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1676 Woodgate Lane ~ CITY OF EAGAN WqTER SERVICE PERMff 3830 Pilot i`.nob Rosd I P. O. F3ox 21189 xPERMIT NO.: Y'S :7 ' Eagah, MN 551~2~1 D^TE: t - , , Zonlr~y: _ No. of Units: Ownwr: Metro eg ! Add?ess: s+re iwd.m: I676 Wood ate I.=ne L15 BIL Ma~~~ p~ i Plurnbsr. Mat r ew natt ie e, c Moter No.: Connection Char9e: 50~ • Q~pd Sizs: 1lcoount Depostt: ` !!nu ~ Reoder No.: Permit Fee: 0• pd I Nm h aoo@* wph !i» Cily oi ls"n Surchorye: ..~r OfoMwOM. MISC. ChOIpv _ Z ~ (}Q!f[~ 'Pp B TotOl: ~3 (?f)*`tl x-t~nY Y Dote Poid: Dote of Insp.; , I^sp•t I j CITY OF EAGAN 3830 Pild: Knob Road SMR SERVICE PERMIT ' P. O. 'Box 21195' PERMIT NO.: 7971 - Eagan, MN 551.41 DATE: Zoninp: No. of Units: Owrnr. _ Metro C'nstnm I4-a Address: ~ Site Addreas: 167_ wodga ta*+e Ll j Plixnbar. Dani.-Is. ~ 10-33-.r5 56043 I som h eow* wilh 1`. qhr oi yMn Conrnctton Chprpe; L? OramneN. Accour?t Deposir. Pom* Fee: B SurcFwrpr Y Misc. Choryes; Date of Insp.: Total: , Insp" DaM Pold: . OF EAGAN WATER SERVICE PERMIT 40 Pil6t Knob Road KSi- p 1. 4. Box 21199 PERMIT NO.: ' Eegan, MN 551IN D11T@: ' Zoninp: No. bf Units: j Owrwr: e ro s ora- omesY' t11~~ . ~ ~?ed~: L,_,o , -GAi. j Sits /lddress: °O $ E Plurnber eSi' ~r 500.00 j AAeter No.: Connedion Q+orpe: p ~ Size: ~ E'C 1lccount Depostt: • P ~ Readsr No.: 6 Pertnit Fee: ' p ~ I *O ~ Gh Surchorye: ' P Misc. Chorpss: _ 2 3 2, OOpu Tp ~ Totol: _ 63. OOpd meter ' BY Dota Paid: i Date Insp.: Insp.: ~ _ ----1NYP7E~0N-I~ CITY OF EAGAN ~ PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 , Date Issued: (651) 681-4675 . , SITE ADDRESS: APPLICANT: LANE PERMIT SUBTYPE: TYPE OF WORK: I INSPECTION D • D , I I I I- ~l L - Permk Holder Date Telephone # I sEwEw I WATER I PLUMBING I HVAC I Inapscdon Date Insp. CommeMS I FOOTINGS i FOUND I ~ FRAMING I ROOFING y/s/~ • I G ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPIACE FREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS coNOUCTiwTv TEST HYDROSTATIC TEST ~ BSMT R.I. BSMT FINAL DECK FTG DECK FINAL CITY OF EAGAN Remarks Addition }~~allard Park Secnnd_..Additian Lot 15 aik 1 Parcel #in 47~~i 3.5n ni Owner Street 1676 Wnnrlaat.,P Lane State Eagan, Mn 55122 Improvement Dat- Amouni Annual Years Payment Receipt Date STREET SURF. , STREETRESTOR. 176 1977 i~ (oU _iQ -,Fs- GRADING SAN SEW TRUNK VI 1974 194.05 1 jS 9 C~ l O -~O ' O6 *SEWER LATERAL y , WATERMAIN *WATER LATERAL 1981 WATER AREA 1977 194.05 15 7, C- 103 4J -,3D ' J` STORM SEW TRK D 1981 / *STORM SEW LAT 1981 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. n n 500.00 BUILDING PER. SAC PAR K I CITY OF EAGAN ~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE:454-8100 isUILDING PERMIT tteceiPt # ~ Te be •wd er 1R Est. Value 14 Date 19 Site Addrsaa ' r'`~'?'h.' Li•' Erect ~ Occupancy Remodel ~ 2oning Lot ' Block Sec/Sub. E Repair ? Type of Const. Parcel No. Addition ? No. Stories - Move ? Length W Name . Demolish ? Depth ~ . . ~ Address Int Impr. ? Sq. Ft. City ' ~ ~ Phone "Install ? Approvab Fees Name u~ A~~~ /lssessment Permit $ City Phone Water b Sew. Surcharge Police Plan Review o ~W Name Firo SAC A - U Address E~. Water Conn. •00 ~ W City Phone Plonner Water"Meter t_. U 3 ~ Council Road Unit I hereby acknowledye that I have reod this opplicotion ond stote that Bldg. Off. Tc Pi. the in(ormotion is torrect ond ogree to comply with oll applicoble APC Stcte of Minnesota Stotutes ond City of Eogon Ordirances. Park$ Var. Date Copies Sipnoturo of Pertnittes Total ' . 00 ~ h Building Permit Is issued to: E " on the express condition thot oll work sholl be done in atcordonca with oll qpplicoble Stote of Minnesofa Statutes ond City of Eopon Ordinances. 8uildirq Official 0 i . ' PMmk No. Pwmh Holder Drte Telsphons it Plumbinp . H.VA.C. ~I O L i - t~ - 'EMcerie /07 I ~ lv~ U ' Soitownr Irapection Dm Insp. Othw FooUngs 1 r ~ Footlnps 11 Foundatlon Framiny RooHny •1 7 ll~. Rough Plbp• ~--~f Rouph Hty. ~ Insul. Flnpbw Final Hty. • Final Plbp. Final C40t/Occ. L/V T ~ W~~r Dyaibi Loeati : WNI 8~w~r Pr. Disp. -?.x-.::. . . J Rnipt MECHANICAL PERMIT Pennit No. CITY OF EAGAN FN fill in numberod;pacss S/C Type or Print /egib/Y Tot 1. Date 2. Installation Cost 3. Job Addreu Blk. ' Tract 1 4. Owner ~ 5. Contractor ~ iPhone ~ 8. Address 7. City State 2ip • . 8. Building Type: Residential -f:f Commercial 0 Institutionai ? 9. Work Description: New 'Q`~ Add O Alter 0 Repair ? 10. Desaibe Fuel Type 11. No. Equioment 8TU - M. Ea. No. Equipment CFM Forced Air Air Handling: Mfg. Boilers Mech. Exhaust Mfg. Unit Heater Mfg. Other Air Cond. Mfg. 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. 5igned' for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Receipt PLUMBING PERMIT Permit No. CITY OF EAGAN . , Fes Fill in numbered spaces S/C Type or Print /egib/y .Tot. 1. Date '•'s,',, 2. Installation Cost 3. Job Address j ~ Lot Blk. Tract r ~ - 4. Owner ,l d} 5. Contracto~~f(~f![,t ! t,-F+i_r, L. r r Phone 6. Address 7. City State ~ t r~ Zip 8. Building Type: Residential ,Q Commercial ? Institutional ? 9. Work Description: NewAdd ? Alter ? Repair ? 10. Describe 11. No. Fixtures No. Fixtures Water Closet Cesspool/Drainfield 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 thpt the above information is true and correct, and I agree to comply with all grdinances and codes governing this type of work. Signed : ' , << for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. F: Approved CITY OF EAGAN 454-8100 ~ - ihis request void 18 months from 0 741 561 Reques Date Fire No. Rouph-in InsUection Re ui d? ~Readv Now ill Notify. Inspec- es ? No ~r When Ready EYLicensed Electrical Contractor I hereby request inspection bf above ? Owner electrical work installed at: Street Adrlress, Box or Route No. City l 7 ection o. T nge N. u i y Qcc (PRI T Phon No. Po r uplier d ess Electr' I actor ( ompany Namel o t a tor's license No. Mailinj ddress (Contra; r or Owner Maki nstailation) Authorize ture (Contra to 10wn aking I allation)- Pho e umber MINNA~A STATE BOARD OF 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 Phone (612) 297-2111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION EB-"""",-u° 1 ~ W. ' See instr.uctions for completing this torm on back of yellow copy. t ~ 1 X" Be'faw Wo k Covered by This Request .4-1d. R;tp. Type ot Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Hpater ~ Lightin,y Fixtures Apt. Building Dryer Electric Heatin Commercial Bldg. Fumace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Othe, Spectfy Ocher ISpecifyl ther SVecify Other Other ompure lnspection Fee Below 1 # Pee ServiceEntranceSize h Fee Feeders/Subfeeders # Fee Circuits / ig, 0 to 200 Am ps 0 to 30 Am s 0 02 0 to 30 Am ps Above 200 qmpy, 31 to 100 Amps 31 to 100 Am s Swimming Pool Above 100_Amps Above Amps Transformers Irrigation Boon-is O Par '.'Other e Signs Speciallnspection ~ Remarks • 00 Rough-in Date fT I the Elect ' I ~ In , iereby certify that the above Final D JI e K, C inspection has been ~4 made. This request void 18 months from lhis request void ~~~h 78 months from P 068675 Req _t Datea Fire No. Rough-in Inspection Required? ~ReadY NowV/I Will Notify, Inspec- Y ~ ? Yes ? No 'or When Ready Licensed Electrical Contractor I hereby request inspection of above Owner electrical work installed at: Stref Lt Addres , Box or Route No. C ity / Ld &Zd- e- / Cd/ / e~ ection o. Township Name r No. Range No. Coui ty I C~ Occupant (PRINT) Phone No. Powe Supplier` Address , a Electrica ContraGtor (C(Mp ana e) ~ ~ e_n or~.tr~or"s License No. ~ ~j Mailing AdJress (Co tractor or Owner Ma ing Instailation) i Authorized Signature (Co rac or Ow er Makin /nsta lation) Phone Number MINNESOTA STATE BOARD OF ELECIR CITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N-791 BE ACCEPTED BY THE STATE BOARD UNLESS PROPER INSPECTION FEE IS 1821 University Ave., St. Paul, MN 55104 _ Phone (612) 297-2111 EN(:LOSED. REQUEST FOR ELECTRICAL INSPECTION Es-uuuu, 04 rob ~~~See instrucjions for completing this form on back of yellow copy. ""X"' Below Work Covered 5y. This RPou?st ig Nev4Addj Rep. Type oi Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lightin,y Fixtures Apt. Buiiding Dryer Electric Heatin Commercial Bidg. Furnace Silo Untoader Industrial Bldg. Air Conditioner Bulk Milk Tanl< Farm Other SPeci Y Other (Sper,ify) [ er Specify Other Othcr omput1~ lnspection Fee Below tt Fee Service Entrance Size # Fee Feeders/Subfeeders • it Fee Circuits 0 to 200 Am s 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 Booms Partial,`Other Fee Signs Speciai Inspection S FEE Rerrv~rks TOTALi f /0' 0~..~^, / Rough-in Date 1, the Electrica.l-' Inspector, hereby certify that the above Final C Date - inspection has been made. / This request void 18 months from ~ - CITY OF EAGAN N°_ 1 10 6 2 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PH ON E : 454-8100 Receipt # ~bo ~ To be wed Foi SF DWG/GAR Est. Value $114 ,0 0 0 Date OCTOBER 2 1 9 85 Site Address• 1676 WOODGATE LN Erect lid Occupancy R3 Lot 15 Block 1 Sec/SubMALLARD PK 2ND Remodel ? Zoning Rl . Parcel No. Repair ? Type of Const. `J Addition ? No. Stories METRO