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1677 Woodgate Lane . „ ~ . . , ~ . , . f , - ~ . . , CITY OF EAGAN ~;;~p 16145 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 _ PHONE: 454-8100 ~ BUILDIN(', PERMIT Receipt # , ' Tobees~~'fbr II~ Est. Value ~'i'~ Date JULY 12 , 19 90 't' 1677 VOC?DQR'fZ i,.N Site Address OFFICE USE ONLY Lot ~ Block Sec/Sub. PBfC@I N0. ' Occupancy - FEES ~ ~Y, Zoning - W' NdF11e (Actuaq Const - Bldg. Permit _ (Allowable) • ~ ; AddfeSS - Surcharge ° # of Stories Clty Phone Length Plan Review o Name Depth - SAC, City ~Q Address S.F.7otal - SAC, MCWCC ¢ City Phone S.F. Footprints - On Site Sewage _ Water Conn ~ ,w W W Name on ste weu - wacer nnecer z MWCC S stem Address Y - Acct. Deposit a W City Phone ciry water - PRV Required _ S1W Permit I hereby acknowlege that I have read this application and state that the Booster Pump - SNV Surcharge information is correct and agree to comply with all appNcable State of Minnesota Statutes and City of,Eacian Ordman ,gs. Treatment PI ~ Signature of Permitee APPROVALS • Road Unit A Building Permit is issued to: ~Y RZYNERS Planner - Park Oed. _ 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 , r, j • Variance TOTAL Building Official i Pe?plIsit No. Permk Holder Date Telsplwne N WATER SEWER PLUMBING H.VAC. ELECTRIC ' 3 InspscNon Oate Insp. Comments I Footings 1 , Foundation ' I ~ Framing Roofing Rou9h PIb9• ~ Rou9h FIt9• Isul. Freplace Fnal Htg. Final Plbg. Const. Meter Plbg. Inspector - NoGfy Plumber Engr./Plan ~ Bldg. Final I Deck Ftg. oeck Einal Well Pr. Disp. ¢ . ` CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 1 114`64 ~ PHONE: 454-8100 ~ BUILDING PERMIT Receipt # i To be us@d 4pr SF DWG/GAR Est. vaiue $92'000 Date JANUARY 29 19 335 ' 1677 W04DGATE LN [t3 Site Address Erect CIX Occupancy Lot 4 Biock i Sec/Sub. MA1'1'ARD PK ZND Remodel ? Zoning Parcel No. Repair ? Type of Const. V Addition ? No. Stories Name METRQ CUSTOM HOMBS INC Move ? Length 46 a i Demolish ? Depth 36 o Address P.O. BQX 10~i9 Int. Impr. ? Sq. Ft city BllRNSV"I~i~~ 454--9383 Install ? Z o Name SAME Approvals Fees _ 0¢ Address Assessment Permit 409.00 ~ City Phone Water & Sew. Surcharge 46.00 Police Plan Review 204. 50 F W Name Fire SAC 575.00 = Address SGO.OQ ~ Eng. Water Conn. < W Ciry Phone Planner Water Meter 63.50 Council Road Unit 290.00 I hereby acknowledge that I have read this application and state that the Bldg. Off. 1/ 23/ $6 Tr. PI. 156.00 information is correct and agree to comply with all applicable State of Minnesota Statutes and City of ry{3~lina~es APC ParkS Var. Date Copies Signature of Permittee ° Total $2•244•00 ME 0 USTOM HOMES A Building Permit is issued to: on the express condition that all work shall be done in accordance with all applicable StOe of Minnesota Statutes and City of Eagan Ordinances. BuildingOfficial _ -~r--~- i" " prrmlt No, PKmH Holdor DaN TM~phon~ N [FP-lumbing s V.A.C. I S ~-C~L. I f V El:~ -LL cc SOIIMM Inspectlon Dab Insp. CommMts Foounos I Foodoysll Foundatbn ' Frsminy aoonny 'i g ui g Rouyh Plbp. . C,AC / - ~s . Rouyh Hty. 11 Iruul. Finplaee Final Hty. Finsl Piby. ~ ~f•?S Q Bldp. Final L-~ Grt. Oca Z ~ y ~ f f •Mr. S ~ Doek Fty. I Deck Fmp. WNI Pr. Olsp. PERMIT CITY OF EAGAN FEE ~ u PLUMBING PERMIT RECEIPT # 454-8100 S/C MINIMUM RESIDENTIAL FEE - $10.00 ±;.50 TOTAL -_L2~ DATE ~ MINIMUM COMMERCIAL FEE - $20.00 + $.50 1. Bldg. Type: Res ~ Comm Inst 2. New 4- Add Alter Repair 3. Total Eii Price 4. Job Address ! b7 / Lot Block ~ Sec 5. Owner &SQli l1tH~~s rt 7- 6. Contra~ctor ~fG"~ Uf~}~~.Y415 1/~.1~i / P~t lCjl°la0wp (Name) ~2'7 _ 3730 (Street) (City) (Zip) 7. Contractor Phone # NO. FIXTURES NO. FIXTURES NO. FIXTURES ~Water Closet - $3.00 ___LLaundry Tray - $3.00 -Well - $10.00 Bath Tubs - $3.00 -L-Floor