1512 Thomas LaneINSPECTION RECORD
?CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(651) 681-4675
It'll I if 1 0tr
01411.'
SITE ADDRESS: ' N
11A
PERMIT SUBTYPE:
APPLICANT:
41 t, i (1I
r?lur .,
TYPE OF WORK:
INSPECTION TYPE DATE INSPTR. INSPECTION TYPE .DATE INSPTR,
IAN Rf V t WE U t1Y t. kA I R PADVi
F
L J
+ Permit Holder Date Telephone #
- - -
SEWER!
WATER --- - - ---
PLUMBING
HVAC
Inspection
FOOTINGS _
7 /9 y'9
r _ I9 _l
Date Insp. Comments
Q?G
w.
FOUND mo
e-2 /
FRAMING
ROOFING
ROUGH
PLUMBING -?
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE p
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITY
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
Werfif icate of Cccupanc?
Mtn Dt Wagan
McYpartntent of ZxUbing 3napecdon
This Certificate issued pursuant to the requirements 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:
use Classification: R F D W C Bldg. Permit No. 34 1 12
0-pancy Type R3 Zoning District RI Type Consl. VN
o.w of %ilding TIDNI ZEN TG TiT7 q Addess
Building Address 1512 J.S LANE LJonlity _1A },_FJNE1M PAS$1[?ID
/ Daze:
Building Official
POST IN A CONSPICUOUS PLACE
CITY O EAGAN
CASHIER: S TERMINAL NO; 791
DATE. 12/0J/98 TTMT: 0:0037
ID-
NAME: LUNDGREN BROS CONST CO
2256 9001 Q Q THOMAS LAN 4.520.21.
Total Receipt Amount: 47320.21
W00223
USER ID: NANCY
Address 1512 1HCMAS LANE Zip 5512 2
Lot 4 Blk 4 Sub PTNURF'F' PASS 2ND
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: P1,1-14V99 Yes No Inspector: G1/
Final gra a (6" om siding)
Permanent steps (garage) t/
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass
Trail/curb damage
Porch
Basement finish
Deck I/
Please verify with the builder the removal of roof test caps from the plumbing system and the shutoff of water supply to
the outside lawn faucet before freeze potential exists.
Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system.
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(6511681-4675
PERMIT
PERMIT TYPE: BUILDING
Permit Number: 0 3 4 11. 2
Date Issued: 12/01198
SITE ADDRESS:
1512 THOMAS LANE
LOT: A BLOCK: 'A
PINETREE PASS 2ND
P.I.N.: 10-57661-040-04
DESCRIPTION:
Bl.l lding kermit Tvpe
S[?ildinq Work-Type
4BC Occupancy
/Construction Typ;#,
Zon i.nq -?•?
/ Building Lenqth
Buildina Width
Buildin4 stories
`S-e r°cy Code -
SF DW6
NEW
R-3
VN
R-1
64
57
2
101 1 - FAM. DETACH
t
REMARKS:
PLAN REVIEWED BY CRAIG NOVCZYK.
S & W PLUMBER IS ELANDER PHONE #445-4692.
FEE SUMMARY:
VALUATION
Base Fee`
Plan Review
Surcharge
SAC
SAC %
SAC Units
Subtotal
$1,352_.25
$878.96
$96.50
$1.000.00
100
$3,327.71
$193.000
MISC. FEES
TotaL Fee
$.1,592.50
$4.920.21
CONTRACTOR: - Applicant - Sr. LIC. OWNER:
LUNDGREN BROS CONST 14731231 0001413 LUNDGREN BROS.
135 E WAYZATA BLVD 935 WAYZATA BLVD E
WAYZATA PIN 55391 WAYZATA NN 55391
4612) 473-1231 (612)473-1231
I hereby acknowledge that I have read this application and state that the
intormation is correct and aqree to comply with all applicable State of Mn,
Statutes and Citv of Eagan Ordinances.