CUSTOM HOMES INC Move ? l.ength 50 Z Name Demolish ? Depth 36 ~ Address P• O• BOX 1049 Int. Impr. ? sq. Ft. City BURNSVILLFphone 454-9383 Install ? SAME Approvals Fees o Name ~ Assessment Permit $ 468.00 Address City Phone Water & Sew. Surcharge 57, ~ 0 ~ Police Plan Review 234, 0 0 w~ W Name Fire SAC 525 _ 00 ~ Address Eng. Water Conn. 500.00 Q~W City Phone Plonner Water Meter 63, 00 < Council Road Unit 2 8 0_ 0 0 1 hereby acknowledge that I hove read this opplicotion and stote thot Bldg. Off. IO/Z/HS Tr. PI. 132 . 00 the inlormation is correct and ogree to comply with oll applicoble APC Parks State of Minnesota $tot an Ordinonces. Var. Date Signoture of Permitte ' To a11eS $ 2. 2 5 9. 00 A Building Permit is issued to: ETRO CUSTOM HOMES INC on the express condition thai all work shall be done in accordance with oll licoble Stat of Min tes ond City of Eogon Ordinonces. Building Officiul ~ d ~ a 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN COIrQlERCIAL 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 -A~,e S P'~ ENERGY CALCULATIONS' $2,000 LANDSCAPE BOND To Be Used For : Valuation : ~ Date : Site Address e- OFFICE USE ONLY ~ Lot ~ Block Erect ~ Occupancy ~•3 Remodel Zoning ~ Parcel/Sub Repair ~ Type of Const Addition # of Stories Owner Move ~ i.ength Address Demol ish Depth Int.Impr. ~ Sq Ft Install City/Zip Code Phone 7~~-- 91~~ 3 APPROVALS FEES Contractor c, Assessments ~ Permit 4~. ~ Water/Sewer Surcharge 5 . Address Police Plan Review 23q-, Fire ~ SAC SZS. City/Zip Code l~ /~NEngr Water Conn -Cbo, PlannerWater Meter &3 Phone Council~ Road Unit p, Bldg Off Treatment P1 132- Arch./Engr. APC Parks Variance Copies Address ~ TOTAL aa City/Zip Code Phone # ~ cj, :5 32- x . , IC~ x12- ` l°IZx ~g ~ ll Z~x2~ x 33 ~ 79 Zq- ( i 3~sZ ' . _ ;..s..~,:.. . ; . - ~ ei ~~.s ,.-y...:. . . i,~ _ ~.ivw:a;:%•~.iuLi.,UL•?F;s~U~ailub'd."v~'.S'nSrtai[iA1.~aSia+L':_,.:,.-~:.. . - • ~ , C~roK-- Zg ~n~E 3¢ ' BOSE CONSUlTiN3 Eli31NEERS , ~~N~INE~~I~G pLANNEl1S cnd IAND S~UHVEYO.AS , : COMPRNV, INt. 1000 E11ST 1461A STREET, BURNSVILLE. MINNESOTA 55337 P!i 4321-3000 ` CrP_T~Z~Z CQz aS~[.7"YC-Y ~~7cz~ 1ae~cr ~2On: LOT 15, 8COc-k MALLARD PARK SECoiclO AopITic R--AA46*Y Cou,tiTY, M/NNESaTA • , - s~9~ y~~ ~ ~ `DRA1NA6E AND. IN r TlL~I.TY EASEMEtJT <9 0 N O RT H SCALE • /1' .`V' , • ~ s A ~ : ~.n~ ~ ~ o S ~ . ;a` 30; FRONT ,BU/LD//VG . SETBA~C K /A/E ~ ~Mr~%4'1 l~E~tlOT65 EX/STI,t/G ' ~ £LFVATIoA•' ~1 ys,f ~ss.7/ ~ - ~950•,0) DEIVOTES PROIOSED E[EV,qTlU,V /ND/CATE5 ,D/REc;'i oA! OF ni (b . , SuRFACE DR.41NA6E FiNiSNED . (*ARAbc FLooR EI.EV. •J ' ~ ~ ~`2 80, :-s°o y certify that t aia a true and correct repreaentation o tract~ot . land as.sho+m ind deacribed hereon.. As prepared by me on this 2`5dar ot : ~'~6?E~ ; , , 19 ~ , ~ . ~ ~ xinn. 1teg. No. _ . ~ _ . _ . _ _ ~ City af Eayari. Cash Receipt Receipt Date 10I9/00 Ti.me f'rint?d 11e23c42 kec?ipt Nuaber'. 