Drains - $1.50 -Private Disp Syst - $10.00 *B-Lavatory - $3.00 ~Water Heater - $1.50 _Rough Openings w/o --Shower - $3.00 -Whiripool - $3.00 Fixtures - $1.50 ~Kitchen Sink - $3.00 _Gas Piping Outlets - $1.50 -Urinal/Bidet - $3.00 -Softener - $5.00 COMM./IND. RATE - 1% OF TOTAL BID PRICE PLUS $•50 STATE SURCHARGE FOR EACH $1,000 OF FEE. Signed: for AppTOVed Inspections: Date Rough Insp. Date Final Insp. ~if I PERMIT# ~ / S CITY OFk"'EAGAN FEE ~ ,-J MECHANICAL PERMIT RECEIPT ~'a u 4 454-4100 ~ MINIMUM RESIDENTI4L FEE - $10.00 + $.50 TOTAL a G ~ ' DATE ~ g MINIMUM COMMERC*L FEE - $20.00 + $.50 ~ 1. Bldg. Type: Res _X_ Comm Inst 2'. New y~ Add Alter Repair 3. Total Bid Price 5 00 4. Job Address M~- Lot ~ Block / Sec -A. Owner X-Jro eAJS 16N% d4emu4.. 6. Contractor Mc+t 0 R+ R I 5~o ~ 1`~ «1?A r,JA(4. (Name) fi' (Street) (City) (Zip) 7. Contractor Phone # +o " g ta V 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 -$1,2.00. Each additional 6,000 BTU's or fraction -$6.00 MODIFICATIONS/ALTERATIONS -$10.00 minimum fee ' ~ HEATING VENTILATING HOT WATER STEAM AIR COND. eIR PIPING PROCESSED PIPING AIR HAND. EQUIP. RtFRIG. RES. GAS PIPING OUTLETS -$1.50 TANKS: . L.P. UNDERGROUND OTHER COMM. . RATE 1% O OTA BID PRICE PWS f.50 STATE SURCHARGE FOR EACH $1,000 OF FEE. Signed: hmg- -S: - for Approved Inspections: Date Rough Insp. Date Final Insp. CITY OF EAGAN Remarks Addition Mallcwd p~-rk Se~nd- Add}tiAn-Lot4 Blk 1 Parcel #10 47251 040 01 Owner Streec 1677 Wnn,~a~tP Lu1e State Eagan, PM1 55122 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF, IMP. 1981 7$ -179 STREET FiE6-T$R. 7~ GRADING SAN SEW TRUNK a *SEWERLATERAL -11 19$1 2430.43 486.09 WATERMAIN *WATER LATERAL 1981 WATER AREA p ~ STORM SEW TRK 1981 445.37 89.07 5 * STORM SEW LAT 1981 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. „ snn.oo BUILDING PER. SAC 575.00 PARK CITY OF EAGAN WATER SERVICE PERIIAIT 3830 Pilot Knob Road P. O. 6ux 21169 PERMIT NO.: ' Eagan, MR! 55121 DNTE: Zonnng; No. of Units: OwrlRr: t'rr ! /1ddfafS: Site /lddreas: '67 ~ Plumber: AAeter No.: Connectfon Char ~ Size: Acoount Depost ~ ~*~T3P4:. Reoder No.: Pertnit Fee: 1 prM !e eoiwPly wilh Nw Ci1y ef Eepw Surchorge: OrAmeeM. Misc. Gwrpea: TotoL• ; gY Dote Poid: Dote of Insp.: Irnp.: CITY OF EAGAN ~c 7 WATER SERVICE PERMIT 3830 0'' ;t K:+ob Road ? 16 2 P. O..Oox 21199 ~C ~PERMIT NO.: E~n, MN 551fl D/1TE: ` Zoninp: No, of Units: Owner: Mpt-rn ` q /lddross: Sits Address: j'? mAilard lc ~ Plumber: Meter No.• ~ Conp 500.00 d Size: S-f a lt?.l?O~d Reoder No.: ' . 5 0 d ' I yn. to vh? W"the LF%TT 156. 00pd TP OrliM Miac. -Cfiorges: Total; 63.509d meter , Dote Paid: By ' Dote of Insp.: , PA I^aP•: ...:~s._~.u_,....._~ CITY OF EAGAN SEWER SERVICE PERMIT , 3830 Pilot Kfsib Road pERMIT NO.: 6' 21' ' P. O. Box 21199 ?.-27--8Es Ea4?n, MN 55121 DATE: ; g~ Zonirq: No. of Units: I ~ Owrwr, ~tTO C`•tEE,tO&] ~ /lddress: ~ 1G?7 ydaod 8te Iart~: L•'~ B1 ?~al? ~I i Site Address: ~t Plumberr. Mstthew ftniels LIc 2-29-86 59450 475 r~?__r__--~~ ~ I pne !o eooVb WI& !iw Citf d Eaoae ConnecHon Clwroe: ~ NcoouM Deposit: ~ ~-~-02j k o.a~..aa.. P.m+k Fea: Zn ri~t~ea k Surcharge: i ~ Misc. Chorosx ~ By Total: € Date of Insp.: paft Pcid: Insp.: I This reques[ void 1 8 mono ~ad 0'-f .J~ l,J ~ Request Date Fire No. Rough-m Inspection ` Required? ~Ready Now [~Will Notify, Inspec- ? Yes ~ No tor When Ready Cg..Licensed Elec[ricat Contractor I hereby request inspection of above . ? Owner electrical work installed at: Streei Address, Box or Route No. • City 1672 wccb,--5,o7-C' ~LIVl1 F'i4els a lr~j ection o. TownshiD Name or No. Range No. County a{:..G/T fq Occupant (PRINT) Phone No. 11Y1 E' fx.