I
APPLICANTMERMITEE SIGNATURE ISSUED BY: SIGNATURE
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
` 3830 Pn.OT KNOB RD - 65122 q
9
l 1 681.4675 y . a
New Constru ion Requirements Remodel/Repair Requirements Ct d
? 3 registered site surveys ? 2 copies of plan
? 2 copies of plans (include beam & window sizes; poured intl. design; etc.) ? 2 site surveys (exterior additions & decks)
? 1 energy calculations ? 1 energy calculations for heated additions
? 3 copies of tree preservatignpIon If lot platted after 7/1/93
required: _ Yes _ No
DATE: z / ,2 /9 CONSTRUCTION COST;
DESCRIPTION OF WORK:
STREET ADDRESS: X5_1
LOT: __// BLOCK: // SUBD./P.I.D. #:
Name: Phone #:
PROPERTY Last First
OWNER
Street
City
Company: 4eos - Phone #:
CONTRACTOR
Street Address: L/
License #
Zip:
City l,11 /?51.9 /Tz9 State:
222 A,/
?_/&49,kj (_7y 0_,1k113f L - c2 y,F -?5(ng ?
ARCHITECT/
ENGINEER Company: Phone #:
Name: Registration #:
Street Address:
City
State:
Zip:
Sewer & water licensed plumber (new construction only): A2- . Penalty applies when address chang
and lot change is requested once permit is issued. La .?_
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances. D n?!
Signature of Applican?/1 0 Z Q ?l /i D/l?(? O l?
OFFICE USE ONLY
Certificates of Survey Received ?Yes No
NOV 2 31998
State:
Zip:
1717&- /1)
/ S/??
Tree Preservation Plan Received Yes No ? Not
S
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex °
.02 SF Dwelling ? 07 4-plex
? 03 SF Addition ? 08 8-plex
? 04 SF Porch ? 09 12-plex
? 05 SF Misc. ? 10 _ plex
? 11 Apt./Lodging ?
? 12 Multi Repair/Rem. ?
? 13 Garage/Accessory ?
? 14 Fireplace ?
? 15 Deck
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
WORK TYPE
31 New ? 33 Alterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFOR MATION
Const. (Actual) l-? Basement sq. ft. /Sf MC/WS System
(Allowable) Main level sq. ft. S City Water
UBC Occupancy `2 'LV, sq. ft. i Fire Sprinklered
Zoning OA FG , sq. ft. fo *f 1 PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code. o /
Depth Y'1 Footprint sq. ft. SAC Code 01
Census Bldg
Census Unit
APPROVALS
_
Planning Building VILLO Engineering Variance
Permit Fee Valuation: $ M, 27-
Surcharge
ti O
`t (1
Plan Review $Z FC - 9
License
MC/WS SAC l?l Z K /S 22 78? °=
City SAC
W
f f 9 k 4t-4
= w
82 d2G ?"
ater Conn.
Water Meter
Acct. Deposit G9 /X It. ? / /,
S/W Permit
S/W Surcharge
Treatment PI.
w, i 5 C
Park Ded.
Trails Ded.
Other o5 a..
Copies
Total: 11 q D"n , a I
% SAC
SAC Units
1 'y?.,y,?' P?.-R(?ryg
L?e7?' 11F?'^ N
05
EXTERIOR ENVELOPE AVERAGE U COMPUTATION WOODSBORO PLAN
CONSTRUCTION
INC.
Site Address Lot?/Block//
2
R & U Factors
035 C. Wayrala Blvd. Opaque Walls
kyrda Wall Framing Areas
Mim sola55:391 Ceiling Insluation Area
(612)473 1231 Cei 1 i ng Frami ng Area
Rim Joist
Masonry Wall
Windows
Doors
Skylights
1) Lower Level (Basement)
Total Exposed Wall Area
Opaque Wall Area
Wood Frame Area
Rim Joist
Exposed Block
Window Area
Sliding Glass Door
Door Area
R U
.043
.09
.023
.027
.04
.469
.35
.31
.55
416?
1 X (U) .043 =
4 14
X
(U)
.09
=
r X (U) .04 =
6 X (U) .132 = ?3
3/ X (U) .35
X (U) .35 = 141
"?. X ( U ) .31
= r?
