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1650 Woodgate Lane CITY OF EAGAN VVATER SERVICE PERMIT 3830 pilot Knob Road P. O. BOX 21198 PERMIT NO.: Eagan, MN 55~1 DATE: _ ~ Zonirg: _ r No, of Units: Ownsr: Brafiley 1 en /lddroas: Sit" Addrcn' BI MaZlard Park 2 Plumber: ~ cT'srr:tn t t mb zri Meter No.: Or Ing ~ r0: _ 500.OOpd T LE N C 15. o0pd Readp~ No.: pWt LIA - 0. 00Fd 1 yne ft oasolp wft !Iw yo¦ Surchorge: . 50pci O~llee Misc. CFarpes: 132. 0 Q~d---T_p otal: 6 3 ()t~nrl n~HtEi BY Dote Poid: Date of Insp.: ~ _`3-~G CITY OF EArAN WATER SERVICE PERMIT 3830 F;bt Knob Road P. O. Box 21'199 PERMiT NO.: ~ Eagani, MN 55t„1 DATE: r_i Zoninp: . No. of Units: ~ a+'ner Addross: ' Site Addross: __1_~~t9 L,icxo-~~*a ~ • . ~ Plumber: ` Mster No.: Connection Chor 500 '1~ Size: p°' __ft Acaount De t. 15. Reodsr No.: ~ a Permit Fee: I aYns to amoly whh MN Cih ef E,pes Surcharge: t? cl ti~ OrdIwenor. Misc. CFw ?OQs: Totol: ftt) a .,.ater ~ ~ ey Dote Paid: , Date of Inap.: InsP•: , _ --_...~.~_..y...,.~:u-~~~~~___:._~- CITY OF EAGAN SEWER SERVICE PERMR 3830 Pilot Knob Road P. O. Box 21199 PERMIT NO.: E agan, MN 55121 pATE; . Zoning: Owner: ~ir ~il€; ,d * No. of Units: e jj_ S+i~ri Addr'ESS: Site /lddross: 00-d.. ate 1 , ~ - Plumber. ~-8rc~ ~'i1. 2 _ 76^11ti ' in.. ~ vH whb el~. c&p of e..,. con?ecria, aaqe: z s C~0n3 Account Deposyt: Ps?mit Fae: BY Su?ehorrps; Date of I Mise. Chorpes; nsp" Totol: Insp.: DOte Pald: r - - - CASH RECEIPT ~ • CITY OF EAGAN P. O. BOX 21-199 EAGAN, MINNESOTA 55121 DATE 19 ~ weeMveo PROM AMOUNT $ I & DOLLARS ~oo ? CASH ? CHECK FOR FUND CODE AlAOUNT ` 1 I Thank You BY _ - ~ White-Payero CoPY Yellow-Posting Copy Pink-File CoPY ~ CITY OF EAGAN 1 11 121 3 ~ . r/ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ; PHONE: 454-8100 ~BUILDING PERMIT Receipt # - , Te bi wmd fer Est. Value Date ~19 SiteAddreu Erect ?Occupancy Lot Biock Sec/Sub. • .~r Remodel lJ Zoning Parcel No. Repair ? Type of Const. Addition ? No. Stories Move ? Length W Name Demolish ? Depth ; Address Int Impr. ? Sq. Ft. b City Phone + Install ? Naiiie, ~o~ ,Approrals • Fees Z~ /lssessment Permit .50 Address City Phone Water a Sew. Surcharge P . , Police Plan Review ~ Name ~ Fim SAC Address Enq. WaterConn. - ~ _ ~ Z. City Phone Planner Water Meter u Council Road Unit " I hereby acknowledfle thwt,i have reod this applicotion ond stote thot gldg. Off. i? Tc PI. tF?e informotion is torreet" ond ogree to comply with o41 applicoble APC State of Minnesota Srotutes and_City of Epgon Or~linonces. Park8 VY. Date Copies Sipnoture of Permittee Total A Bulldind Permit Is iuued to: on ths exprcss cordition thot all work sholl be done in occordarice with all appliwble Stote of Minnesoto Statutes ond City of Eopan Ordinonces. 8uildinp Officiol ~ ' l PKmk No. PKmk Holder Date Telephone ~t Plumbinp H.V.A.C. ~p o(p ENeMe << Irapection Dstt Insp. Other Footinys I Footings II Foundstlon p f~' ~ Framin9 ~8 Ld Rooilng Rouyh Plbp. Z- O- _ Rough Ht9. Insul. AV- Fireplaw FInaIHtg• Flnal Plbg. , ! g' PS/ Final Cwt/Occ. Water Dowibe Loeation: Well Sswar P?. Disp. ~ ~ERMIT # CITY OF EAGAN FEE MECHANICAL PERMIT SiC ~ RECEIPT # - 454-8100 l ~ MINIMUM RESIDENTIAL FEE - $10.00 +$.50 TOTAL 1- DATE MINIMUM COMMERCIAL FEE - $20.00 + $.50 1. Bidg. Type: Res ~ Comm Inst 2. New Add Aiter Repair 3. Total Bid Price A!