1515 Thomas LaneINSPECTION RECORD
'QTY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: q
Eagan, Minnesota 55122-1897 Date Issued:
(651) 681-4675
SITE ADDRESS: APPLICANT:
1 ANN
I I N1 I I:I r ! rt` 2IN11 r r. I 1 n t I : I
PERMIT SUBTYPE:
TYPE OF WORK:
INSPECTION TYPE .DATE INSPTR. INSPECTION TYPE DATE INSPTR.
i I ,!i I rl,, k ,IC,I I rkl.
Rf.NARi:S: PLAN RF_VFFWEFI HY ERAI(I N()VA(','YM .
% L La pi 1IMRI=R rS F I ARIA 1: MFI-NiAN1rAI 1•II(INI 4 1 f,1''1 44
- - - - - - - - - - - --
Permit Holder Date Telephone N
SEWER/
WATER
PLUMBING
HVAC
Inspection
Date Insp. Comments
FOOTINGS /
?/
!L Q
FOUND 40
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
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
T
1 ?
`4
Wevtif irate of ccc"(tnc?
% tV of Wagan
?epartmeut of Zxitbh% anoection
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 cua iGcation: SF EW Bldg. Permit No. 34455
Oavpancy Type R3 Zoning Disaia R I Type Cons[. V
Owner of Building Add.Q'15 $WAXj W ND. WA77AU
Building Address 1515 T{afIW T.ANE Lo wity 1.7, R2, PTNR TREE PASS
' Doe. a
Building Official/'
POST IN A CONSPICUOUS PLACE
Address i S i 4 THnmao r.ANa. Zip 5512 _
Lot 6 BIk 2 Sub PINETREE PASS 2ND
THESE ITFYMS WERE ( WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: Yes No Inspector: `
Final grade ( from siding)
Permanent steps (garage) 7
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass
Trail/curb damage
Porch
Basement finish
Deck
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
Address 1515 TWW LANE Zip 5512_L_
Lot 7 Blk 2 Sub PINETREE PASS 2ND
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: ((J 9 Yes No Inspector:
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass p/
Trail/curb damage f?
Porch
Basement finish
Deck
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
CASHIER: S TERMINAL NO: 770
DATE:: 02/01/33 'T'IME: 11:07.52
j,
It, .
NAME: I...UNDGREN BROTHERS CONST INC
2256 9001 1515 THOMAS I_AN 57516.77
Total Receipt Amount, 51516.77
CRiO231?_
USER ID: NANCY
X??? ?c?c%cXc r?XcX?X?Xc?X?k?cXcXc# ??k%c??>X ?#?X?#?>X Xc##?%%c?k ?X>X
t 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
KNOB - 55122 ctt t
3830 PI' S1) 681-4675
3-1 S?
New Construction Requirements Remodel/Repair Requirements
? 3 registered site surveys
? 2 copies of plans (include beam & window sizes; poured fnd. design; etc.)
? 1 energy calculations
? 3 copies of tree preservation plan if lot platted after 7/1193
required: -.YYes _ No
DATE
• 2 copies of plan
? 1 site surveys (exterior additions & decks)
? 1 energy calculations for heated additions
CONSTRUCTION COST;
DESCRIPTION OF WORK:
STREET ADDRESS: %(141/1(A) lJC%C-
LOT: / BLOCK: SUBD./P.I.D. #:
T ?C y1?J
!
N:une: Phone #: -------- _----
----------------------------
PROPERTY ?t ruse
O\VNE12
Street Address:------------------------------- ------------ ----
City ----- ----------------- State: -------------- Zip' ---------------- ---
Coml)Wlv:- Phone #: lc2
CONTRACF011 /
Street tAAddress : License # -L- O-Expp.
Cit, W1/-/Z L_ ,9? i -------- State: Zip:
ARCHITECT/
ENGINEER Comp:uty:_------------------ ---- Phone #: ______--___--_-____--
dame: Rcyis[rauon #: - ------
Street Address:------- ------ -----
_-- State: ------ Zi
t` y)_ qty ---------------- ------ p' -------------------
1' M
Sewer & water licensed plumber (new construction only): dzl- --- Per?lty applies when ad ess
change and lot change is requested once permit is issued. (! / y y 5 L n Q?
