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1665 Woodgate Lane CITY OF EAGAN WATER SERVICE PERMIT ; 3830 Pilo1'Ypob Road ' P. 0. Bo)S 21198 PERMIT NO.: ` , Eagan, MN 55121 DATE: ~ Z~ing; ~ No. of Units: ~ ~ Owrw r: ~/lddress: `'4c t~. Plumber. _ t- `:~~~~yi~+ ;~~;r•) M~qr No.. Connectian Charys: Siu: Acaount Deposit: 15 . ff Reoder No.: Permit Fee: . 1 NrM Io eeirollr wllb /Iw Ci1p oi EqNw Surcharpe: , ' Ordomenom Misc. Chorpes: 15 6. t?C?p! Tt' TotoL• Sr'~n:r Fti.X gy Doft Paid: ' Dote of Irup.: IMP•: CITY OF EAGAN SEWER SERVlCE PERMR 3830 Pilot'Xnob Road pERMIT NO.: . P. O. Box 21199 1 D/1TE: Eagan, MN 55121 i A No. of Units: , Zoninp: C3t t:fl228C. ~ Ownsrc ` /lddrcss: Sirs /?ddrass: 1565'Iao3 ate I.an~ I.; : . ~iutr i l.1a:nt, 2::. -P.n 1e Cz i" e< . G'~ ~ ber. ~ I. l3 • P° Plum f, 1 Mm tO °0~ w~ IM ~~~WN ConMCtton Chcr'Oe~ Acoount DePodt: ~M~, T t~ t1~3nd Pemdt Fes: r~ , s Surchorp: Misc. Chorom By Total: Dote of Insp.: poft Pofd: , Insp.: ! CITY OF EAGAN Wq~R SERVICE P ! 3830 P~'at'Cnob Rosd ERW ! P6t7. Box 21798 PERMIT NO.: 74Ic { Eagan, MN 55121 DATE: Zoninp: ~1 S_ S_ br(o f Owrwr, C•o I1 e e Cit v Con s t. No. of Untrs: 1 , Addross: ' Site /lddress: 1665 Wood ate T.ane L5 B1 k*allard pk II ' Plumbar Pfurr Plumbjn -A le [7a.lle- + AAeftr No.: D ize. O 3 rps: _500. 00p(? S c' oc{ po. No.:N~r7yo/ e4~e r~m r+: _ is.ooDa . 111111IL Zo.ouDa ~ MM.ft e010101F wilU er. Waft . 5 npd ~ OWUONGM REQU`R156. 0 0 d T'£ ~ ~ ! oL - ~ h~ ~n ' B Dote of Insp.: DaM Paid: I^ap.: i CITY OF EAGAN 11872 ~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # 7o be used tor SF DWG/GAR Est. Value $77,000 Date APkIL 30 ,19$6 ~ Site AddreS6. 1 I66S W4QDGATE LN Erect 19 Occupancy R3 Lot6 - Block ~ F Sec/Sub. MAi+LARD PK ZND Remodel ? Zoning R 1 Parcel No. Repair ? Type of Const. Vn- Addition ? No. Stories W Name ~COL"1:EG~: CITY CONSTRUC2'IUN Move ? l.ength 50 3 Address BOX 309, HWY 3 SO Demolish ? Depth 45 ° NOKTHP507/645-6648 Int. Impr. ? Sq. Ft city Install ? = o Name SAM F Approvals Fees ¢ ,address Assessment Permit $ 364.00 ~ City Phone Water & Sew. Surcharge 38.50 Q Police Plan Review 82.00 ~w' W Name 1 W ~ Fire SAC y75.00 = Address ¢ Z Eng. Water Conn. 500.00 < W city Pnone Planner Water Meter 63 . 50 Council Road Unit 290• 00 Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe BIdg.Off. 4/30/ 6Tr.P1. 156.00 information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. APC Parks Var. Date Copies Signature of Permittee ' Total 2•+~ V~ A Building Permit is issued to: COLLEGE CITY CON5'1°RUCTIOIV on the express condition that all work shatl be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official ~ , - " . " Permit Na PwmM Haldff DaM TNmphom N Plumbiny i H.VA.C. 0a5 I/q ~ 1933 b ~o Y ~a U- C SOIIMM Impectlon DoM Insp. com~b Footlnys l Footfnys 11 Foundadon Fnminy RooNny Rouph Plbp. ~ Rouqh Hty. v Insul. Finpisee Final Hty. FmW Inbg. 7r ?S . Mft. Fin,l L c.n. ou. D*ek Fty. D*ck Frmp. Wdl Pr. Dlsp. s ~ • • PERMIT # ~ CITY OF EAGAN FEE ~ MECHANICAL PERMIT RECEIPT # 454-8100 • S/C ~ MINIMUM RESIDENTIAL FEE -$10.00 + $.50 TOTAL a' ~O • V V' DATE MINIMUM COMMERCIAI FEE - $20.00 + $.50 1. Bldg. Type: Res ~ Comm Inst 2. New I~'" Add Alter Repair 3. Total Bid Price ~L~ U 4. Job Address Ot~rlrj~-~ l`1 ~)Q ~ Lot ~ Block ~ Sec v " a ~ a Owner v . 6. Contractor QLi I Ir~ S ( ~ (Name, (City) (Zip) 7. Contractor Phone # y : 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 V~HEATING VENTILATING HOT WATER STEAM AIR COND. oIR PIPING PROCESSED PIPING AIR HAND. EQUIP. RtFRIG. ~L RES. GAS PIPING OUTLETS -$1.50 TANKS: L.P. UNDERGROUND OTHER COMM./IND. RATE - 1% OF TOTAL BID PRICE PWS a•50 STATE SURCHARGE FOR EACH $1,000 OF FEE. v: . Signed: for i lCq , I,Q~/ Approved Inspections: Date Rough Insp. Date Final Insp. ~ . , , • , PERMIT # . _70 I y - ' PLUMBING PERMIT RECEIPT # a g CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: CONTRACT PRICE PHONE: 454-8100 Site Address M077 N7 BLDG. TYPE WORK DESCRIPTION ~ Lot b Block ec/$ub kL/r,~ ~ fl~' 1 Res. New (D Name U~~ ~ F U~LLs~ Mult Add-on ~ Addr ss ~ - T Comm. Repair c City~ Phone -3/ 7-s~ Other NameC u f E' , r Q,ys N0. FIXTURES TOT~/1L ~ °C Water Closet - $3.00 6 c-zJ 3 Addr, • 3~ ~Bath Tubs -$3.00 p Ci Phonef -S G f!S L ~ f~ Lavatory -$3.00 e, , v-0 Shower - $3.00 ~ =Kitchen Sink - $3.00 FEES COMM/IND FEE - 1% OF CONTRACT FEE Urinal/Bidet - $3.00 Laundry Tray -$3.00 MINIMUM - RESIDENTIAL FEE -$10.00 Floor Drains -$1.50 S J MINIMUM - COMM/IND FEE - 20.00 Water Heater -$1.50 S ~ STATE SURCHARGE PER PERMIT - .50 Whiripool -$3.00 (ADD $.50 S/C IF PERMIT PRICE GOES =Gas Piping Outlets -$1.50 - S J BEYOND $1,000.00) Softener - $5.00 Well - $10.00 l Private Disp. - $10.00 ? :z:Rough Openings - $1.50 SIGNATURE OF PERMITTEE FEE: STATE S/C: FOR: CITY OF EAGAN GRAND TOTAL• ~ S, . PERMIT # PLUMBING PERMIT RECEIPT # ~CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: CONTRACT PRICE: PHONE: 454-8100 Site Address ~ ,j BLDG. TYPE WORK DESCRIPTION Lot Block d Sec/Sub 1'\ \ U \ " ~ "-<\,L, `Res. New ~ Name 17146 Mult Add-on cc Addres~C;10 Comm. Repair c CiJ ~ • 5 ~ ' ~ Phone Other Nam NA TJ ~ ~'0 NO. FIXTURES TOTAL Water Closet - $3.00 $ c Address ~ Bath Tubs - $3.00 p City Phone 7 Lavatory -$3.00 Shower - $3.00 FEES Kitchen Sink - $3.00 COMM/IND FEE - 146 OF CONTRACT FEE Urinal/Bidet -$3.00 MINIMUM - RESIDENTIAL FEE _$10,00 Laundry Tray -$3.00 MINIMUM - COMM/IND FEE - 20.00 Floor Drains - $1.50 Water Heater -$1.50 STATE SURCHARGE PER PERMIT - Whirlpool -$3.00 (ADD $.50 S/C IF PERMIT PRICE GOES Gas 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 S/C: FOR: CITY OF EAGAN GRAND TOTAL: CITY OF EAGAN Remarks Addition Mallard Park Second Addi ti on Lot 6 Blk 1 Parcel # 10 47251 060 01 Owner street 1665 Woodgate Lane State Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. i ~ STREET RESTOR. -776 1977 34-5- 19 34.52 10 GRADING SAN SEW TRUNK ~ *SEWERLATERAL 7 1981 486.09 5 WATERMAIN * WATER LATERAL ' 1981 WATER AREA ~ STORM SEW TRK 117,^ 1981 445.37 89.07 s . *STORMSEW LAT 1981 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK HO Y2"~58 Request Date Fi e No. tRmgh-In Inspection Required Inspecti ther Than Rough-In (You must call inspector wh ready) eady No Wil oti nspector ~ U qq ? Yes No Date Read I icensed contractor ? owner hereby request inspection of above electrical work at: Job Address (Street, Box or Route No.) City 6 Se tion No. Township Name or No. Range No. County Occupant (PRINT) , Phone No. Power Supplier Address 6f+Cz~(,P_L c-, 16Z/4. ! l~ 71- 7l/ / iG~ ?~l - ectrical Contractor (Company Name) Contractor's License No. - f I 'e- Cig lS--:~> a 7 Mailing Address (Contractor or wner aking Installation) 14~~: ~ • L° /1~ c~ 7~ Authoriz d' ature (Contractor/O er aking Installation) Phone Number ~ MI SOTA STATE BO RD OF ELECTRICI THIS INSPECTION REQUEST WILL NOT ~-Griggs-Midway Bldg. - oom S-128 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS PhOne (672) 642-0800 FNCI nSFO. 7 4 REQUEST FOR ELECTRICAL INSPECTION ~~j e_ ~_o 0 2 5 8~ See instructions for completing this form on back of yellow copy. \ -7~ "K" 88/0* 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 Amps Transformers Above 200 Amps _ Above_100 Am s Signs Inspector's Use Only: TOT~ALZE 0 Irrigation Booms U Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in oace certify that the above inspection has Final Date been made. OFFICE USE ONLV ~ This request void 18 months from 10 0N'~53 k ~ ~v ~ o Request Date ire No. ough-In Inspection Required Inspection Other Than Rough-In / T11 You mu t inspector when ready) ~ Ready Now Will Notify Inspector ~Yes ? No Date Read I~ licensed contractor ? owner hereby request inspection of above electrical work at: Job Address (Street, Box or Route No.) Ciry 16 G.S ao G E L dA116 dOWAI Section No. Township Name or No. Range No. County Occupant (PRINT) Phone No. L nl ~ ~ Power Supplier Address Elecirical Contractor (Company Name) Contractor's License No. S ER r c; r c. ~a C o 11,61 Mailing Address (Coniractor or Owner M ing Installation) G Authorized S,gna~ re (C ract n Making I allation) Phone Number .20 - lo ~ ' MI A ARD OF ELECTR Y THIS INSPECTION REQUEST WILL NOT G -Mid Room S-128 BE ACCEPTED BY THE STATE BOARD 1821 Unive Paul, MN 551 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 FNCi 0spn. i ~ ~14~1~J RE(~UEST FOR ELECTRICAL INSPECTION ~U (~~w EB-000ry01-Qpg"P i.J L:.' ? 