~o 4. Job Address WOO?'r-~T? Ljk) LotBlock~Sec ho. 1~ ~AUAQOt O~w~e~ 150D NYCLSt~' 6. Contractor cuk Hd I w1q A. V' t24 (Name) ~-,f'^~ (Street) (City) (Zip) 7. Contractor Phone # 3Z1G~~o RESIDENTIAL HEATING - 01-100,000 BTU's -$24.00. Each additional 50,000 BTU's or fraction -$6.00 RESIDENTIAL COOLING - 01-24,000 BTU's -$12.00. Each additional 6,000 BTU's or fraction -$6.00 MODIFICATIONS/ALTERATIONS -$10.00 minimum fee ~ HEATING VENTILATING HOT WATER STEAM AIR COND. AIR PIPING PROCESSED PIPING AIR HAND. EQUIP. RCFRIG. FIES. GAS PIPING OUTLETS -$1.50 TANKS: L.P. UNDERGROUND OTHER COMM./IND TE PRICE PLUS $.50 STATE SURCHARGE FOR EACH $7,000 OF FEE. ,%"~,1.~:~ Signed: for Approved Inspections: Date Rough Insp. Date Final Insp. ; Receipt PLUMBING PERMIT Permit No. ` i CITY OF EAGAN i' Fee Fill in numbered spaces ~S/C Type or Print /egib/y ' Tot. ' 1. Date 2. Installation Cost ` - 3. Job Address Lot Bik. ' Tract 4. Owner 5. Contractor ,Phone ~ • ~ 6. Address . ~ c 7. City - State Zip 8. Building Type: Residential ~ Commercial O Institutional ? 9. Work Description: New lJ Add ? Alter ? Repair ? 10. Describe 11. No. Fixtures No. Fixtures Water Closet Cesspool/Drainfield f Bath tubs Septic Tank Lavatory Softner Shower Well / Kitchen Sink Urinal/Bidet Other Laundry Tray / 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 I CITY OF EAGAN Remarks Addition Mal l ard Park SPrond Adrli ri nn Lot 10 Blk 7 Parcel #10 47251 100 01 owner Street 1650 Woodgate Lane State Eagan, NIN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. hlya Imp- -2,76 1977 STREET RESTOR, 19 34.52 10 P GRADING SAN SEW TRUNK aV 1974 194.05 12.94 15 t~ *SEWER LATERAL r WATERMAIN *WATER LATERAI WATER AREA &A 1977 194- 05 12-94 1 O ~ f STORM SEW TRK *STORM SEW LAT 1981 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 500.00 11 11' BUILDING PER, 11211 u if SAC 1525-00 PARK This request void ~ / ~ ~ _ O~ ~ ~ ~ ^7O 18 months from ~C a 2 0 7 4 29 ;z_ ~ ~ ~~L Zl/d ) P0.1-i 1')°)a Jlqe& -Pkz-v_Y s ~~a r- ~Re~liest te " ~ Fire No. Rouph-inInSUertion ~ 0 Required? ~ReadY NowXWill Noufy, Inspec- Yes ? No [or When Ready ~Licen edrElec[ cal Contractor I hereby request inspection of above ? Owner electrical work installed at: Street Address, Box or Route o. City loLJv~.~C_1- \ ~&VL ecUOn o. Township Name No. Range No. _ County Occ ni (P INT) i , PhoneNo. ~ ~ Power Supplie Address L~ EI tncal C4ntra (ComRany Name) Contract 's Lice No. ~ _.c, u~.> ~v~ f ~ Mailing AdJress lContract r or Owner aki g Insta C g,on) - ` N Au o ized Signat e(Cm trac ' r/Owner Making Installation) Phon~~i~r~~~ X 0 / E.) MINNE OTA STqTE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BV THE STATE BOARD UNLESS PROPER INSPECTION FEE IS 1821 University Ave., St. Paul, MN 55104 Phone (612) 297-2111 • ENCLOSED. 'b' (o REQUEST FOR ELECTRtCAL INSPECTION Es-670001=t)4- ~ t- S?- (o , See instructions for completing this form on back of yellow copy. 5~5 70 7~ _ " X" Below Work Covered by This Request :5` Nevy r Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lightiny Fixtures Apt. Buiiding Dryer Electric Heatin Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tanl< Farm otner specify ocnei (snerirY) t er Suecrfv Other Other Pomp,,Etel,spectionFee Below # Fee Service Entrance Size # Fee Feeders/Subfeeders il Fee Circuits ~ 0 to 200 Amps 0 to 30 Am s 3- m 0 to 30 Am s Above 200 Ampsi 31 to 100 Amps 31 to 100 Am s Swimming Pool Above 100_Amps Above 100_Amps TransformerS Irrigation Boon-is PartiaL'Other Fee Signs Speciallnspection $ TOTA E Remarks ~i O Rough-in ~ the ' al Inspector, heroby certify that the above Final ~ 5 te,~ , inspection has been made. This request void 18 months trom This request voiq{,~ Request Dg:e Fire No. Rough-in Inspection • Re ired7 JOR-.dy Now Q Will Notify, Inspec- s No [or When Ready a icensed Elec[rical Contractor 1 hereby request