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applica le
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received V Yes _ No
Tree Preservation Plan Received - Yes - No ? Not
OFFICE USE ONLY ,
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
X 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 = plex ? 15 Deck
WORK TYPE
X 31 New ? 33 Alterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
f UN?,?}isrt? ??
Const. (Actual) N Basement sq. ft. 10?
(Allowable) S - ?- Main level sq. ft. j ?
UBC Occupancy
Zoning
# of Stories
Length
Width
APPROVALS
Planning
3 V II_= sq. ft. 1319
QLk sq. ft. ass)
sq. ftsq ft.
sq. ft.
'S Footprint sq. ft.
Building
Permit Fee
Surcharge
Plan Review
License
MC/WS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
SAN Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total
l0 .
lo'l1.Fs?-
IOSU.00
Census Code
SAC Code
Census Units
Census Bldg
MC/WS System
City Water
Booster Pump
PRV
Fire Sprinklered
Engineering Variance
Valuation: $ L/(o, q ?7
(oW5< L5 -
1b%X t5 -
1745 Y S
1378x5'
736k 54-
f6 1
i 1, (oBDQc
J.
I (.3'].b
% SAC
SAC Units
v
M
a?
e_
n 9:
2
s6N
X
9^<a.8
9z9.a
\ SS.70
.l \ ?,7
F
h->DRAINAGE & UTILITY \- ?O3
I EASEMENT A3
--4 - - Q? \
x ?? 7 \
? 929.9
°74 9244_ ` X
1/ M ,_r.81 'r3 .?. 14 x OfCk /] \I
f 4 CAN?.
. ISSOPO D?s?r. X92\??
I / g /
f l X 1 4S
g 1-4Nf /
924.4 ?.
/ 924.6 - 924.1
f s" 924.6 ?9 V
4d L X Vi
? 915.0 i0 ?
923.1
(922-0)X
924.3 B2 c? / ?/?
/r 3-9 ? ?.
? o Q? s
Q ?a?0?_ 23.5 x (925.0)
921.5
0`0
?ryh
BENCHMARK
ELEV - 925.34
LEGEND
(5 DENOTES SANITARY MANHOLE
DENOTES HYDRANT
Wi DENOTES CATCH BASIN
S DENOTES SANITARY SEWER
W DENOTES WATERMAIN
ST DENOTES STORM SEWER
QD DENOTES STORM MANHOLE
DENOTES STORM APRON
SETBACKS
MIN. FRONT YARD SETBACK = 30'
MIN. SIDE YARD SETBACK = 5', 15' BOTH SIDES
MIN. REAR YARD SETBACK = 15'
C' t' ??. ! F
Proposed Top of Foundation Elevation-928.0
Proposed Garage Floor Elevation= 927.0
Proposed Lowest Floor Elevation- 920.0
0 Denotes Iron Monument
+ 910.0 Denotes Existing Elevation
+(910.0) Denotes Proposed Elevation
Denotes Direction of Surface
Drainage
910.0 Denotes Sewer & Water Service Elevation
I hereby certify that this is a true and correct representation
of a survey of the boundaries of:
LOT 7, BLOCK 2, PINETREE PASS 2ND ADDITION
DAKOTA COUNTY, MINNESOTA
And the location of all buildings, if any, thereon, and all visible
encroachments, if any, from or on said land. As surveyed by
me this 27th day of-pecemj er, 1998.
Gary R.
Licensed
Minn. Lic. No.24764
do
\\ V
n
+'VC4?"'4
r
vi
?LumZ
Q <C. CO
FaZU?
IX
W a
V
DBDR
CHECKED
G.R.G.
DATE
12-27-98
SCALE
1.a?.
JOB NO.
5402-431
J
J
U
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F
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y7
9
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LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
PROPERTYLEGAL:
DATE OF SURVEY:
LATEST REVISION:
DOCUMENT STANDARDS
• Registered Land Surveyor signature and company
• Building Permit Applicant
• Legaldescription
• Address
• North arrow and scale
• House type (rambler, walkout, split w/o, split entry, lookout, etc.)