653 ~ See instructions tor completing th' (orm on back of yellow copy. ' Y ~a~ a p Be/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 Load Management Comm./Industrial Furnace Other S ecif Farm Air Conditioner Other (speciy) Contract/orl's Remarks: Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Above 100 Am SIgnS Inspector's Use Only: TOTAL Irrigation Booms Special Inspection t Alarm/Communication THIS INSTALLATION MA ORD 15CON CTED IF NOT Other Fee COMPLETED WITHIN 1 TH I, the Electrical Inspector, hereby Rough-in Date43 Z~ certify that the above inspection has Final D a~ been made. OFFICE USE ONLY ~ This request void 18 months from This request void /l•} fi J ~ S G~ 18 mon+P-s from _ C ~ 9 3 3 2 ~Request Uate Fire No. Rough-m Insper.tion ~ Req ired? O ~Ready Now Q Will Notify, InsPec- ~ Yes No tor When Ready ilt s Licensed Electrical Contractor I hereby request inspection of above Owner electrical work installed at: Street Address, Box or Route No. City 4A1 LVnedvIc N~ ~ .11 ection o. Township Name or No ange No. Co a ( ^E IfjLT)Phone No. OccuGant (PRl / `J Power Supplier Address Electrical ntractor (Company N e) Co ractor's Licens No. e 4n e.L, ~•v f Mailing Address (Contra or or Ow r Making Instailati I Authorized Signature tor/ wn r in stallation) Phone Number MINNESOTA STATE BOARD F ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS pti,,,,e M1121 2q7_9111 ENCLOSED. EB-00001-00 REQUEST FOR ELECTRICAL INSPECTION 0. ~ , See instructions for completing this form on back oi yellow copy. --19332 ~~X~ ~ Below Work Covered by This Request , 3 AAd ReD• TYpe ot Building Appliancea Wired EquiUment Wired Home Range Temporary Service Duplex Water Heater Liyhtin,y Fixtures Apt. Buiiding Dryer Electrii: Heatiii Commercial Bldy. Fumace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tenk - Fa Other Speci y Other (SPer.ify) e cjf~ Other Other ompute lnspection Fee Below p Fee Service Entrance Size H Fee feeders/5ubfeeders # Fee Circuits 0 to200Am s 0 to30Am s 0 to 30Am s Above 200 Amps 31 to 100 Amps 31 to 100 Am s Swimming Pool Above 100_Amps Above 100_Amps Transformers Irrigation Booms „J Partial-'Other Fee Rerriarks Signs Speciallnspection TO AL m/t J Rough-in ~ Date' ~ he Electr' .e Ins , iereby ~ certify that the above Final D~ inspection has been o- . made. This request void 18 months from CITY Ot EAGAN N 0- 118 7 2 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 - PHONE: 454-8100 ~ BUILDING PERMIT Receipt # Tp be used for SF DWG/GAR Est. value $ 7 7. 0 0 0 oate APR IL 30 198 6 S iteAddress ` 16 6 5 WOODGATE LN Erect Occupancy It 3 ~ Lot 6 Block 1, Sec/Sub. I4AI'LARD PK 2ND Remodel ? Zoning R1 P.arcel No. Repair ? Type of Const. Vn Addition ? No. Stories ¢ Name COLLEGE CITY COIQSTRUCTION Move ? Length 50 3 Address BOX 309, HWY 3 SO Demolish ? Depth 4Ei City NORTHFI~" 507/645-6648 Instmpr. O Sq. Ft. • ~ o Name SAME Approvals Fees ~°,a Address Assessment Permit $ 364.00 ~ City Phone Water & Sew. Surcharge 38.50 Police Plan Review 182.00 ~ W Name Fire SAC 575.00 z~ ,4ddress Eng. Water Conn. 500.00 U a W City Phone Planner Water Meter 63 . 50 Council Road Unit 290.00 I hereby acknowledge that I have ead this application and state thatthe gld . Off. 4/ 3 0/8 Tr. PI. 156.00 information is correct and agr to comply with all applicable State of 9 Minnesota Statutes and Cit Eagan 'n ces. APC Parks Var. Date Copies ` Signature of PermittTotal $ 2.16 9. 0 0 Aeuilding Permit is issued to: C LEGE CITY CONSTRUCTIOIV on the express condition that all .work shall be done in accordance with all applicable Stat f Minnesot Statute and City of Eagan Ordinances. Building Official . .L~c ` 2005 RESIDENT'IAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reauirements RemodellReoair Reauirements Office Use Onlv 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan CeR of Survey Recd _ Y_ N (20% mazimum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd _ Y_ N, 2 copies of plan showing beam 8 window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Required _ Y_ N 1 set of Energy Calculations AddRion - indicate if on-sfte septic system On-site Septic System _ Y_ N 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Date Uc Construction Cost Site Address ~ J wo«1 0~ n e Unit/Ste # &W ~ Descrip lon of Work ea r v 4T Q reWa Ce :sh (il Qn 11-00-6F Multi-Family Bldg _ Y~ N Fireplace(s) _ 0 ~ 1 _ 2 Property Owner Pw ¢ Ka ren Land (m Telephone # (66( ) yJr~ ~ P(7 Contractor Address City State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cate~ory 1 Minnesota Rules 7672 Energy COde Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previousfy constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone # ( ) Mechanical Contractor Telephone # ( ) Sewer/WaterContractor 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 approved plan in the case of work whicli requires wreuiew and approval of plans. 