1215 . ~ NUBER G0N5TkUGTION COMPANV 1676 klOODGATE LANE 9901.2195 2.00 BP 43194 9001040$5 97.25 BF 43194 Total Receipt Adount 99.25 User HMCtikAW 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) cIrir oF EAcnN 3830 PILOT KNOB RD - 55122 <L1 Clk c, ~ 851-881-4875 C1 l(r) New Consfrucllon Reaulrementa Remodel/Roair Reaulremenis r3 regisfered site surveya ahowiny aq. ft. o( lot, sq. tt. of house 2 copies of plan and II rooted areas (2096 maximum tot coveraae allowed) 1 set of energy calculatlons tor heoted addiflons ~ 2 coplea oi plans (show beam & window sizes; poured fnd. deslgn; etc.) 1 site survey (or extedor addiflona & decks v 1 set of energy calculatlons ? 3 coples of tree preservaHon plan if lot plaffed after 7/1/93 DATE: CONSTRUCTION COST: DESCRIPTION OF WORK: ~c-al~ /X?r ~ STREET ADDRESS: C~r ~i? ' c~ ~l ~C..~' LOT: BLOCK: I SUBD./P.I.D. Name: z- G/ Phone PROPERTY Last First OWNER Street Address: 1C/, 70 / City State: Zip: > Company: whone (area code) CONTRACTOR Street Address: License # -T-D 6ry~ E.P. City State: 1411211 Zip: lf~53 ARCHITECT/ ENGINEER Compbny: Name: Telephone ( ) Sheet Address: Regishaflon City State: Zip: Sewer/water licensed plumber (if installlna sewer/waterPhone ( I hereby acknowledge fFwt I have read this application, state that the information is coRect and agree to compty with aA appllcable StatE of Minnesota Staiutes and City ot Eagan Ordinances. Signafure of Appticant: OFFICE USE ONLY Certificates of Survey Received Yes No 0~~-~ Tree Preservation Plan Received Yes No Not Required - OFFICE USE ONLY BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 02 SF Dwelling ? 08 06-plex O 17 Garage 0 22 Porch/Addn. (4-sea.) ? 33 Ext. Aft - SF ? 03 01 of _ plex 0 09 07-plex ? 18 Deck 0 23 Porch (screened) 0 36 Multi ? 04 02-piex ? 10 OS-plex 0 19 Lower Level 0 24 Storm Damage ? 05 03-plex ? 11 10-pfex Plbg _Y or _ N ? 25 Miscellaneous ? 06 04-plex ? 12 12-piex O 20 Pool ? 30 Accessory Bldg. WORK TYPE ? 31 New ? 36 Move Bldg. 0 43 Reroof 0 32 Addition ? 37 Demolish (Bldg)* ? 44 Siding ? 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair ? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors * Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code # of Stories sq. ft. No. of Units Length sq. ft. No. of Buildings Width Footprint sq. ft. Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. MC/ES System UBC Occupancy sq. ft. Ciry Water Zoning sq. ft. Booster Pump PRV Fire Sprinklered MISCELLANEOUS INSPECTIONS ? Stucco/Stone APPROVALS Planning Building . Engineering Variance Permit Fee Ct --I S- Valuation: $ - Surcharge C) , 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 °!o SAC PERMIT - (3ITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: R U I LnIn! c Eagan, Minnesota 55122-1897 Permit Number: 0 3,11 58 2 (651) 681-4675 Date Issued: 0 2/ 2 6 I99 SITE ADDRESS: 16 7 6 w o c3a r nTE LAiv F Lfl'i's 15 BLOCI<e 1 Mf-1L1_ARb PA13i: 2P•!D P.I e N o o 3.0-47251-150-01 DESCRIPTION: RFPLAcc szoINc 8 «0' i cf~.n~ ~Wermit 7vpe STORm DAMAGE g,j`l; i ,,,_nc, %Wb~rk Yype REPl-1IR C, C:r~Ci:: 434 P,LT. RESIfJENl"]:Ai_ _ ~ ~ - ~ ) ~ , > t.=.~? ,._..