• Directional drainage arrows with slope/gradient %
• Proposed/existing sewer and water services & invert elevation
• Street name
• Driveway
ELEVATIONS
Existino
??? ? • Sewer service (or Proposed)
a'?-? ? Property corners
ia-'? ? Top of curb at the driveway
acent homes
d
i
ti
f
i
f ? ? • j
any ex
s
ng a
Elevat
ons o
Proposed
?? ? Garage floor
0`0 ? First floor
cr-?-? ? • Lowest exposed elevation (walkout/window)
t?0 ? • Property corners
ta-'? ? Front and rear of home at the foundation
PONDING AREA (if applicable)
? ta' • Easement line
? C9 ? • NWL
? E?,O HWL
? d/ ? • Pond # designation
? Cf ? • Emergency Overflow Elevation
DIMENSIONS
aa?El ? Lot IinesBeadngs & dimensions
e 0 ? • Right-of-way and street width (to back of curb)
? ? • Proposed home dimensions including any proposed decks, overhangs greater than 2',
porches, etc. (i.e. all structures requiring permanent footings)
L?? ? • Show all easements of record and any City utilities within those easements
e?? • Setbacks of proposed structure and sideyard setback of adjacent existing structures
? • Retaining wall requirementss, if any ,
Reviewed:
I
January 1996
CRAIG19W1BLDGPRMT.FM
t.
JAN' -27"99 IWED) 10 45
Lkl[]DCjR(rl
612 473 3267
SALES/DESIGN LBG
DR 05. EXTERIOR ENVELOPE AVERAGE U COMPUTATION
COI )STRUC I ION
IN"
TEL 612 473 3267
'?-?VVOV-a
( FLLL i"?
i
t
Site Address 1'5 1* :jjNqjK7 lIA . Lot Block_
MS E Wayrala IIIVd
w, ynia
Mhummia 55391
1617pIrJ 1231
R & U Factors
Opaque Walls
Wall Framing Areas
Ceiling Insluation Area
Ceiling Framing 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
_ .04
. 7 rv,
.31
.55
/)) 111b
(U) .043 =
X (U) .09 =
X (U) .04 "? • LP
t'LS - 01 X (u) Wby m ? 10.'a
$, m X (U) .35 = o
X (U) .35
X (U) .31
Total
P. 005
Cl)
612 473 3267
JAM.-27"99(WED) 10:45 SALES/DESIGN LBG
LUITGREH
2) First Or Main Floor
C011SIRUC ZION
INC Total Exposed Wall Area
Opaque Wall Area
Wood Frame Area
Rim Joist
935 f- Waynla Blvd. Window Area
waynh Sliding Glass Door
MiunMda55391 Door Area
I&P)413 12.11
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
Skyl i ght
TEL.612 473 3267 P.006
4•tp,Mi<'COI?
1171u- (U) .043 ?j[Q• U
Zo?i SX (U) .04 = j•Z
2.1O•? X (U) .35 ?`rf •?
eta X (U) .35
x (U) .31 = L?
Total
i2L?? $x (UJ .043 4
Q ?X (U) .09 = (7i
yX (U) .35 = ?a
X (U) .35 =
X (U) .31 - /
Total
1 ?S
so -Zq
1.dZ crx (U) .0%4
Def
ZG 'X (U) .c q _ 1971h -'7
X (U) .55
Total ?} ?] x.
JAM -27" N WEN 10:45
612 473 3267
SALES/DESIGN LBG TEL 612 473 3267 P. 007
?AM ?taN ?)
LUnDIGRIEF1
BROS.