2005 ~ Applicant's Printed Name Applicant's Signature u ~ - . _ 6473g 2004 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/,7 Site Street Address ~4~5~ Z~ Unit # Property Owner j ~~60= P/v z4N Telephone # (6M)- , -/2f/ -7 Contractor aL z 12 / e- b 6 j 1-7 T~ Q h-o c(ol #(6/a) 8'/7 'j1940 Address D 2i4-dl~ 4,,, e0 City "State-LZL)- Zip ~fs'( The Applicant is: _ Owner ~ Contractor _Other Alterations to existing dwelling $ 50.00 _Add fixtures to rooms, excluding water softener and water heater _Septic System Abandonment _Water Turnaround (add $121.00 if a 5/8" meter is required) Other: _ Water Softener Water Heater $ 15.00 -A replacement _ additional Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00 State Surcharge $ .50 Total $ 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 req ' be reviewed and approved. App Applicant's Signature D JUN U 9 2004 By ; PERMIT 0 )~Y ~ CITY OF EAGAN / 3830 Pilot Knob Road PERMIT TYPE: ~~~OV ( Eagan, Minnesota 55123 Permit Number: R U I I G 024117 (612) 681-4675 Date Issued: 0 7/ 18 / 9 4 SITE ADDRESS: 1665 WOODGATE LANE LOT: 6 BLOCK: 1 MALLARD PARK 2ND P.I.N.: 10-47251-060-01 DESCRIPTION: (DECK INCLUDED) Bui.lding--.-Permit Type SF ADDITION ,,Building Wo_r_k Type NEW ~ _t i ~ i" Q.~ t ~ \ ! ~ • C] ~~`)I ~ ~'_;l_i REMARKS: SEPARATE PERMZTS ARE REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK FEE SUMMARY: UALUATION $15,000 Base Fee $162.00 Plan Review $105.30 Surcharge 7.50 Total Fee $274.80 CONTRACTOR: - A p p 1 i c a n t - S T. Lz c. OWNER: POWERS CONST CO INC 16410111 0001939 LANDIN DON 2473 W 7TH ST 1665 WOODGA7E LN 5T PAUL MN 55116 EAC,AN MN (612) 641-0111 (612)456-0817 I hereby acknowledge that T have read this application and state that the information s correct and agree to comply with all applicable Stata af Mn. 5tatutes a i y of agan Ordinances. - ~ APPLICANT/PER ITEE SIGNATURE ISS ED BY: ATURE CITY OF EAGAN 1994 BUILDING PERMIT APPLICATION 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registe e r e , 1 copy of energy calcs. J Up_ 0 8 1994 COMMERCIAL 2 sets of architectural & tructural plans, 1 set of specifications, 1 copy of Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date 7'5-- '?y / / Valuation of work Site Address: /G~~" ~~oo~c,•~-r~ ~ STREET SUITE # Tenant Name: (commercial only) LOT BLOCK SUBD. p , I . D . # ~I Descri tion of work: ~ S7z7'r' D~ 77u~v The appl icant is: ? Owner C~'Contractor ? Other (Describe) Name zv 1 , r, 1>0 P h o n e Y's6 -oel 7 Property LAST FIRST Owner Address Uvr° STREET STE # City State Zip Company w e~~ C0011. r~ CP Phone 6 Y/--oi,F/ DIlI Contractor Address a7'-? 3 CA/ License # l 93 5 Exp. City _2r- E34~~ State A41A Zip Architect/ Company Phone Engineer Name Registration # Address ' City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have re this applic tion and state that the information is correct and agree to comply with, pp icable tate of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: . ` , ~ RI-LAND C0. S1TE PLAN FOR: SURVEYING SERVICES COLLEGE CITY , 4655 NICOLS ROAD EAGAN, MINNESOTA 55122 CLANDIN) 1911 W E ~li EASEn P~3 r- ~ ~ - s ~ LoT 6 I N ~ I ' I f ropo~ep w' NORT11EIi11jATlJAAL 6AS ~ASEM6NTy o ~ PRO p036D VI I AddroM ~ i ~ ~ N I 00 W ? I Yt' ~ • bw II ~ I ~ ~ ' Mleast N~c~' y O SCALE'',t' 30' 29 I s~ a•h ,/67! P1 5 r~et ~ 1 ~ 'Z ~ : ~ y i / ; ~~t~ : I~ ~ ~ • ? K N~* aa• S I p 'r 9 ' L__1 oRlviw~r I o 0 R41 N Gf t ' 1 JS ~ E leetr ic ~^"c~ 90. siMENr o . /Q~ Wo 0 D w . G ATE o LqNE PROPERTY DESCRIPT~TOM_ LO MALLARD T.6 , sLocK_ RK N DD. oeeordinp to tM racorded plat tMreot DAKOTA caurity, Minnesota =-D o DENOTES IRON MONUMENT PROPOSED GARAGE FLOOR ELEVATION •yQ o DENOTES WOOD HUB SET PROPOSED FIRST F1.00R ELEYATION = DENOTES EEXLI EVIATION~T ~ELEVATI~OqSEMENT FLOOR = pENOTES PROPOSEO SPOT • ELEVATiON NOTE 7 VERIFY ALL FLOOR HEIGHTS WITH ~ DENOTES DRAINAGE OIRECTION FINAL HOUSE PLANS I hreW certity tAot tAis survoy,plan or report was prepored br nK or ur?der my SM~n~, Mn. R~q. No.1~23b direct supenrisian ond Mat 1 am a dulr Bradley ~ Repistered Land Surr9yor undK tM patt : y~yl~ . LaMn of tM Stot• of Mimesoto. ~ i _ T i ~ ~ Y ~ . 