inspection of above ~Owner electrical work installed at: ' Street Addres , ox or Route _ City~ ection o. Towns ip Name or No. Range o. Co ty ~ Occa - nt (PRIN ) Phone No. Pow Su plier . Address i Elec ical_Contr tor (Company Name) Contracior's Lic~nse No. z, ? Maigng Address (Contra tor or Owner king Instailation) ~ e~'~' ~l.? ~ Sd ,(zo s~ cM~ - I 3 Auth r ed Signature (Con a Hor/Ow er Making Installation) PhbMINN OTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD UNLESS PROPER INSPECTION FEE IS 1827 University Ave., St_ Paul, MN 55704 Ph....n (9121a97-2777 ENCIOSED. y 1 REQUEST FOR ELECTRICAL INSPECTION Ee-00001_04 See instructions for completi ~ng this form on back of yellow copy. ~ E*.This Request B36639, ""X"" Be/ow Work Covered- Add Rep. Type of Building Apptiances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lightin,y Fixtures Apt_ Building Dryer Electric Heatin Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Mi Ik Tank Farm Other Specify Other(Specity) t _r (SVecify Other Other ompute Inspection Fee Be%w 71 Fee Service Entrance Size # Fee Feeders/Subfeeders # Fee Circuits 0 to 200 Amps 0 to 30 Am s 0 to 30 Am s Above 200 Amps 31 to 100 Amps 31 to 100 Am s Swimming Pool Above 100_Amps Above 100_Amps Transformers Irrigation Boomis Partial-`Other Fee Signs Special Inspec*_ion ~ S TOTAL FE Remarks . _(J Rough-in Date I, the Electrica InsDector, hereby certify that the above Final t D()teZinspection has been made. This request void 18 month4 from ? CITY OF EAGAN N° 1 12 31 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE: 454-8100 ReceiPt # 5-'3 j:5! Te be wed"for SF DWG/GAR Est. Volue $10 3, 0 0 0 Date T10VEMBER 7 , 19 85 SiteAddress 1650 WOODGATE LN Erect V Occupancy R3 Lot 10 Block 1 Sec/Sub. MALLARD PK 2ND Remodel ? Zoning RI Parcel No. Repair ? Type of Const. V Addition ? No. Stories Move ? Length 4 Z Name BRAD NIELSEN Demolish ? oepth 36 ~ Address 848 MCINTOSH DR lnt lmpr. ? Sq. Ft. City A.V. Phone 432-1250 Install ? Approvals Fees o Name SAME o~ Address Assessment Permit • 50 u~ City Phone Water & Sew. Surcharge 51.50 Police Plan Review 220.25 uX DAN MANSFELDT 525.00 ~W Name Fire SAC x- ~ Address 12443 RIVER RIDGE BLVD Eng. Water Conn. 500.00 , ~W City BURNSVILLEphone 894-3208 plonner WaterMeter 63.00 Council Road Unit 280.00 I hereby ocknowfedge thot I hove reod this opplication and stote that Bldg. Off. 11/1/85 Tr. PI. 132 . 00 fhe intormotion is torrect ond ogree to comply with plicoble APC Stote of Minnesoto Statutes o. y of Parks 1 Var. Date Copies Sipnoture of Pertnittee 7otal I _r" ~Mrc , 2 ~j IELSEN A Building Permit is issued to: BF~ N on the expreu tondition thot all work sholl be done in accordance with 1 0 liwble Stote of inne to Statutes ond Ciry of Eagan Ordinances. ~ Buildinp Official ,w c ~ ~ 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN COt4MERCIAL SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS & STRUCTURAL PLANS, 1 SET OF 3 CERTIFICATES OF SURVEY SPECIFICATIONS AND 1 SET OF 1 SET OF ENERGY CALCULATIONS ENERGY CALCULATIONS' $2,000 LANDSCAPE BOND To Be Used For: ~Qk Naluation: ~03,C<XD Date: ~ C) Site Address W01)D&A-1-6 LO OFFICE USE ONLY Lot io- Block ~ Erect Y, Occupancy (~3 ~y Remodel ~ Zoning RI Parcel/Sub Z1~0 f~'P" Repair ~ Type of Const Addition # of Stories Owner _ VEXT) 1&260 Move ~ Length -1¢ Demolish Depth Address ~s i ' DQ., Int. Impr d - Sq Ft Q Install City/Zip Code ! IP~7 l'aNA-UZ`1 521~ Phone ~~Io~~~Q APPROVALS FEES Contractor Assessments ~ Permit 44012 Water/Sewer Surcharge 51.5~ Address HUI EM-54 Police Plan Review Zz-o,zs Fire SAC 52-5. City/Zip