1654 Woodgate Lane
CITY OF EAGAN WATER SERVICE PERMR
3830 Pilod Knob Road
PERMIT NO.: i ~
P. O•. Box 21199
Eagan, MN 55121 DATE:
Zaniny: No. of Units: ~
OWrllf: i - .
Add/o5f2 i
Sib /lddress: L- ''.220dQate 1..11 g1 ',Ic_1Ard Y!r II
plumber, _ Sia e?luutb tci,c
~
Met~r No.: * ~fj. c t)~~ G
iu: (;C~-~d
S ~ f ~O C k . . . ~
Readi~ No.: a X911.0rimill 1 S • ~ "01'~'
I ~..ti ,.xh o. cR,~ .f ~a : A&W . 5e a '
~ . 5. 0Qpd TP
~ atal. ~i3 _ 5~!na ~neter
By ~ Date Paid:
e of Insp.: Irap.:
/ z-~~- Fl6
CITY OF EACAN WATER SERVICE PERMIT
3830 Piiot Knob Road
P. O. Box 2 199 PERMIT NO.: "
Esgan, MN 55121 DATE: ~ -
Zoninp: ~ No. of Units:
OWMr:
^ddnm: c
(li]UhG[LE LQne A1t1 11 . - .
Site Addron: W
- 1?
Plurribsr. F F'lum% i,:e~
Meftr No.: Connection Chorpe:
Siu: Acaourrt Deposit: t 5, tZi;n~:,
Rsadar No.: Permit Fee:
~ Nrim to oowoly wNb IIw Citr of Lqpo Surcharge: .`*l^~:.2
orahmosm Mix. Chorges: ? .~)~nca Ti'
Totol:
By Date Poid:
Dote of Insp.: Infp.:
CITY OF EAC3AN SEWER SERVlCE PERMR ~
3830 Pilot Kiiob Road
P. O. Box 7199 PERMIT NO.:
Eagan, MN 55121 DATE:
ZoninC. - R'' No. of Unita:
R~'4
Owrnr:
Address:
siro /lddress: P;; ZZ i
Piumber. Lalce S j.d e P?.,arab in z
Ii37.o0pf.f
, I a!m h - ph wkb the Ckf of fqem ConrNCtlon Chorpe: 7 5, . 00nd
Accant Depodt: 15.002d,
~ P.m,it Fee: 10, ~ oDd_
SuKhorps:
' BY Mist. Chorpe::
: Dote of Irop.: Totcl:
Irop.: Dote Pold:
CITY OF EAGAN
~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N
~7 12 3 i 5
PHONE: 454-8100
~ BUILDING PERMIT Receipt 1 C1 v~
To be used for S F DWG/GAR Est Value $62,000 Date Jvi+x 22 19 86
SiteAddritss 1654 WOODGATF LN Erect 99 Occupancy R3
Lot 11 Block 1 Sec/Sub. MALLARD PK 2ND Remodel ? Zoning PD
Parcel No. Repair ? Type of Const. V;1_
Addition ? No. Stories
¢ Name RSM HOMES RAove ? Length
= 18308 MURPHY LAKE Demolish ? Depth ~lb
; Address
0 City pRILR LAone " 432-2440 Int. Impr. ? Sq. Ft
Install ?
= o Name SAME Approvals Fees
Address Assessment Permit $ 319.00
~ City Phone Water 8 Sew. Surcharge 3. 00
Police Plan Review~' S0
FW Name A.P.S. DESIGN Fire SAC ~00
Address 500.00
< W city Pnone 450-0867 E"g• Water Conn. 63.50
Planner Water Meter
Council Road Unit 290.00
1 hereby acknowledge that 1 have read this application and state thatthe Bldg. Off. 7 9/86 Tr. PI. 156.00
information is correct and agree to comply with all applicable State of Minnesota Statutes and Ci g Ordinances. APC PBrks
Var. Date Copie
Signature of Permittee ~ Total , ~
A Building Permit is issued to: RSM t30MES ~ on the express condition that
all work shall be done in accordance with all applicable State of Minnesota Stat es and City of Eagan Ordinances.
Building Official
C
PrrmR No. PKmM Holder Dtle TMWphone N
~ Piumbing r770 S; c1 9/.V
H.V.4.C.. 7730
~~r ~ til~ 9/a~I
~ son«n.r
Inspection DaM Insp. Comm~na
Foodnysl js al~
FooUnpi 11
Foundatbn
Framiny
RooNny
Rouyh Plbp.
Rouyh Nly. 3 A
liuul.
Fkeplace
Final Mty.
Final Piby. y/?_~ 13 12' ~
.
&dy. FMaI 16-47 f4 'b, '
Cert. OcC. /f=
Dock Ftg. ~
Deck Frmp. - ~
WNI nDowrftetlon:
Pr. Dlsp.
r . . . . . . .:i... . . 'f .~i:.4 :J . . . ' _ , .
l
PERMIT #
PLUMBING PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE:
CONTRACT PRICE PHONE: 454-8100
Site Address 4" y~'~~ L' ~r. ~ i4 ! BLDG. TYPE WORK DESCRIPTION
LotJ/ Block / Sec/Sub
Res. New
m Name 1 ' ~ ~ ~ ' Mult Add-on
~ Address IA4 Comm. Repair
c City Phone Other
Name NO. FIXTURES TOTAL
~ ~-Water Closet - $3.00 t
; Address ~ Bath Tubs - $3.00
O City Phone ~ Lavatory - $3.00
1 Shower - $3.00 ' FEES /Kitchen Sink - $3.00
J
COMM/IND FEE - 1% OF CONTRACT FEE Urinal/Bidet - $3.00
/ Laundry Tray -$3.00 'MINIMtJM - RESIDENTIAL FEE - $10.00 / Floor Drains - $1.50
MINIMUM - COMM/IND FEE - 20.00 j Water Heater -$1.50 STATE SURCHARGE PER PERMIT - .50 Whirlpool -$3.00
(ADD $.50 S/C IF PERMIT PRICE GOES _LGas Piping Outlets -$1.50
BEYOND $1,000.00) Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50 - `
SIGNATURE OF PERMITTEE FEE
STATE SlC: -
FOR: CITY OF EAGAN GRAND TOTAL• i'
' . . V' . . ' . „ 4y~" ',7.:~., 1 " . . n ' . . .
i
• PERMIT# 71730
MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN
~ J 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE:
CONTRACT PRICE ~lv ~ ! PHONE: 454-8100
Site Address ° ~ 6 /V ~
BLDG. TYPE WORK DESCRIPTION
Lot ~ Block ~ Sec/Sub A`L-" I;`
. • V(~.
~ Name A J Res. New X
Mult Add-on
~ Comm. R sir
c City Phone Other ~
Name
FEES
c Address 7 ~7 4 `f I C ~ RES. HVAC 0-100 M BTU - $24.00
O City Phone -f'-' ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
TYPE OF WORK ADDITIONAL 6 M BTU - 6.00
GAS OUTLETS - 1.50 EA.