1986 BOILDING PERMT APPLICATION - CITY OF EAG9N NOTE: ALL CONTRACTORS MQST BE LICENSED WITH THE CITY OF EAGAN SINGLE F9MIILY DGIELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS M[TLTIPLE DWELLINGS - RESIDENTIAL RENTAL IINITS FOR SALE QNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SIIRVEY - CHECg WITH BLDG. DEPT., 1 SET OF ENERGY CALCIILATIONS COMMERCIAL: INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, , $2,000 LANDSCAPE BOND /~`?'C~-~ ~.~Ve I L..`~ ~ To Be Used For: Valuation: ' Date: Site Address OFFICE USE ONLY Lot (0 Bloek Erect Oecupancy 9-3 Remodel Zoning Pareel/Sub Z/a1i,) Repair Type of Const ~ T~ Addition # of Stories i Owner i ~ f-ry Move Length C~ Demolish Depth Address 'aox Int.Impr. Sq Ft Install City/Zip Phone APPROVALS FEEs Contractor Assessments Permit Water/Sewer Sureharge ~ Address Police Plan Review 1116Z Fire SAC City/Zip Code Engr Water Conn Planner Water Meter Phone Council , Road Unit Bldg Off Treatment P1 ~ Arch./Engr. j~ p(.)il~,y-.~_ APC " Parks Variance Copies Address TOTAL City/Zip Code Phone # NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER IrIIIST DESIGNATETaTHICH ADDRESS IS DESIRED. NO CHANGES WILL BE AL.LOiiED ONCE BIIILDING PERMIT IS ISSIIED. ~ l.~ 2 ~22 ~ 2,0 r TRI-LAND C0. S1TE PLAN FOR: SURVEYING SERVICES COLLEGE CITY 4655 NICOLS ROAD EAGAN, MINNESOTA 55122 CU1N01 N8o 9 1910 w p ORAI AGE 0 ~ ILI EI?sfM 9i~~ t o ~ . I s 1I ~s ~ LOT s I N N NONT1IEiy1~lATtJqA~ GAS ~I~SEM6NT~ _ _ _ U" ~.A I ,s~• co ° W OW_ fi I N y 0 e ~tfsE -4 SCALE: I"=30' l' I 1 ' OT . 41• ~ Nss n ~I r• / . Z AI°t 2 ~ yl . ' I 51 9 L-1 oRvsw•r I Oa4/N Gf rv /41 Electric Seric'L 9 dE'~1ENr- o - ~ N 'r),0 Q Wo O D GA TE w - LqNE ~ PROPERTY DESCRIPT70N-,, LOT-fi-, BLOCK_1., MALLARD PARK 2ND ADD. acordinq to the recorded plat tMreot D141CC3 TA Cau*y, Minnesoto . LEGEND o DENOTES I NOR MONUMENT PROPOSED GARAGE FLOOR ELEVATION = l02.yo o DENOTES WOOD HUB SET PROPOSED FIRST FLOOR ELEVATION = DENOTES EXISTING SPOT PROPOSED BASEMENT FLOOR = 98 90 ELE VATION ELE VAT) ON OENOTES PROPOSED SPOT • ELEVATION NOTE * VERIFY ALL FLOOR HEIGHTS WITH ~ DENOTES DRAINAGE DIRECTION FINAL HOUSE PLANS I hK~p certity tAot tAis survey, plan or r~port wos prepored pr me or unasr my dir~ct supenrision and thaf 1 am a dulr Bradley :/SMenson, Mn. Raq. No. I5235 R~qist~r e d Land Surveyor undK t M ~ Latirs ot tM Sfote of Mimasota. ' Dafe ~ I, _ R EXTERIOR ENYELOPE AVERAGE "U" C0MPUTATION . • ' 06JNER ~0 ~ (2)1 y 't~7b'ZI-J~~)'j)~J r,e fo.14 " b:y'i i. • •x :rrJY tt{." . SiTE AodRESS . . ' , . . o . . . . . . a . r t - . . . 1~ . t.' (4f } . r IvoN _ CONTRACTOR 'DATE `L~-~-g(o ' PNONE ~YQ7- [ `t5_ (2Ly~ . . , , e. ',..et.,.."r'rl;,'47 i+. 1!r~ . Uetermi ne ~ worki ng -square footage of each. . 1. Total exposed wall area 01:~) sq, ft: x_~,(_ "7 ' • ' ?1 .2. Tatal roof/ceiling area.sq. ft. x~~o ' • . ...f' l, • Jotal.exposed wall area above floor a. Total wall trindow area 1 fi 3_ b. Total_door area c."Total sl iding glass door,area ~ d. Total fireplace wall area...:..... • e. Total wall framing area (average,lOX)...:......... T 17a ` f. Total net wal l 'area :above f 1 oor" : : . : : . : : Total, rim joist, area, . 0`6 , 4.... `Total-ezposed foundation arW_ ~ ` . h. Total.foundation.window'area..~:.................., i. Toal net foundation area:above grade . • , a. . : Determine"U" value~of each wall segment. d. X nUu 4lo ~ X n U a C: ~aa x uU„ oqz d. ~ 'Y S X nut$ e. I~ a X" U" . f . J( uUo = ~ . 9• ~'~0 X "U" q ~ . 7 47 . h. ~ Sf X "U" X„u„ 3 .....................................Tota1 = 2/ -=a 2 If item 13 is the same as, or less than item 01, you have met the intent of SBC 6006(c)2. ~ Total..exposed roof/cei l ing area . , . , 7ota1 skylight area..'...~ k. Total -roof/cei 1 ing framing area (average 10%) Total net..insulated roof/ceiling area............. ~ petermine `U" value.