~A~ ,._r _ REMARKS: FEE SUMMARY: CONTRACTOR: - PiPp1 i c a n t: - 5`t' e Li c. OWNER: ;_XTi_RIOFt IIVNOVFTION5 INC 18840814 0009318 I_YNCH ICFT-fH 2187 QVERI_OOK DFt 1676 WQODGATE I_(-1NE Li_OCIMTNG70N hIN 55431 EACAN iIN 55122 (61'11) 884-0314 (65].)456--5615 i.il.l s f«p1..ICd CiC1F1 ri1lCi ond Ct, "C ti Qt Ec, Ll r-,i"7 OI" i;1. 1'i eil t: , APPLICANT/PERMITEE SIGNATURE ISSUED BY: SIGNAT RE ~ 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PII.OT KNOB RD - 55122 (651) 681-4675 New Construction ReQUirements RemodeUReoair Requirements I- ? 3 registered site surveys ? 2 copies of ptan ? 2 copies of plans (include beam 8 window sizes; poured fnd. design; etc.) ? 1 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: CONSTRUCTION COST: ~T o a, O'D DESCRIPTION OF WORK: STREET ADDRESS: LOT: BLOCK: ~ SUBD./P.I.D. Name: Z, T/l G tLf Phone ' S G~ 1 S~ PROPERTY Last First OWNER ~ Street Address:~ (P ~ City 67 State: A~/zj Zip: S-~f :~7_ 2 ~ Company: , ZvL. Phone CONTRACTOR C~ Street Address: ~ License # 3 Exp. Ciry State: Zip: ARCHITECT/ ENGINEER Company: Phone Name: Registration Street Address: City State: Zip: Sewer & water licensed plumber (new construction only): . Penalty applies when address change and lot change is requested once permit is issued. I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: irir E ~ I OFFICE USE ONLY P ~ , Certifcates of Survey Received Yes No FE~3 2 4 A ~ Tree Preservation Plan Received Yes No Not Required OFFICE USE ONLY J ' BUILDING PERMIT TYPE O 01 Foundation ? 06 Duplex 0 11 Apt./Lodging ? 16 Basement Finish 0 02 SF Dwelling O 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool ? 03 SF Addition 0 08 8-plex ? 13 Garage/Accessory O 20 Public Facility ? 04 SF Porch O 09 12-plex ? 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. ? 10 _-plex 0 15 Deck WORK TYPE 0 31 New O 33 Alterations D 36 Move 0 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. SAC Code UBC Occupancy sq. ft. Census Units Zoning sq. ft. Census Bldg # of Stories sq. ft. MC/ES System Length sq. ft. Ciry 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 SAC Units 1 IQ • 131 • I ' I~ DI' • - ; • ~1' f • ' ~ ~ ~ • ' ~ 1 1 1 ~1 ~ • i ' r ~ ~ I CITY OF EAGAN APPLICATION FOR PERMZT SEWEFt AND/OR WATER CONNECTION (PleaP int) 1) PROPERTY ADDRESS : ~ T•FrAT, DES(12IPTION: (Lot Block Subdivision or Tax Parcel I.D. Number) IF EXISTING STRLC'It.'RE, DATE OF ORIGINAL BLILDING PERMIT ISSLANCE: (Month Year) PRESENT ZONING/PROPOSID USE: R-1 SINGLE FAMILY R-2 DLPLEX ('Iwo Units ) R-3 'POWNHOL~SE (Three + Units ) ( Lnits ) R-4 APARTMENT/CONDOMINILM ( Units) CODMEZC IAL/RE TAI L/OFF I CE INIDLSTRIAL INSTIT[JTIONAL/GOVERNMENT 2) NANIE: ADDREss: CITY, STATE, ZIP: PHONE: 3) • -/r-NA For City Us~ NIE: ~ Plumber A cense ADDRESS : ?~t!~Occs ~j()~+~a ActiVe~ CITY, STATE, ZIP: C? Exp' x-ed PHONE: LI'Z3 ~ ~7`3 0 MASTER LICENSE 0 Vd~=' Recor(f, Sta f"'Ir~itial f 4) ~ , • NAME : ADDRFSS: CITY, STATE, ZIP: PHONE: ~ a~• • a~~ 5) CONNECTION TO CITY SE4JER ~ CONNE',CTION TO CITY WATER Q OTHER (Please Describe) 6) WRL4100MOR i ? PLEASE HOLD APPROVID PERMIT FOR PICK-LP BY ONE OF ABQVE lp PLEASE MAIL APPROVED PII2MZT ZC? 1, 2,(D 4, ABOVE (Circle one) 7) ~ F O R C I T Y U S E O N L y ' PERMIT " ISSUED F F°rS. $ S :.