~ 41`~ t'f " Power Supplier Address 7NAK07Og AX01/o..i TC64 'fn 1~+I ractor's License No. Electrical Contractor (CompanY Name) ont {~l i~ L P~ rv f~ _ j. C~ ZGJ C~ `'2 Mailing Address (Contractor or Owner Making Instailation) , [lR( 11z;'i (Z; ec A' (2 Z) EAe3 t4i,_) s~r rv Auth nzed Signature (Contra tor/ wner aking Installation) Phone Number ° 41 "2- MINNESOTA STATE BOARD OF ELECTRICIT THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD UNLESS PROPER INSPECTION FEE IS 1821 University Ave., St. Paul, MN 55104 Phone (612) 297-2111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION • Ea-00001 -oa ' See instructions for complating this torm on back of yellow copy. X" Below Work Covered by 7his Request Nev4Addj Rep. Type of Building appliances Wired Equipment Wire!f " Home Range Temporary Service Dupiex Water Heater Lightin,y Fixtures Apt. Building Dryer Electric Heatin ' Commercial Bldg. Fumace . Silo Unloader Industrial Bidg. Air Conditioner Bulk Milk Tanl< Farm Other peci y Other (Snerify) ther SUecify Other Other ompuie lnspeciion Fee Below # Fee Service Entrance Size N Fee Feeders/Subfeeders # Fee Circuits ''z. 06 U to 200 Am s 0 to 30 Am s 0 to 30 Am s Above 200 Amps 31 to 100 Arnps 31 to 100 Am s Swimming Pool Above 100-Amps Above 100_Amps Transformers Irrigation Boorcis Partial.'Other Fee R Signs Specialinspection $f~, S0 TOT L FEE errx~ rks d i Rough-in Date th Electr' al Inspec , hereby certify that the above Final 1P nspection has been • made. This request void 18 months from This request void 7Z ,r~ , • 18 months from 2326 l, ~/4 kftP- D T, 4K [equUst Date._ Fire No. Rouph-in Inspection ,y Re ired? ~Ready Now l~y Will Notify, Inspec- 3'~ 5'~~ Yes ? No tor When Ready Licensed Electrical Contractor 1 hereby request inspection of above Owner electrical work installed at: Street Address, Box or Route No. - City, 16 q17 If?Or~C7~OG~t,~" ~-C`I e-, ection o. Township N e or No. Range No. CZQ OccuGant (PRINT) Phone o. ( o r Supplier Addr s ~ f~c,. tle~r1cs rMdnc Elect ical, ontractor (Comp ny Name) Contra tor's License No. e~4~c~ ~ U Mailing Adclress (Contractor or Owne~r king Instaitat~io 1n (o % 7~G~' ~LZGCL~ ~ Auth rized Signatur (Contr tor/Owner M ing Installation) Phone Number MIIVNESOTA STATE BOARD OF ECTRICITY THIS INSPECTION REQUEST WILI NOT Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD 7827 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 297-2111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ,r-,. ee-ooooi.oa w: ~ See instructions for compieting this form on back of Vellow copy. ~ N~~ l/ 2 3 2 6 ~~X'" Below Work Covered by This Request Adci RefS. Type of Building Applinnces Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Liyhtin,y Fixtures Apt. Building Dryer Electrii; Heatiti Commercial Bidy. Furnace Silo Unloader. Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Othr.r peci Y OthFr (Spor,ify) t er Suecify Other Olher ompute lnspection Fee Below # Fee Service Entrance Size N Fee Feeders/Subfeeders ti Fee Circuits v?. OL 0 to 200 Am s 0 to 30 Am s 0 m 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 Special Inspection S ~ Rerr-orks TOT L FE E Rough-in DaieI, the Electrical Inspector, hereby J' N certify that the above Final . ^ r D~- t~ 6/, inspection has been maae. This request void 18 months irom CITY OF EAGAN p,' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 1,2 18145 PHONE: 454-8100 BUILDING PERMIT Receipt # L-~ To be used for DECK Est. Value $1, 000 Date JULY 12 ,19-9D_ Site A'ddress 1677 WOODGATE LN Lot 4 Block 1 Sec/Sub. MALLARD PARK 2ND OFFICE USE ONLY PdfC@I N0. Occupancy _ FEES Zoning - W Name DAVE & MARY REINERS (Actual) Const _ Bldg. Permit 25.00 3 Address 1677 WOODGATE LN (Allowable) - 0 City EAGAN Phone 924-8571 # ot Stories _ Surcharge . 