1690 Woodgate Lane
CITY OF EAGAN Remarks
Addition ~~~~~~~Park $eGo-}d Add ;t#gn Lot 3 7 elk ~ Parcel #ln 47251 170 07
Owner Street 1690 Woodgate Lane State Eagan, MN 55122
' ?i c;nfL
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. O05
STREET RESTOR. 737o 1977 34, S 2 in 103 ~S
GRADING
SAN SEW TRUNK
*SEWER LATERAL
WATERMAIN
*WATER LATERAL ' 1981
WATER AREA
STORM SEW TRK 1981 4' 7~I
*STORM SEW LAT 1981
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
IN5PECTION RECORD ( Control No.
CIT'Y' OF EAGAN PERMIT TYPE: NO E1 1
3830 Pilot Knob Road Permit Number. 00 1032
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675 ~
SITE ADDRESS: APPLICANT: ~
I(lT, 3T ~iLUi:F.: 1
1 6 9 0 W00130AFt lANE' FVfRIAS1]NO WUME; 7Rt
MRItARU PAitk 1Ni) (rFfs') 43&-:1+4E1
~
-
PERMIT SUBTYPE: TYPE OF WORK: NEU ~
' •
FourtNo FftAMTNe
INStil A7'10M F]'NAL
RIFMARKS, #IECFIP7 p~V 9 a 4J C411lTRACTflR - MATTMEW DA"ItC.$ RRdQ
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LN
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C~;e~tt~tcate nf cccupanc4
of Cfagan
~c~~ait of ~u~ib~ng ~n~patis~
This Certificate issued pursuant to the requirements of the Uniform Building Code
certifying that at the time of issuance this structure was in conepliance with the various
ordinances of the City regulating building constructdon or use. For the foUowing:
SF DWG 1832 Use CLissScation: Bldg_ Pbmit Na
OccupaocY 1y'Pe Zoning District Tvme _ConsL
_
~
Owcer of Building A~ s '`TIIJ~
f f
Buil4inB Address L,ocality
02/12/43
Date:
Bailding 015cia1
POST IN A CONSPICUOUS PLACE
0 0~~ ~36 ~ n±
~ C~.o7
Reques Date Fire No. ou~h- pection Required *Ready cion Other Than Rough-In
(You mctor w~en ready) Now ~ Will Notify Inspector
9~ ? No ead
I* licensed contractor ? owner hereby request inspection of above electrical work at:
Job Address (Sheet, Box or Route NoJ City
I1a O WQV ,4--re Lq-D.I'C ~4&4t!
Section No. Township Name or No. Range No. County
J41`Y ~ ~~'f
Occupant (PRINT) Phone No.
t ,~A L E_ r- -7c/ J
Power Supplier Address
Elec rical Contractor (Company Name) Contractor's License No.
j--z_R_iGm3 Elr-_c7- tc,
Mailing Address (Contractor or Owner Making Installation)
AD~ ~A 4-7,5' <o,S<!' YL - A l
Authorized Signature (Contractor/Owner Makin `Installation) Phone Number
0 ?
MINNESOTA STATE BOARD OF CTRICITY ~ THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room 5-12 I I BE ACCEPTED BY THE STATE BOAFD
1821 University Ave., St. Paul, MN 55104 I I III~ II II IIII I I II II I I I III I II UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ~ ENCLOSED.
REGIUEST FOR ELECTRICAL INSPECTION '
~ EB.oooo,_as
~ See instructions for completing this form on back of yellow copy. . • C~ ~
~ ~
`
~o a5 y~ "X" Below Work Covered by This Request
\ w„o....
New Add Rep. Type of Building A~apitu . 1~~Ts Wired : Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm./Industrial Furnace Other (Specify)
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 I 0 to 100 Amps
Transformers Above 200 Amps ve 100 Amps .
SIgnS Inspectar's Use Only: TOTAL
Irrigation Booms
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE OR ED DISCONNECTED IF NOT
Other Fee ,C;0 COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rough-in Date
certify that the above inspection has Final e
been made.