-for each roof/ceiling segment. x Ilu~~ C9 = ~ . . k.' x ~Nu-I~ X UU11 L4 ~ . . ~ • : ; • . 4...............................:...Tota1 If total of #4 is the same.as, or.less than :2, you have met' the intent of SUC 6006(c)1. . . . . . . . , . . , r~a • . . . . . ,ci , . . ~ ~ • ' • Alternate Building-Envelope Design . ~ 7o utilize the total envelope system method, the values established by the' sum of items #3 and #4 shal.l not be greater•than the sum of items pl and #2. +2. - 3.' +4. . ~ , , . 4 6~', • ~ . ~ :k: ~ , ~ . . , ~ . . , . ~ ` ~~r . • • • . . , , ~ ' `r• ' ~ , • . . „ • . . , . ~ , ~ . . ~ . ° . . ' . • ~ .e f , . . . ` , ' . 8 ' S i . . . - . . ~ . . . . . , , . . . ~ • ~ ~ . v ~ . . • , d , • . . . ! . . , . ~ , . 5 , . ' ' - WENDaw A'REA TyPp. or 1nlINDOw:. 9518" /NsvL G'~-ASS 7ae INOObv uuirs 14.4vt Bsro! 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R„ I I I ~~.1 N TE R lop, A/K fio-M ~ j I ( 4-5.3 To TA LVA L u.f. µ.?2, . l/~y ~-5,310 = OZ2 . . . 7pTA6 Foor,%4` al.M A 1 1 61AMi Ri pAf(/ 31gNlb : . . ~~~i~ . . ~;::'::::z':>:'::><::;;::<;z:>::>::> . :.~i~%~:e~' : . : :r;:i::>::»::>:; ~ ~ . a!!. . . : . : : : . . : : :"i' :2::::::: ::::.;:.;:.s:.»s:.;>s>:.::.>:>::.:;:::.::.:>::.::.::.::.::s::::::::.>:: :.>:.::::.::.s:.::.:;:.;:.::.>:s:.::.>:;:::.: : . t:5:::'::: . ; :uo>:.>:.:::::::.:::.::.: . ......................................................~~k-~~..~.....~.........~~...................................... . ~3............;.....~`~".~...... . . . . . . . . . . . . . . . . . . . . . . . . . ~ . : : : . . . . . . 1994 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. NEW CONSTRUCTION ADD-ON A/C ~ ADD-ON FURNACE FIREPLACE INSERT DATE FEES HVAC: 0-100 M BTLJ ' $ 24.00 ADDITIONAL 50 M BTLJ 6.00 GAS OUTLETS (MINIMUM 1 @ $3.00 EACH) ADD-ON/REMODEL (ExISTTrrG CorrsTttUCrioN) $ 20.00 STATE SURCHARGE .50 s a TOTAL ~D ~ SITE ADDRESS: CL (Z T p_ OWNER NAME: TELEPHONE INSTALLER:~ r`- fi ADDRESS:p CITY:AL'-~ STATE: /1l/i ZIP CODE:s 5"'V2 TELEPHONE ~VI7 t2 r~ % SIG A RE O ER TTE ~ . CITYOF EAGAi~ * ~F~ °F' : coNsTiTTM APPROVAL OF PE2NIIT. ~ APPLICATION FOR PERMIT * * INSPDGTION OF SEWE2 ArID/OR WATIIt ; ~ IIV,SrAL=ONS WIId, NOT SE SCHED- SEWER AND/OR WATER CONNECTION ~ULM UWM PEPMIT HAS BEEN . . . . * APPROVID. ~ * ~ ***********************************x . Please Print) ' 1) PROPERTY ADDRESS : ~ LEGAL DESCRIpTION: - ~Allkeh Lot Block Subdivision or Tax Parcel ID ) IF EXISTING STRUC.'IL'RE, DATE OF ORIGINAL BLILDING pERMIT ISSL'ANCE: ' ~ PRESENr ZONING/PROPOSID L'SE: (Month/ Year) Q C0MMEFZCIAL/RETAIL/OFFICE SINGLE FAMILY ' [7 INIDL'STRIAL ~ R-2 DLPLEX (Two Lfiits) n INSTIZL'TIONAL/GOV'ERNIIMEN'r ~ R-3 ZOWNiOL~SE (Three + Units Linits ) . ~ R-4 APARTNENT/CONIDOMINIL'M ( Units ) 2, ~ NAME: L ~ ,p _ O ~L,E°I E (fi'T~V C o/Ys~- . ADDRESS:_ ~ o . ~a'-w ~"zo -y CZTY, STATE, ZIP:_ 140R?~-A 4Q A~' PHONE: A Z D ~Y.S = ~~,4, k 3) • u N~~1. .1~ ~ For City C~se ~ ~ S "1'Cr ~ - P1LUnbers License: _ ADDRESS : 6110.7O -~j`- l.~ • . Active CITY, STATE, ZIP: z-,-, z L Expired zc- Not recorded ! PHONE: - 7,3'1.5- MASTER LICFNSE# Staff Initial Yj ~~a-= ' NAME: ADDRFSS : CITY, STATE, ZIP: PHONE: . . -5) ~ v• ~ ~ a• • : a - ~a ~s . Ua--ffNNEC.'TION TO CITY SEWII2 NNDCrION M CITY WATER OTHER ' . : . . 6) ~ - • i • ~ PLEASE HOLD APPROVID PERMIT FOR PICK-L'P BY ONE OF ABOVE E"LF.A.SE MAIL APPROVID PF,F2MIT TO 1, 2,(:~)._.4, p,BpVE : (Circle one ) ' 7) r. r• u• - ' y -?d ~ 16' _ ^ • 7: ~ r' ~•i: w ~ • ~ ~ a r r~• . • i- • - .,,~u?. ~ ~ o-• ~ ~ • ~.t. ~ e ~ M r e+a~ i 11 .4 . , ~ . . FOR CITY USE ONLY PERMIT # ISSL'ED Pd w/Bldg. Permit FEES: $ $ SEWER PERMIT (INCLLDE SURCHARGE) $ $ WATER PERMIT (INCLUDE SL'RCHARGE) $ $ WATER METER/COPPERHORN/OL'TSIDE READER . $ $ WATER TAP (INCLL'DE CORPORATION STOP) $ $ " SEWER TAP $ $ ACCOUNT DEPOSIT - SEWER $ $ ACCOUNT DEPOSIT - WATER $ $ WAC $ SAC . $ $ TRUNK WATER ASSESSMENT $ $ TRL'NK SEWER ASSESSMENT $ $ ' LATERAL BENEFIT/TRL'NK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ WATER TREATMENT PLANT SDRCHARGE . ~ l o~ ~i'`1 ' S C' $ OTHER : TOTAL RECEIPT RECEIPT DOES LTILITY CONNECTION REQLIRE EXCAVATION IN PUBLIC-RIGHT OF WAY? Q YES 'IF YES, THEN A"PERMIT FOR WORK WZTHIN PLBLIC