Forced Air M BTU COMM/IND FEE - 1% OF CONTRACT FEE
Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00
Unit Heater M BTU MINtMUM - COMM/IND FEE - 20.00
Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50
Vent CFM (ADD $50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # s- BEYOND $1,000.00)
~
Other
~ i
FEE
,
S/C: - SIGNA URE OF -
U ~ -
TOTAL• -
FOR: CITY OF EAGAN
, . , , .
' CITY OF EAGAN i
~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUI6DING RMIT Receipt #
~KYLIGM &
To be us -DECK Est. Value SZ*000 Date 1'IAY ZO
, 19 41
Site Add1s; 1654 WATt _g
Lot ZI Block 1 Sec/Sub. OFFICE USE ONLY
PBfCeI N0. Occupancy FEES
EDA L SCNMIDT Zoning -
W Name Actual Const 4500
I Address 16"~ ~1~A?t 1.M ( ~ - Bldg. Permit o (Allowable) _
City Phone ~?s2'-Z931 # o( Stories Surcharge 00
, o Name dAI.E DO~i~t~C l.ength ~7s13 Plan Review
Z~ Depih snc
Address S2~ $A'~.'II '(3[ ~s , c~?y
~i
c< S.F. Total
~ City pRAM Phone _ 536..4927 S.F. Footprints _ SAC, Mcwcc
On Site Sewage _ Water Conn
¢
W W Name On Sice wen
W Water Meter
~~z-y AddfBSS MWCC System
~ W CitY - ~ Phone City Water _ Acct. Deposil
• PRV Required _ S/W Permit
I hereby acknowlege that I have read this application and state that the Booster Pump
information is correct and agree to comply with all applicable State of - S/W Surcharge
Minnesota Statutes and City of Eagan Ordinances. Treatment PI
Signature of Permitee APPROVALS Road Unit
A Building Permit is issued to: DAU DORMsG 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 2•00
Building Official I Variance - TOTAL 4s•oo
Permit No. Permit Holder Date Teleplafe #
WATER ~
SEWER
PLUMBING
H.VA.C.
ELECTRIC
InspftNon Date Insp. Comme~ts
Footings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Hlg.
Isul.
Fireplaoe
Final Htg.
Orstat Test
Final Plbp. Plbg. Inspector - Notily Plumber
Const. Meter
Engr./Plan
Bldg. Final
Dedc Ftg.
Dedc Final H- 06"'.
Well
Pr. Disp.
CITY OF EAGAN Remarks
Addition Ma11a_rd Park Second Addi ion Lot 11 eik 1 Parcel #10 47251 110 Ol
Owner Street 1654 Wood.gate Lane State Eagan, NIlV 55122
'g3 L,gf-
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. Y-7-A. 1981 175147 350 29 5 -7 OO S`f
STREET RESTOR. 376 1977 345.19 15 Q J•S
GRADING
SAN SEW TRUNK ~?y 197 194.05 12.94 15
*SEWER LATERAL
WATERMAIN
* WATER LATERAL 1981
WATER AREA X D ~.(Q
. /
STORM SEW TRK Q 1981 44-5,37
* STORM SEW LAT 1981
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PAR K
- -.1
CITY OF EAGAN PERMIT TYPE: !
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675 ;
SITE ADDRESS: APPUCANT: ~
? : ~s. •~,~fo,i;t~fr~l 41~ kANl: i?' ~I1 0 1'I Ni!V "i ! i !`d ~
i
7
PERMIT SUBTYPE: TYPE OF WORK: I
INSPECTION D. .
f i N A i
HARI k
~ A L I 446__ : H W H 12 E" (:e AId 41 1 td Ci t` I f-. f F? 1 C. Fe 1, 6' f fi Ml l i AtJ Cj t td F> t t; i t t) fd .
,
~ , ~ . K . , , s. 3•r
J
Permit Holder Date Telephone #
PLUMBING Wf 11513- 3
HVAC
Inspection Date Insp. Comments
FOOTINGS _ Z gtg-
A4e> / L / I~I~ L Y d"
FOUND ~
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH ~
HEATING
GAS SVC
TEST
INSUL ~
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG ~
FINAL HTG /2•1S' /B V c
ORSAT
TEST
BLDG FINAL ~2 •~s•~~/ ~('j '
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITY
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
Z7.
F DECKFINAL 2.,s.~jg
- ~
~ INSPECTION RECORD -
CITY OF EaGAN PERMIT TYPE: 10 jN''
~ 3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
r ,
; SITE ADDRESS: APPLICANT:
, i 111;t11t:;A1 i ANf"
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION D • D
;tttlli,11 3 tV If I t~ t! 9•la !
~
f"Si''.itl' , . ! ~ 1,,;'.{ . , i' , f,, I,;~irr !id)j.;.i'
n L I. 4-44 x> 4 0 ti t ti i tt tN l) ! N i, t, c r ~ z C: A i,, x' F. P M I I A N f,? 1 N V, I I : 0 w ~:7
vl"Qtif vr C? rc°?R AMY Pi 11alr3iN+:; 4~JOr;Y
~ J
Permit Holder Date Telephone #
PLUMBING
~ HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD i
I FIREPLACE I
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
I BLDG FINAL ~t • lf ~d ~
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
I coNOUCnvirv
TEST
I HYDROSTATIC
I TEST I
BSMT R.I.
BSMT FINAL
I DECK FTG
DECK FINAL
~ - - - - - - _ J
I~
CITY OF EAGAN PERMIT TYPE: ~f + rtF,
3830 Pilot Knob Road . Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
l' C.
~ SITE ADDRESS: I it 9, 1 1 t3t 1't(~ k: i APPLICANT:
. i !.10 !{}tf~F} 1 ~f + ANF
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION D. • DA
rtP{~~1; t i1 1 N h. i
I
i
II
i
1lIPINT 1't~LM M[1'•I tsttN=`ai'E t.' 1 ( I4-.FOttt f:.O!`J~;f At ItJ1i,
~
~ ~
~*y. ~ 5~~ ~
l ~ - ~
Permit Holder Date Telephone #
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
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
I METER
I FLUSH
MAINS
CONDUCTIVITY
TEST
HYDROSTATIC I
TEST ~
I
BSMT R.I. ~
I
BSMT FINAL
I DECK FTG -
DECK FINAL
~2~
y/~4 9 9 REQUEST FOR ELECTRICAL INSPECTION _=~E~'~~
~ See instructions for completing this form on back of yellow copy. : ~t;
0 0 2 .~,5
) ~
8e/ow Work Covered by This Request
Ne Add Rep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer oad Management
Comm./Industrial Furnace Other S ecif
Farm Air Conditioner
I Other (specify) Contractor's Remarks:
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Am s
Transformers Above 200 Amps Above 100 Am s
SIgf1S Inspector's Use Only: TOTAL
Irrigation Booms - C~ Q ~
S ecial Ins ection Gi v
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITNIN 18 MONTHS.