~
OFFICE USE ONLY
This request void 18 months fram
K 8 9 6 6 ~~~oA s
~`z 1*
~ 55 °0
Requ st Date ire No. Ilough-in Inspection
` Required? ? Ready Now f~fWdl Notify Inspector
es ? No When Ready?
IX licensed contractor p owner hereby request inspection of above electrical work at:
Job Address (Street. Bax or Route No.) City
6 O ltlo"AaXe /,a 049 ~ 4~~ Ge ~
SAction No. Township Name or No. Range No. Counry
g,? !`0
Occupant(PRINT) ~ Phone No.
~?e~'l~t f.~r~ ~ ~e.f y3S' 8'
Power Suppli r A
J
~ja,~'d
Electncal Contractor (Company Name) ` Contractor's License No.
Ele ~i"~ c .1.,401 C'A( o- 115`.~
Mailing Address (Contractor oi Owner Making Instal2t
/
1 ~!2
Authorized Si9nature (Contractori ner aking Install ) Phone Numbe~
~
MINNESOTA STATE B RD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD
1821 University Ave., St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ee-ooooi-oa
6
See instructions for completing this form on back of yellow copy.
?
X" Below Work Cdvered bi~ This Request
ewdAdd Rep~ Type of Building AppliancesWired EquipmeniWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other-(Specify)
~ Comm./Industrial Furnace
Farm Air Conditioner
~ Other (specify) Conirector's Remarks:
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 17-Zli;- 0 to 100 Amps
Transformers Above 200 Amps Above 1 Amps
Signs Inspector's Use Only: TOTAL
Irrigation Booms SS ~
Special Inspection J
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rough-in ( Date
certify that the above inspection has Final - ' Date ~1
been made.
OFFICE USE ONLY
This request void 18 months from
Address 1690 wooDGAIE LME Zip 5512 2
L.ot •Blk ~ Sub rrat.t.axv PaPtz 2ND
THESE IT'EMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: 02/ 12/93 Yes No Inspector:
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry) ~
Permanent driveway
Permanent gas ~
Sod/Seeded grass
Trail/curb damage
Porch
Basement finish ~
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to
the outside lawn faucet before freeze potential exists.
Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system. ~
White - Ciry Copy Yellow - Resident Copy Pink - Contractor Copy
PERMIT Control No. 1331
CITY OF EAGAN
3830 Pilot Knob Road pERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55123 Permit Number: ` 001832
(612) 681-4675 Date Issued: 11/23/ 9 Z
SITE ADDRESS:
1690 wanuGrarE LANE
I_oT: 17 sLOcK: I
MALI_AFD PARI< 2ND
DESCRIPTION:
,
;'Bua.lda.n,g Permit Type 5F nWG
' Builcii.ncj ",W_ork Type NEW
' l1BC Uccu}aan'c,y R-3 M-1
~
( Construc:tipn"I:ype V-iV
Zoning I ~ R-1
B ua.1 da.rag Length ~ 56
Building Wi,dth 56
` i
~-i'{~-,
i•-- ~ t ` i l, - t r ~
REMARKS:
C021859
RECETPT # C021752 PRV S& W CONTRACTOR - MRTTHEW DANIELS PLBG
FEE SUMMARY:
VALl1ATCON $127,000
Base Fee $734.08 MTSGELLANEOUS $1,610.50
P1an Revzew $477 e10 'T"ota.l Fee $3,585.10
Surcharge $63.50
SAC $700.00
SRC % 100
5AC Units 1
5ubtatal $1,9i4a60
CONTRACTOR: -Ap p 1 i c a n t- 5 r. L cOWNER:
EVERLflSTING HOMES INC 1435214$ 0003024 EVERLASTTNG MOMES INC
P 0 BOX 914 P 0 BCIX 914
BURN5UILLE MN 55337 BURNSVILLE MN 55337
(612) 435-2148 (612)435-2148
T heretay acknawledge that I have read Chis app1.icatian and state that the
i.ntarmation i.s correct and aqree to compJ.y wxth a11 applicabJ.e State of Mn,
5tatutes and City of Eacaan Ordinances.
~ ~/Y
APPLICANT/PERMITEE SIGNATURE ISSUED B: SI NATUR
INSPECTION RECORD ~ Controi No. 1331
CITY OF EAGAN PERMIT TYPE: 8 u iL oI N G
3830 Pilot Knob Road Permit Number: 0 0 1 83 2
Eagan, Minnesota 55123 Date Issued: 11 / 2 3/ 9 2
(612) 681-4675
SITE ADDRESS: Lo.T. e17 BLa c K e i APPLICANT:
1690 WOODGATE LANE EVERLASTING HOMES TNC
MALLARD PAFtK 2ND (612) 435-2148
PERMIT SUBTYPE: TYPE OF WORK:
5F DWG NEW
INSPECTION . . .
FOOTT.NG FF2flMING
INSUL.ATION FIIVAL
FT,REPLACE
C021859
RFMRRKSe RECE]:PT # C021752 F'RV S& W CONTRACTOR - MA7T'HEW QAIVIELS PLBG
F-
L
~
PERMIT # I CITY OF EAGAN $3 r~I ~
REACTIVATE _ 1992 BUILDING PERMIT APPLICATION
' 681-4675 NOV 12 R'ECD
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
I specifications, 1 copy of energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which re uest is made or lot chan e is re uested once ermit is issued.
Date Valuation of work LiS; Dou -
, ,
Site Address: -n
STREET SUlTE 0
Tenant Name: (commercial only)
LOT BLOCK SUBD. P.I.D. M
lG 'Jg & N
Descri tion of work:
The appl i cant i s: O Owner 9l' Gontractor CI Other (Describe)
Name ~_e./, /4 ~ J-.'.,j 3 Q , < ~ ,j - Phoi-.e, 1(3
Property LAST FIRST
Owner Address
STREET STE 0
City State Zip ~S_5_3 3
7
Company /cJ x/4 I-,,p- r .L'j~- Phone 443
Contractor Address iC v License # Exp.
City f,. /4e State /2,,J Zip 3? 7
Company Phone
Architect/ '
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber /'),Cf4,--,.J Processing time for
sewer & water permits is two days once area has been approved.
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.
Signature of Appl icant:
OFFICE USE ONLY ' BUILDING PERMIT TYPE y
O 01 Foundation O 06 Duplex ? 11 Apt./Lodging ? 16 Xsement Finish
9 02 SF Dwg. O 01 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
? 03 SF Addition El 08 8-Plex El 13 Garage/Accessory ? 18 Comm./Ind.
O 04 SF Porch ? 09 12-Plex O 14 Fireplace O 19 Comm./Ind. Misc.
? 05 SF Misc. O 10 Multi. Add'1. O 15 Deck O 20 Public Facility
? 21 Miscellaneous
WORK. TYPE
~ 31 New O 33 Alterations O 35 Tenant Finish ? 37 Oemolish
O 32 Addition ? 34 Repair O 36 Move
GENERAL INFORMATION .
Const. (Actual) V_ H Basement sq. ft. MWCC System ~Cs
(Allowable) v_N lst F1. sq. ft. City Water yc-S
UBC Occupancy -3 M_1 2nd F1. sq. ft. PRV Required
Zoning Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Length sG- On-site well Census Code
Depth S 6On-site sewage SAC Code v!
APPROVALS
Plannin9 Build'Assessments ,
~
Engineering Varia
REQUIRED INSPECTIONS ? Site . ? Footing O Framing ? Insulation
O Wallboard ? Final O Draintile ? Fireplace
Permit Fee veluaci«,: g 12'7j 000
Surcharge Plan Review GAr~AG~; 32 x 24 °r) 6g
License - ~ X ~o o yo)
MWCC SAC
C i ty SAC g~~~ % 7 Z 8~/~`• I I ~ N 8
Nater Conn. 42 i~, x2 2 ~ r
Mater Meter is'~
Acct. Deposit IsT FL uo Iz; ,
S/W Permit
S/W Surcharge
Treatment Pl.
Road Unit
Park Ded. a~~3L = ~~ou ~ . ~
Trails Ded. 12~6xS3-
Copies I0 zND
Other -
Total : '70*
>
SAC % 1 r~ 46
SAC Units r7) s A 3 6)1
~~b
211 P01 NOV 19 192 15:01
. ` ~ l ~ ~ •
00
~ •
. ~ ~3
~A Ft \7 P`CL~t Ne ~ N • .
e.., e4~ 939. 4"! 'L'eP E.~,.~ae..ttr I~~- ~ 9~•3
t.r,v i , e~.. • 9S-7•17 batLe "M-r et.,1 9 3~,.3
e4
. . hi
~
~•N ~
t
2$„?` 94~ ~~9
. p
3 ~a
A- `k . ~ _ ~ ~ ~
%
T2
93q,1
.
~j~ ' C ~ ~ ~+c 94~1. o
aa.,~rr 9 4* ."1
~
j~t
.
. ` `
~~j i
a4.o . ' ~
A N 4.k: z . .
\r"% 17
it t!',_'° l
E V I V4 E
v
~
gS
0 A
. ~ , . . . ~
` 1-01
464 `
. ~ ~x ' ~d `r„ ~ o ` ~ al~~ ~ 3 0'
A~
: . l~h~~.t...P+R~1 PP~C~~?
Zo NQ 1%441rtIC7t4j
G°~oG~oYo [MD AANW 5--$0 -ra
hereby eertify that thie gurvey was arepared by me or
under -my dirodt NUpervieiOn a7%4 that Iam a dulyr Registerefl
. , Land Surveyor under the Laws of tho St$te of Miiuseffiota,
' DatvI AAA&
~
& ~ f~~l~ra.a'~wYi1
QCv, Wi4OwUar ff~lffj ' 11@C[03T f O Qh
' • Registered Land Survey0r No. 107795
F ~ !go'~il - 4l~ t z ~/o t s A ~ ~.-~C ~ o~ b 46-PT.
.
Rm97%• 11-19-92 02:02PM P001 #05
SEP-2-~-1992 10: 57 Fi :OI~1 TO 1c,12,_~~~5;_~6~~4 P. t~2
r t
10,aUL.aRa &,ejt 2ND .Qaa'N ,
~'.,NE AND TWO FAM:I L:,€
ENERG*s` C:ALCULATIONS - AVERAt_E "SU`` C-C'MFUTATs'_ON
Ct'OThIi ERa RIM LEE SIi'E ADDRES5~ ~A'TE, 3/'23/92
CONTRACTOR> EVERi,AaTIiJG HOMES C.ALCt3LA``I`)Nv BYz sYA"Z PH:E; 451-1019
Dete=mine wobkz.ne~ sqjzare fOCLaye ov -ach that ~~p'Lzes.
7_. Total
ex~5Ose~~ ~;4a13. sq~ ft, x C3a110 ~2'?8ot?3
Tc~~:~~. rc0f,r cez.Iitlq ~~ea .a . . . , . , 1295 s~. ft ~ ~c t~s 02r~ - 33.67
3. ~'I;~ors t~ver tillh~~atec~ s~ra~:e, . a . F . , , , 0 sq. ft. x 0.051yo _ 0.00
4. Roof/Ceiling area (n~ S-Oa<eel, s 0 sq-0 ft. x 0,026 T 0.00
5, UnF~~~~~~ ~~~b 0,1 0 sqV f~> x 0.160 = 0.00
6. Heat.ed sYab orf qr,7,%de .._.a.._.~,._... 0 sq, ft9 x Oe120 = 0.00
TOTTiL, WOOD WAL,~~ ~~~EA 2382.00
a. 2~ot,~~ ~all wir~~ow 109. 53
b. TOtal door c'f Y' eat . , . . r . „ . t e ¢ o- . ~ { 45.80
C. Total gla3~ do4r 31.50