CONSIRUCTION $
INC. MINNESOTA U FACTORS Total Exposed Wall Area 't tol-x .11 = ?1
MINNESOTA U FACTORS Total Exposed Ceiling
Areax .026
(A) Total
215 E_ N'aynla Blvd. 7 x
W,Tmo Item 1?.O', + Item 2 + Item 3 ) d$ + Item 4
Miim x(255391
(612)473-1231
If Total Of Items 1-4 Is Less Than Item (A), Building Complies With
SBC 6006 (C)s
cc
JS I V ( CITY USE ONLY D59? 7
SL RECEIPT #:
9 9
SUBD.:(iY ?%d•dl• Or RECEIPT DATE: ///,/p
1999 PLUMBING PE MPP (ft MENTIALL)
CITY OF FAfiAN
3830 PILOT KNOB RD
EAGALN, MN S5122
(651) 681-4675
Please complete for: D single family dwellings
? townhomes and condos when perm its are required for each unit
? backflow preventer for underground sprinkler system
----- ------ -------------- ---'----- -------- ------------
FIXTURES -------------
EACH -- -------- - --------- ----
# -----'---'
TOTAL
Shower 3.00 x 2 = Gov
Water Closet 3.00 x 1 _ /ZLG
Bath Tub 3.00 x
=
7-
40
Lavatory 3.00 x
Kitchen Sink 3.00 x 3O°
Laundry Tray 3.00 x
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x Z = _(2
Floor Drain 3.00 x _
1 3
Gas Piping Outlet * minimum -1 3.00 x -
Z = b°-°-
Rough Openings 1.50 x =
Water Softener for dwellings under construction 5.00 x =
Water Softener ` for existing dwelling 30.00 x =
U.G. Sprinkler * for dwelling under const. 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 lie. 75.00 =
(new and refurbished systems)
Private Disposal Systems Abandonment 30.00 =
RPZ (new installation/repair) 30.00 =
STATE SURCHARGE .50
Re . eCall 681-4675 for inspections of water heaters,
water softeners, alterations, etc. 5-0
TOTAL
-
I ----------------- --pplicati-,
on---state--t-h-at M-- - in-f- o- is---corr--•ect----and--------to--com--------with--all------applic-able•--City- of---E-a- -gan- - ------
I hereby acknowledge that have read this a, agree piy 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 propertylright-of-way/easement.
SITE ADDRESS: ?5?7 ?ho/LJ/ S Z--7
OWNER NAME: L Cr H ? /f n// /?S / o?? S '7-.2 ors Two -J ))
INSTALLER NAME: lGt ?z ?P C g k "4 c:-- TELEPHONE #: 61??
?? Cr >`? oti ??/ vt
STREET ADDRESS:
CITY: 5- ! LQ Ind "?? STATE: IW^) ZIP: S
SIGNATURE OF PERMITTEE
CDlPERMIT FORMS/RPLBG PERMIT (RES) - 1999
-;y7 v ? CITY USE ONLY
LOT _r_ BL RECEIPT #: /059/17
SUED i RECEIPT DATE: ?6/9 9
1999 M£CH"CAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EABAN MN 551 YY
b S Z9 (651)G81-4675
Date:
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 $ 30.00
ADDITIONAL 50 M BTU
• Gas outlets (minimum of one required @ $3.00 ea.) Z
• State Surcharge: .50
• TOTAL: IT??
Complete this section op-lx 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:
OWNER NAME: L ?n vt G/f--z . /-Y'a ?5 t/vim S T. PHONE #: /c
INSTALLER NAME: G?IC! K G??y?? fin/ G?¢ L PHONE #: G (Z -YYJ l K6 7
STREETADDR/ESS: S?? C' `+`?c /? ? L p
CITY: 5//1 STATE: ZIP: 5-5-S 7 /
SIGNATURE OF PERMITTEE
1SiFORA1S aLDNECH PERMIT (RES) - 1999
CITY USE ONLY
L BL RECEIPT
SUB-5- RECEIPT DATE:
APPROVED BY: INSPECTOR
1999 MECHMICAL PERMIT (COMMERCIAL)
CITY OF EAaAN
3$30 PILOT KNOB RD
EACIM, 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:
WORK TYPE:
CONTRACT PRICE:
NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: 1% of contract price OR $30.00 minimum fee, whichever is greater.
Processed piping - $30.00
CONTRACT PRICE x 1%
PROCESSED PIPING
PERMIT FEE
STATESURCHARGE
TOTAL
SITE ADDRESS:
($.50 per $1,000 mmift fee due on all permits.)