Total J-? G % 3
1
UIDGREn
DR05.
2) First Or Main Floor
CONSiRUCUON
INC Total Exposed Wall.Area
.
Opaque Wall Area
Wood Frame Area
Rim Joist
Window Area
9351. Wayzala Blvd.
Wlyzala Sliding Glass Door
Minnesota 55391 Door Area
(612)473-1231
X (U) .043
Ia? X (U) .09 L?
X (U) .04 = 7Slo
X
(U) .35 /
=(p
Y
?
X (U) .35 =
f
i
3 G+ X
( U ) .31 y
Total 1CPL
3) Second Floor If Two Story
Total Exposed Wall Area
Opaque Wall Area
Wood Frame Area
Window Area
Sliding Glass Door
Door Area
4) Total Ceiling Area
Wood Frame Area
Opaque Ceiling Area
Skvliaht
hk-?
13G,2--( (U) .043 =
/S? X ( U ) .09 =
1A 7 X ( U ) .35 =
X (U) .35 =
X (U) .31 =
Total //(,G v
1-71.'? !?X (U) .021
/3yLfX ( U ) .023 = ?(/.
Lunm(n
0P.05.
CONSTRUC110N
INC. MINNESOTA U FACTORS Total Exposed Wall Area ?7f /R .11
MINNESOTA U FACTORS Total Exposed Ceiling
Area A/I ?l( .026 = 30 , ??
(A) Total = Y? DI
935 L Wayzata Blvd.
waytala Item 1 Item 2 + Item 3 ",Lj Item 4 ?Y 9 31t??i
Minncsola 55391
(612)473-1231
If Total Of Items 1-4 Is Less Than Item (A), Building Complies With
SBC 6006 (C)s
+ LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
`PROPERTY LEGAL: -
w DATE OF SURVEY: Z?Xl a'y 9
w =
? LATEST REVISION:
DOCUMENT STANDARDS
a
W-'0 ? Registered Land Surveyor signature and company
[Y g ? Building Permit Applicant
?? ? Legal description
W--? ? • Address
Dq 11 • North arrow and scale
Cd/
? ? House type (rambler, walkout, split w/o, split entry, lookout, etc.)
?
al ? ? • Directional drainage arrows with slope/gradient %
ra? ? Proposed/existing sewer and water services & invert elevation
? • Street name
r9? ? ? Driveway
ELEVATIONS
Existina
? Sewer service (or Proposed)
/
ff ? ? • Property corners
? Top of curb at the driveway
Lam ? ? Elevations of any existing adjacent homes
Proposed
CY ?Ct ? • Garage floor
p/p ? First floor
p/? ? • Lowest exposed elevation (walkout/window)
[a' ? ? • Property corners
Q-"'?13 ? • Front and rear of home at the foundation
PONDING AREA (if applicable)
/
? a ? Easement line
? I [] • NWL
? X13
/
• HWL
si
nation
d # d
P
? e ? g
on
e
? p?? Emergency Overflow Elevation
DIMENSIONS
& dimensions
i
li
/B
e ? ? • ear
ngs
Lot
nes
g? ? ? Right-of-way and street width (to back of curb)
Q" ? ? Proposed home dimensions including any proposed decks, overhangs greater than 2',
porches, etc. f.e. all structures requiring permanent footings)
D"o ? • Show all easements of record and any City utilities within those easements
??? ? Setbacks of proposed structure and sideyard setback of adjacent existing structures
? !? Retaining wall requirements, if any
/ Z
Reviewed:
t
a
e
January 19N
CRAIG199018LOGPRW FM
(921.(
921.2
Z x
w
920.6
0
Q ?
vii w°- -?>? ? o r2
923.0
0 91,2.
1 'S°0?
0 ?9? 923.3 ;
J 922.4 / SQ> x
y , XL 92X.3
? 922.6
10
N a?
N 0
X
3s1o.a
a I
? I
d-
R, .230 08
•
\09 I_ 30
GgRgG£
ts24 S)
922.