E~, Totai fi ra~~ ace wala. 0.00
T k~~,~~. ,'.i~A ~,oig'~ ~aI~.. . q , e P 6 , a e . t3*~.~L'
fs Total w:~ll fram:ng 196.1:
~~t Wall ar;a above floor:. 1765.05
TOi,Ci 'as RXPOSFa,it F',A T.I}~DA'i' 1 y N A.F4 E1% 14~: p '3 0
h. Total fotindati.on wanc~~~-4 OA0
F w Total F$fi'~ foundG1rX.o.{i 'arf.5'a aL3r7'v'~ LiLade> a 145s54s
TP t:t t. %.3,.5i ESY11 heated sle9' I: =,a? 1 qr4: Cd e -arc:' i 0.00
:rQt.a:~ ~~atp-d siah ;an gaa,,je area. , , . a b . . 0.00
I)k;terIltinw. 'Uf° t?a2,,je Ci~ fa~~'~'1 i.t c e g:CzF?ds~
30 9 p 53 7€ lu" 0 3 360 V 39u 43
b> 45~810 x {'u" 0A70 3.21
c- TFu Yt 0.360 ~ 11.34
~ . 4 . Go x n' t 7 az 0.00
e. 2,14s 0V 0 . 04,2 ~ 10,16
196e12 a: °`Upt 20.80
~ / 6 5m ~4~ 5 ~ rr C
} °
~t [~js ry .3
~
d& a u a'
0.00 ~ ~;rrt 0.00
1, 145.50 :t 'gu'' 0s062 ~ 8,99
~ . 0. 00 x "un 0.00
0. 002 x fit 1) f t _
~ 0.00
7....,~..~a.....,~.a.s._,_.~.>.~..a.u..=.1QTAL
If it~.=m #7 i~ ~aLme, as, or 3.ess than it~~ ~1, you bave rreet the
intent of SBf' 6006( c)2.
DiQTE 4 E`OUNDA''~ION WAIILS
Fuil basemenL rRambler j enra.rs exteriot °~ralI ~nust be r~ot ~.ess than
R - 5 . a, ~
xalf basement (Sglmt Foyer) ertire exLenrirr W.aII anuyt be not less
Chan R-ia.
SEF'-2 992 1 0: i0 FRCIPl TO 161?18958694 P. 03
TO`,I'~L E~~~~~n R~'J0F;/'CZZLIP~G- AREA 1295
1. Tt~ ~ al a 3C y.Y"r. i'.i a°r t aL ei3. . . „ a . . . , . , , , . h ,
M. Totai 11:00ff~~eiling framing area....... . i29.5
n. Total riet l'su~
i. sted r00f;<cei~ing ~trea- 1-165,5
x't3" uala.~~ fc~ ~nr-~,f,;'cejying segment.
0 XnU°' ° 0.00
'29a5 xuu" 0n028 _ 3.68
1$65_5 .~ffu}" 0a025 _ 29>30
8 s•• t s•• s 4 s c c x a! s s a a 4 s s? a R? a n u• a e aa a
. T Q t, a~. ~ =98
1f tile tL~~~~ ~f #8 is LiSe sa4Gfe f51s, oS A~s. s,~d 1.haii S oF4 13aV G •FFe6
the i2°it~c.'L3t oi SFC 6006(C )l,
Ta -oti,liz,~ ~he total enve'lc~~e systea~ me-:ho?, the ;faiu~~
es~abl-18hec? by the gtim of i.t~~~ ~ ~ siliall not be
greate~ thari the sum, of items #1 and #2.
WA2, I, SEC`?`' I ONS ss U_7, 1.fF?