ROADWAY" MLST BE ISSUED BY THE ENGINEERING ~ NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CbNDITIONS: APPROVED BY: X - ! TITLE: DATE : 6:; , 2006 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan , 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwellings & townhomes/condos when perrnits are required for each unit Date _y / (o / Q&~ Site Address l.)v o j q a.4C ~ a.,,% e Unit # u Property Owner K a r t vL L Telephone b$( O$ 1 7 Contractor H o~~w~ c~ 1\ t d• C/d ~ y, Street Address _ 0 ot SO • C~ h s G(e Y ,S7 • City S~: l rW ~~t r State 1 Y l v~ . Zip s,5'00 Z Telephone 65-1 )'/.39 - 5710 Bond 0 5 'V,.5j~ Expires: Z r/ The Applicant is Owner X Contractor Other Add-on or alteration to existing dwelling unit $ 30.00 X furnace _Additional X Replacement New air exchanger . air conditioner heat pump other State Surcharge $ .50 Total $ '30, .50 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; 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 d ce with the approved plan in the case of work which reyuires a review and approval of plans. N a N vey I?er^ S o rt, Applicant's Printed Name Applicant's Signa ure C!ty of Eaan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 ~fix--�^.��.?; �;_..,_ i` t�C,Fi L MAY 3 1 2012 2012 RESIDENTIAL BUILDING PERMIT APPLICATION 0711 -1/_( --- Date: J 3/ /— Site Address: Unit #: r Use BLUE or BLACK Ink For Office Use Permit #: /0q6 y Permit Fee: /97, 0 Date Received:' I ( Staff: Name: 01311 i- iCC li 't La/KJ/ h. Address / City / Zip: /665 WCJU<,� Ja Applicant is: Owner )— Contractor Description of work: (. Gc� Construction Cost: car) / Phone: 657 9-'% 081-7 7 Multi -Family Building: (Yes / No ) Company: f Vle'- /26(440/1( f( Address: a 6 43 WOZJd icc44 1 1 �u i Contact: bvizkw— State: 1114A4 I/ Zip: License #: City: ECt: Gciu, 55/ 2-3 Phone: 642— E75— 3?7 3 Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) /'3Ul4i 1 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: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.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 . ',tut Irv\ Applicant's Printed Name x Applicant's Signature Page 1 of 3 /M. DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Fireplace Single Family Garage Multi Deck 01 of Plex Lower Level Accessory Building WORK TYPES New Interior Improvement Addition Move Building 14 Alteration Fire Repair Replace Repair Retaining Wall DESCRIPTION Valuation 5OVG Plan Review (25% 100% 1 Census Code # of Units # of Buildings Type of Construction h'3h' REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: Ice & Water Final Framing Fireplace: _Rough In Air Test Insulation Sheathing Sheetrock Reviewed By: RESIDENTIAL FEE Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W l errnit & Surcharge Treatment Plant Copies TOTAL Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width Final 7c" Siding Reroof Windows Egress Window Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building — give PCA handout to applicant fic /2 - / MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required dy- Final / No C.O. Required HVAC Gas Service Test Gas Line Air Test Other: Pool: _Footings Air/Gas Tests Final Siding: Stucco Lath Stone Lath Brick Windows Retaining Wall: Footings Backfill Final Radon Control Erosion Control , Building Inspector 2a 4'& ao I -1l Co as Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA116319 Date Issued:10/07/2013 Permit Category:ePermit Site Address: 1665 Woodgate Lane Lot:6 Block: 1 Addition: Mallard Park 2nd PID:10-47251-01-060 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required by law in ALL single family homes . Eric Brehe Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - Donald T Landin 1665 Woodgate Lane Eagan MN 55122 Aspen Contracting/asi 4651 Nicols Rd Eagan MN 55122 (952) 583-2641 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA119457 Date Issued:12/02/2013 Permit Category:ePermit Site Address: 1665 Woodgate Lane Lot:6 Block: 1 Addition: Mallard Park 2nd PID:10-47251-01-060 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - Donald T Landin 1665 Woodgate Lane Eagan MN 55122 Champion Window Company Of Mpls 5100 HWY 169 N, #B New Hope MN 55428 (763) 574-2054 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink � r----------------� . • I For Office Use � . � � � -� ;� �� Clt of �� , Permit#: �i � Y � � x� ,� � i��, �� u� �.