beams, joists Can of Survey Recd _Y _N
1 set of Energy Calculations for heated additions Soils Report _Y _N
1 site survey for additions & decks Tree Pres Plan Recd _Y -N.
Addition - indicate if on-site septic system Tree Pres Required _Y _N
On-site Septic System _Y _N
Date _-7/___
Site Address
1?q
-7
? Construction Cost lit 000, UV
L ?Y! t? Unit/Ste #
Description of Work r -e S 1 f?l C
Multi-Family Bldg _ Y -N Fireplace(s) ?O - I - 2
Property Owner elD il
n i e /I
f
ST 0 V» h 0 tt Xelephone # L/10 9
Contractor Lo m vi E yk kl
Address
State 6Y) yy
A) z, L, A, City
Zip {S S e Telephone # ( )
COMPLETE THIS AREA ONLY IF
Energy Code Category - Minnesota Rules 7670 Category 1
(J submission type) • Residential Ventilation Category 1 Worksheet
Submitted
Energy Envelope Calculations Submitted
A NEW BUILDING
_ Minnesota Rules 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 pen-nit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
Applicant's Printed Name Ap I' nt's Signature JUL 0 b 2007
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1491 Thomas Lane
Lot: 012 Block: 002
PID:10- 83300 - 120 -02
Use:
Description:
Sub Type: e- Reroof
Work Type: Replace
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Addition: Walden Heights
PERMIT
City of Eaan
Construction Type:
Occupancy:
If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes.
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Applicant/Permitee: Signature
$88.50
$1.50
Total: $90.00
Owner:
Antoine N Stamboulieh
1491 Thomas Lane
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
0801
9001
Issued By: Signature
Building
EA091025
09/03/2009
ePermit
- Applicant -
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply
of Minnesota Statutes and City of Eagan Ordinances.
h all applicable State
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA153023
Date Issued:11/15/2018
Permit Category:ePermit
Site Address: 1491 Thomas Lane
Lot:012 Block: 002 Addition: Walden Heights
PID:10-83300-02-120
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater & Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Antoine N Stamboulieh
1491 Thomas Lane
Eagan MN 55122
(651) 686-4809
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature