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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 ?6J F a °z°z ® o t9? t? y7 9 N 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