�s � Permit Fee: 3830 Pilot Knob Road �� Eagan MN 55122 � Date Received: '� 7 I Phone: (651)675-5675 I � I Fax: (651 j 675-5694 i Staff: '1 i 2015 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: ' Name:_1�.)(�1/l '�" �� fJ�� - Phone: (c�� 4 S�O �g�7 ��r 1 t��s �n/ooa��.-�. 1�.� �yy�ry�r Address/City/Zip: : Applicant is: Owner �Contractor ' Description of work: 1' t0�-1� �G�� ` �; T��`f@ t3f�'O�C � ' Construction Cost: l 5��UU Multi-Family Building: (Yes /No� Company: �I l�� I�. ! ^�C. Contact: �'�� 4Jv�� ' Address: 3�oQ'`3 W vo�l �.�. TV'a�l City: �a-Na� �qn#�ra��tor, � State: �h Zip: � SIZ� Phone: �IZ`Y�S`3S��mail: �Ui"�C�►"' OSC°� 9W1ai� • CaYI� License#:_�� Lead Certificate#: 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: 11�U7"�':Plans an�l s�pt�r��r�r��ac��ents�`�a#;�ar�s��r�cc��s�er�d�o b��t�bl��c��i�a�tic�ta; ��fl�s;:ot' t��'r�rrria�is�r��ra�y�e clas�si�'��d�s r�or��e�i�i�r`�',�ow pro�d�s�e�s��c re�s°ar��:�a��tl per��t�i�.C,r�y�o cfl�c��d�t�i�h� are�a�1��r�#`s. I 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 Buil ing Code must be completed within 180 days of permit issuance. X }�64t� l IM�J�-G�,er X Applicant's Printed Name Applicant's Signature Page 1 of 3 ��j� ��JF)(;�r�.-�' L� r DO NOT WRITE BELOW THIS LINE �,��f� SUB TYPES Foundation ` Fireplace Porch (3-Season) _ Exterior Alteration(Single Family) �Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) Multi Deck Porch(Screen/Gazebo/Pergola) _ Miscellaneous 01 of Plex Lower Level Pool 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 _ RQtainin�Wall , . "Demolition of entire building-give PCA handout to applicant DESCRIPTION � . . . . Valuation � ''� Occupancy ` � � MCfS System Plan Review �� Code Edition ,�!'"��.,f° '�' SAC Units (25%_100% 1�) Zoning �_ City Water Census Code �tories'' �" `Boaster Pump #of Units Square Feet ,PRV� #of Buildings Length Fire 5uppression Required Type of Construction Width . . , ` . ' < < REQUIRED INSPECTIONS ; $ � � - ' � � Footings(New Building) ' , ,Meter Size: , Footings(�eck)#- � � � f � Final/C.O. Required Footings (Addition) � Final/No C.O. Required Foundation HVAC_Gas Service Test Gas Line Air Test Roof: Ice &Water Final Pool:_Footings _Air/Gas Tests _Final � Framing Drain Tile Fireplace:_Rough In _Air Test _Final Siding: _Stucco Lath _Stone Lath _Brick �Insulation �Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Other: Reviewed B : ��, Buildin Inspector Y 9 RESIDENTIAL FEES Base Fee �� ,�� --� C� Surcharge �'r�y� � , � �� Plan Review �'{[`'-��pj � °�� 1 J;,�� MCES SAC �'� City SAC � Utility Connection Charge S&W Permit& Surcharge �� ' ,a-�^y � Treatment Plant ��t�� / ��,,,�-�------�—"""" Co ies � � ` � .��7�� , p . . . �' � � , . TOTAL ( Page 2 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA133466 Date Issued:10/15/2015 Permit Category:ePermit Site Address: 1665 Woodgate Lane Lot:6 Block: 1 Addition: Mallard Park 2nd PID:10-47251-01-060 Use: Description: Sub Type:Residential Work Type:Alteration Description: Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Donald T Landin 1665 Woodgate Lane Eagan MN 55122 Hessian Plumbing Services Box 22172 Eagan MN 55122 (651) 681-8252 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA148381 Date Issued:03/26/2018 Permit Category:ePermit Site Address: 1665 Woodgate Lane Lot:6 Block: 1 Addition: Mallard Park 2nd PID:10-47251-01-060 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - Donald T Landin 1665 Woodgate Lane Eagan MN 55122 Champion Window Company of Mpls 5100 HWY 169 N, #B New Hope MN 55428 (763) 574-2054 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA164723 Date Issued:10/06/2020 Permit Category:ePermit Site Address: 1665 Woodgate Lane Lot:6 Block: 1 Addition: Mallard Park 2nd PID:10-47251-01-060 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. When a weather barrier is installed or Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Donald T & Karen R Landin 1665 Woodgate Ln Saint Paul MN 55122--242 Craftsmans Choice Inc 5680 Quam Ave NE, Suite A St. Michael MN 55376 (763) 276-7465 Applicant/Permitee: Signature Issued By: Signature