67" ox 5
?_ X916 2 X? Aj• x911.4
rr ?6,,
U) F
SURVEY LINE
a
9
_,- ? BENCHMARK
ELEV = 916.11
C?
?A:)*
ti -
910 6
R7 ? O¢P F'P ^ \
r /
? s
POND BL-6 V
NWL 898.0
HWL 905.7 r
7 /0 /
S67 39 39
8s3?F
0
O ?D
V O
7\0 17 0
30 15 0 15 30
SCALE IN FEET
RING DEPM
® DENOTES PROPOSED DRIVEWAYS
QS DENOTES SANITARY MANHOLE
DENOTES HYDRANT
0 DENOTES CATCH BASIN
S DENOTES SANITARY SEWER
W DENOTES WATERMAIN
ST DENOTES STORM SEWER
Proposed Top of Foundation Elevation=925.5
Proposed Garage Floor Elevation- 924.5
Proposed Lowest Floor Elevation= 917.5
Lowest Al lowable Floor Elevation- 907.7
0 Denotes Iron Monument
+ 910.0 Denotes Existing Elevation
+(910.0) Denotes Proposed Elevation
Denotes Direction of Surface
19 Drainage
Denotes Sewer & Water Service Elevation
1 hereby certify that this Is a true and correct representation
of a survey of the boundaries of:
LOT 4, BLOCK 4, PINETREE PASS 2ND ADDITION
DAKOTA COUNTY, MINNESOTA
And the location of all buildings. H any, thereon, and all visible
encroachments, if any, from or on said land. As surveyed by
me this 16th day of Noverq¢er, 1998.
Gary R. GerMond
Licensed Land Surveyor, Minn. Lic. No. 24764
PR?0'
vs?? ? HOVS£
GMq
fo S (qH f
qP
4Se
?¢o
O
z
=zz
8Z ul
a ? CO
V W A z
?a?°a
W 0-4
V
BAWN
CHECKED
G.R.G.
DATE
11-16-98
1M.-
3402-407
Xck?i?XtXCXc?KX?XcXCkcXcNtXtXCXC?kX:X<*%cX?Xtkc:kXtXc?XcXCN?x?X? ?X?KWX?%?X<
CITY OF EAGAN
CASHIEl : JS TERMINAL N0: 7P9
DATE: 08/06/99 TIME: 10e.48:2i
III:
NAME" HABITATS MINNESOTA INC.
3210 9001 M2 THOMAS LAN 60.00
205 9001 w2 THOMAS LAN 0.50
t
h
Total Receipt Amount: 60.50
CR W942
USER ID: JAN
X<?F%?X<X<?Fk?X<?h?Xc:?XC?kk??X<???X%XXtX<?%X<>kX?>KXtyF?XXc?X%cXcXtX?r?%c
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122 U
( j. I 651-681.4675 n p n C?
New Construction Requirements Remodel/Reoafr Requirements
D 3 registered site surveys showing sq. It. of lot, sq. ft. of house copl 'af plan
and go roofed areas (20% maximum lot coverage allowed) s or energy calculations for heated additions
? 2 copies of plans (show beam 8 window sizes; poured Ind. design; etM su y for a edor additions 3 decks
D 1 set of energy calculations
? 3 copies of her, preservotipn plan R lot platted after 7/1/93
DATE: 1_-- "1 )- EONSTRUCTION COST:
DESCRIPTION OF WORK: -
STREET ADDRESS: I Z 7-ff(sm e,
L-
LOT. ?I BLOCK: SUBD./P.I.D.#: as
Name: V a _at c +/I 1JKM? f Phone #:
PROPERTY Last First
OWNER S4Sheet Address: /
City State: Zip: 17,/r ZZ?
Company:! 1?`'`E T C Phone #: LIP 1(2L 71
(area code)
CONTRACTOR Street Address: 1'2,6-'70 ? 6 License # 51 Exp.a
''rnne``ss:
city State: (^ Zip: hzi^30
ARCHITECT/
ENGINEER Company: Name:
Telephone #: area code ( )
Sheet Address: Registration #:
City State. Zip:
Sewer IL water licensed plumber (required for new construction only :
Penrrlty applies when address change and lot change Is requested once permit is issued.