I, the Electrical Inspector, hereby Rough-in Date
certify that the above inspection has
been made. Final Da
OFFICE USE ONLY
This request void 18 months from
UU22~~9 --vf nd ~ / ~ Y~
~C, r Q~ clo
Request Date F re No. h-In Inspection Required Inspeclion Other Than Rough-In
r(yOU must call inspector when ready) ~ady N ~ il .Inspector
g . ~ ? Yes &'I~ Date Read /
I icensed contractor ? owner hereby request inspection of above electrical work at:
Job Address (Street, Box or Fzeffa City
Z"5 ~ A Af
Section No. Township Name or o. Range No. County
~ 4- !'f
Occupant(P INT) Phone No.
/ A
Power Supplier ~Address
~2 ~~it~/ i r? ~ x~ /l~l iu .
Electrical Contracror (Company Name) Contracror's License No.
Cr°f1 d vPP 74
Mailing Address (CoMractor or Owner Making Installation)
/ ,~J~e ~..1'di IJ~ s. c5A e Xl/f • ~c3 7 go'
Authoriz i nature (Contrac d ner Making Installati Phone Number
. Q
M ESOTA STATE OARD OF EL RICITY THIS INSPECTION REQUEST WILL NOT
Grlggs-Midway Bld - Room 5-12 BE ACCEPTED BY THE STATE BOARD
1621 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
CITY OF EAGAN
3830, Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N° 12315
BUILDING PERMIT PHONE: 454-8100 Receipt # .6
To be used for SF DWG/GAR Est. value $ 6 2, 0 0 0 Date JULY 2 2 , 1 g 8 6
Site Address 1654 . WOODGATE LN Erect In Occupancy R3
Lot 11` Block 1 Sec/Sub. MALLARD PK 2ND Remodel ? Zoning pD
Parcel No. Repair ? Type of Const.v.,?
Addition ? No. Stories
~ RSM HOMES Move ? Length 3 6
W Name Demolish ? Depth 46
o Address 18308 MURPHY LAKE Int. Impr. ? Sq. Ft.
city PRIOR L~one 432-2440 Install ?
W. SAME Approvals Fees
o Name
OQ Address Assessment Permit $ 319.00
~ City Phone Water & Sew. Surcharge 31 . 00
Police Plan Review 159 . 50
FW Name A.P.S. DESIGN Fire SAC 575.00
Address Eng. Water Conn. 5 0 0. 0 0
a W City Phone 450-0867 Planner Water Meter 63. 50
Council Road Unit 290.00
Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe gldg.Off. ~~9~86 Tr. P~. 156. ~0
information is correct and agree to comply with all applicable State of
Minnesota Statutes and C' o a Ordinances. ` APC Parks
Var. Date Copies
Signature of Permittee Total $ 2. 0 9 4. 0 0
A Building Permit is issued to: RSM HOMES / on the express condition that
all work sHall be done in accordance with all applicable Stat f Minnesot Sta tes and City of Eagan Ordinances.
Building Official
. ~ .
" CITY OF EAGAN N o .19 0 3 8
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PHONE: 454-8100
Receipt #
`CKYLIGHTS & -
To be used for- DECK Est. Value $2, 000 Date MAY 10 1991
Site Address _ 1654 WOODGATE LN
Lot 11 Block 1 Sec/Sub. MALLARD PARK 2N OFFICE USE oNLY )
Parcel No. occupar,cy M-2 ~FEES
Zoning ~
W Name EDA L SCHMIDT (Actual) Const _ Bldg. Permit 45 . 00
o Address 1654 WOODGATE LN (Allowable) - 1.00
CltY EAGAN PhOtl@ 452-2931 # ot Stories Surcharge
Length 17x33 Plan Review
ZF Name DALE DORNBURG DePth 10ac15
s,ac, cicy
00 Address 5200 HATCH TR S.F. Total - SAC, MCWCC
~ City NEW PRAGUE Phone 526-49 7 S.F. Footprints -
On Site Sewage Water Conn
~ -
~ W Name On Site Well
W w - Water Meter
~
Address Mwcc system
¢ z Acct. Deposit
au+ City PhOn2 City Water _
PRV Required _ S/W Permit
I hereby acknowlege that I have read this application and state that ihe Booster Pump - S/W Surcharge
information is correct and agree to comply with all applicable State of
Minnesota Statutes and Cily of Eagan Ordinances. Treatment PI
Signature of Permitee APPpOVALS Road Unit
A Building Permit is issued to: DALE DORNBURG Pianner - park Ded.
on the express condition that all work shall be done in accordance with all Council 2.00
applicable State o( Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. _ Copies
Building Official _ r1lf 0(- Variance - TOTAL 48.00
~ ; 4TP' City Eaian 0f j Permit#: I
I Pertnit Fee: ~
3830 Pi(ot Knob Road ~ '
Eagan MN 55122 i.Date Received: j
Phone: (651) 675-5675 ~
Fax: (651) 675-5694 I Staff: ~
I ~
. -----------------J
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Z17.
Tenant: Suite
RESIDENT / OWNER Name: Phone:
Address / Ciry / Zp:
Applicant is: Owner Contractor
i
TYPE OF WORK Description of work: °`-rC 1--DO
Construction Cost: , Multi-Family Building: (Yes / No ~
CONTRACTOR Name: ~ License
~
Address: C9l-
City: ~ t IC~~"e+r State: zp: S~J' Q80
Phone: GJ] ' -I 31 • `1 39-V Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Categorv 1 _ Minnesota Rules 7672
p Energy Code • Residential Ventilation Category t Worksheet • New Energy Code Worksheet
Category Submitted Submitted
(4 submission type) • Energy Envelope Calculations Submitted
In the Iast 12 months, has the City of Eegan 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:
qi
.:~xe.F,_, ax ° p`. :n.. L~; ~ c.,~3L!.~ (714.T
.n .r. : .h~.v .
- :..7. •~i ~1(',~ . g, rt , ~ '-r'.`e..saa,.:~vb"~i'
w
- ..:a`, b ' ..i. ,n~•A' ` • - r
x
....`..,v.:
".9 i d ' Y,+, aG` •f x' v Y~il~~~". _
~v.
I hereby acknowledge that this intormation (s complete and accurate; that the work will be in confortnanCe with the ordinances and codes of the City of
Eagan; that I understan this is not a pertnit, but only an application for a permit, and work is not to start without a pertnit; that the work will be in
accordance 'th the appr ved plan in the case of work which requires a review and approval of p .
~
x
~J~ x • ~J
Appl ant's Printed Name p icant's Sig a re
Page 1 of 3
,
1986 BOILDING PERMIT lPPLICATION - CITY OF EAG9N
NOTE: ALL CONTRACTORS MUST BE LICENSED iTITH THE CITY OF EAGAN
SINGLE FAMIILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
MOLTIPLE DGTELLINGS - RFSIDENTIAL RENTlI. IINITS FOR SALE QNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SIIRVE7i - CHECg FIITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMMERCIII.
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For: Valuation: ~ Date: LIO
Site Address l ((1~ ~~~qG7C~, OFFICE USE ONLY
Lot It Block ~ 4IJErect ~ Occupancy ~
Remodel Zoning ~
Pareel/Sub Repair _ Type of Const
Addition # of Stories
Owner Move Length
Demolish Depth ~
Address Lr Ve, Int.Impr. Sq Ft
~ Install
City/Zip Code s1.
/
Phone ,`~j z APPROVAL.S FEES
Contractor iAssessments Permit 3/9
Water/Sewer Surcharge
Address ~ Police Plan Review O
Fire SAC 5 7 S-
City/Zip Code ~ Engr Water Conn ~
'Planner Water Meter
Phane Council Road Unit
Bldg Off Treatment P1
Areh./Engr. I R fn APC ~ Parks
Variance Copies
Address TOTAL
City/Zip Code
Phone # o \l?"6 ~
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGFS WILL BE ALLOWED ONCE BIIILDING PERMIT IS ISSIIED.
RosE ~ PtANNEAS ond6lAND SiUAVEYO!!S
PIEEtiGINECIIING
. CompliNyt INC.
~ 1000 EJIST 1461h STREZ7, BURHSVILLE, I11NNE::+TJ1 5:237 P4~( 44:22'110000
ee rZ zc rzZe
~4(=I !2r.1crt~o2zort • L.OT 1 1 , E)LOLt< I , , /A aL L Arzp
PA~zY- - S~G.oN D ArDC> t-n ot,~
T~
.~'t5o.~10: 'DENCTES Ex~~r,a~,, F_c..ccA-r~p~.
~ T~E.NO'r'C-~~ D~~L~o•~ pr
~ ~ Sur2~-Ac.c 7R-A~rJA(xc
,
TO P 0 4~ 'FNlS=
p = 53°4~~,~` .
1•
Q p 45:0:0,; a qt)
Q M ~-1(CI Z) M ( z,'
~45'3,0 ~~iS:.Z;
l",c.~.~ ~
660 ~
2' 34.o S'C k', °-.o
L i rT
U . .
LOI
~~a~?~A~E ~
s h
(q3-~.~)
1hergby cartify that thia is a t:ue and coz•rect rapraaentitiort ot a tract ot
land as sho+.n' and desc^ibed herton.• Aa prsparsd by me on this o!
y`c 19~.
Hinn. lta. No.18..e-
~
~XTERIOR EIJVELC:'Z, AVERAGE '`U ` COi;?t~TATI4:J
Ol^IIJER
° SITE ADDi?ESS_ ~~~o,
CONTRACTOR_/~5
Determine working square footaoe of each.
1. Total exposed wall area ...._19S0•O sq. ft. x._~
' •
2. Tot31 roof/ceiling a r e a sq. ft. x.~ = LG.
Total,exposed wall area above floor a. Total wall windo:•r area . . . . . . . . . . . . . . 9~•y '
b. Total door 2rea . . . . . . . . . . . . . . . . . . . . . . . . ~o- y
c. Total sliding glass area ...............13,L,9._. d. Total fireplace vra21 area n e. Tot a1 wall framing area (average 10%) . . . / .5 D ~
f. Total net wall area above floor qe2•
g. Total rim joist are2 ~..s'
Total expos.ed foundation srea = y,. v
h. Total foundstion window area O ,
i. Total aet foundation area above grade . 9B•v
Determine "U" value of each wall seEMPnt. .
a. %?.a X "vl: zo-
b, X lfur; , o~~, = 3• /
C. -31• fS X iiU:.
D. X "U"
e._~9~•v X I,U,l 13. 7 f . ~.~~Y~ • y X ,V:
Q . x "U'"
h. v X~' U' v = c~ .
i._ f~•O. X NUti .oFr3 r
3 ......Tota1
If item #3 is the same as, or less than iterq H1, you have met ttie
intent of SBC 6006(c)2..
3
Y4z-t % It? c !o o U 6 (c
~ J
. • , , Total exposed roof/ceiling area
j. Total skylight area p ,
k. Total roof/ceiling framino area (average
1. Total net insulated roof/cellinr, area
Determine "W value for each roo#'/ceiling segm-ent.
X I, U ;r
k.11~1` X.: U" , o,•r ~ = 3•1
,
1. ~9 316, X IV, . v P '
. 4 ....:.................................Tota1 = o .
If total of f''-I is the sa;ne as, or less than ~'2, you have met the
intent of SBC 6006(c)l. Alternate Buiidizig Envelope Desirn To utilize ihe total envelope syster nethod, the values'established
by the sum of 'items #3 and #4 shall not be ereater than the sum, of
iteMS #1 and k2. . 1 • + 2 . 19
~
3• ~ 4. /
~~t . -c~i~• Ce.c,.G~~n~ , ~ , . ~ -~~wi~~-C~..,, % f! u
CY 2~uca-~( . s' Z
jL ~/s • 'r' - /~S. Y = _ p ~ .
Gc'Y?~-c. cv~ C.~ _ c ~
FERMIT
GIT`Y OF EAGAN
3830 Pilot Knob Road ~ PERMIT TYPE: s uILq z NG
Eagan, Minnesota 55122-1897 Permit Number: 033243
(612) 681-4675 Date Issued: 0 9/ 11 / 9 8
SITE ADDRESS:
1654 WOODGATE I.ANE
LOTs 11 BLqCK: 1
h1flLLARb PARK 2ND
PeI.N.: 10-47261-110-01
DESCRIPTION:
F..x
G,as r-rREpLacE
F'srmit T y p e FIREPI.ACE
: A _
B.'u3a :l: d k-n;.gr,'UJ!b,r k T y p e N E W
ci~:~a 434 ALT. RE5xDEN"CIRL
x.3',~•" 6.~'~,z Vx.~'~ paS' u:8`sec~d
~.K
4
. ~ g:di, ~~f'~: ;;~,tlre ~ ~'s g:
m,: ~R'~.,.'a2 ca `'i''' <;S~a.o ixd C.:A
n ,s~J: % ~ C &,~:ti' •
REMARKS:
IN5"fALL GAS FIREPLACE WITH PIPING,
C1-IIhINEY/FI.UE MUST BE INSRECI"ED BEFORE CONCEALING. `
FEE SUMMARY: '
Base Fee $50.00
Surcharge .50
Tnta.l Fee $50.50
CONTRACTOR: A p p 1 i c a n t - OWNER:
,,PAS LINE PLUS INC 12266220 SCHMIDT EDA
4806 RUTLEDGE 5T 1654 WOOQGATE L.ANE
pRIOR LAKE MN 55372 EAGAN MN 55-122
l612) 226-6220
.