50 length 261 Plan Review 456 9335 ZF Name SAME Depth 12-1 sAC, cty Address S.F. Total - SAC, nncwcc ~ City Phone S.F. Footprints - On Site Sewage _ Water Conn ~ ~ W 'Ucj Name On Sile Well - Water Meter Addf@SS MWCC System _ U= Acct. Deposit a W City Phone City Water - PRV Required _ S/W Permit I hereby acknowlege that I have read this application and state that the eooster Pump - SiW Surcharge information is correct and agree to comply with all appJjcable State of Minnesota Statutes and City of E gan Ordinances. Treatment PI Signature of Permitee ? APPROVALS Road Unit DA E OR MARY REINERS P~anner A Building Permit is issued to: - Park Ded. on the express condition that all work shail be done in accordance with all Council applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Oit. _ Copies Building Official !)(%~Variance - TOTAL 25.50 r CITY OF EAGAN A' O 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ~ V- 6 PHONE: 454-8100 BUILDING PERMIT Receipt # ! `1 To be usedafor SF DWG/GAR Est. Value $92, 000 Date JANUARY 29 19 86 Srte A 1677 WOODGATE LN Erect L] Occupancy R3 ydress Lot 4 Block 1 Sec/Sub. MALLARD PK 2ND Remodel ? Zoning Parcel No. Repair ? Type of Const. V Addition ? No. Stories Q Name METRO CUSTOM HOMES INC Move O Length 46 Z Demolish ? Depth 36 o Address P.O. BOX 1049 Int. Impr. ? Sq. Ft. City BURNSVIL~~e 454-9383 Install ? z o Name SAME Approvals Fees Address Assessment Permit $ 409.00 ~ City Phone Water & Sew. Surcharge 46.00 ci Q Police Plan Review 204. 50 ~ Z Name Fire SAC 575.00 z ~ Address ~ z Eng• Water Conn. 500.00 a W City Phone Planner Water Meter 63.50 Council Road Unit 290.00 I hereby acknowledge that I have read this application and state thatthe gldg. Off. 1/ 23 / 86 Tr. PI. 156.00 information is correct and agree to comply with all applicable State of Minnesota Statutes and City o a rdin APC ParkS Var. Date Copies Signature of Permittee r Total $2. 244.00 A Building Permit is issued to: MET 0 CUSTOM HOMES on the express condition that all work shall be done in accordance with all ap ca e of Minnesot Statute and City of Eagan Ordinances. Building Official ~ ~ • ~ ~ f r~ ,y:~/ / ; ~ 1 .,,s~l'+•'~V / ~ ~ . v ~ 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL COHTRACTORS NUST BE LICENSED WITH THE CITY OF EAGAN COlMERCIgI. SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS & STRUCTURAL PLANS, 1 SET OF 3 CERTIFICATES OF SURVEY SPECIFICATIONS AND 1-SET OF 1 SET OF ENERGY CALCULATIONS ENERGY CALCULATIONS' ' $2,000 LANDSCAPE BOND 0C)o To Be Used For : ife e, /f~r.' Valuation : Date : i Site Address 11„'~~ Itlo,u/j e---, OFFICE USE ONLY i Lot ~ Block ~ Erect X Occupancy (Z,3 I / Remodel Zoning Parcel/Sub ~aI~Z.l~/I /~eJ l,. Repair ~ Type of Const Ad dition 4~ of Stories Owner v Move Length JL Demolish Depth 3(0 Address Int.Impr. ~ Sq Ft n Install C i t y/ Z i p Cod e >2~ Phone APPROVALS FEES Contractor 5 4 m e= Assessments Permit ~'1, Water/Sewer Surcharge q.(o. Address Police ~ Plan Review 20 . Fire SAC S. City/Zip Code Engr ~ Water Conn Planner Water Meter 3,a Phone Council~ Road Unit Bldg OfTreatment Pl ( SIo, Arch./Engr. APC Parks Variance Copies Address TOTAL City/Zip Code Phone # I 4- x 34 = 4~~ x S~ = 2~ c~og ~ e .r. . ZxtZ- x 30 = 3oo ~c s~ ~ I ~ 40 0 Ic~& ~ ~ - 914-¢ ~ Z x I 4- ~ - 484- x i2 = S60B Z2 x 2Z - 44 = I9 71 Z zq.° ~ ~ r900K 36 i'AG-~ 38 ~ AORE PEENGINeCRING "ONSUITINb lNOINEERS f'IANNEAS ond IANp iURVEY~AS COMPRNY, ING. . 1000 EJlST 1461h STREET, BURNSVILLE. MINNESO?A 55337 PH 432-3000 G't' 7''z Z~Z C CL J? ~QQl -~C?~~P~20~'L' LUT 4~ g[.UCK l ~ i?'1ALLARD PARK S6coA/D ADUIT/bN ~ DAKV"rA CUUNTY 9 M/NNEsOTQ \ . 