4473 Woodgate Ct ~ CITY OF EAGAN Remarks
Additio,n WooQgate 3rd Addition Lot 22 Bik 3 Parcel
Owne`~-~--'~ Street 4473 Woodqate Ct. State Eagan, MN 55122
Improvement Date E67n7 Annual Years Payment Receipt Date
STREETSURF, j9']7 158.89 3 476.67 C003331 10-9-76
STREET RESTOR.
a, GRADING 1974 7.53 5 PAID
SANSEW TRUNK 1974 65.3 4.35 15 PAID
* SEWER LATERAL
WATERMAIN
* WATER LATERAL 1976 3
* WATER AREA 1976
it STORM SEW TRK 1976 1628.80 542. 93 3 PAID
STORM SEW LAT 1976 3
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. $160.00 804 7-28-75
BUILDING PER. 7-2$-75
SAC 7-28-75
PARK
CITY OF EAGAN Remarks
Additian W004gate 3L'd AddltlOri Lot 21 Blk 3 Parcel
Owner Street 4475 Woodgate Ct_ State Eagan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 1977 476.67 158.89 3 476.67 C003330 10-9-76
STREET RESTOR.
3 GRADING 1974 37.67 $7.53 5 PAID
'a SAN SEW TRUNK 1974 65.31 $4.35 15 PAID
SEWER LATERAL 1976 3
WATERMAIN
* WATER LATERAL 1976 3
ir WATER AREA 1976 3
' k*3STORMSEW TRK 1976 $1628.80 $542.93 3 PAID
TORM SEW LAT 1976 3
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. $160.00 804 7-28-75
SUILDING PER. #3734 7-28-75
sa,c 804 7-28-75
PARK
I
CITY OF EAGAN Remarks
Addition oo ate 3rd Addition Loc 23 Bik 3 Parcei 84602 Own State F.agan, MN 55122
Improvement Date mount Ann I Years Payment Receipt Date
STREETSURF. 11977 476.67 158.89 3 476.67 C003332 10-9-76
STREET RESTOR.
a, RADING 5 PAID
a SAN SEW TRUNK 1 PAID
* SEWER LATERAL
WATERMAIN
,t WATER LATERAL 1976 3
* WATER AREA 1976 3
STORM SEW TRK 1976 1628.80 542.93 3 PAID
* STORM SEW LAT 1976 3
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. $160.00 804 7-28-75
BUILDING PER. 3734 7_28-75
s,ac 804 7r28-75
PARK
CITY OF EAGAN Remarks
Additio Lot 24 Blk 3 Parcel
Own • Street Ad79 GTnnAgatp C'_t _ State Zwan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. 1977 476.67 158.89 3 476.67 C003333 10-9-76
STREET RESTOR.
GRADING 1974 $37.67 $7.53 5 PAID
SAN SEW TRUNK 1974 $65. 31 $4. 35 15 PAID
I * SEWERLATERAL 1976 3
WATERMAIN
* WATER LATERAL 1976
* WATER AREA 1976 3
g * STORM SEW TRK
STORM SEW I.AT 1976 3
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 804 7-28-75
BUILDING PER. _ _
sAC W425.00 804 7-28-75
PARK
Receipt ~ MECHqfOibAL PERMIT Permit No.
CITY OF EAGAN F~ 43- ~,xp
~
Fill in numbered spaces S/C >7)
Type or Prini /egib/y Tot. S7
~7Z
1. Date 2. Installation Cost
03o /
j
3. Job Addressy`/73 LlJoaWgf/r%,~ot ~ a Blk. U~ Tract - ~~77
V~1 i ~ i•
N ~
4. Owner
5. Contractor l f= ti2 Phone 4~1 Se
6. Address / ~/7 `1 S :5-o .~.-r? /!~il3~ X % %i "l
7. C i t y /0) 3fmaT State /7/JJit~ Zip S S U 68
8. Building Type: Residential LR'- Commercial ~ Institutional ?
9. Work Description: New O Add 11 Alter B-- Repair ?
10. Describe FueiType ~/95
11. No, Equioment BTU - M. Ea. No. Equipment CFM
P--' Forced Air -/d- a o O
Air Handling:
Mfg. OV
Boilers Mech. Exhaust
Mfg.
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outlets
12. I hereby certify t at the above information is true and correct, and I agree to
comply witb a or inan s and cod /governing this type of work.
Signed : ~ d"-- for
Rough Fin I
Inspections: Date Insp. Date ` n "lnsp. 7~~.;i
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
Receipt MECHANICAL PERMIT Permit No.
CITY OF EAGAN
9 Fee . OiCJ
Fill in numbered spaces S/C SZ~
Type or Prini /egibly ToL
1. Date 2. Installation Cost
3. Job Address Blk. U~ Trat ~ u C~t rt~C
1
e O ?2 T
4. Owner o c/y
5. ContractoK-~F1_11l -"Li Phone Sz
6. Address
7. City ~lCU3f~Y! o i State Zip
8. Building Type: Residential 2""' Commercial ~ Institutional ?
9. Work Description: New ? Add ? Alter ~ Repair ?
10. Describe Fuet Type /Vf~ T'"
11. No. Equinment 8TU - M. Ea. No. EQUiament CFM
? Forced Air 'P/0, o 0 o Air Handling:
Mfg. G Eniti v K
Boilers Mech. Exhaust
Mfg,
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outlets
12. I hereby certiz ove information is true and correct, and I agree to
comply aPd , s governing this type of work.
/
Signed : for
Rough 94~~ Inspections: Date Insp. Datep.~~-
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Receipt 3 PLUMBING PERMIT Permit No. L"' `
' CITY OF EAGAN -
Fee
fill in numbered spaces S/C
Type or Prini legibly Tot.