OWNER NAME:
PHONE #:
TENANT NAME (IMPROVEMENTS ONLY):
INSTALLER:
ADDRESS: PHONE #:
CITY:
STATE:
ZIP:
SIGNATURE OF PERMITTEE
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(651) 681-4675
PERMIT
PERMIT TYPE: H U L LOIN G
Permit Number: 0 3 4 4 5 5
Date Issued: 0 2/ 0 1/ 9 9
SITE ADDRESS:
1515 I'HOMAS LANE
LOTa 7 BLOCK: 2
CHINE TREE PASS 2NO
P.I.N.: 10-57661-070-02
DESCRIPTION:
6ij Id-_n'a_Permit Tvpe
; iii.idinq QdArk Tvpe
-Ufic Occupancv\'
i
i Con>cruct:ion lunge
/ 7oninq
Bu;ldlno Lenat:h
Buildi.nq Width 1
na ^.tor,ws
,, Or-?a'rsus Code
SF DwD
NEW
R - i
VN
R-1
52
55
2
101 1 - FAN. DETACH
REMARKS:
PI AN RPVIEWCD BY CRA 7.0 NOVACiYK.
S & W PLUMBER IS GLANDER MECHANICAL PHONE #(612) 445-4692.
FEE SUMMARY:
VALUATION
Base Fee
Plan Review
Surcharge
SAC
SAC %
SAC Units
Subtotal.
$1.648.96
$1.071.82
$108.50
$1.050,00
100
1
_$3.£79.27
$217.000
M:I:SC. FEES
Total Fee
CONTRACTOR:
j-UNDG,REN BROS CONST
935 E WAYZATA
WAYZATA IN
{67.2) 473-1231
- Applicant - ST. LIC
14731231 0001413
BLVD
5b391
$;1. 637.50
'1;5.576.77
OWNER:
LUNDGREN BROS.
935 E. WAYZATA BLVD.
WAYZATA MN 55391
(61;2)473--12.31
1 herebv acknowledoe that 1.. have read this application and :Late that Lho
intormati_on la correct end cree to comDly with al' auplical-te Stet, of Din
Statui:es arid Cit'v of Edcan Ordinances.
I
I
N
APPLICANT/PERMITEE SIGNATURE SUED BY. SIGNATURE
Site address: Lot- Block Subd. P«j??eo2.AM.
On April 15, 2000 the Minnesota Energy Code, Category I Building Requirements for insulation protection, air
tightness, and ventilation, was adopted. As a result, the City of Eagan is requiring that the following information be
submitted prior to issuance of a Certificate of Occupancy.
This structure: is constructed to meet minimum requirements of the Mn Energy Code, Chapter 7670
OR
This structure: will be constructed to meet more restrictive requirements of Chapters 7672 or 7674
APPLIANCE GAS ELEC MANUFACTURER MODEL BTU'S VENTING TYPE
Water Heater X S O 6 0 PI?C
Furnace 35 rP ?
Dryer
EXHAUST SYSTEM
LOCATION
TYPE
MODEL
CFM's VENTED
YES No
Kitchen kitchen
Bathroom 1 1 p, FAf Sb 150 K
Bathroom 2 A (7_gm 5-p O
Bathroom 3 A) )re 5-D I Ord
Bathroom 4 Bqrk a &06 A) F 14 50 0
Other 14 &1W J210 610 AJ C U O
FIREPLACES
LOCATION
GAS
WOOD
MANUFACTURER
MODEL
BTU'S VENTING
DIRECT ATMOS
1 FArnK l(m x BAr co O oTit 2 uv
MAKE-UP AIR MODEL TYPE CFM's
Ven Mom rn 2.O &9z'4n)G6.0 Z R ?9
I hereby acknowledge that the above information is correct and agree to comply with the Minnesota Energy Code and City of Eagan
requirements.
. ? All J9
Sig a '/?Y+?L
Comp4a `J a'1V
Date
'/-a - D u
v '
?.l
O
II
This form is the responsibility of the General Contractor.