3 • \ . . ~ o ' . ~ 90 ~'9 .s < NOfZTN p~ L / SGALE - h ~ ? O rT 4 ~91- ~ / s • 4 ~ ~ / ~ ~ ~ ~ ~S/ ~ y GS OS b~ , ~A96v s~ ~ J , ~ o• ~ z sETgitC.t-- L/NE ~ ss L7- DR'AfNAGE F, UL IT ?T y EASEMENT T '6 ~ \ ~ ~5,0_0~ nENOTES E~/S7/n/G EGE VAT/OK ~so.a,~ ~~N07rE5 ai?OPOSEO .EL-EVkT/vN /I/ 5>iC A-7-ES /~/REGT/ON OF SlJRF^ GF URA /NAGF ~/iv/SHFD C-AR ^ GE ~LaoR ,E<GV.qTlON = `I5 Z 1O I hereby certify that thia ie a true and correct repreeentation of a tractof land at ohown'and deecribed hereon.. Ae prepared by me on this zZ`_ day of }linn. Reg. No. . . i i I t .6 14 1990 BUILDING PERMIT APPLICATION ~ CITY OF EAGAN ~ ~ SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. AAY 2 9 REC' To Be Used For: Valuation: r~) Date: Site Address A/, j2 (,-j pOL~(>!}~~ OFFICE USE ONLY Lot V Block ~,/.I h/, D FEES 5k1- co eJ~ ^40,& )4 Ap Occupancy Zoning Parcel/Sub Actual Const Bldg. Permit Allowable Surcharge ,.~?'i Owner p/4U,-:' /~~./1•~61' gC=),JC-Y~~~ # of stories Plan Review Length ~ SAC, City Address '7 l,~oID •J b l`, Depth SAC, MWCC S.F. Total Water Conn City/Zip Code EP6 /~.J} . ;pj,) Footprint S.F. Water Meter y- W DpIk Acct. Deposit Phone On site sewage_ S/W Permit On site well _ S/W Surcharge Contractor S~,CiL MWCC System _ Treatment P1. City water Road Unit Address 17 L~oO~ v p7C ~ PRV Park Ded. Booster Pump _ Copies City/Zip Code e A6 n,J , '~j •2, '7 SUBTOTAL APPROVALS Penalty Phone Planner TOTAL 55L Council Arch./Engr. 5e.C ~ Bldg. Off. ~,30 Variance Address City/Zip Code Phone # , - _ . f, i3o~~r 36 PACr. CO}~S11LTiN0 Ef~c31~~EERS ENGINEERING pLAIIfIEfIS cnd LANU iUAVEYOAS (:OMPnNY, INC. . . , 1000 EllST 146th STREtT. BURNSViLLE. UlfifiESOTA 35~37 P1~ 432•3000 Ce _J? 3f& ~ GUT ~ $[.UGK I~•MALLARD PARK i11 A r~iN.TIi.. ~rJVVrY . : -'v ? i ??r . •vr' i'.v . i N"`a ~ ; ' -v . . • s. s 3 Y r •e ~-7 ~~-1\• ~ NORTH • p`,y l SGALE : 30~ ~1 1P ~ I ,J \ • l . g~ J,~ ~z~,. . •s\•~ . M ~ ~.O s0 ~ • ~~~u s. - ~ - • ~ yy 5 ~ s isZ, vo sq+ i cz`o„g (9si ~ 1~ , ' ~ ~ ` ' • 30 r--R on,r QviA-oING , ~ % • \ ~'s°o ~ / J sETBit GK L/NE ~ s i s• ~ 1y ;Z7- ~v ~ORAfNAGE ~ UL/TIT)/ . EA S E M E N T . o Gz syS2sJ , ~5e_o~ oENO'TES EX/S7/NG ELEVAT/UN ~~,e~ ocNOTES p~?oPOSEO .EZ-EVpT/ON ' /iv OiC A TE,s ~/REGT/ON S!/RFAGF DRA/NA<rE F/N/SNFD C-^R^GE fGOoR ELL-VATION =157-1O ~ . . . I hereby cartity that thia ie a true and correct repreeentation ot a trsct of lind as aho+m'and deacribed hereon.. Aa prapared by me on this zZ~_ day ot Hinn. logo No. /_b"PS ' j . 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) C~ CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 New Construction Reauirements Remodel/Reoair RequiremeNnts ? 3 registered site surveys showing sq. ft of IoQ sq. fL of house ? 2 copies of plan and all roofed areas (20% maximum lot coveraae allowedl ? 1 set of energy calculations for heated additions , ? 2 copies of plans (show beam 8 window sizes; poured fnd. design; etc.) ? 1 site survey for exterior additions 8 decks ? 1 set of energy calculations ? 3 copies of tree preservation plan if lot platted after 7/1/93 J DATE: CONSTRUCTION COST~ ~ OO UO DESCRIPTION OF WORK: STREET ADDRESS: LOT: Li BLOCK: ~ SUBD./P.I.D. iljl~ Phone ~c (0-9 33 S PROPERTY La+t Firsc ovvivEx Sa-eet Address: City State: Zip: ~ J1 a"~• Company: Phone COi~'TRAC I"OR a ° ~f Street Addres N~ ~ o- license #O~_Exp. E. 9 d. 9. c,ty Blooming$on, MN 55425 s e:Zip: 2 p' "'49 ARCHITECT/ ENGINEER Company. Phone Name: Registration Street Address: City State• Zip: Sewer & water licensed plumber (reauired for new construction onlv): 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: OFFICE USE ONLY Certifcates of Survey Received Yes No RECEIVED JUN 2 2 1999 Tree Preservation Plan Received Yes No Not Required ; BY° , N ~ • • • ~ • I 0 ' 0 1~1' • li ~1' • ~I• 1 ~ • ~1' S ' I ' • ipi sii ii Qi (e ' ' 5I~ TI 1 1 1 o1 • • ~ • ~ • ~CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATII2 CONNECTION lease Print) 1) PROPIIZTY ADDRESS : 4~ ` ~ AvG O CG ~ ~-L . , T•FGAT, DESCRIPTION: (Lot Block Subdivision or Tax Parcel I.D. Number) IF EXISTING STRL'CTLIRE, DATE OF ORIGINAL BUILDING PF.RMIT ISSUANCE: (Month Year) PRESENT ZONING/PROPOSID USE: -1 SINGLE FAMILY tRR2 DL'PLEX ('It~vo L'nits ) -3 TOWNII30LSE (Three + Lnits) ( Lnits) -4 APAR'I'MENT/CONDOMINIL'M ( Units ) COrMIQZC IAL/RETAIL/OFFICE INIDL'STRIAL INSTITUTIONAL/G0VII2NMENT 2 ~ r. . NAME: AL"'k(= ADDRESS : ItloC E ri1Yi T/v CITY, STATE, ZIP: 6, PHONE: 3) For City Use N11ME: ,.X C~ plumlers LicensE ADDRESS : a"`tri' C= Active CITY, STATE, ZIP: •5 ~~2~ vcr' Q Expired PHONE: °j "7 MASTER LICENSE # Not Recorc Staff Initial • r 4) NAME: ADDRESS: CITY, STATE, ZIP: PHONE: ' 5) u • a• CONNFJCTION TO CITY SEWER 4MONNECTION TO CITY WATER ~ ? OTHER (Please Describe) 6) 400_04w • ? PLFASE HOLD APPROVID PERMIT FOR PICK-L'P BY ONE OF ABOVE . '11-PLEAS MAIL APPROVED PERMIT TO l, 2 4, ABOVE ~ (Circ e one) 7) ~ z"~ ~(o - , F 0 R C I T Y U S E 0 N L Y PE?2.'~1IT " ISSUED ' Fz'ES: $ SEi':c.°. PERMIT (I`ICL:;DZ SURCH?RGi) - $ ~l > `WATER PERMIT (Ii1CL'JDE SliRCHARGn) WATER METER/COPPERHORN/OUTSZDE READER $ WATER TAP (INCLUDE CORPORATIOV STOP) $ S ::vER TAP $ =.CCOC:i'?' =70Si= - - ~ ER $ ACCOUNT DEPOSIT - W[lTER $ wac $ spc $ TRUNK 14ATER ASSESS.iE.1T $ TRli.1K SE.JER aSSESSME:iT $ LtiTER;L BENEFIT/TRUNK SE?:ER $ LATERAL BENEFIT/TRU:1K SJATrR $ ~ ~ WATER TREATMENT PLANT SURCHARGE $ OTHER: $ TOTAL AMOLNT PAID ~ /REC~IPT - • DOES UTILZTY CON:JECTZON REQUIRE EXCaVATION IN PUBLIC RIGHT OF WAY? YES IF YES, THEN A"PERMIT FOR W0RK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE NO ENGINEERING DIVZSION. LIST AS A CONDI- TION. SliBJECT TO THE FOI•LOWI;IG CONDITIONS : APPROVED BY: TITLE: DAT°: `~s~l~7fG?:~ r-L~A4'1 zlrh~ CARRIER LOAD INFORMATION CENTER Hr _Q.., y ~~3~~ ~ is~ 19401 Normandale Road ~ Prior Lake, Minnesota 553%1 (612) 447-8124 OPTION 1 OPTION 2 OPTION 3 1. Summer design degrees ~ # # # (90, 95, 100, 105, 110 or 115) (If 90, 105, 110 or 115, Item 2 N.A.) 2. Daily range (0°-35°) . . . . . . . . . . . . # # 3. Winterdesigndegrees # # (Precede a minus number with M) 4. Numberofwindowpanes ~ # # # (1, 2 or 3. If 2 or 3, Item 5 N.A.) 5. Storm windows? (Y or N) . . . . . . . . . . . . . . . # ' # # 6. Windows weatherstripped? (Y or N) . . . . . ~ S # # # 7. Four window areas starting with N or Ex~N#25#30#20#25##; Max per side: ~ 999 sq. ft.) 71 or NE # # 72 E or SE ~ # # # 73 S r SW # # # 74 or NW ~ -'3 ri# 8. Shadedwindowarea o # # # (0 or sq. ft. Enter 0 if not applicable. Max: 999 sq. ft.) 9. Doorarea o # # # (0 or sq. ft. Max: 999 sq. ft. If 0, Items 10 & 11 N.A.) 10. Doorweatherstripped?(YorN)......... # # ti - 11. Storm doors? (Y or N) . . . . . . . . . . . . . . . . . 12. First story perimeter '7 # # # 13. Second story perimeter . . . . . . . . . . . . . . . . ~ # # # 14. Thickness of wali insulation . . . . . . . . - / # # # (0, 2, 4 or 6" fiberglas. Enter MA for masonry; R values, enter R, then value. Ex: R19) 15. Basement perimeter # # ti (0 or linear ft. If 0, Items 16, 17 828 N.A.) 16. Basement heated? (Y or N) . . . . . . . . . . . . . e, ~ # # # (If N, Item 17 N.A.) 17. Percent above grade (Ex: 5%= 5) . . . . . . . # # 18. Area of roof with exposed beams or studio ceiling ' (0 or sq. ft. If zero, Items 19, 20 & 21 N.A.) _ 19. Woodorfiber # # (W for wood, F forfiber. If W, Item 20 N.A., If F, Item 21 N.A.) 20. Thickness of fiber # # # 1 (1.5, 2 or 3" or R values) 21. Insulation # # # (Y, N or R values, Y assumes 1.5") OPTION 1 OP*ION Z OPTIOM 3 22. Area of ceiling under vented roof or unconditioned space . . # g p (0 or sq. ft. If 0 Item 23 N.A.) 23. Thickness oi Insulation . . . . . . . . . . . . . lz - y y # q ~ (0, 3, 6, 12 or 18" of fiberglas or R values. Ex: R30) 24. Area of floors over unconditioned space # q p - (0 or sq. ft. If 0 Item 25 N.A.) 25. Thickness of insulation . . - 3-o # q p (0, 3 or 6" fiberglas, or R values) 26. Area of floors over open or vented space, orgarage ~.._1i# (0 or sq. ft. If 0 Item 27 N.A.) 27. Thickness of insulation . . - cl (0, 3 or 6" of fiberglas or R values) ~ 28. Basement area . . . . . . . . . . . . . . . . . . . . . . # q (0 or sq. ft. If Item 15 fs 0 skip this entry.) 