Code Engr ~ Water Conn Sco. Planner Water Meter (03, ~ Phone Council~ Road Unit 2gp. Bldg Offl/' - ,Treatment Pl Arch./Engr. APC Parks Variance Copies Address P-j1~sp- p-r;,,~; L&V9, TOTAL City/Zip Code Dup'-ou„6 ~a Phone # ~ 11 ~ ZZ 4 - ~4 4- 63S2 4- 4-x 3~352 ~4X 2~ -(2Z 4- y- I 2 - -7 4136 Z4o X 1 S " 3~ov 24-ID xB I~Z~~~ Certificate For: ' -Mr;; Brad Nielson 13310 Ferris - " App1e Valley*, MN 55124 4 b DELMAR H. SCHWANZ 971.11 LANDSURVEVOHS INC RPqi$IPIP(1 UnAPr L.1Wa oI ThP SIAtP (if Mil1f1P8MA ~14750 SOUTH ROBERT TRAIL ROSEMOUNT. MINNESOTA 55088 PHONE 614 428-1789 SURVEYOR'S CERTIFiCATE U ` V t !Vj ~ ~ 1 UL) ~ ~~a 9~ (c~ lf ,l?~ 1 ' ~ ~~j (v Scale : 1" ~ 30-' Iron pipe o ~ Set wood hub X Elevations on assumed 41 0 / datum. ~ m\' Proposed garage floor elevation. T a I hereby certify that this is a ~ ~ true and correet representation of the following deacribed tract of ~ land: \ Lot 10, Block 1, MALLARD PARK b 2ND ADDITION, as on file and of record in the office of the County Recorder, Dakota County, Minnesota. Also showing the location of a propoaed ouse as staked thereon. \ October 31, 1985 MINNESOTA REGISTRATION NO. 862 Cities Di ital uality Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. .~..y . . , ~ ~ . , . . • , , ,.1,. ~ r,..:. r.t` r ~ +~'I . . . .,.1l1_..: ~ ...5~_/`J::) . . . . Y~~~ _ . ~r. , ~ ~ ! `..:'~1 .,~,.rw ~ - ~ ~ •.r~.~ ~.~~•:r) ~..~::i~' ...I~~~ ..._C:luR _ _ . . ::i G.i. r ~cJ 317A 419 Er i. Q, 0.. A .5 WT Wo Pl`. D.''....i.- . 153. 2:; 3i. ..Jr.t 1650 N90OI. `=t i a i F~ J 99 r,; .i • '•~fa••;~•~.~:~'~:,.a.~~,.,~~ . :~i.d • ` ?3'~.25° 1999 BUfLDiNG PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 New Construction Reauirements Remodel/Reoair Reauirements ? 3 registered sffe surveys showing sq. ff. of lot, sq. ff. of house 2 copies of plan and ali roofed areas (20% maximum lot coveraae allowed) 1 set of energy calculat(ons for heated addittons ? 2 coptes of plans (show beam 3 window sizes; poured fnd. design; etc.) 1 sBe survey for exterior addRtons b decks D t set of energy calculations ? 3 copiea oi hee preservatfon ptan N lot piatted affer 7/1 /93 DATE: °1 CONSTRUCTION COST: ^T 5 DESCRIPTION OF WORK: ie,- STREET ADDRESS: W5 C) 'vf 60 'u LOT: BLOCK: SUBD./P.I.D. P(J~~f ~J~~ Name: 1'~ GVy-„ ~ra~ Phone Lk 5Ll PROPERTY Last First OWNER Street Address: ti~ S d VJ l- a r~ City State: Zip: J (o Company: Phone (crea code) CONTRACTOR Street Address: 'D? License # (O 't Exp. City ~'2" '?=±j& State: h-1-" Zip: S 5~i -7~ ARCHITECT/ ENGINEER Company: Name: Telephone area code ( ) Stree"t Address: Registration City State: Zip: Sewer & water Iicensed plumber (reautred for new constructton onlvl: , Penalty applies when address change and lot change ts requested once permff is issued. I hereby acknowledge that I have read this application, state that the tnformation Is correct, and agree to omply with al! applicab! ~ State of Mfnnesota Statutes and City of Eagan Ordinances. Signature of Applicant: ` OFFICE USE ONLY Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 11 10-plex O 16 Fireplace ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 07 5-plex 0 12 12-piex O 17 Garage ? 22 Porch/Addn. (4sea. ? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened) ? 04 2-plex 09 7-plex ? 14 Apartments ? 99 Lower Leve! 0 24 Storm Damage ? 05 3-plex 0 10 8-plex 0 15 Lodging ? 20 Pool ? 25 Miscellaneous WORK TYPE ? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia ? 32 Addition 0 36 Move Bldg. ? 40 Gas Insert 0 44 Wndows/Doors ? 33 Alteration O 37 Demolish Bldg."' ? 41 Wood Stove ? 45 Fire Repair C] 34 Repair ? 38 Demofish (Interior) ? 42 Reroof * Give PCA handout to applicant for demolition permit GENERAL INFORMATION Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. SAC Code UBC Occupancy sq. ft. No. of Units Zoning sq. ft. No. of Bldgs # of Stories sq. ft. MC/ES System Length sq. ft. City Water Width Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MC/ES SAC : City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. , Park Ded. Trails Ded. Other ' Copies Total: SAC Units % SAC • ~ , ~I ~ 2/84 ~ ~ : CITY Or EAGAN APPLICATION FOR PERIMIT ' IUu SEWER AND/OR WATER CONNECTIODI (PLEASE PRIHi) 1) PF.OPEFrI'Y ALD?-E..SS: ~v.a T.Ff:~L DESC~.IPTICV: ~0 7` / ~ (~S'/~~ l M ~l~~ / Z /~Xt/,' (Iot/31ock/St..,civisicn or Tax Parcel I.D. NL.~,~r) ! I"r W:Ir '_:i, S7171;,C-711=~, Dr1i=. O° C.=c_TGMAL uiILDL`:G F=-;-!I'" IS~~?~C.: 1 PD^C= Of-R-1 SZ. z-PYILY . ? R-2 CUP (Ttia L':IITS ) 0 R- 3M,.~CY,TSE('I'I-?p.~ 1 L~JI -.S)( LLN1-1 = c) [3 R- 4 AcAR''`_ IE--~]'I'/CO-..ZG -!r; M-~1 ( tJNI _ S) p CCs•n1E.°,CLmiI,/R'I'AII,/OF'FICy p i'DL'S i.zIAL ? L1;STI'IL'rIONAL/GOV~-~;~nT:~'r 2) AP?T.-TC--.I' (PLEASE PRltii) rra:•~: ~ ~G T--' PZ G~:.~S: /bOS 1ClLA ~0.~~~Py C=i''. SI: r', zIP: T/7 ve r ~?-~-~yy,e i~ ?I ~J' ' `ri•L ,S .S'0 7.S I PFOV~E : ~3 S - a 7 Y/ ~ 3) PLL;;-msE? (PLEASE PRINi) d f C ITY USE 09LT FL•Czc.SS: ~~oU Le;jc,Lre- Lu.-~v~ UHBERS IICEASE: • ~ Acti e CITY, STA'?'E, ZIP: Ex ired . PFiOVE: ~j U_ 7.fS H~ I tn t of Reto .d PLUMBER L I C E N S E arr initia 4) OCCi~'PPI`1'i/G?.;,,.'M (PLEASE PRINT) NALME: lVe ~ /ju-u ADDRFSS : t .vtt ta J ~ CITY, STATE , Z ZP : PHC}}NE: 5) IlVDZG"?TE :9fiZCH PEP,:•lIT IS BEZtiC, REQUFrSTEp: - U CC:NF.CTZON M CITY SDTER LI CG.I'1117DCTZGJJ TO CITY WATER - ? 07M2 (PL.ZA._' DFSCRIBE) 6) Ii.'DICA:::. C:.c: ? PT-= nSE F?OLD APPR()VID Pg~,'"LIT FOR PICK-L'P BY ONE OF AFsGUE . ~ PI.Ft+SE ti'AIL APPFMm PIIP.11IT T'J 1, 2, 3, 6)A£(xIE (Circle one) . . - 7) SIC=L'RE: . . • . - - DATE: i• ~ i - • ~ a~• • . . ~ . ~ ~ ~ ~ ~ 74~~~I~~~+~+~~~1[~,~lV~i ~ , , ~ u: e u 01:~1.~A}tJS i~ ?~r s~ ! ~:a~ at ~a ~+t ~ra s=a s s ~ s s7s :a a ~t at atf!-~ ryy~ ~r ~ re ! = s~~a . . . . . . . . . . F , F O R C I T Y U S E O N L Y • PE:2_MIT ISSUED ' . 1 Frrs' $ /G •S U S :::LD PrRMTT (I`j(:7 .;i^,_` SURC::Aar'L) ~ $ /(j • Sv WATER PER'lI': ( IiJCL'u'DE ;,liRCHARGc. ) WaTER METER/COPPERHORN/OUTSIDE REHDE? $ WATER TAP (INCLUDE CORPORATION STOP) $ SEEWER TAP $ lS =r'~~i::i'T ~•~i~ - - " - ACCOliNT DEPOSIT - P7ATER $ . ~UU. uU WhC $ SP.C $ TRliNiC IqATrR ASSL,SS:.tE:;T $ TRu:":K SE:•IER ASSESSii=NT $ LhTE?,AL BE:JEF IT/TRU`IK SE:: ~R $ LaTERaL BENr,FIT/TRUiIK WATL'R $ WATER TREATMENT PLANT SURCHARGE . $ OTHER: $ TOTA L . ~ ~ AMOLNT PAID/REC°IPT ~ 7Q ~ DOES UTZLZTY CONyECTION REQUIP.E EXCaVATION IN PUBLIC RIGHT OF LJAY? ~ YES IF YES, THEN A"PERb1IT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE ~ NO ENGINEERING DIVISION. LIST AS A CONDI- TION. SUBJECT TO THE FOLLOWING CONDITZONS: APPROVED BY: ~ TZTLE: ' DAT° : 1Z~~ •~~s~ws~~s~~~ ~~~•a~~w~ws-s~ ~ ~~~+~w~.~~.~ ~~~~s~~~R.+~~~rES~ w.. I=Y~~"" r ~=L~?~• . ' - . . . 2005 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date a~ l D~ Site Street Address (v5a Unit # Property Owner • Telephone # (667) 4/6'il• 888v Contractor~ Telephone #(45-1) ~~3 • 3730 Address 5'ai3o City State--rL Zip O6:V The Applicant is: _ Owner V-1"Contractor _Other Alterations to existing dwelling $ 50.00 ? Add plumbing fixtures (excludes water softener and/or water heater--complete next section if installing these appliances). AA 7"a~.&.-~sJ" _Septic System Abandonment Water Turnaround (add $125.00 if a 5/8" meter is required) Other: Water Softener Water Heater $ 15.00 _ new _ replacement Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ .50 Total $ liz .6D I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. , Appl'cant's Printed Name Appli nt's Sig tur '-7 '7 173 (e', a ~ , 2007RESIDENTIAL BUILDING rExMiT arrLicaTioN ' City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements RemodellRepair Requirements Office Use Oniv 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan showing footings, beams, joists Cert of Survey Recd Y_ N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Soils Report . ; Y: _ N 1 Soils Report if proposed building is to be placed on disturbed soil 1 site survey for additions & decks Tree Pres Plan Recd N. 2 copies of plan showing beam & window sizes; poured found design, etc. Addition - indicate if on-site septic system Tree Pres Required _ Y; N 1 set of Energy Calculations ~ On-site Septic System _ Y: = N 3 copies of Tree Preservation Plan if lot platted after 7/1193 R i m J o i s t D e t a i l O p t i o n s s e l e c t i o n s h e e t ( b u i l d i n g s w i t h 3 o r l e s s u n i t s) Minnegasco mechanical ventilation form ~ ~ Ptans are considered ublic information unless ou state the are trade secre and~e r(Yason. Date 6-7 Construction Cost Site Address 14.~-o WdlovG tq-e- L+,jF- Unit/Ste # Description of Work COLD &7J(L~~~ 4 lTp r-j ~iCN.~~~ ~Iuri Multi-Family Bldg _ YY-1 N Fireplace(s) _ 0 _ 1 _ 2. Property Owner ~ U~U 4 ~L-S~N Telephone # (4( r3 L J-rJ ?z.s -,~s ~ nfS . Contractor Address ' J [Jrv- \E~ ~ 8 &1~.s~" ~~~-f L City State ~ f ,j t-) Zip Telephone COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cate~orL _ Minnesota Rules 7672 Energy Code Category 0 Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 submission type) Submitted Submitted . Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber Telephone # ( ) Mechanical Contractor Telephone # ( ) Sewer/Water Contractor Telephone # ( ) I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the appro ed plan in the case of work which requires a review and approval of plans. i ~ . ` {~~S I~~! S Applicant's Printed Name Opi ant's Signature ~ DO NOT WRITE BELOW THIS LINE s Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo/pergola) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex 0 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous „ . Work Tvpes ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building* O 43 Reroof ? 46 Windows/Doors ? 34 ReplaCement 'Demolition (Entire Bldg) - Give PCA handout to applicant DeSC1'Iptloll: Water Damage Yes . Valuation i( 0 0' Occupancy MCES System Plan Review 100% or 25% Code Edition Census Code ~q?24- Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bidgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ Sheetrock _ Footings (deck) - FinaUC.O. Footings (addition) ~ FinaUNo C.O. ~D Foundation _ HVAC Drain Tile Other Roof _ Ice & Water _ Final ` Pool Ftgs Air/Gas Tests Final ~ Framing _ Siding _ Stucco Lath _ Stone Lath _Brick _ Fireplace _ R.I. _ Au Test _ Final _ Windows Insularion ` Retaining Wall Approved By: / Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC vJ Utility Connection Charge , S&W Permit & Surcharge Treatment Plant License Search Copies Other Total 1 ~ 441'Z~ASIO~ ' Zl~ cS~Y i _t~ A _rn ~S' .ate For: t3rad Nie lson . :310 Ferris APp1e Valley*, MN 55124 - DELMAR H. SCHIPVAIVZ 971,11 LAND SURVEVORS INC RP(7~SIP'PA Un(1Pr Ldwa nl ThP 51AIP M MinnPSoIA ~ 14750 SOUTH ROBERT 7RAll ROSEMOUNT. MINNESOTA 55088 PHONE 672 423-1789 SURVEYOR'S