1. Date 2. Instatlation Cost
3. Job Address 4" 175" ~UGc•~c, A+r= ~c v~`
} Lot7~Blk. ~ Trac~-'~X(
4. Owner ~ G ~ f~ • f- ! i c~-; ~
5. Contractor f}]e Yt ~C • Phone
6. Address /GO A L, ~
7. City :5t; • S-j - ~a u ~ State /0 Al Zip ~
8. Building Type: Residential ~ Commercial ? Institutional ?
9. Work Description: New D Add O Alter ~E] Repair ?
i
10. Descri be ik, f-f ^ u, rl
11. No. Fixtures No. Fixtures
Water Closet Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory ~ Softner
Shower Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray i
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I 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
Receipt ` MECHANICAL PERMIT Permit No. -
CITY OF EAGAN
Fes
~Fil1 in numbened spaces S/C •
9 N~ (a Type or Prini /egibly '
;
Tot
1. Date r; 2. Installation Cost N i:^')
~
3. Job Address "---4ot ' Blk. Tract k~lm ~5 3 - 5 3 a ~7
4. Owner ..1 c,
5. Contractor ~'k'4tr j Phone tj~, f~,,'• y,
6. Address t .::x
7. Gty State Zip
8. Buiiding Type: Residential Q., Commercial O Institutional O
9. Work Descxiption: New ? Add ? Alter A Repair ?
10. Describe k, . , ~ • L._': + t' Fuel Type ~.l!!"+
r
11. No. EqujLtmp,pl BTU - M. Ea. No. Eauiament CFM
Foroed Air Air Handling:
Mfg.
.
Boilen ' Mech. Exhaust
Mfg.
Unit Heater
Mf9• _ Other
Air Cond.
Mfg.
1 Gas, Piping Outlets
12. I hereby oertify that the above information is true and correct, and I agree to
wmply with all ordinances and codes goveming this type of work.
l s; ' ' ~ }
Signed: o~ % = r:~~~.,~:~•~. for
Rouph Fin 1
Inspections: Date Insp. Date ~ InsP•
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-6100
,
6/~y
I
I
~
~
CITY OF EAGAN 40 176$2
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 '
BUtLDING PERMIT Receipt # 5 -`To be used for DECK Est. Value ¢1 ,00c) Date APR S
Site Address "79 ti'OODGATE CT
Lot 24 Biock 3 Sec/Sub. WOODGATE 3RD OFFICE USE ONLY
P2fC81 NO. Occupancy _ FEFS
Zoning
= Name ~15E C ~PgR (Actuap Const _ Bldg. Permit 25.00
o Address 4479 ~~'T'E C'' (Ailowable) - Surchar
Cit ~w Phone 3~?9-2682 # or stories 9e
Y Length ~-1 Plan Review
ZF Name S~' Depth 120 SAC,City
OU Q' Address S.F. Total _
~ SAC, MCWCC
CItY Phone S.F. Footprinis _
On Site Sewage _ Water Conn
W W Name on site weu
~ W - Water Meter
AddreSS MWCC System _
e W Acct. Deposit
< City Phone Ciry wa?er _
PRV Required _ S/W Permit
I hereby acknowlege that I have read this application and state that the Booster Pump - SNY Surcharge
information is correct and agree to comply with all applicable State of
Minnesota Statutes and Gity o[ Eagan Ordinances. Treatment PI
Signature of Permitee L?~ = " APPROVALS
Road Unit
A Building Permit is issued to: UUIgE C COOPER Planner - park Ded.
on the express condition that all work shall be done in accordance with all Council ~
applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. _ Copies •
Building Official Variance - TOTAL Z6'~
Permit No. Pe?mit Holder Date Telephone #
4
WATER
SEWER
PLUMBING
H.V.A.C.
ELECTRIC
Inspection Date Insp. Comments
Footings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Final Pibg.
Const. Mete? Plbg. Inspector - Notify Plumber
Engr./Plan
Bldg. Final
Deck Ftg.
Deck Final p
Well
Pr. Disp.
MMR!
CITY OF EAGAN
3795 Pilot Knob Road Ea9en, MN 85122
PHONE: ! 454-8100
BUILDING PERMIT Receipt #
Te be wed for Est. Volue . Date 19
Site Address
Erect ? Occuponcy
Lot ~ Block Sec/Sub. " ^Iter p Zoning
Porcel Repo(r ? Fire Zone
Enlorye ? Type of Const.
W Name Move
#
Z Address ? Stories
~ Demotish p Length
Ci phone Grode ? Depth Sq. Ft.
~ O Nome ` Approvab Fees
/?ddress Assessment Permit
C~ Phone Woter & Sew. Surchorpe
Police Plon check
~W Nome
~ Z Firo $AC
Address
u~Z E?+p. Water Conn.
<1° Ci Phone Plcnner Woter Meter
Council Rood Unit
I hereby ocknowledge thot I hove read this opplication ond stote that Bldg. Off.
the intormation is correct and ogree to comply with all opplicoble
State of Minnesoto $totutes and Ciry of Eagon Ordinances. ^PC Totol
Sipncture of Permittee
A Building Pertnit is issued to: on tha express conditlon that
alt work sholl be done in occordonce with oll opplicoble State of Minnesota Stotutes ond Ciry of Eoyon Ordinances.
Buildi?q Officiol
Permit No. Parmit Holder Misc. Permit No. Holder
Plumbiny
H.V.A.C.
WNI
Water
Disp.
Sovwr
Eloctric Inspsetion Date Insp. Other
Footinys
Foundation
Freminp
Rouph Plbo.
Rouph HVA
Inwiation
Final PIb4
Final HVAC
Final
Water Dnaibs Loeation:
VYell
Sawsr
I
Pr. Dbp.
~
v?UacE oF EacaN WATER SERVICE PERMIT
3795 Pilot Knob Rood PERMIT NO.: 1800
Eagon, MN 55122 , DATE: _ 8/5/75
Zoning: RII No. of Units: 4
Owner: Ne ' on - Woodgate III
Address: G~ ~ ^3. ~ r
Site Address: 73-75-77- 9 H1oo gate Ct.
Plumber: ThornPsori Plumbitlg CO.