I hereby acknowledge that I have read this application, state that the Informs n conect, and agree to comply with all applicabl
Stara of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant
OFFICE USE ONLY D? LD H v
Certificates of Survey Received Yes No
Tree Preservation Plan Received Yes No Not Required {II
r
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex :( 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
?
31 New
r ? 35 Tenant Impr ? 39 Gas Line On ly ? 43 Sidi ng/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Win dows/Doors
? 33 Alteration ? 37 Demolish Bldg.' ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
Give PCA hando ut to applicant for demol ition permit
GENERAL INFORMATION
Const. (Actual) Basement sq. ft . Census Code
(Allowable) Main level sq. ft . SAC Code
UBC Occupancy sq. ft. No. of Units D
Zoning sq. ft. No. of Bldgs
# of Stories sq. ft. MC/ES System
Length sq. ft. City Water
Width Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $
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:
SAC Units
% SAC
ABBOTT, ROBINSON & ASSOCIATES, INC.
CIVIL ENGINEERING AND BUILDING CODE CONSULTANTS
TWIN CITIES 5389 RIVER WOOD DRIVE SAVAGE, MINNESOTA 55378 (612) 940.2574
SOUTHERN MINNESOTA 1321 OXFORD STREET WORTHINGTON, MINNESOTA 56187 (507) 376.6266
March 30, 1997
Bill Mensch
Archadeck of the Twin Cities
12030 Mayflower Circle
Minnetonka, MN 553052829
RE: Allowable joist cantilever length
Dear Bill:
You had requested that we provide a structural analysis of the stresses associated with cantilevering
deck joists three feet. Our analysis was based on the 1994 Uniform Building Code which had adopted
the 1991 National Design Specifications (NDS). The allowable design values for both 2X8 and 2X10,
#2 southern yellow pine joists were used in determining allowable stresses. Calculations assume a
dead load of 10 pounds per square foot, and a live load of 60 pounds per square foot.
A three foot cantilever using 2X8 floor joists at 16" o/c or 2x10 floor joists at 24' o/c are well within
the allowable bending and shear stresses of the Building Code. In both cases, the deflections are well
within the allowable deflection of U240.
We recommend the acceptance of cantilevers up to and including three feet for the species of wood
listed above.
Sin ly
?JL ?
Gene J. Vbta/tt/ , PE
`???`GEpIE J. AQeOp.
REGISTERED
i PROFESSIONAL
ENGINEER
22106
1 hereby certify that this plan, specification,
or mpcrt was prepared by me pr under my
d'r!?ct savrvisiun and that I am a duly
a-is?ere;d rofessional Engineer under
No. ,P?lob
ZAA
ABBOTT, ROBINSON & ASSOCIATES, INC.
CIVIL ENGINEERING AND BUILDING CODE CONSULTANTS
TWIN CITIES 5369 RIVER WOOD DRIVE SAVAGE, MINNESOTA 55378 (612) 940-2574
SOUTHERN MINNESOTA 1321 OXFORD STREET WORTHINGTON, MINNESOTA 56187 (507) 376.6266
March 30, 1997
Bill Mensch
Archadeck of the Twin Cities
12030 Mayflower Circle
Minnetonka, MN 55305-2829
RE: Allowable beam cantilever length
Dear Bill:
You had requested that we provide a structural analysis of the stresses associated with cantilevering
a double 2X10 beam two feet beyond the post. Our analysis was based on the 1994 Uniform Building
Code which had adopted the 1991 National Design Specifications (NDS). The allowable design values
for 2X10, #2 southern yellow pine joists were used in determining allowable stresses. Calculations
assumed a dead load of 10 pounds per square foot, and a live load of 60 pounds per square foot.
Our analysis was based on a beam that supported joists with an overall total length of 14 feet.
The two foot cantilever of a double 2x10 built-up beam was well within the allowable bending and
shear stresses of the Building Code. Ukewlse, the deflection was well within the allowable deflection of
U240.
We recommend the acceptance of cantilevers up to and including two feet for the species of wood
listed above.