CERTIFICATE . N~ , ~ , ML' a ` 1 ` s66 /:..J•- ~ ~9 \ U 1 i • 0. c ze; ~ ~ E ~i Scale : l" ~ 301 o = Iron pipe o - Set wood hub V ~ v` Elevations on assumed datum. Proposed garage floor elevation. ~ ~ ~ ~ I hereby certify that this is a true and correet repreaentation of 1"\ the following described tract oP land: ~ \ b• Lot 10, Block 1, MALLARD PARK 2ND ADDITION, as on file and of record in the office of the County 3c: Recorder, Dakota County, Minnesota. ~ a Also showing the location of a proposed ouse as staked thereon. October 31, 1985 j// ~ t~~,>,~~~'( H • MINNESOTA REGISTRATION NO. 862 ~ ' - ~ ~ NEW HEADER T,l.eev�emseisc Cwnioar 3 PCS of 1 3/4" x 11 718" 1.9E Microllaime LVL .n THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN CONTROLS FOR THE APPLICATION AND LOADS USTED 15' r Product Diagram is Conceptual. LOADS: Analysis is for a Header (Flush Beam) Member. Tributary Load Width: 5 Primary Load Group - Residential - Living Areas (psi: 40.0 Live at 100 % duration, 12.0 Dead Vertical Loads: Type Class Live Dead Location Application Cement Uniform(plf) Floor(1.00) 0.0 90.0 0 To 15' 2" Adds To WALL Uniform(plf) Snow(1.15) 245.0 119.0 0 To 15' 2" Adds To ROOF SUPPORTS: Input Bearing Width Length 1 Stud wall 3.00' 2.49" 2 Stud wall 3.00" 2.49" Vertical Reactions (Ibs) Deta9 Live/Dead/Uplift/Total 3375/2170/0/3545 3375/2170/0/5545 Other Al: Blopdng 1 Ply 1 3/4" x 117!8" 1.9E LVL Al: Blocking 1 Ply 1 3/4" x 11 7/8' 1.9E Mkrollamm LVL -See TJ SPECIFIERS / BUILDERS GUIDE for dulls}: A1: Blocking D QN CONTROLS: Maximum Design Control Control Shear Ms) 5454 -4639 13822 Passed (34%) Moment (Ft -Lis) 20338 20338 30788 Passed (86%) Live Load Dell (in) 0.380 0.373 Passed (L/471) Total Load Deft (in) 0.625 0.748 Passed (L/287) Location Rt. end Span 1 under Snow loading MID Span 1 under Snow loading MID Span 1 under Snow loading MID Span 1 under Snow loading •1-73 -Deflection Cn'teria: STANDARD(LW480,TL:L/240). -Bracing(Lu): All compression edges (bop and bottom) must be braced at 14' 3' o% unless detailed otherwise. Proper attachment and positioning of lateral bracing S required to achieve member stability. ADDITIONAL NOTPS: -IMPORTANT, The analysis presented is output from software developed by Trus Joist (TJ). TJ warrants the sizing of ks pry by this software will be accomplished in accordance with TJ product design miters% and code accepted design values. The %Max product oplicetart, sort design toads, and stated dimensions have been provided by the software user. This output has not been reviewed by a TJ Associate -Not all products are ready available. Cheek with your supplier or TJ technical representative for product availability. -THIS ANALYSIS FOR TRUE JOIST PRODUCTS ONLY! PRODUCT SUBSTITUTION VOIDS THIS ANALYSIS. -Allowable Stress Design methodology was used for Building Code IBC analyzing the TJ Distribution product feted above. -Note: See TJ SPECIFIER'S / BUILDER'S GUIDES far multiple ply connection. PROJECT INFORMATION: VALLEY INVESTMENT 1650 WOOD GATE LANE EAGAN eeay*Obt a 2005 by Trus Joiet, s Weye,baeuser snsieeyy Microiissr is it regiatevee traleaeik of True Joist. Commis Seist.M&LEY MINIUM 155e waonaase UMENM2W oaati.sl l 'd 'ON OPERATOR INFORMATION: Grant Jones Shaw Stewart Lumber co 845 Johnson St N.E. Minneapolis. MN 55413-2535 Phone : 512 238 4204 Fax : 612 3781484 gjones.shawstewarqumberco.00m ti81718LUZ19 N38Wl1 MVHS 0100:8 LOOZ 'l 'lnr �r -s. ri le; 41 - CA I6I c-17ctr I C9 aovuois MOD aasodow PROPOSED COLD STORAGE BRAD NIELSEN 1650 WOODGATE LANE 612-363-1299 VALLEY INVESTMENTS CONST #4241 JIM WILLIAMS 651-454-5191 pUi- m nylar-r, r `KI rvie„ EY I'S r/Inie, re. M4 R „77PR.