Meter No.: Connection Charge¢40.00 pd
Size: Account Deposit: Reader No.: Permit Fee: - 10.00 pd ) . j
~
1 agree to comply with the Village of Eagan Surcharge: ' SQ
v
Ordinances. Misc. Charges:-"'3""f`~
Total:
By Date Paid:
Date of Insp.: Insp.:
VILLAOE OF EAOAN SEWER SERVICE PERMtT
3795 Pilot Knob Road PERMIT NO.: 2561
Eagon, MN 55122 DATE: 8/5/75
Zoning: RII No. of Units: 4
Owner: New Horizon - Woodqate III
Address:
Site Address: 4473-75-77-79 Woodqate Ct.
Plumber: TYiOmpsOn Plumbi.ng Co
I agrse to eomply with the Villoge of Eagon Connection Chazge:1700.00 pd
Ordinonces. Account Deposit:
Permit Fee: 10.00 pd
Surcharge: • 50 pd
gy; Misc. Chazges:
Date of Insp.: Total:
Insp.: Date Paid:
CITY OF EAGAN QV017682
, 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ~
BUlLDING PERMIT PHONE:454-8100 n
Receipt #
r
To be used for DECK Est. Value $1, 000 Date APR 5 1990
Site Address 4479 WOODGATE CT OFFICE USE ONLY
Lot 24 Block 3 Sec/Sub. F100DGATE 3RD
PdfC21 N0. Occupancy - FEFS
Zoning -
W Name LOUISE C COOPER (Actual) Const - Bldg. Permit 25.00
3 Address 4479 WOODGATE CT (Allowable) -
o Surcharge .50
City EAGAN Phone 349-2682 # of stories
Length 201 Plan Review
Zo Name SAME Depth 12'. sa,c, city
~uAddress S.F. Total
~a - SAC, MCWCC
1`- Clty Phone S.F. Footprints -
1- On Site Sewage _ N/ater Conn
FQW Name On Site Well - Water Meter
=-y ~ Addf@SS MWCC System _
a W City PhOne City Water _ Acct. Deposit
PRV Required _ S/W Permit
I hereby acknowlege that I have read ihis application and state that the Booster Pump - SiW Surcharge
information is correct a agree to comply with~ II applicable State of
Minnesota Statutes d Cit f Eagan Ord' anc . Treatment PI
Signature of Permitee ~ APPROVALS Road Unit
A Building Permit is issued to: LOUISE C COOPER Planner - park Ded.
on the express condition that all work shall be done in accordance with all Council 50
appiicable State of Minnesota Statutes and City of Eagan Ordinances. Btdg. Off. _ Copies .
Building Officiai _TI ~d 111.~17 Variance - TOTAL 26.00
CITY OF EAGAN 3795 Pilot Knob Rood Eogae, MN 55122 N~ 7452
PHONE: 454-8100 -
BUILDINP.s. PERMIT ReceiPt #
To ba used for MASONRY CHIMNEY Est. Volue $750.00 Date August 17 _ 19 82
Site Address 4475 WOOdGate Couz't
Erect C& Occuponcy
Lot _21 Block -1_ $ec/Sub. Woodqate 3Y'd Alter p Zoning
Parcel 10 84602 210 03 Repoir ? Fire Zone
Enlarge ? Type of Const.
W oc Name ROC~eY' A. Hugger Move El # Stories
o Address 4475 Woodgate COUrt Demolish ? Length
Ci Phone 454-8125 Grode p Depth Sq. Ft:
p Name Kvam Masonry Approvals Feet
~ Assessment Permit 14.50
u~ Address
~ Cit RoSemDunt Phone Water 8 Sew. Surcharge •$0
r Police Plan check
Nome
F u+ Fi re SAC
L Address Eng. Woter Conn.
Ci Phone Plonner Water Meter
Council Rood Unit
I hereby acknowledge thot I have read this applicotion ond stote thot gldg. Off.
fhe informotion is torrect and agree to tomply with all applicable ~ 7
5_ n0
Stote of Minnesota Stotutes and ' y of Eo n O dinances. APC Totol
Signoture of Permittee
/1 Building Permit is issued to: Vdlit M3S0 y on the express condition thrn
oll work sholl be done in accordance with II opplicable t te of Minne Statutes ond City of Eagon Ordinances.
Building Official
~
CITY OF EAGAN Include 2 sets of plans,
~ 1 site plan w/elevations &
BUILDING PERMTT APPLICATION 1 set of energy calculattons.
.
Z+o Be Used For o d,-%yvt A (VvIluation 7 > 0 Date
Site Address OFFICE USE ONLY
Lot Bloc]c ?a Sec. /S . 0oo Erect Occupancy
Parcel (C) g y~ 0 Z Z t C) ~ 0~. Alter Zoning
Repair Fire Zone Owner: 91a, e
- Enlarge Type of Const.
Address: # Stories
Denolish Front fte
City/Zip Code: ~LZ. Grade Depth ft.
.
Phone # :
APPROVALS FEES
Contractor: Assessments Pernu.t
[aater/Sewer Surcharge ~
Address: Police Plan Check a
City/Zip Code: Fire SAC
Phone Eng • Water Conn.
Planner Water Meter
Couricil Road Unit
~~•~g " Bldg. Off.
Address : APC
City/Zip Code:
~
Phone # : TOTAL
, ..s . . • • -
, .
GcJ , ~ ~
1 - ~
CITY OF E~;GAPJ
3795 pilot Knob Road
Eagan, Minnesota 55122
PERMIT NO.: 589
The City of Eagan hereby grants •to Thompson PLumbing Co.
of MInnetonka
a Pr.T RTN. Permit for: (Owner) New HOrizon - t+loodgate III
4465=67-69-71, 4457-59-61-63, 4449-51-53-55, 4441-43-45-47, 4446-44-48-50, 4452-54-56-58,
at , pursuant to application dated JL1LY •
4460-62-64-66, & 4473- 77-79 Woodgate Ct., 1736-38 Woodgate i,n E. 4437-39 Woodgate Ct.
Fee Paid: _ BDO.00 dated this 5th day of Aug. , 19 75 .