Sincerely,
Gene J. tt, PE
REGISTERED
PROFESSIONAL
ENGINEER
22106
I hereby certify that ti
or report was prepare(
direct supervision and
Ian, specification,
me or under my
I I am a duty
gineer under
7 - Registration No. Z?J*_
0
?O
f ?2 _ o ?2
9X30`?? 9
? I
1 'S p0? (9 9 2 3.3
1 %.
O 922.4 / O>
x ' 92X.3 X 922.6
ry33 ?
9 7 61
920.6 /
(921.(
921.2
W
J
i
0
if
O
}
U
W
U
W
CIO Lc.( 1
915. 3 x
N °?
c
910
8 x
.
? I
R ,23°08
922.3
c
I n pR°P ('.9
9, sx 1572 Sep Hose 2¢ `S?
29 12 . 11,04ys ?. 19
x \ ?Hf Q
916.0 10SN U`O 922.3X
Nryh
91 .5 ?? X9165
Aa T x916 ?' ?A . 9 0.4 ??O . Ii
3r
L ??" x911.4
3r
cp / ?
SURVEY LINE \ S Mh
,?
A
923
(924.0)
924.4
x
% 93.7 ?•
X
924.5
h?O
ham.
0
BENCHMARK
ELEV = 918.11
A
rv
4 J A°
P\?PCjP ??1F?? 910.6 0
co ' pe F ? ry
r
CITY USE ONLY /03053
L BL J RECEIPT #:
" /9 99
SUBD.? RECEIPT DATE:
1999 PLUMBING PERMIT (RESIDENTIAL)
CITY of EAfiA N
3830 PILOT KNOB RD
EAGM, MN 55122
(651) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
-------------------------------------------------------------
FIXTURES -----------
EACH -------- ----------------
# ---
TOTAL
Shower 3.00 x 2 = ?9 0?
Water Closet 3.00 x 4/ _ / L
Bath Tub 3.00 x 2- boo
Lavatory 3.00 x = igo°
Kitchen Sink 3.00 x / = 3 D°
Laundry Tray 3.00 x _3
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x _ 16
Floor Drain 3.00 x -3-?
Gas Piping Outlet ' minimum - 1 3.00 x
=
2-
Rough Openings 1.50 x -3_ _
Water Softener " for dwellings under construction 5.00 x =
Water Softener " for existing dwelling 30.00 x =
U.G. Sprinkler for dwelling under oonst. 3.00 =
U.G. Sprinkler " for existing dwelling 30.00 =
Alterations to existing residence 30.00 =
Water Turn Around 30.00 =
Private Disposal System ' MPC lic. 75.00 =
(new and refurbished systems)
Private Disposal Systems Abandonment 30.00 =
RPZ (new installation/repair) 30.00 =
STATE SURCHARGE -50
Reminder. Call 681-4675 for inspections of water heaters,
water softeners, alterations, etc. p4?
S
TOTAL
Ihereby acknowledge that i have read this application, state }that the information is cortect, and agree io comply with all applicable City of Eagan ordinances.
It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal
operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easement.
SITE ADDRESS: ° 11-7 -1 S
OWNER NAME:
5
INSTALLER NAME: ,mil 4 ?
,ALL TELEPHONE#:
STREET ADDRESS:
CITY: ??ALLDP?? STATE: ??? ZIP: 5 ?7
SIGNATURE OF PERMITTEE
CD/PERMIT FORMS/RPLBG PERMIT (RES) - 1999
CITY USE ONLY
LOT N BI.-
SUBD.??
RECEIPT #: 3
l?a5
RECEIPT DATE: ?p
1g f/7/
1999 MECHMICAL PERMIT (fiIrSIDENTTAL)
CITY of EAaAN
3830 PILOT KNOB RD
EMAN MN 5512E
(651) 681-4675
Date: L ? ?
Complete this section only if you are installing HVAC in single family, townhomes or condos under
construction and not owner /occupied
• HVAC: 0-100 M B T U $ 3 :00
ADDITIONAL 50 M BTU
Gas outlets (minimum of one required @ $3.00 ea.)