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1515 Thomas Lane
Lot: 7 Block: 2 Addition: Pinetree Pass 2nd
PID:10- 57661- 070 -02
Use:
Description:
Sub Type: e- Reroof
Work Type: Replace
Description: House & Garage
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:
Cedar Valley Exteriors LP
9145 Springbrook Drive, Suite 105
Coon Rapids MN 55433
(763) 755 -2221
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:
Dana P Ottesen
1515 Thomas Lane
Eagan MN 55122
$88.50 0801.4085
$1.50 9001.2195
$90.00
Issued By: Signature
Building
EA086150
09/16/2008
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: 1515 Thomas Lane
Lot: 7 Block: 2 Addition: Pinetree Pass 2nd
PID:10- 57661- 070 -02
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:
Cedar Valley Exteriors LP
9145 Springbrook Drive, Suite 105
Coon Rapids MN 55433
(763) 755 -2221
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:
Dana P Ottesen
1515 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
EA087229
10/31/2008
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 Ea�all
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Date: 2. -21
2
RECEIVED
FEB 272014
Use BLUE or BLACK Ink
r
For Office Use
Permit#: / 3 0 7
Permit Fee: 6/4/ tl L
Date Received:
Staff:
1`I
RESIDENTIAL BUILDING PERMIT APPLICATION
IN Site Address: 15 1 7 I oLAA S L vt e Unit #:
Resident/
Owner
Name: /1/1 t -t" d• 0 Q -L c, 6 t-.> c t'l Phone:
Address / City 1 Zip:
Applicant is: Owner Contractor
Type of Work
Description of work: )\ l '1 C. - t K i t?. we -0 cL r,
�o
Construction Cost: �" x O j C C) C) Multi -Family Building: (Yes / No. )
Contractor
Company: Co 1 lei e (;'1y Off) r jr-t 1131. ;id Contact: 0 4 t ( frei
Address: 77'o Lc,) e ,: 114t gi VC. City: LiC/.1�13 ; 1 ( '
State: Al f) Zip: '5,s -c) ti L-( Phone: T S z.."V4? ` 6 70d
License #: A. 6 Li '5 j '71 3 Lead Certificate #: lf�v 4 T-- 3 c'2 7 7 ^1
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
In the last 12 months,
Yes No If
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
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 they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work wit 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.
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.
c ti 44_Pc'
Applicants Printed Name 1 r Applicant's Signature
Page 1 of 3
5/5 Th Om
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation Fireplace
Ire Single Family Garage
Multi Deck
01 of _ Plex Lower Level
WORK TYPES
New Interior Improvement
Addition Move Building
t Alteration Fire Repair
Replace Repair
Retaining Wall
DESCRIPTION
Valuation 6-4070
Plan Review
(25% 100% ✓ )
Census Code 4/34
# of Units 1
# of Buildings
Type of Construction
Porch (3 -Season)
Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Roof: _Ice & Water _Final
% Framing
Fireplace: Rough In _Air Test Final
•' Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Reviewed By:
Siding
Reroof
Windows
Egress Window
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Accessory Building
Demolish Building*
Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building — give PCA handout to applicant
2007
Pi)
Meter Size:
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Final / C.O. Required
Final l No C.O. Required
HVAC _ Gas Service Te
Pool: Footings _Air/Gas
Drain Tile
Siding: _Stucco Lath _Stone Lath
Windows
Retaining Wall: _ Footings _ Backfill
Gas Line Air Test
errs i -mal
Radon Control
Erosion Control
Other:
, Building Inspector
Brick
Final
RESIDENTIAL FEES
tease Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies / 44 Pj fi
TOTAL
I/t°"
7G?�'
x y h Q ,2,9
Page 2 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA168879
Date Issued:05/06/2021
Permit Category:ePermit
Site Address: 1515 Thomas Lane
Lot:7 Block: 2 Addition: Pinetree Pass 2nd
PID:10-57661-02-070
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Dana P & Michael J Ottesen
1515 Thomas Ln
Eagan MN 55122
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(641) 264-4088
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA170410
Date Issued:06/30/2021
Permit Category:ePermit
Site Address: 1515 Thomas Lane
Lot:7 Block: 2 Addition: Pinetree Pass 2nd
PID:10-57661-02-070
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Fixtures
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (miscellaneous)$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 -
Dana P & Michael J Ottesen
1515 Thomas Ln
Eagan MN 55122
Diversified Plumbing & Heating Inc
125 E Railroad St
Norwood Young Americ MN 55368
(952) 583-9646
Applicant/Permitee: Signature Issued By: Signature