29. Totalheated area # # (sq. ft.) 30. Perimeterofconcreteslab ~ # ~ # (0 or linear ft.) (If 0, Item 31 N.A.) 31. Thickness of slab insulation (0, 1 or 2") 32. Desired summer indoor temperature swing 3 k# (Value between 1 and 6 inclusive.) 33. Desired winter inside temperature # ~ 34. Ductlocation # # # (AT = attic, BA = basement, SL = slab, CR = crawl space, CO = conditioned - space) (If BA, SL, or CO, Item 35 N.A.) 35. Thickness of insulation . . . . # (0, 1 or 2". Use 2 for 1" rigid.) - ` REPEAT DATA?„ . . . . . . . . . . . . . . . . . . . . . . . . . e_ #if YorN "CORRECTIONS7......................... If there are no corrections required enter If there are corrections to the data, enter question number, the new data, and Ex: 19#W## # L ? # q# # #tl If no further corrections, enter #tl only. #H # COOLING B.T.U.H. v EOUALS -2119W AT °F B.T.U.H. AT °F B.T.U.H. AT °F HEATING B.T.U.H. ~ 3 y 8`71 L.('/ y' VJ -tyV Ptti- /2 U / Q~ EOUALS AT °F B.T.U.H. AT °F B.T.U.H. AT °F "REPEAT THE ANSWERS" (Y or N) . . . . . . . . . ii# gq gq "SAVE YOUR DATA?" . . . . . pp qg Y or N: or YR#f# will save your data and goes to beginning for new Analysis; or NR## will not save data but goes back to beginning for new Analysis. JOBNUMBER Ii you want to save your data CLIC assigns Job Number "STRUCTURE CHANGES?................. If there are no changes required enter ft#. If there are changes to the data: enter question number, q, the new data, and itii. tf #N q aq p qq Ex: 25#R30#i# If no further changes, enter tt# only. aa qq AN Cf~C~2GJ ~UII(~1G~5 OPPORTUNIIY HOME 3-78 Printed in U.S A. 838-039 ~ 4111' City of Eaan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: Date Received: Staff: 701 /,� 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date: (Y— (' i �-- Site Address: JPO 7 7 U'000GATb-44 • Name: p114 VE' + �} �.v R 'tcRs Unit #: Phone: 4s1" 14 " 733-r Address / City / Zip: /4" 77 u%aa'AGATe" LA5.14 if ti Applicant is: Owner ')'C Contractor Description of work: S ! I / tiC - TR 1 �^ Construction Cost: /saa'v Multi -Family Building: (Yes / No\( ) Company: brio lArvCCQ' /1 L --47pE'd10Er*rel•Contac STEPHEN 2w -wt.'s Address: /6. f( OA, .g.Ae /rC Gv49°f City: 6 4 d'Ati State: ('\/t Zip: S / 2 _- Phone: 6S1 ^ 1r2, Poe"' License #: 13c 1 3,61 4,6 Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 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: 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.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 St days of permit issuance. 57tPkr-4-- . Ly6,kc x Applicant's Printed Name de must be c .ii . leted within 180 X ✓ �+ Applicant's Si,' ature Page 1 of 3 06/14/2012 03:22PM 6516338859 TIMBERCRAFT PAGE 02/04 411/' City orEtau Date: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675.5675 Fax: (651) 675-5694 0 \ "\'' Use BLUE or BLACK Ink For Office Use Permit #: /is Permit Fee: 1 / 3 6 Date Received: 6'1 til �^ Staff: CiRa Site Address: ' ! Wined ciLrc Lca _ Unit#: �C ✓ 2012 RESIDENTIAL BUILDING PERMIT APPLICATION CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. CaII 48 hours before you intend to dig to receive locates of underground utilities www 000harntateonecwll,ora 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 Buildin Code must be completed within 180 days of permit Issuance. rfA (14— Applicant's Printed Name x Ap icant's gnature Page 1 of 3 RESIDENT. OWN _ , -, - ' k ' ' : Name: be k.ke_ Ag_f6 i i r `ri vu Phone: 6 5 -1- 95(p "ctS; 6- h Address / City / Zip: 1 (� 1 ? ("icod_ ail L/t% Applicant is: Owner V Contractor • .::..•:. :::...Description typEppv005: .- � of work: Kt1-'Vt—_ lip a. Construction Cost: Z O/ ;5Z9- J Multi -Family Building: (Yes / No _) R -'Address'. Company: -Th4^-61171._ J Contact: Pd / ddress: 3$ o C k0Piii(.d.. /t� S City: ke.A ) 172 11/ ov Allk% S`Y 1( CC/— xis 4#4 / State: Zip: 1— Phone: C, 2- 6 2 Lead Certificate #: /Y T 7 06 ~ L r .- License #: � p � � c( .. If the project is exempt twv4 'FLPtt. from lead certification, please explain why: (see Page 3 for additional information) Ici7f cox 5X2-txt- 6b , c' ' T /' v In Licensed Mechanical Sewer the last 12 months, Yes If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan Issued a permit for a similar plan based on a master plan? yes, date and address of master plan: _No Plumber: Contractor: & Water Contractor: Phone: Phone: Phone: NO+TE.P/ansandsu theririftweetlon:may:.be.class COM .40,071.entshh,at;' 1:Stibalitterre;:Con id ltto'K4:e.;publlc:infor etion,;.Portiorf's:.of ,.P,1,� ,.,.�':............... .gip,,. ed a5: ion- ublCC: f� ou pr`oVIde eici "iic: area #`tys thaf,would' ermil:'t to Cit lo. aanarclitih'..f:f°fheY ro?tia.deaecrets:::::::�.-:: CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. CaII 48 hours before you intend to dig to receive locates of underground utilities www 000harntateonecwll,ora 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 Buildin Code must be completed within 180 days of permit Issuance. rfA (14— Applicant's Printed Name x Ap icant's gnature Page 1 of 3 677 oodz- :, SUB TYPES Foundation bk Single Family Multi 01 of _ Plex Accessory Building WORK TYPES New Addition je. Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25% 100% Census Code DO NOT WRITE BELOW THIS LINE Fireplace Garage Deck Lower Level Interior Improvement Move Building Fire Repair Repair lora 4/34 # of Units / # of Buildings / Type of Construction 1-13 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: Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width Final 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 MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required Final/ No C.O. Required HVAC Gas Service Test Other: Gas Line Air Test Pool: Footings Air/Gas Tests Final Siding: Stucco Lath Stone Lath Brick Windows Retaining Wall: Footings _ Backfill Final Radon Control Erosion Control , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL //x4 y,P dI /45FN @ seg /03 '25-- 62 _3300 Page 2 of 3 City of Eaffall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: Date Received: 1 Staff: 1 31v 164 g-0- I3 11 J 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: 1107 7 t uao.1A7E L f) Unit #: DA n 4 41,0 P6-5,06124 Resident! Owner Type of Work Contractor Name: Address / City / Zip: 1677 woodjATE Applicant is: Owner Se Contractor Phone: h9 -4s4- X1335" Description of work: / /iP R 0411 IC pDY .. F A Ail A Construction Cost P4 OOa . Od' Company: ( )1411 F / /4o•I6 Plro r+e,F7s Address: / 4/( ,01Wi ko'ii6 tut') Y 5i0,;.c weST Sita of lJ Multi -Family Building: (Yes / No ) : SM -1)// EA 6,9e) AT-. 8710 36 - State: tiv`"- Zip: S 57 2 2 Phone: License* R‘ 439/4 Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 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: Phone: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. 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. wwwo9AherstaleonecaII. 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 1 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 Sid ding ode must be completed within 180 days of permit issuance. x 5 n-pf ,tom LYcri-S Applicant's Printed Name x re Applicant's Sib re Page 1 of 3