1744-46 Woodgate Ln.22'RR4642 Woodgate Court
Building Inspector
Mechanical Permits:
Bid Total:
' G~ r ~ •
CITY OF EAGAN
3799 Pilot Knob Road .
Eagan, Minnesota 55122
. -
PERMIT NO.: 722
The City of Eagan hereby grants to GEO. SEDGWICK FiEATING & AYC
of 1001 Xenia 11ve. So.
a HFP.TI?;G Permit for: (Owner) LiFW HOF.I7017 - WOODGATE III
44 9-71 walnut Court and
at 44777-70 ~?ooca..~to ct. , pursuant to applica.tion dated 9/9/75
Fee Paid: $100.00 dated this 11 day of Sept. , 19 75 .
3. 50 s/c
Building Inspector
A7echa.nical Permits:
Bid Totals I
`r
aa o o~
CITY OF Et'~~GAP1
3795 pilot Knob Road
Eagan, Minnesota 55122
PERMIT NO.: 589
""The-Cit.y of- Eagan hereby grants to Thompson PLumbing Co.
of MInnetonka
a Pr.1 RIN, Permit for: (Owner) New HOrizon - Woodgate III
4465=67=69-71, 4457-59-62-63, 4449-51-53-55, 4441-43-45-47, 4446-44-48-50, 4452-:4-56-58,
~at , pursuant to application dated JLTLY
4460-62-64-66, & 473 75-77-79 Woodgate Ct., 1736-38 Woodgate I,n & 4437-39 Woodgate Ct.
Fee Paid: E3o0.00 dated this 5th day of Aug. , 19 75 .
1744-46 Woodgate Ln.22'44642 Woodgate Court
Building Inspector
Mecha.nical Permits:
Bid Total:
.)-?1 3--3
. . ~ • c~-.', ~ .
~
CITY OF EAGAN
3795 Pilot Knob Road
Eagan, Minnesota 55122
. " -
PF.IiNBT NO.: 722 . ~
The City of Eagan hereby grants to GEO. SEDGWICK HEATINC & AAVC
of 1001 henia nve. So. '
a HEP.TI?IG Permit for: (Owner) PiF.W HOP.I7_O1•1 - WOODGATE III
446- 1 Walnut Court and
at 447597770 Woociuzto Ct. , pursuant to application dated 9/9/75
Fee Paid: $100.00 dated this 11 day of Sept. ~ 19 75 .
. 3.50 s/c
Building Inspector
Mecha.nical Permits: .
Bid Total: ~
l o o ~ ~3~> c-?
° , G ._11~
czTY oF ~~;G-ArT
3795 Pilot Knob Road
Eagan, Minnesota 55122
' PERMIT NO.: 589
The City of Eagan hereby grants to Thompson PLumbing Co. ,
of MInnetonka
a Pr.7MRIN. Permit for: (Owner) New HOrizon - t+loodgate III
' 4465=67-69-71, 4457-59-61-63, 4449-51-53-5.5, 4441-43-45-47, 4446-94-48-50, 4452-54-56-58,
at I pursuant to application dated JL1LY
4460-62-64-66, & 4473-75 77 79 Woodgate Ct., 1736-38 Woodaate Ln & 4437-39 Woodgate Ct.
Fee Paid: f3D0.00 dated this 5th day of Aug. , 19 75 .
1744-46 Woodgate Ln.22'RR4642 Woodqate Court
Building Inspector
Mechanical Permits:
Bid Total:
. i
CZTi . ~%1'~ ~'~:'i"T1 ~ - 3 ~
37195 i'i:1_ot I':nc,b i;^a.d ~ I
111i=LotG 5 5122
PZZu'/ET N'J, : 44, 'I':;e City of i,a,,-an liercry grants tio ~ Lindsay Water conditioninq Co..
cf 4215 Cedar Ave. So.
Water Softener Pe~-'mit fors (Owner) B. Hilsen, L. Pasket, V. Cofoed, anid
1 0o ga e Wood ate , and-
~ o ~.~~~o Ica lon cla ted
520. OQy ua ted this lp uay oi June ~ 1!~ 76 +
2. 00 s/c Euilc:ing lnspe~itor
ti a.~ . i•:~c~~r_;_c~.i_ Per•m~.~~~:
{
Bid `I'ota.l:
i .
. 3",
/'o ~v~o'aa as~o 6-3
czTY oF EAGArr
3795 Pilot Knob Road
Eagan, Minnesota 55122
PERMIT NO.: 589
The City of Eagan hereby grants •to Thompson PLumbing Co.
of MInnetonka
a Pr.iMRTN. Permit for: (Owner) New HOrizon -Tdoodgate III
4465=67-69-71, 4957-59-61-63, 4449-51-53-55, 4441-43-45-47, 4446-44-48-50, 4452-54-56-58,
' at I pursuant to application dated JL'LY
4460-62-64-66, & 4473-75-7'7 79 Woodgate Ct., 1736-38 Woodgate I,n & 4437-39 Woodgate Ct.
Fee Paid: E3o0.00 dated this 5th day of Aug. ~ 19 75 .
1744-46 Woodgate Ln.22'44642 Woodgate Court
Building Inspector
Mecha.nical Permits:
Bid Total:
~-s~-3-~
J '
J~
CITY OF EAGAN
3795 Pilot Knob Road .
Eagan, Minnesota 55122
.
PFRMIT NO.: 722
'
The City of Eagan hereby grants to GEO. SEDGWICK FiEATp7c; & A21C_
of 1001 Xenia 11ve. So.
a HEP.TIPIG Permit for: (Owner) PiFTa HORI7017 - 6a00DGATE IIZ
4469-71 Walnut Court and
at 4475-77-~1 "ooci(~Tato Ct. , pursuant to application da+ed 9/9/75
Fee Paid: $100.00 dated this 11 day of Sept.• , 19 75 •
3.50 s/c
Building Inspector
Mecha.nical Permits:
Bid Total: ~
?
CPR, GC
. j For Offsoe Use f
City of EaLian ' Perm`t#.
~ errnit Fee: o o I
3$34 Pilot Knub Road t 'S P
4 i
Eagan MN 55122 ~ Date Received= (
t i
Phone: (651) 675-5675
Fsx: (651) 675-5694 1
I Stat~~ t
2008 CQMMERGIAL BUlLDiNG PERMIT APPLICATfON
Date: -2 -CSV-she,oa~re~:
Tsnant Name: (Tenant is: New / Ewsting) Sulte
pROPERTY OWNER fVame: Phone:
Addrsss / City ! Zip:
Applicant is_ Qwner Contractor
TYPE OF WORK Descrlptlon ot work:
Construction Cost: r ` 60-0
CONTRACTOR Name' License ~
TVM
Address: s~411!EARSON p
City_ ANNW 76336E1~1187 ' State: Zip:
Phone: ntact Person:
ARCHITECT / Name: Registr8nO1
ENGINEER
Address:
State: Zip:
City:
Phone: Contact Person:
LfCeT?sed plumber installing R9W sewer/w8ter setviCe: one
NOTE: Plans end supporting doCUrnents tbaf ou submit ane cnnaidered to bllc Infonmsdon. Poltions of
the infom?afran may be eJasslfled as non- lk 1f you provide spe+cific reasons that would perm/t the C1ty to
C011C!(!de that tlle 8le t/8de SeCIefS.
i hereby acknowtedge that this irdori'18tio11 ts COmplete and accurate; ihat the work will be in con4ortnartce with the OrcflTlanCas and Gode& of the City of
Eagsn; th8t 1 underSE" Fhis tS nCt a pertnit, but only an applicatiosi for a permit, arxf work is oot to 5tarf without a permR; ihai the work will be in
aCCOrdance with the approved plan in the case ot worfc wtliCh requires a review and approval af p ans.
~
X X
Applicant's PrintecF Name Appll t's Signature
Page i of 3
9E/0Z 39d6 0701A dNNd LEbC£BSE9L 80 :ZZ 800Z/tiZ/60
l
' -
~ Fp? OFFce UsA - - - - - - - - - -
I
. I ~
• ~ 9539 i
of Eapn ; Parr„t ,
,
i Permit Fee' ~D;;._. ' i
3830 Pi{Ot 1GtOb ROad i 1
~ DBte ReCeived: f
Eagan Ma 55122 9"'~~ '
Phone: (651) 675-5675
Fax: (651) 675-5684 it 3iaff:
2008 COMMERCIAL BUILDING PERMIT APPLICATION
ccr,
Date: S'~~~ -a- Site AcIdIeSS: A
7enent Nlarle9• (Tenant is: New ! Existing) Suite
PROPERTY OWNER Name: Phane:
Address I City / Zp:
Appticant is= Owner Cvntractnr
TYPE dF WORK pescription of worlc_
L Q
Consinlction cost: L-4
C4NTRACTOR Name: Ucense
Address: 3141 PEARSOM PKWY
-
city; 11NNA 783-660-1197 State: zip.
phane: Contact Person:
ARCHITEGT / Name: Registration
ENQ{NEER Addresg:
City: State_ zEp.
Phone: Contact Person:
Llcensed Plumber installing new sevreNwatsr sarvice: PhOne
NOTE: Plans and aupportingt documents thaf you submJt are considered b be publlc In1;nr~atlon. Porflons of
fhe /nfonmwlon may be classN/ed as non-Publk if yar proride specifk rwsans that would perm# the CitY to
conclude thaf t1M are tra4e secrets.
I hergby acknpwAedge that this infCrmation is complete and a=rate; ittat the wOrlc will be in confortnance with the ordinsnce~'a~t~W~t m~C~ o„
~an; thet I under5t2~nd this i6 not a permit, but only an appiication Eor a pe*mii, ar~d y~ i' ~t to sta?t wisha?t a perm
~,,~g~ yyKry t}~e aP~pygd plan i~l the ca68 pf w~ork which requfres a revigw and sppr p
1 . ,
X ~ " ~
ppplicanYs Prlnt Name Appli Ys Signature
Page 1 of 3
Z0/Z0 30tid 010-ii tiNNti LEbEE09E9L EZ :VT 800Z/EZ/60
- ' 2,2b220S292,
952 431 2016
09/26/2008 16:28 952--431-2016 FEDEX KINKO'S 0705 PAGE 01
41 ~ . . . . . , e . . , ~ ~
I- -
• I 'My ;CC'/
of ~a~a~ . ; PermK Fee. ~ t
3830 Pilat Knob Raad
Eagah MN 55122 ti oate Pecotved: ~
PhOne: (651) 675-5675 j ~
t
ftx: css,, 675-5ssa G 4~ ; s~~: ,
.._--r-----'~--.'---d
2008 GOMMERGIAL EtU1LDING PERMIT APPLICATIaN
~
Dste:q Slte Address: -Z
Tenarrt Nsme: ~ (Tenant Is. New EAsting) Safte
PROP£RTY OWNER Name:
Address / City / tp'
AppfMar?t is: Owner ~ Contraator
TYPE OF WQRK Description et work:
Gonstruction CaGt~~ ~ A~~"-
CONTRACTOR Name• _;~l "i~a~_\Lld~ ~~~~0 ~
AdCress: ~~~j~~~ ~~`?S~• ,
City. State: ~ bP:
phone1663 -~-lJ Contact Person: X'"W46
AFtCFI1TECT 1 Name•
ENGINEER
Address:
Ciry: 5tate• ---ziP=-
Phone: Cvntact Petson_
L.icertsed plumber installing ,r,v sewer/water senrico: phone
1voTE: PJsns ahd suppo'rNhg rfocartrents rlret you submtt are~ar?~ldew~eH:te~ ftl'tinmof
rne fhferrMdNon rnay ,be class;fred as rro"ublfc ff yau previd~ *ftft r~n~ !`?t~r~trulu perrnlr rlte Cfty rr,
conclude that ftr dre ir.. dbtedrLltg:
irta~es end codes oi the City of
I hereby acknowfodqo that thls Infamation 's eomplsta and accurate: tw the w0?k wiN be in cor~format~ce wWjAve%prd
Eagan; that r understand thig is not a pertn~t, but oniy an appiication for a pertnii, artd not to sta a pertnit; that the woric wiu be in
accoridance with the appraved plan in thp case ot worsc nich requires a revlvw and approv af rts-
~
X
ApPlIcant'e F1intgd PJaMe A?PPlfcant'S Slgrmture
Page 1 of 3
. ~
09/26/2008 16:28 952--431-2016 FEDEX KINKO'S 0705 PAGE 03
a
.
AJWjq X American Family In."rance GrouP
AtAOAML[PU7fA~SIfiaMl,ir(^ ,
WOODGATE_1II_NOME023
$tjilding .
. Exterlioc
Roofing
T)cscription Iia4e Service Rcplacement Actuul Caqh
! Unit rlcc Clwar e Ts?xes Cnst 7PotAI Ae reciation Value
Tl:e (ollnwing rtems r+cJlec[ rcplacemanl of r•oof on 1hi.v serticturc. /nsureA indicRted ronjLc uppro.rimntcly I 0years old. Ru.ved on average
condrHnn end lifc expectancy nf 30 y¢arc, 13% deprcceafenn kes 6een applied. Pricc inclredes dehri,s renioval.
1- ttemove'i'ear off, liaul and dispose of Camp. shingles -;30-40 ycaz
46,57 SQ $50.96 $0.00 $0.00 $2.373.21 -$783.16 (339b) $1,590.05
2- Replacc Roofing fclt - 15 lh.
4b.57 SQ $19.71 $16.58 $18.34 :F952.81 -$308.95 (339b) $643.86
3a - Rcmove Additionai chargc for high roof (2 stories or grcalcr)
46.57 SQ $4.43 $0.00 $0.00 9i200.31 -$68.08 (33yh) $138.23
3b - Replace /tdditionnl chargc for high roof (2 stories or grealer) '
46.57 SQ i 39 $9.58 $0.00 $540.01 -R 175.04 (339h) $364.97
4 - Rcplace Ftnshing - pipc,jack
4.qf1TA $23.19 $1,68 $1.57 $96.01 -$31.13 (33%) $64,88
5- Replflce Roof vcnt •[urtle tyrc
];i-OOEA $36.05 $$,46 $I1.12 $488.23 -$158.32(339b) $329.91
G- Replacc F.xhaust Cap - through rnpf
4.0[) EA W.98 $4.70 $8.64 $273.26 -$813.62 0.3%? $184.64
7- Replace Tce & wfltcr shicld
I.337.00 SF $115 'F32,6I $51.28 $ I,FtR8.84 -$612.55 (331ih) $1,276.29
R- RcplACC Flashing, 14" widc
56.0(l[.F $2.68 $2.71 $4.77 $1,57,56 -$51,11 (3396) $106.45
9- Rcplacr. Roof vent • turbinc iypc
i.f?0FA $70.I8 'F1.26 $2.77 $74.21 -$24.07(333'0) $50.14
l0 - RCplacc Chimney flaching - avcrage (32" r 36")
3.00 FA $209.72 $11.37 $8.21 R648.74 -$210.33 (334b) $438.41
1.I - Iteplace Leminetect - 30 yr, - comp. shinglc rfg. - w/out felt
53.67 Sq $149.69 $145.13 $237,85 $8,416,84 42,729.(Ki (33%) $5,687.18
12 - Replace Ridge cAp - composition shinglcs
136.75 LF $3.15 $7.78 R6,7$ $445.29 -$144.38 (33%) R300.91
'I'otais $241.$6 $351.30 $16,561.32 -$5,385.40 $11,195.92
k'ascia , . J3eseriPti^n Aase Service 12eplocement Aetval (:ach
Qt Unlt rice CUar e fexcw Cost TotAI Ue recfation Vaiue
WOODGATF III HOMEOW1vERS 00311284547 7/20/2008 Page: 4
ASSOCIATIONS
PERMIT # (,5, 1~ RECEIPT DATE:
2002 RESID~.~T~~L P-LU~BING P~~IT APPLJC~~~ON
CITY OF EAfiA1V
3830 PaoT KvoB ftn
EA6AN, MN 5512E
651-6$1-4675
Please complete for: single family dwellings, townhomes and condos when permits are required for each unit,
backflow preventer for irrigation system
SITE ADDRESS: CA l ,1 o + e
OWNERNAME:: TELEPHONE#: (D'5~1 4 `.5 r-?--15D 3
(AREA CODE)
INSTALLER NAME:~~I • ~Q.. l\L I LLLA4f&FH0NE I ' - Ti~ n t n-I
STREET ADDRESS: (AREA CODE)
CITY: STATE: Is}~~ I ZIP:
_ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00
includes $40.00 County fee
Note: Additional consultant fees may apply `
• MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING:
_ Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00
_ Abandonment of septic system.
_ Water turnaround - existing dwelling unit 5/8" meter if needed -$118)
Other:
L ~ ~ l
_ RPZ: new installation/repair/rebuild $ 30.00
_ lawn irrigation system
Replacement/additional: ~ water softener _ wle h e~f"r'~i $ 15.00
State Surcharge $ .50
Total $
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances. It
is the applicanYs 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 ficilities constructed under this permit ' in City operty/right-of-w /ea ment.
SIGNATURE OF PERMITTEE 1/02
PERMIT # --3-)- c) 1~/~ RECEIPT DATE:
2002 ftESIDENTlAL PLi.1~OtN~ PERMI7' A~'r PLJCATION
CITY OF £A6AN
3$30 i'ILOT KNO$ RD
EA6AN. MN 55122
651-681-4675
Please complete for: single family dwellings, townhomes and condos when permits are required for each unit,
backflow preventer for irrigation system
SITE ADDRESS: 7`7 7~ l/~a,~eZiiK 6-
OWNER NAME: TELEPHONE #~Sr ~ ~ST~~7So'~
(AREA CODE)
INSTALLER NAME: 7 . C zc~y L",* TELEPHONE ~~f (S "3S4 9467
(AREA CODE)
STREET ADDRESS: 73 ~ ~o of
CITY: /4L1, STATE: 6Cs- ZIP: b
~
_ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00
includes $40.00 County fee
Note: Additional consultant fees may apply
• MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING:
_ Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00
_ Abandonment of septic system.
_ Water turnaround - existing dwelling unit 5/8" meter if needed -$118)
Other:
_ RPZ: new installation/repair/rebuild $ 30.00
_ lawn irrigation system
Replacement/additional: /zwater softener _ water heater f~ , , , , 15.00
mn~ ~
State Surcharge .50
Total w~ $
I hereby acknowledge that I have read this application, statethatthe information is correct, and to complywith all a plica Cityof Eagan ordinances. It
is the applicanYs responsibility to notify the property owner that the City of Eagan assume lia ility for any ca b the City during its normal
operational and maintenance activities to the ~cilities constructed under this permit ' in Ci property/righ of-way/e e./
~
NATURE OF PERMITTEE 1/02
i ~
1990 BUILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REOUEST 7S MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For: Valuation:.-- ~
~t,d,~.,amo D a t e: H- Pe, iLgt 19 50
a.ca,a tj 4;e~~
Site Address q'f7c,dqc-T- 10--t• OFFICE USE ONLY
Lot .7-q Block 3 FEES
Occupancy
Zoning
Parcel/Sub ~o r4e.t~ 3=p A-DO iTictN Actual Const Bldg. Permit
Allowable Surcharge •;T~
Owner Co op F,K- # of stories Plan Review
Length Q-0 i SAC, City
Address i(`-F-l`1 l.Jonc6qu,TL ~f. Depth 1:2 1_ SAC, MWCC _
~ r. T l TT..~ 1.......
.l . 117V41 WQI.El VV1111
City/Zip Code :Z2. Footpri-nt S.F. Water Meter
3`f`1-ab$<3 L' Acct. Deposit
Phone ~-{J o2 ~-7 5ll) 3 H) On site sewage_ S/W Permit
On site well S/W Surcharge
Contractor MWCC System _ Treatment P1.
City water _ Road Unit
Address Sn-m f- PRV Park Ded.
Booster Pump _ Copies
City/Zip Code 5/4-/l2f~- SUBTOTAL
APPROVALS Penalty
,
Phone Si9--ty, ~ Planner TOTAL
Council
Arch./Engr. ~-e- ' Bldg. Off.
Variance
Address 5 ~M v-
City/Zip Code
Phone #
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„i~~•.~v~::n.,.E,:.~. ~~-..~.~t:i•..~.:~.,~:?~ip{:i~.:,;7,,:;:`' :y;.~~..,~ ,..i~.i~ ,r.,s,r,::,.•„ , .~.r,:,,..,:.~.
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r~.:. . •i .,~:w r•. ' -i.'., ? i r ~ ..i'il~I.'. ' t^:.... \',a
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.
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rv'•~ y. , i •i ~
1999 FIREPLACE PERMIT APPLICATION
ClTY OF EAGAN
3830 P1LOT KNOB ROAD - 55122
651 681-4675
Date: Se 1 ~
A,, Description of Work: ~ Construct new ~'repfa_~ XGas _Masonry Alterations to existing
Install gas insert onlv Install gas line only
Other
Job address: 14 ' •
Lot: Block: 3 Subdivision/P.I.D.
Applicant (circle one only): Owner CPermit Fee: $60.50 I
~p5)
Name: Phone
PROPERTY Last First
OWNER
Street Address:
j'
City _t7 ot C,~~?1 State: Zip: ~ z
12
Company: Zorin Y'1? Phone CP
(area code)
FIREPLACE
INSTALLER Street Address:
t
City ~>>-1+-Y-M-~-c~ o ~ State: Zin:
Company: Phone
(area code)
GAS LINE ~ (~A n
p II~TSTALLER Street Address: ~~~/y ~ +C•~
. City State: Zip:
~
I hereby acknowledge that I have read this application and state that the information is correct and agree to
comply with all applicable State of Minnesota Statutes an City of Eagan Ordinances.
~
Signature
7SEP2n c
19~'9
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 16 Fireplace
WORK TYPE
? 31 I`'ew ? 33 Alterations ? 39 Gas Line ? 41 Wood Stove
? 32 Additinn fl 34 Renair Q 40 Gas Tnsert
GENERAL INFORA7ATION
Census Code 434
I SAC Code 01
REn1ARKS
Chimney/flue must be inspected before concealing.
l
PERMIT RECEIPT DATE:
~
D RESIDENTIAL PLUM$INfi PER1VI1T APPLICATION
~ CITY OF F-AfiA1V
~ 3830 Pu.oT Kvos ftn
gAHAN, MN 55188
651-6$1-4675
Please compiete for: > single family dwellings
> townhomes and condos when permits are required for each unit
> backflow preventer for irrigation system
SITE ADDRESS: Wm&a(,t k, Cnu(-~-
OWNER NAME: : L.&.~kS~„_
C TEI_EPHONE
(tar~2EA CODE)
INSTALLER NAME: ~(S~c1~~~ SO{~S TELEPHONE ^`?(Qz
STREET ADDRESS: 60~12th aVefil,l@ SOutI (AREA CODE)
Hopidtis,
CITY: STATE: ZIP:
Place a check mark next to the ermit work t e
_ New residential dwelling unit under construction and not owner/occupied $ 90.00
~ Add-on, modification or alteration to existin dwelling unit, including: $ 50.00
• abandonment of septic system
• new installation/repair/rebuild of RPZ
• lawn irrigation system OS~EO
• water turnaround P
Naiure of work: Dp ,p t
_ Septic System, new/refurbished - $ 225.00
• ~,ncludes "Iounty 8,. Consulting Inspector fees
• requires MPC licensa
State Surcharge .50
' ~ •
,vu J., e_vv 5
Tota I
Reminder. Be sure to schedule inspections of alterations, i.e. water'heaters, water softeners, etc.
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable Cityof Eagan ordinances. It
is the appticant's responsibility to notify the property owner that the City of Eagan ass mes no liability for an mages caused by the City during its normal
operational and maintenance activities to the facilities constructed under this permit ith City pro ,erty/right-of- /easement.