• State Surcharge: .50
• TOTAL:
Complete this section only if you are remodeling, adding to, or repairing existing single family dwellings,
townhomes, or condos. Please indicate if it is a new item, replacement item, or repair.
New - Replacement
Furnace
Air exchanger, i.e. Vanee system, etc.
Reminder: Call 681-4675 for inspections.
Repair _ Other
Air conditioning
Other
$ 30.00
State Surcharge: .50
Total:. $30.50
SITE ADDRESS: 7 / o Syr S
OWNER NAME: L K a,:S; PHONE #:
INSTALLER NAME: ?p(R •/CYZ// /?C?u c C L PHONE #: 7y 7??d -
STREET ADDRESS:
?G l C c Kq f r? e? //y ?/
CITY: SG /g?o,o?i STATE: ZIP: J S
SIGNATURE OF PERMITTEE
JSIFORMS BLDNEC11 PERMIT (RES) - 1999
L BL
SUED.
APPROVED BY:
INSPECTOR
RECEIPT #: _
RECEIPT DATE:
1999 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EA6AN
3830 PILOT KNOB RD
EAGAN, MN 55122
(651) 6$1-4675
Please complete for: all commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE: CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: 1% of contract price OR $30.00 minimum fee, whichever is greater.
Processed piping - $30.00
CONTRACT PRICE x 1%
PROCESSED PIPING
PERMIT FEE
STATE SURCHARGE
TOTAL
----------------------------------
SITE ADDRESS:
($.50 per $1,000 of 22mg fee due on all peaniu.)
OWNER NAME:
TENANT NAME (IMPROVEMENTS ONLY):
INSTALLER:
ADDRESS:
PHONE #:
PHONE #:
CITY:
STATE:
ZIP:
CITY USE ONLY
SIGNATURE OF PERMITTEE
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1512 Thomas Lane
Lot: 4 Block: 4 Addition: Pinetree Pass 2nd
PID:10- 57661- 040 -04
Use:
Description:
Sub Type: e- Reroof
Work Type: Replace
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments: If there is no ice protection inspec
acceptable in lieu of inspections.
Fee Summary:
Valuation: 3,000.00
Contractor:
Rybak Brothers Construction
2206 East 117th Street
Burnsville MN 55337
(952) 405 -8871
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total:
Applicant/Permitee: Signature
- Applicant -
Construction Type:
Occupancy:
Permit Type:
Permit Number:
Date Issued:
Permit Category:
on prior to final, you must meet inspector with ladder and flat bar. Pictures are not
Owner:
Leonard Vaynerman
1512 Thomas Lane
Eagan MN 55122
$88.50 0801.4085
$1.50 9001.2195
$90.00
Issued By: Signature
Building
EA083572
06/16/2008
ePermit
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
h all applicable State
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1512 Thomas Lane
Lot: 4 Block: 4 Addition: Pinetree Pass 2nd
PID:10- 57661- 040 -04
Use:
Description:
Sub Type: e- Siding
Work Type: Siding
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Rybak Brothers Construction
2206 East 117th Street
Burnsville MN 55337
(952) 405 -8871
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Construction Type:
Occupancy:
When installing ventilated soffit material, remove existing soffit mate
take steps to ensure maximum ventilation into attic space.
Owner:
Leonard Vaynerman
1512 Thomas Lane
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
al (i.e. debris that could block vent openings) and
$88.50 0801.4085
$1.50 9001.2195
$90.00
Issued By: Signature
Building
EA086738
10/09/2008
ePermit
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
h all applicable State
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA170389
Date Issued:06/30/2021
Permit Category:ePermit
Site Address: 1512 Thomas Lane
Lot:4 Block: 4 Addition: Pinetree Pass 2nd
PID:10-57661-04-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
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 -
Leonard & Julia Vaynerman
1512 Thomas Ln
Eagan MN 55122--279
Minneapolis St. Paul Plumbing Heating Air
640 Grand Ave
St. Paul MN 55105
(651) 228-9200
Applicant/Permitee: Signature Issued By: Signature