r
YYALL 4 F-MLNG AREA COL*EVTE:Uy..TION n7i° °d alue
q
1a 7 hnterior air f"Alm 0 . 68
. 1/2#' f,iYP. Bd. 0.~k,~
,q 5
A. 5-1fr2inci:es sofi wood 6.,84
d' 7/16' OsB v ~'7t
5e Vanyl 51idin9 0062
6. ExLer,ti.'Jr a.lr y i.ilm, 0.17
d~~~al 9.43
#f Y L 1v. i~'i 0,106
NEi WALI, AREA A~OVE FC:O(JR
1.o Inte2°i~~r a<.r ITi 0.68
2m 1/2sr t~yp. ia-df 0-1 , c# 5
3a F/G i1 S . 19_ 00
4-r 7./1614 OSB 0.67
5r Vi~y! sidin~"~ 0 . 61- 2
6. Exterior air LlilmL O,17
TotaI 21.59
If4F
1!8! Vali''e 0. 11 46
IR,i 1'3 c3 Ot S.L tiREA
1. Z?1tE'rmldr s?ir filRE iS ~8
2. F ,e't~'s r ns. 1-9_ 00
3• y1`1,i`
y2„ Sof'~i~t7f?f3 i:~9
4c ! ~fir16-tT 4J ~ B oa 6"1
5. va.tiyl Sidi, y 0.62
+6. Exterivr aar fil-m 0.17
Total 23 ~ 0?
"U" Value 0.043
SEP-23-1992 10:59 FROt'1 iO 16128958694 F'.04 `
+ ` .
i
FOUiDATION AREA A13OiTE GRADE
1. Interior air film 0.68
2. F/C insul. 13 . 00
3. la" Conc. Blk. 2.33
6, Exterior air film 0.17
irstal 16.18
"U" val1se 0.062
Rt7QF/CEZLIi`dG F'RAMI1UG AREA
la zntea:ior air falm 0.61
2e 5/8" Gyp4 Bd. 0.56
3. Cord depth 3-1,r2" 038
4. Tnsulation 29.00
5, Exterior air fi?tr. 0461
Total 35.16
nUr; valt1e 0.028
rNSULATED RUaF/CEILIHG AREP,
1, Interior azr .f.ilm 0a63
2` CJ' f 8or Gt1,p. SC1 . 0.56
a. IrISu}.s7tioI1 38,00
4. Exteritsr ait` fiim O=61
- ToGal 39.78
"U" `v ~r
al~.2e 0.t32TCiTAL F. 04
xwxwxwwxwwwwwwFnww~AAIAWnInxxnI~~~~~~~~
CITY OF EAGAN
CASHIER: JS TERMINAL NO: 775
DATE: 04/20/00 TIME: 14:42:14
ID:
NAME: FOUR SEASONS ROOFING & REMODEL
3210 9001 1690 WOODGATE L 153.25
2155 9001 1690 WOODGATE L 4.00
.
Total Receipt Amount: 157.25
CR127059
USER ID: JAN
-i y y .i .i i .i. --.a. 1 -.L .L 1 1 J. .L J. J. 1 1 .L .L
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
l (1 651-681-4675
/
New Construcflon Reaulrements Remodel/Reoair Reauirements
? 3 reglsfered alte wrveys showing sq. B. ot lot, sq. N. o( house 2 copies of plan
and all roo(ed areas C2096 maximum lot coveraae allowed) 1 set of energy calculations for heated addiflons
? 2 copies of plans (show beom & window sizes; poured (nd. deslgn; etc.) 1 site survey for extedor addiHons & decks
? 1 se1 of energy calculaflons
? 3 coples ot tree preservaflon plan it lot plaffed atter 7/1/93
DATE: L1` /U •a0 CONSTRUCTION COST: 4I00
DESCRIPTION OF WORK: _ -RC: - kcxDp
STREET ADDRESS: 100
u>~,n G~~rC ~A~? ~ ~A-~.4~?
LOT: ~ BLOCK: SUBD./P.I.D. QlIArd par k ~J _
Name: t V Phone &S 1IVS ~2- 7-9 37
PROPERTY last First
OWNER
Sheet Address: _ 1610 ~~c)ob(SAf~ & I-A^/ 45
Ciry State: vO A) Zip: SS/ 2 Z
- Compcny: 2,00 Fs,-t/v 4- Phone 18717
Q~ a D EG~?~. ~.Lc
CONTRACTOR (area code) -
Street Address: 2/b 12- ucense # 20138-~80 Exp. I
City State: /Aq .i? Zlp: 5-5-3 3~
ARCHITECT/
ENGINEER Company: Name:
Telephone ( )
Sheet Address: Regishation
City State: Zip:
Sewer/water licensed plumber (if installina sewer/water): Phone
I hereby acknowledge ihat I have read this appiication, stafe that the infortnation is cortect, and ogree to comply with ali applicable State
of Minnesota Statutes and City ot Eagan Ordinances.
r Signature of Applicant: Djay~vu.....