~E-3 DroNgTT ~I~1CL.iD~ JUP.C::l:RCc.) , $ WATER PE;UtIT (INCL'uDE Q-liRCHARGE) $ WATER METER/COPPERHORN/OUTSID ; READER $ WATER TAP (INCLUDE CORPORATION STOP) 'S J-7.1' GR 1 A? ' $ ' $ AC^OliNT DF:POS IT - WATER ~ $ wAc $ sac $ TRliNK WATER ASSESS?-lE::T $ TRli:•1K SEWER ASSESSMENT . $ LhTERyL BENEFIT/TRU'L\1K SE:•:ER $ LATL,RAL Br.Vt.FIT/TRUi1K WATER $ WATER TREATriENT PLANT SURCHARGE $ OTHER: $ TOTAL $ AMOLNT PAID;'REC°IPT n - ~ DOES UTILITY CONNECiION REQUIP.E EXCaVATION I-N PUBLIC RIGHT OF WAY? [~-1 YES ZF YES, THEN ti"PERMIT FOR WORK WITHIN PUBLZC ROADWAY" MUST BE ISSUED BY THE NO ENGINEERING DIVISION. LIST AS A CONDI- TION. SUBJECT TO THE FOLLOINING CONDITIONS: . J APPROVED BY: . , TITLE: ~ DAT.. : /G ~ ~ City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 1676 Woodgate Lane Lot: 15 Block: 1 Addition: Mallard Park 2nd PID:10- 47251- 150 -01 Use: Description: Sub Type: e- Reroof Work Type: Replace Description: House Census Code: 434 - Zoning: Square Feet: 0 Comments: If there is no ice protection inspec acceptable in lieu of inspections. Fee Summary: Valuation: 3,000.00 Contractor: Girtz Construction 16138 Goodview Cir Lakeville MN 55044 (952) 891 -4208 BL - Base Fee $3K Surcharge - Based on Valuation $3K Total: Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - Construction Type: Occupancy: on prior to final, you must meet inspector with ladder and flat bar. Pictures are not Owner: Keith Lynch 1676 Woodgate Lane Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: $88.50 0801.4085 $1.50 9001.2195 $90.00 Issued By: Signature Building EA085402 08/19/2008 ePermit I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State City of kall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 CC L Use BLUE or BLACK Ink For Office Usee /� Permit #: V l 0 6 Permit Fee:L Date Recejved: 9' /9 --If Staff: INFLOW &INFILTRATION PERMIT APPLICATION Plumbing / Sewer & Water Date: 1' )I7"01D Tenant: Site Address: l) Ttn Suite #: RESIDENT /OWNER I/t�iU (-1,—..(.- Vl_ Name: �, Phone: tp5�,- 3 Li 3- + t p Address / City / Zip: tp (,) rk,+...A.-t ,,,, f t y,,,,__ f cj j a a / CONTRACTOR Name: License #: Address: City: State: Zip: Phone: Contact: Email: TYPE OF WORK PLUMBING (Within the building envelope) `/Sump Pump Repair SEWER & WATER (Outside the building envelope) Repair Other: Other: DESCRIPTION Description of work: IL LCP—. "CI , 7 '1'0 ; PERMIT City of Eagan Permit Type:Building Permit Number:EA116119 Date Issued:10/03/2013 Permit Category:ePermit Site Address: 1676 Woodgate Lane Lot:15 Block: 1 Addition: Mallard Park 2nd PID:10-47251-01-150 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 . Audrey Flattum 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 - Keith Lynch 1676 Woodgate Lane Eagan MN 55122 (651) 324-4703 Storm Guard Restoration 1355 Geneva Avenue North, Suite 201 Oakdale MN 55128 (651) 738-1698 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink ------------------- � For Office U� � ' i Perrnit#: 4�"`�� 1 �it� Q��a�aIl � ��,��. � � v ` �cu�m�ssc_ � ' 3830 Pilot Knab Road Eagan MN 55122 j Date Received: j Phone;(657)675�,675 1 1 Fax:(651)675-5694 t StafF i 1 1 '-------.