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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 , o d z 0 L N I `,f1 ` ^ ) E 0" m o h bo U?, W ;\. 3 d ci :i r. ° W o 8 LL 4= O O i d O > x 7 0 _ = d C U a = C C o 1 1 T ` U. LL Q IL LL LL (A a 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