' OFFICE USE ONLY
Certificates of Survey Received Yes No
Tree Preservation Plan Received Yes No Not Required
OFFICE USE ONLY
,
BUILDING PERMIT SUBTYPES
0 01 Foundation O 07 05-plex ? 13 16-plex ? 21 Porch (3-sea.) ? 31 Ext. Aft - Multi
? 02 SF Dwelling ? 08 06-plex 0 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 03 01 of _ piex ? 09 07-plex ? 18 Deck O 23 Porch (screened) ? 36 Multi
? 04 02-plex 0 10 OS-plex ? 19 Lower Level ? 24 Storm Damage
? 05 03-plex ? 1 1 10-plex Plbg _Y or_ N? 25 Misceilaneous
O 06 04-plex ? 12 12-plex ? 20 Pool O 30 Accessory Bidg.
WORK TYPE
? 31 New O 36 Move Bidg. O 43 Reroof
0 32 Addition ? 37 Demolish (Bldg)" O 44 Siding
? 33 Alteration ? 38 Demolish (Interior) O 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. City Water
Zoning sq. ft. Booster Pump
PRV
Fire Sprinklered
MISCELLANEOUS INSPECTIONS
? Stucco/Stone APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded. ~
Trails Ded. ~
,
Other •
Copies
Total:
SAC Units
% SAC
L~ /1% BL CITY OF EAGAN CITY USE ONLY
y~ PLUMBING PERMIT
SU . ~ (612) 681-4675 RECEIPT 41990
DATE
F.ESIDENTIAL
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS
WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DE,SCRIPTION COMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOTAL
NEW CONST REPAIR/ADD ON 15.00
ADD ON ~ SHOWER 3.00 ~
REPAIR ~ WATER CIASET 3.00 `I • o a
~ BATH TUB 3.00
LAVATORY 3.00 ~d
OWNER NAME : Ev Q-r KITCHEN SINK 3.00 3a°
SITE ADDRESS : ~~DRY TRAY 3.00 ?3 `a 0
HOT TUB/SPA 3.00
~ WATER HEATER 3.00 3• 6~
~ FiAOR DRAIN 3.00 GAS PIPING OUT.
INSTALLER: (MINIMUM - 1) 3.00 ADDRESS: ROUGH OPENINGS 1.50
OTHER
WATER SOFTENER 5.00
CITY: ZIP; PRIVATE DISP. 15.00
`
U. G. SPRINKLER 3.00
PHONE : _ W. TLJRNAROUND 15 . 00
S,TATE SURCHARGE .50
SI TURE OF PERMITTEE TOTAL: S 36).~
COMMERCIAL
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY
BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
WORK DESCRIPTION:
OWNER NAME:
CONTRACT PRICE:
SITE ADDRESS: 1% OF CONTRACT FEE. .
STATE SURCHARGE - $.50 FOR
TENANT NAME: EACH $1,000 OF PERMIT FEE.
SUITE $25.00 MINIMUM FEE.
INSTALLER: CONTRACT PRICE x 1% $
ADDRESS: STATE SURCHARGE $
CITY: ZIP:
TOTAL: $
PHONE
FOR: (SIGNATURE)
CITY OF EAGAN
CTTY OF EACAN
L~ / d MECHANICAL ~PERMIT RECEIPT #/O yO~S
SUBI~: a~~ C~~~ (612) 6814675 DATE
RESIDENT'IAL
PLEA.SE COMPLEfE UPPER PORTION ONLY FOR SINGLE FAMII.Y DWEI.LINGS. ALSO, COMPLETE FOR
TOR'NHOMES/CONDOS WHEN SEPARATE PERMITS ARE REQUIRED FOR EACH DWELLING UNIT.