SI N URE OF PERMITTE
Updated 1/01
2006 RESIDENTIAL MECHANICAL PERMiT aPrLicaTioN
City Of Eagan _
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single family dwellings & townhomes/condos when permits are required for each unit
r g `
Date-1 0 (,q `
Site Address LIg"? Unit #
Property Owner Voe) Telephone
~
Contractor Tllv~~
V
Street Address ~ a+ ' City
~A_4~ w
State Zip Telephone #
Bond I q3 l./(z Expires: 26- ~ 06'
The Applicant is Owner /Contractor Other
Add-on or alteration to existing dwelling unit $ 30.00
furnace _Additional _ eplacement New
air exchanger
__j/~air conditioner
_ heat pump
other
-
StateSurcharge ' 'UL L0~ii .50
Total _
I hereby apply for a Residential Mechanical 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 with the Mechanical Codes; tha 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 wyy e in accordance with the
ap ro ed plan in the case of wor which requires a review and approval of pl ~
I
Applicant's P-Anted Name App 'cant' igna re
2006 COMMERCIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
Date / / • ' ~ ~ ~ '
Site Street Address ~ ` ~ . ~ LI~,?~t t
. ~j t,;',•, ,
Tenant Name (if applicable) Previous Tenant Name
. ~
~ • T•' _ . ~ ~
• ~ ~ . . , n . . .
Property Owner ~ ° ~ ~ • Telephonel# ) • `
Contractor
~ ° fa . , ~ . • . ' 1 ' ~ ' ' •
Street AddressL wo" ' • ~ City
• ~ . , - • rState p u ~ ' r •y Zip. 'I Telephone # ( ~•~j ' ' •
Bond Expires:
The Applicant is Owner Contractor Other
Work Type
New Construction _ Underground Tank _ Install _Remove '`"see below
Interior Improvement _ Install Piping _Probessed _Gas
Nature of Work: *''When installing/removing underground tank, call for inspecfion by Fire Marshal and Plumbing Inspector '
Permlt Fees: $70.50 Underground tank installation/removal
550.50 Mininuun (includes State Surcharge)
or
Contract Value $ x 1% _ $ Permit Fee
$ State Surcharge
If ep rmit fee is less than $1,000, add $.50
' If ep rmit fee is more than $1,000, surcharge
is $.50 for every $ 1,000 owed.
$ Total Fee
I hereby apply for a Commercial Mechanical 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 with the Mechanical Codes; 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.
Applicant's Printed Name . _ . . Applicant's Signature
Approved By: • , Inspector Date:
Required Inspections: - U.G. _ R.I. _ Air Test _ Gas Service Test - Infloor Heat _ Final
-
I For Offce Use ~
"q"77 j Permit 2& j
/~_~}y~ ;
City of Eapn ; PermitFee: /3v vC J
3830 Pilot Knob Road I ~ ~
Eagan MN 55122 ~ Date Receivej.N 10 2nn9
~
Pfione: (651) 675-5675
Fax: (651) 675-5694 ~ stafF:
~ ----------r. J
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: ~.pb o Site Address: v o Le c~
-"1 loq - 41 !q 77 ci Q
Tenant: Suite
RESIDENT / OWNER Name: od ' o m. ~~~hone: ~
Address / City / Zip:
Applicant is: Owner N~Contractor
TYPE OF WORK Description of work: Ca'"
Construction Cost: Multi-Family Building: (YeALI/ No )
CONTRACTOR Name: 'b ~i ' loV 10"- License e4 (1
Address: 0 V s L om Ov ) t" c. City: V r o ~ L /"'r ~ % ~ State: Zi 5 ~ 7 ~
Phone:~~ 2 ontactPerson: L v \
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Catesaorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
CategOry Submitted Submitted
submission type) • 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?
_Yes _No if yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer 8 Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be c/assified as non-public if you provide specific reasons that wou/d permit the City to
conclude that the are trade secrets.
I hereby acknowledge that this information is complete and accurate; that the work will 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 approvned pl in the case of work which requires a review and X approval of plans. X / q2tzz
Applic nYs Pri Name Applic Ys Si ure
Y'Sd~ Pagelof3
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L4L4-79 Ct. g q&6 DO N
OT WRITE BELOW THIS LINE /
SUB TYPES
_ Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage
_ Single Family Garage , Porch (4-Season) _ Exterlor Alteration (Singie Family)
_ Multi Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi)
01 of Plex Lower Level Pool Miscellaneous
Accessory Building
WORK TYPES
_ New _ Interior Improvement ~ Siding _ Demolish Building*
_ Addition _ Move Building _ Reroof _ Demolish Interior
Alteration Fire Repair Windows Demolish Foundation
Replace _ Repair _ Egress Window _ Water Damage
~ Retaining Wall 'Demolition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation ~ Occupancy MCES System
Plan Review J~ Code Edition a-cx)7 SAC Units
(25%_ 100%~/ ) Zoning City Water
Census Code ~ Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction Width • ,
~T-
REQUtRED INSPECTIONS '
Footings (New Building) Sheetrock
~ Footings (Deck) Final / C.O. Required
Footings (Addition) _\4 Final / No C.O. Required
Foundation ~ v HVAC
Drain Tile Other:
Roof: _Ice & Water _Final Pool: _Footings Air/Gas Tests _Final
Framing Siding: _Stucco Lath _Stone Lath _Brick
Fireplace: _Rough In _Air Test _Final Windows
Insulation Retaining Wall
Meter Size: Erosion Control
/
Reviewed By: Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge ~ 0620
Plan Review ~
MCES SAC
City SAC
Utility Connection Charge
S8W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
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PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA107785
Date Issued:10/29/2012
Permit Category:ePermit
Site Address: 4473 Woodgate Ct
Lot:022 Block: 003 Addition: Woodgate 3rd
PID:10-84602-03-220
Use:
Description:
Sub Type:e - Water Heater
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Kris Oien
3670 Dodd Rd
Eagan, mn 55123
651-365-1340
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 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 -
Frances H Zisman
4473 Woodgate Ct
Eagan MN 55122
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
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