- ritvioa Gft-P-c. L.:( (Jr_ X w Use BLUE or BLACK Ink � � r————————————-————� . � For Office Use � . I ��/ �� D � � � ��6y �l �� Permit#: � � /6�, ��- � � Permit Fee: � 3830 Pilot Knob Road , Eagan MN 55122 � Date Received: � ', Phone: (651)675-5675 I I I Fax: (651)675-5694 � Staff: I 'i �----------------� I 2015 RESIDENTIAL BUILDING PERMIT APPLICATION Date: �u�— /�j v`�%�ite Address: � � �� Unit#: �� .- � -� �- -- ;�� a Name: �4 �t-,5�/� Phone: { �� 3 Address/City/Zip: �� -`�-rz-- �-lJ �` � �� "� Applicant is: Owner Contractor , .� R ��.: : Description of work: �tle� �-l� [�� t.J a�� Wa� �`� ,TYPe c?�� .�7 v1A , e ��F� ��e Construction Cost: �-� �� Multi-Famil Buildin es /No �. ,..' ,: , Y 9: �' .��\\��\ ��: f /� � \� Company: ,� �cti.h.5� �1J�� Contact: �£,i�-2--- �� , �� 'x � �#�' �` Address � � (J�L�(' �U1.�-- City: �v�� G��_ �fi�>� � "` � �� ` ' � . ��` State:�Zip: �� Phone:Q.��y��'� I�maiL �-c��co u-5��c�vrc..)� �� F �� `t7 g ��u� �� ,. �� License#: �� Lead Certificate#: If the project is exempt from lead certification, please explain why: �v wcA_ �ti'l'�" �_ � COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING 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: Fire Suppression Contractor: Phone: N ,;� l��n s,�t�d�t►�"J�°ar�r��s#c�curr�� at,�� w ��f a��pr�side�'��1�'�r i[��r� ` "� �'ior� l��ar�� t�� +� �,�� ;��y�e�y r�" �s r�b�i��bt��; ,�o��►r�► �F�spe��f�c�eas�� c��r��er►�F�t�e�`�� . �. \, �" �� ... �... concl th�t th�':,��1�s� ,�< � �.�� , �� ..�... 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.goqherstateonecall.org 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 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. X �>��V� i/��\•. �_� X c Applicant's Printed Name Applicant's Signature Page 1 of 3 Use BLUE or BLACK Ink � r----------------"'� I For Office Use � • � Permit#: ��I �� j Clty of �� s�� Permit Fee:,�_ � 3830 Pilot Knob Road I I Eagan MN 55122 � DateReceived: � Phone: (651)675-5675 I � Fax: (651)675-5694 f Staff: I I � 2015 RESIDENTIAL BUILDING PERMIT APPLICATION �/ I � ` Date: /��1� Site Address: � �� W�D� G�"fG q 11 �./ Unit#: � � '��`�� ye , . y� Name: � G S Phone: �� Address/Ci /Zi ��C� � �/1� �H� � �� `�� tY P� �� ° \.::: �°��'�' Applicant is: Owner Contractor ..��. _..z.....�w_,„.... , ,�. � �� P � ��Y � 1�P�/7�� Q S� I � � v� Descri tion of work� ed✓' A ��I�► �'G-S '�� t?'��4� � � F � � ��:.. Construction Cost:��` S 3�� Multi-Family Building: (Yes /No� �,_ �. r;� \\�� ' Com an : � G � Contact: ��ov�d�r"� � �� p y S � � r �� , � �� q z �� ' Address: � City: �Q �v � � = �� Ia-a��-'��q� �� Phone: mail: �l� �� L� � a; �z; State: Zip: w� �. �� . /'i d '`� . . /� /� �,�� .",', ��,.�., �� License#: ��S F�� 0� J Lead Certificate#: �`►� '7 �Z If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING 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�Water Contractor: Phone: Fire Suppression Contractor: Phone: � ;:� ��rr� � � ��rfir�g � +�nt�1��#g+'t�t� ��t�r€��rrsrtler�t� ��i�ii�fra�t� .��?� 7�'rr�rtir�t��f � i $- �� `'� ��a� �\\ i��. � � �� , �� 'It��r��e cla��d�s nr�-p�r�li'c,� � ��p+�caf�� , � �a#wa#�t v �� \ �� ,, �,, , . `;•�. ,..,�?��.a_. .. . Cf7.��;� a !t�@.��, „ . ,� . ...�`S�1' . � '. ; : . �' � � 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.qopherstateonecall.orq 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 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 de must be completed within 180 days of permit issuance. � X U,�11H �� x Applicant's Printed Name Applicanf ignature Page 7 of 3