OWNER: FEES
STTE ADDRESS: ADD ON/REMODEL (EXISTING S 15.00
CONSTRUCT'ION ONLI)
, .
INSTALI.E • M' . AVAC: 0-100 M BTU 24.00
PHONE ZLL ADDTTIONAL 50 M BTU 6.00
ADDRESS: ' L C'' GAS OUTLETS - MII41MUM 1@ $3 EA.
Z• SURCHARGE: $ .SO
CIT'Y: -YV'j,~~ ~jj
SIGNA TOTAL:
.
. • . . . . COMMERCIAL
PLEASE COMPLEI'E TIiIS 'PORTION FOR ALL COMMERCIAUINDUSTRIAL BUILDINGS. AISO COMPI.ETE FOR
APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUII.DINGS WHEN SEPARATE PERMTTS ARE NOT REQUIRED FOR
EACH DWELLING UNTT.
WORK DESCRIPTION: CONTRACT PRICE: FEES
1% OF CONTRACT FEE.
STATE SURCHARGE IS $.50 FOR EACH
$1,000 OF PERMTT FEE. $
,
PROCFSSED PIPING $25.00
$
MINIMUM FEE - $25.00
OWNER: TOTAL: $
SITE ADDRESS:
TENANT:
'
SUITE .
TALLER:
INS
ADDRESS: , . . '
CITYO ZIP:
PHONE CTTY SIGNATURE:
SIGNATURE:
~iS?
2004 RESIDENTIAL PLUMBING PERMIT APPLICATION C k' K o.1@~ ~0 J
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date_I I
Site Street Address d b0 j Unit #
Property Owner Telephone #(01 )L45a' '1~3 ~
Contractor " Pl I-jewbry.-S Telephone 1 ) 3~6' 13Y0
Address ~J~ 7 + ~City ~l. G~ State i~'1 N zip 55 ( a3
The Applicant is: _ Owner ? Contractor _Other
Alte,Lations 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:
- ~ ir
Water Softener ~Water Heater DEC $ 15.00
replacement _ additional ~
Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00
State Surcharge $ .50
Total $ /5 -50
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete
and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approved.
s a r e~ ~ l~ C~n
Applicant's Printed Name Applicant's Signature
t/6 J50
Jun 12 07 02:50p Rachel Carroll 9524960064 p.3
V, V164 - . -o s
~ 2007 RESIDENTIAL PLUMBING PERMiTaPPUCaTioN
- ClTY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
. 651-675-5575
' :,Please complete for modifications to existing residential dweilings.
. .
~Date
o,
.,,Site Street Address ie lan~
Unit #
Property Owner Telephone #"I ~ •
Contractor Telephone #
Address V! City Stabe-W Zip
The Appiicant is: ~ Owner & Occupant Licensed Plumbing Contractor
Septic System _ New Refurbished Submit 2 sets of plans and MPC license lncludes County fee
$ 100.00
Per as-built $ 10.00
Fire Repair (replace bumed out fixtures, etc.) $ 90.00
7his fee a lies when extensive lumbin re airs are made to a bui{din .
Alterations to existing dwelling $ 50.04
_ Add plumbing fixtures to main level lawer level. This fee includes
installation of a water softener and/or water heater at the same time. !f you arc
installing on?v a water softener and/or water heater, da not cemplete this section;
move to the nexE section and place a checkmark next to the appliance(s) you are
installing.
-Septic System Abandonment
-Water Tumaround (add $136.00 if a 5/8" meter is req " d)E
Other: ~J
IVater Softener , Water Heater ' $ 15.00
- new replacement
Lawn IRigation _RPZ _PVB _new ~repair _rebulld $ 30.00
State Surcharge $ _Sp
Total ~ ~ 5 &O
I hereby apply for a Residentiaf Plumbing Permit and acknowledge that the information is complete and accurate; that the woric will be
in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is nat a permit, but
only an application for a permit, work is not to start without a permit and wo will be in acco nce with the approved plan in the event
a plan iRvq ed o be id and approved_
ApplicanYs Printed Name Applicant's Signature
~.16,~