G
~
d ry"s
r P
e4,
~ mxe
6 W ~z
e.,.»
c' F e
s:Ps
A~`,se.~r m
: ~
G.`~'.. t"iQ .JS .7:°e' d' ~ ~ a,~ ~"i'• ; ~
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allt
APPLICANT/PERMITEE SIGNATURE I UED BY: SIGNA URE
CITY OF EAGAN
1 I 1~( 4Cg 3830 PILOT KNOB RD - 55122
4997'FIREPLACE PERNIIT APPLICATION
681-4675
9 C7 C,-
DAT'E: /cib PERNIIT FEE: $50.50
DESCRIPTION OF WORK: _ CONSTRUCT NEW FIREPLACE ALTERATIONS TO EXISTING
INSTALL GAS INSERT ONLY
INSTALL GAS LINE ONLY
~ OTHER: . , ^
- -~'0 f
STREET SS:
LOT BLOCK 1 SUBD./P.I.D.
APPLICANT: (circle one only) OWNER CONTRICTOR
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.
PROPERTY Name: SC)/` ~w Phone
OWNER L,ST ,,,,ST
Signature:
Street Address:
City: State: Zip:
FIREPLACE Company: G i.ino PInA, jne- Phone
INSTALLER 4806 $utledge Street Q
Signature:
Street Address: License n 11A
City: State: Zip:
GAS LINE Company: Phone
INSTALLER
Name:
Signature:
Street Address:
CC~C~OV~~(1
City: S
SEP
OFFICE USE ONLY
BUILDING PERNIIT TYPE
0 14 Fireplace
WORK TYPE
? 31 New o 33 Alterations
0 32 Addition ? 34 Repair
GENERAL INFORMATION
Census Code. 434
SAC Code 01
REMARKS
Chimney/flue must be inspected before concealing.
FERMIT CIfV OF EAGAN
30 Pilot Knob Road PERMIT TYPE: Bu z Lo x N G
~38
Eagan, Minnesota 55122-1897 Permit Number: 0 3 2 2 9 6
(612) 681-4675 Date Issued: 0 6/ 19 / 9 8
SITE ADDRESS:
1654 WOODGATE LANE
LpT: 11 BLqCKs 1
MALLARD PARK 2ND
P.I.N.: 10-47251-110-01
DESCRIPTION:
ADDN, WNDWS
Bu,' il.di,ng.~rPermit Type SF (MISC. )
bu'ilding W'qrk Type ALTERATION
f'Ce'nsusCod434 ALT. ftESTDENTTAL
~N,~~
t ~ i`°"
~ . ~ S
REMARKS:
PLAN REVEWED BY MIKE BARCK
GALL 445-2840 REGARDING ELECTRICAL PERMIT AND IN5PECTZONS
S,EPARATE PERPITT REQUIRED FOR ANY PLUMBTNG WORK
FEE SUMMARY:
VALUATION $175,000
Base Fee $1,262.25
Plan Review $820.46
Surcherge 87.50
Total Fee $2,170.21
CONTRACTOR: - Applicant - 5T. LIC OWNER:
HERMAN RENOVATION 14741757 7107 SCMMIDT EDA
5045 EUREKA RD 1654 WOODGATE I.ANE
EXCELSIOR MIV 55331 EAGAN MN 55122
(612) 474-1767 (612)452-2531
I- h,er,eby acknciw.led,ge' tha~t "I 'have! read thi:s ap:plication 'and state, that the
a.,nf.a_r;ma:~Ca.on~ 19 corre~c ts a3rtd'°- a~greeta compl'y wi`thal1~~aPP.1~3cab~xe' Sta~te o'f Mn.
` e- Statutes and Gity _.of Eagam., Qrdinanees,. . . ,
o .
. a ~ . .
APPLICANT/PERMITEE SIGNATURE ISSUED BY: SIG ATURE
};fl;1Y2'11 fdtxt};~~t =xt3vt)",f ltC} {xL};.k45;t7,i7;CXtY;{3;Ca;01t:",i};CY,CS;C3;C7;CfA};4);U;S1"CS.C
~ EACAN
r-ASi'EgE~'ve S TE~'iMLNRL NOo i82
IIAYEn 06/22198 TgNEe i4Di4a€T3
Iaf o
NA'~: HERMIAN RENOVATION COMPA7MY
3210 9001 1&54 K10O~GATE L 93e?5
2155 9001 1654 14GODGATE L 2a59
32iG 3001 1654 Kt~ODGATE L f~,262a25
3422 3001 1654 14GODCATE L 8?4 e$6
?i 55 9ODi 1654 140QDGATE L 87.50
f
~
Total ReceiDt Ama,.ante 2 y272a46
CR093?38
llSER TLDe NANCV
~U",t);C},iYC7.{~Ci 6~°Ll;t);t)~Sl;i);; Yi~;CY,i~;ti~!7,t3;tYfl~C};C7{7°CYt~'~;:S~C3;t7;C~ 4~C3;57;:t;t7~YY,:
S7201(0998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PII.OT KNOB RD - 55122
681-4675
New Construction Requirements RemodeURepair Requirements
? 3 registered ske surveys ? 2 copies of plan
? 2 copies of plans (inGude beam 8 window sizes; poured fid. design; etc.) ? 2 site surveys (exterior addkions & decks)
? 1 energy calculations ? 1 energy calculations for heated additions
? 3 copies of tree preservation plan ff lot platted after 7/1193
required: _ Yes _ No L 7$ K
DATE: ON COST; 40t!~*
17-6 /U6e,
DESCRIPTION OF WOR -76
l
STREET ADDRESS:
LOT: ~ I BLOCK: SUBD./P.I.D.
Name: 'I)MIO Phone Z " Z`~7 _2 I
PROPERTY Last Firsc
owrrEx
Street Address:
Ciry _F&I~ly state: M~ Zip;
Company: v~VY~nt_ W Phone 117,V-'1-75 /
CONTRACTOR ~
Street Address: C~G
License #47/02
City State: V/ V Zip:
ARCHITECT/
ENGINEER Company: Phone ~~p,
Name: Registration
Street Address:
City Pfiz State: Zip:
Sewer & water licensed plumber (new construction only): . Penalty applies when address chang
and lot change is requested once permit is issued.
I hereby acknowledge that I have read this application and state that the infiormation is correct and agree to comply with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
LS~~~ V LS
OFFICE USE ONLY
Certificates of Survey Received Yes No JO' 2~
Tree Preservation Plan Received Yes No Not Require
.t
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex O 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwelling ? 07 4-plex O 12 Multi Repair/Rem. O 17 Swim Pool
03 SF Addition O 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
O 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
05 SF Misc. ? 10 = plex O 15 Deck
WORKTYPE
O 31 New 33 Alterations ? 36 Move
M, 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MC/WS System
(Allowable) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code. q 31/
Depth Footprint sq. ft. SAC Code 0i
Cer.sus Bldg ,
Census Unit O
APPROVALS
Planning Building ~ Engineering Variance
Permit Fee Valuation: i-?s, oo~.
Surcharge
Plan Review
License MCNVS 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
SAC Urnts _
. ,
GITY OF EAGRN
GASHIERo S TERMINA'•_ NOo 782
L1ATEo 46/22t98 TIMEe 14e14o10
ID e
NAME o ~~MAN REKntlATION CCtMPAM'd
32iQ~ Siag3 1654 INGODGATE L 93 0 75
2155 3031 1654 GiOODGATE L 2_50
320 9091 1654 HClCIDGATE L f 2262025
3422 5001 i654 WOQLGAT c~ ~20e 46
21~5 '3001 1654 WC30ItGATE L 87.50
TQt al F:eeeipt Aniountn 25272.46
CRG9373f3
USEi IDa MANC1r
,.Y~~;r~;U<«n:.Y~,c: t~,~~.€~ ~X.?;~:tr;} ;~:ts c~;cY:rc
FERMIT --CITY,.OF EAGAN
"s"n30 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 0 3 2 2 9 5
(612) 681-4675 Date Issued: 06/ 1g/ g g
SITE ADDRESS:
1654 WOODGATE LANE
LO7: 11 BLqCK: 1
hIALLARD PARK 2ND
P.T.N.: 10-47251-110-01
DESCRIPTION:
B;u`ilda.n~`g.#,~Permit T'ype GARAGE/ACCESSORY
• ~$u.ilding GJlark Type ADDITIQN
~r Ce n s u s Cade~437 ALT. NONRES.
17
~-s ,a,,!` ~ y . .,v • b`y' ...i 'I"-~ ~ ~ <~~"~n ,v(~'.g,ss
REMARKS:
PLRN REVEWED BY MIKE BARCK
CRLL 445-2840 REGARDING ELEC7RICAL PERMIT AND INSPECTIONS
FEE SUMMARY:
VALUATION $5,000
Base Fee $99.75
5urcharge $2.50
Total Fee $102.25
CONTRACTOR: - Applicant - ST. LTG OWNER:
HERMAN RENOVATION 14741757 7107 SCMMIDT EDA
5445 EUREKA RD 1664 WOOpGATE LANE
EXCELSIOR MN 56331 EAGAN MN 55122
(612) 474-1757 ' (612)452-2931
'aI hereby ackn4i,~,led.ge that 'I` hav~e read this~ app].ication and state t the
. infcrrmata.on i~ 'correct an,d ,agr,6e ,ta comply with ~a11 appl.icable, at af Mn.
Statutese and Ca.ty° of_ 'Eag;an -O,rdinanc,es,.
~
APPLICANT/ EE SIGNATURE I SU BY: TU
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)`02 , Z~
CITY OF EAGAN
3830 PII.OT KNOH RD - 55122
681-4675
New Construdion Requirements RemodeVRepair Requirements
? 3 registered sRe surveys ? 2 copies of plan
? 2 copies of plans (inGude beam & window sizes; poured fid. design; etc.) ? 2 site surveys (exterior additions 8 decks)
? 1 energy calculations ? 1 energy calculations for heated additions
? 3 copies of tree preservation plan if lot platted after 7/1/93
required: _ Yes _ No
DATE: 2 ' % ~ CONSTRUCTION COST; ZOD GC
DESCRIPTION OF WORK:
l
STREET ADDRESS: ~ ~5 Z7L k,,26 -Z_~~~~ 17
BLOCK: , SUBD./P.I.D.
~
i
Name: Phone ZVS2- ~ Z2 3 I
PROPERTY 1-asc Firsc
OWNER
Street Address:
Ciry F&1/ / y State: M~ Zip: i~;-~ / ZZ
Company: Phone 117~4' l -/75-7
CONTRACTOR ~
Street Address:1 142-,~Q License # 7/0:2
City State: V, f
ARCHITECT/ ~~p,
ENGINEER Company: Phone ~ '
Name: M/?71J Registration
Street Address: ~ ZL1 ~
Ciry State: Zip:
Sewer & water licensed plumber (new construction only): . Penalty applies when address chang
and lot change is requested once permit is issued.
I hereby acknowledge that I have read this application and state that the information is coRect and agree to comply with alI applicabl
State of Minnesota Statutes and Ciry of Eagan Ordinances.
Signature of Applicant:
LS~[E 0 V l5
OFFICE USE ONLY
Certificates of Survey Received Yes No JM 12M
Tree Preservation Plan Received Yes No Not Requir ^~~~U•^
OFFICE USE ONLY
BUILDING PERMIT TYPE
O 01 Foundation 0 06 Duplex O 11 Apt./Lodging ? 16 Basement Finish
O 02 SF Dwelling O 07 4-plex 0 12 Multi Repair/Rem. ? 17 Swim Pool
0 03 SF Addition ? 08 8-plex K13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-plex O 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. 0 10 _-plex ? 15 Deck
WORK TYPE
O 31 New O 33 Alterations ? 36 Move
X 32 Addition 0 34 Repair O 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MC/WS System
(Allowable) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code. -Q3 7
Depth Footprint sq. ft. SAC Code 4511
Census Bldg /
Census Unit o
APPROVALS T'
Planning Building Engineering Variance
Permit Fee Valuation: $ S,
Surcharge l~
Plan Review
_
License aXZ - 25 z(b y, 0 32-
MCNVS SAC City SAC
Water Conn.
Water Meter Acct. Deposit S/V1/ Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total: f
% SAC + +
S A C Units-
Z/ BL ~ CITY USE ONLY 9& ~^Ja ~
~ RECEIPT
S~' y
SUB
RECEIPT DATE:
1998 PLUMING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dweliings „
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES EACH # TOTAL
Shower 3.00 x =
Water Closet 3.00 x =
Bath Tub 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x =
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x =
Floor Drain 3.00 x =
Gas Piping Outlet minimum -1 3.00 x =
Rough Openings 1.50 x =
Water Softener `for dwellings under construction 5.00 X =
Water Softener ` for existing dwelling 20.00 x =
U.G. Sprinkler * for dwelling under const. 3.00 =
U.G. Sprinkler * for existing dwelling 20.00 =
AlteratiOns to existing residence 20.00
Water Turn Around 20.00 =
Private Disposal System ` MPC iic. 75.00 =
(new and refurbished systems)
Private Disposal Systems "Abandonment 20.00 =
RPZ (new installation only) 20.00 =
STATE SURCHARGE .50
TOTAL
I hereby acknowledge that I have read this application, state that the infortnation 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 Ciry of Eagan assumes no liability for any damages caused by the City during its
normal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easement.
SITE ADDRESS: I &-S L/ G•~ ° ° d Gi~ ~ ~ Z /v -
OWNER NAME: Sv~ ~ ~~11`-rz
INSTALLER NAME: ~ pl, S e TELEPHONE 3 U y
~
STREET ADDRESS:
CITY: L)L ' ~ S TE: /1`21 ZIP:
~~C~QN~~
D ,
z 1998 !
~ S1GNA URE OF PERMfTTEE
CD/PERMIT FORMS/RPLBi -PERMI.T_(RES) - 1998
CAVW, ~o?9~,Jg f
r~ CITY USE ONLY q,
L ~ I`~ BL ~ I RECEIPT
SUBD. Y ~\Cx X Q l~kx RECEIPT DATE: 1-~--~ C) U
PERMIT #
2000 PLUNBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT IINOB RD
EAGAN, MN 55122
651-681-4675
Please comptete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXT[IRES EACH # TOTAL
Alterations to existing dwelling - minimum fee 30.00
$
Describe:
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas piping outlet ` minimum -1 3.00 x = $
Hot tub/spa 3.00 x = $
Kitchen sink 3.00 x = $
Laundry tray 3.00 x = $
Lavatory 3.00 x = $
Septic System new/refurbtshed " requires MPC lic. 75.00 X = $
SeptiC System abandonment 30.00 X = $
RPZ new installation/repaidrebuild 30.00 X = $
Rough opening 1.50 x = $
Shower 3.00 x = $
Underground sprinkler if dwelling is under construction 3.00 x = $
Underground sprinkler if existing dwelling 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x $
Water softener If dwelling under construction 5.00 x = $
Water softener If existing dwelling 30.00 x = $
Water tumaround 30.00 x $
State Surcharge .50 $ .50
Tmtal -a f D ~ O
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
I hereby adcnowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances.
lt is the appticant's responsibitity to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its
normal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easement.
SITE ADDRESS: G(JOO/J 6 19 7~ 44/?/~_
OWNER NAME: : LA'GC.2,,9 /0TELEPHONE 860 '0o26 S
(AREA CODE) '
WSTALLER NAME: TELEPHONE#: &/o2 "7a/-
STREET ADDRESS: J~~/o2 C~%J%~ /3vSO • (AREA CODE)
CITY: 1)2 16111?LI-qj,~U4 /S STAT ~Y ZIP: 7
SIGNATURE OF PERMITT
• ,
. ~ •
0 A
45 • 00+
1 ° 0 0 +
2•00+
48 ° 00*
R'3 1991 BUILDING 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 '4 REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
-a-SET-Of_ EN ERG:Y C-A3~-C--~J~ I-0N S-. (CHECK WITH BLDG. DEPT. ) 1 SET OF SPECIFICATIONS
-~l- 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 REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESI.°.ED. 1TO C:LANGLS WILL BE ALLOWED CN"E SUIi.DiNG PERMII iS ISSiJED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSEDaPLUMBER.
~d~C ST~A ~ 2- I ~ OAY 0 7 RECD
IRiL-'z-2eRTLoa +t. (JE;GlC
To Be Used For: ~'Valuation: Date: 5- 2-`11
Site Address 11~Sy 1/VODD6R'r'~; Gf}-Nt OFFICE USE ONLY
E/9'b/}-J1 M I -?N. SS 1 Z'L a -ep~
Lot l1 Block I FEES
~(~a,-~ Pu?~ ~ Z,,n Ajk+(a-) Occupancy Bldg. Permit s,0~
Zoning Surcharge
Parcel/Sub Actual Const Plan Review
Allowable SAC, City
Owner GDf}- L. SC.L4 N1il D T- # of stories SAC, MWCC
Length -7.~3 ~ Water Conn.
Address ( 6 Sq W00D6kR,: L,fhJ E Depth Water Meter
S.F. Total Acct. Deposit
City/Zip Code 046f-r'j Nt la ~•ss- l 2- Z Footprint S. F. S/w Permit
a S/W Surcharge
Phone (o l Z- ~ls~, - a9 3 1 On site sewage_ Treatment P1.
On site well Road Unit
Contrarr_or. DA'LE -Dd2n1QU.IZ,(~, MWCC System _ Park Ded.
City water Trail Ded.
Address sZ~d PRV _ Copies o?.Oo
5lv0-71 Booster Pump
City/Zip Code "W Ple4'( M i~J ~ SUBTOTAL
I_ 5 07_-7 y y_ S 3 Z q APPROVALS Penalty
Phone p 5a6 - ti 9 a:7 Planner Lot Change
Council TOTAL
Arch./Engr. S~mE Bldg. Off. pSS99/
Variance
Address
City/Zip Code
Phone #
C~ agrees that all work shall be done in accordance with
(Signature of Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
q, Po- erl
, .
/aoa F.
EG1NEElI1NG `pLAHHEAS nndOlAHD SiUBVEYOAS ~ CS
l7
COMptiNY, INC.
{000 EAST 146L1 57REE7, BURHSVILLE, 111NN£:uT.l 5=_37 pH 4:2-3000
G'4C T~ Z~Z C ZZze~ Cvs_?,~~e y
Z,e:7cz -12esc,..-r~a2~ z LOT I I, BLOLK. I,/V\Q.LLArZp
'P~~~ St~oN T~ A'D~ ~"rl ots
T~
.~t50.~10: ~ENCTES Ex~~r,aV ELE[ATIQ?-•.
a4CA,_- C.as~.o~ ~etio~ ~2o~sc~ 6u~cp„o~~
r 'DEtioTC-S D~ ~c,-n oti pr-
+Atq ~ S~i2=Ac~c '~RA<NA(.,~c
~ . ~(ol,Sp _
OG " GA2AC~~ Ft~p2.
p = 5?°4~~~ z
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C I TY O F E A G A N *"'°rE' PAW49W OF M AT TIME OF ;
* APPLICATION DOFS NO?r OONSTIT~Tl'E ~ * APPROVAL OF PF•l2NfIT. ' APPLICATION FOR PERMIT * ?
. . INSPDC.'PION oF sE,TWEt AtID/OR WATIIt
, ~ IN.STAi..ATTONS WB.i, IJOT BE SCHED-- '
SEWER AND/OR WATER CONNECTION ~~m Uwm PmI"IIT HAS BEm ;
. . . . * APPROVID. ;
. , P ease Print)
1) PROPERTY ADDRESS :
LEGAL DESCRIPTION: -
Lot Block Subdivision or Tax Parcel ID )
IF EXISTING SZRL'CIt.'RE, DATE OF ORIGINAL BL'ILDING pERMIT ISSL'ANCE: '
~
PRFSENr ZONING/PROPOSID L'SE: ( Nbn Year)
Q C0,N1MEtCIAL/FtETAIL/OFFICE ~ R-1 SINGLE FAMILY .
Q INIDC'STRIAL ~ R-2 DLPLEX (Zwo L~nits)
INSTITL'TIONAL/GOVERINEN'I' ~ R-3 TOWNHOL~SE (Three + Units Lfiits )
. ~ R-4 APARTTENr/CONIDOMINIL'M ( Units )
2) v IVANSE.
• ADDRESS: `
CITY, STATE, ZIP: 5-5-3
. ~
PHONE:P9V_
• 3) • u NAME. L~ J • , For City Lse 7
Plumbers License:
ADDRFSS: ~ Active
~ CITY, STATE, ZIP: Ecpired
Not recorded
D G-PHONE: ff,V- 7-oo MASTER LICENSE# a0ajP~?.-
Staff ETitlal
: 4) i.~; i~- . . .
NAME:
_ ADDRE.ss
CITY, STATE,
`
PHONE:
•5) v~ ~ a• .
~ CONNECrION TO CITY SEWII2 CONNDCTION TO CITY WATER C] QTHER -
.~ra.
6) ' ~ _ • ~ PLF.ASE HOLD APPROVED PEE2MIT FOR PICK-UP BY ONE OF ABOVE
PLF,ASE MAIL APPROVID PERMIT TO 1, 2, 3.'4. ABOVE .
, (Circle one) '
7) r. r• u..
' • '1: • Y' ~'I: N 1 1~ " ~ I' • a I~• ~ I• Y~1' • ~1• IU ' DI• • •
•~I
• ' I:ti I ! : :r M:/• •,t1~~ 1 1 1 ' :rl' • :A' • ~.•11 '
. FOR CITY USE ONLY
. .
PERMIT # ISSL'ED
7~
Pd w/Bldg. Permit FEES:
$ $ lC- S U SEWER PERMIT (INCLUDE SURCHARGE)
$ $ AD-S U WATER PERMIT (INCLUDE S(JRCHARGE)
$ ~•"S~ $ WATER METER/COPPERHORN/OL'TSIDE READER
• $ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ ~ v ACCOUNT DEPOSIT - SEWER
$ $ /5712 ~ ACCOUNT DEPOSIT - WATER
$ $ WAC ' .
$ 25 7-5 $ SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRL'NK SEWER
$ $LATERAL BENEFIT/TRUNK WATER
$ /~•~l~•D ~ $ WATER TREATMENT PLANT SURCHARGE
. $ $ OTHER:
$ Z" 2,~ S-b $ S~ O U TOTAL
qz 7c/
RECEIPZ' RECE;IP'I'DOES LTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
F I YES IF YES, THEN A"PERMIT FOR WORK LQITHIN PLBLIC
ROADWAY" MLST BE ISSUED BY THE ENGINEERING
~ NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY: lfj TITLE:
DATE :
72006 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 ! 0 7
Site Street Address l~Ps21 L/V Unit #
Property Owner 5641129 1.67- Telephone# (612)
Contractor Telephone # (611)
. &a City • State 1)')IV Zip IG~v 7
Address .J
The Applicant is: _ Owner ~ Contractor _Other
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-built $ 10.00
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures. This fee includes installation of a water softener and/or water
..,heater, at the same time. If you are installing only a water soffener and/or water
. ' heater, do not complete this section; move to the next •section , and check the
appliance(s) you are installing. '
_Septic System Abandonment
Water Turnaround (add $130.00 if a 518" meter is required)
Other:
L
Water Softener ~ Water Heater $ 15.00
_ new 7K replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
D [E OMC~
State Surcharge D $ .50
Total $ Ib~ SU
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the
, work will be in conformarice 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. 1~)AAO_-~ C-or,16)77~0?-- 64jzzl
Applicant's Printed Name Applicant's ignature
1986 BIIILDING PERMIT APPLICATION - CITY OF EAGAIJ
NOTE: ALL CONTRACTORS MIIST BE LICENSED iiITH THE CITY OF EAGAN
SINGLE FAMIILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS '
M[TL.TIPLE DWELLINGS - RESIDENTIAL RENTAL IIeTITS FOR SdLE IINITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SIIRVEY - CHECg flITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For: Valuation: Date:
Site Address ~ lD W~qG7C~, OFFICE IISE ONLY
Lot Block ~ Ereet ~ Occupaney
I ~ Remodel Zoning ~
Parcel/Sub O~ ~ l(~~~, [~-Z Repair Type of Const ~
Addition 4k of Stories
Owner , -o Move Length ql!~;
Demolish Depth
Address Lc, Ve, Int.Impr. _ Sq Ft
Install
City/Zip Code Pv'\nc- L.q
/
Phone o APPROVAIS FEES
Contractor ~ Assessments Permit 3/9
Water/Sewer Sureharge
Address Police Plan Review
Fire SAC
City/Zip Code 'Engr Water Conn
Planner Water Meter ~
Phone Council Road Unit 29~
Bldg Off q o Treatment P1
Arch. /Engr. be S I Q!r) APC ~ Parks
Variance Copies
Address TOTgI,
~i
City/Zip Code
Phone # -7
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE W$ICH ADDRESS
IS DESIRED. NO CHANGFS HILL BE lI,LOiiTED ONCE BIIILDING PERMIT IS ISSIIED.
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA109589
Date Issued:03/20/2013
Permit Category:ePermit
Site Address: 1654 Woodgate Lane
Lot:11 Block: 1 Addition: Mallard Park 2nd
PID:10-47251-01-110
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Fireplace (new)
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required by law in ALL single family homes .
Jocina Hammer
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 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 -
Eda Schmidt
1654 Woodgate Lane
Eagan MN 55122
Hearth and Home Technologies
2700 N. Fairview Ave
Roseville MN 55113
(651) 638-3309
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA141069
Date Issued:02/13/2017
Permit Category:ePermit
Site Address: 1654 Woodgate Lane
Lot:11 Block: 1 Addition: Mallard Park 2nd
PID:10-47251-01-110
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
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 (WS &/or WH)$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 -
Eda Schmidt
1654 Woodgate Lane
Eagan MN 55122
(612) 850-9132
Soderlin Plumbing, Heating & A/c
3612 Cedar Ave S
Minneapolis MN 55407
(612) 721-4080
Applicant/Permitee: Signature Issued By: Signature
a a e i For Office Use /
a a 0,,,.', ! J
Permit#: Yr) )
Asa-. -rr/ /Yn pts
Permit Fee: l// D
, ,<.04
-
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 �iC�� Date Received:
(651)675-5675 I TDD: (651)454-8535 FAX: (651)675-564 2 2019
Email: buildinginsoectionsacitvofeacian.com API Staff:
Commercial Plan Submittal:eplans(alcityofeaaan.com
2019 RESIDENTIAL MECHANICAL PERMIT APPLICATION
Date: LI~ia-9.0H Site Address: i t V`-'®
Tenant: Suite#:
I Name: £1 ft Sc tAy'h.,At Phone: 4( -g 1- /3.
Resident/Owner �'
Address/City/Zip. SO f•
Name: Pr P Q License#:
Contractor Address: �SO C d" City: X cjp --
State:tt Zip: SS-33 ( Phone: (:)0.- ? / /
IContact: Email:
i. _t
RESIDENTIAL
Furnace
b ( '
Air Conditioner
Permit TyPe
Air Exchanger
_Heat Pump
Other
New X Replacement Additional Alteration Demolition
Type of Work n_ ( �
Description of work: f(,UC i2. bk...? 6 AAAAC.s2 l
RESIDENTIAL FEES
I $60.00 Minimum Add or alteration to an existing unit, includes State Surcharge
$100.00 Residential New, includes State Surcharge =$ TOTAL FEE
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update
on the City's website at vws+w.cityafeagan.comisubscribe.
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 onlyan..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.
•x pi-t, ol-To.ri‘eN4A-fN-6
App cant's Printed Nam •.- • an -t. - •re
FOR OFFICE USE
Required Inspections: Reviewed By: Date:
Underground Rough In Air Test Gas Service Test In-floor Heat Final