__.�-------�� 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Qate: SiteAddress: l� �� Vl/U�L� /�%�� ANE Unit#: � Name: 1�P;7� f �i.��/ [-,ys✓C' !-� Phone: �� oS/- 3Z� -'y�7 � Re�idenU / / � � / �/ l"�w11@r Address!city!Zip: l(p 7(v 1��104y-A�E LAr�t �/��oRav n��" �S/2Z Applicant is: Owner � Contractor Type of Wark Deseripbon ofwork: I�i.tiv,r l�P}�c W►�:�-1 �rtii�wS ^ �� iz%S Construction Cost �O�U° a� Multi-Family Building:(Yes 1 No� g COtl7patly: �N/)/MNLC� /-/dMC�M�R��'G M L�NItiO� 5��/��/� .��?s� +�ontra+�tor �d�ess: /�9/ oA/«3.e�r�" ��Y City; �i�}G� �tR: N1�' ��: �5 I ZZ Q!?�n�: � �/— ��Z— 5''GD/ u�� Iic (,3�l 4-6 �a cern��#: /�1q7" -- �7�3,6 -� If the project is exempt from lead cert�cation, please explain why:{see Page 3 far add�ionai information) COMPLETE THIS AREA ON�Y IF CONSTRUCTING A NEW BUIIDfNG in the last 92 mor�ths,has the City of Eagan issued a permit for a similar plan based on a master pian? i � y�� fc !f��.��t��r.��d��m�t�r p.�st: Licensed Plumber• Phone• Mechanicai Corttractor: Phone: Se�rer&Water Coritractor: Phone: NOT�`:pl�n��nd srrpparNrrg docvmeMar t��t you submtt are�co»sXder�ed to be publfc Infa►ma�on. F�or�`ans af the�nformatir�n may b�classitled�s n�nyaubl�c ff ydu provlde specific�sc�rts i�t would permtt�`r�Clty M concfude�at the ere b�de secr�et�. CALL BEFORE YOU DIG. Cail Gopt�r Stefie Or�Cali at(651)454-0002 for protedion against underground utility damage. Cafl 48 hours befone you ir►tend to dig to receive locates of ierdeoground utilities. �wvw.aooherstateoneca�l.org I her2by acknowledge that this informatia�is canplete and acxurate;that the vwwk vvill be in confo►mance with the ordinances and codes of Uie City af Eagan;that I understand this�nut a pertnit, but only an application for a pPam�, and work is not to start v+rithout a permit;ttrat ttie work wiU be in accardanc�with tl�approved plan in the case of work which ne+quines a rev�w and approval of plans. Exterior work aulfiorized by a bui�ing pertnit issued in accordance with the Minnesota State B�s i ot�m�t be completed within 180 days of permit issuance. �f �, x S�c'1�N�iv �. LyClMS x �/ ApplicanYs P�iMed Name ApplicanYs S r�ure J Page 1 of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ity of Eagan Permit Type:Building Permit Number:EA149488 Date Issued:05/23/2018 Permit Category:ePermit Site Address: 1676 Woodgate Lane Lot:15 Block: 1 Addition: Mallard Park 2nd PID:10-47251-01-150 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door 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: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 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 - Keith Lynch 1676 Woodgate Lane Eagan MN 55122 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature