1701 Woodgate Lane . ~
CITY OF EAGAN ~ ~
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 w
PHONE: 454-8100
BUILDJNG P.ERMIT Receipt #
, ti ~
T o b e u s e f o c BASEHEHT 1PINIStC _~;t. V a l u e $1,500 D a t e 0(.' T 1 1 g 9
Site AddFess 1701 WOOOGATB LN
Lot ZS Block 1 Sec/Sub. TI$ERt3l1 1ST OFFICE USE ONLY
PBfC@I NO. OCCUpancy - FEFS
Zoning .
W Name DAN ELAINE HOFFMAN (Actual) Const BIdg.Permit 35•Od
o Address 1701 ~~TE ~ (Allowable) - Surcharge 14.00
City EAGAN Phone 435-1234 # ot stories -
Length _ Plan Review
o Name S'AM Depth - SAC, City
Address S.F. Total - SAC, Mcwcc
~ CIfY Phone S.F. Footprints -
On Site Sewage _ Water Conn
~
W W Name On Site Well - Water Meter
~
~z AddreSS MWCC System _
<W C11Y Phone CjAyyy~ef _ Acct.Deposit
PRV Ffbauired _ S/W Permit
I hereby acknowlege that I have read this application and state lhat the Booster Pump - S/W Surcharge
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances. Treatment PI
Signature of Permitee APPROVALS Road Unit
A Building Permit is issued to: DAN Oa ELAZNE HOFFMAN Planner - Park Ded.
on the express condition that all work shall be done in accordance with all Council
applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. _ Copies
Building Official Variance - TOTAL 36•00
Pe?mit No. Permk Holder Date Telephone #
.
WATER
SEWER .
PLUMBING
H.V.A.C.
ELECTRIC
lospeetion Date Insp. Comments
Footings I
Foundation
Framirg
Roofing
Rough Pibg.
Rou9h Ht9• ~~Zi"t r t,o naz tsui.
Freplace
Fnal Htg.
Fnal Plbg.
Const. Meter Plbg. Inspector - Notity Plumber
EngrlPlan I
Bldg. Final
Deck Ftg.
Deck Final
Wed
Pr. oLV. c,L 2 s~ i - L3 3~
. CITY OF EAGAN pQ c
- 3830 Pilot Knob Road, P.O. Box 21-799, Eagan, MN 55121 ~O vp~lD
I PHONE:454-8100 4/
BUILDING PERMIT Recei't ~t
To b~ w~d M~ SF D['d~/GAR $ 51,000 ~te MARCH 13 10 4
Est. Volue
Site Addless 1701 ~900DGATE LN. Erect ~
~~upancY R3
Lot Z J Block 1 sec/Sub. =3ERON Aiter p Zoning Rl
Parcel No. 10' 7 64O O- 25 0- O 1 RePoir ? Fire Zone N/A
DANNY HOFFI~IANN Enlarpe Q Type of Const. V
ac Name Move ? # Stories
Z Address 1939 S ILVEn $ELL RD. ~ 6~
Demolish ? Length
9 City EAC'XN Phone 4 j 2' 17 4 9 Grode Q Depth 3$ Sq. Ft.
oc GRAND OAKS DEV. Approvais Fees
o Name ~o~ Address 23 UPPEP, 167TH Assessment Permit 235.00
LAKEVILLE 432-6561 Water & Sew. Surchar e '50
City Phone g
Police Plan check ' OO
~~W Name Fire SAC
525 xZ Address Q
GO En0• Water Conn. --63• O O
~ W City Phone Plonner Woter Meter
Council Road Unit 260.00
I hereby ocknowledge thot 1 hove reod this applicotion ond stote that Bldg. Off.
the information is torrect ond ogree to wmply with all applitoble 1 . 112 50
State of Minnesota $tatutes and City of Eogon Ordinonces. APC Total
Slpnoture of Permittee
A Bullding Permit Is issued to: ' 4`~ rL-~'" on tha express condition thai
oll work sholi be done in eccordance with oll appllcable State of Mlnnesoto Stotutes ond City of Ea9on Ordinances.
Buildinp Officiol t
Permit No. Permit Holdsr Misc. Permit No. Holder
Plumbiny I q 3 q a -3 ? 84
H.V.A.C.
We11
Watsr
Disp.
S~wsr
Ekctric
3 1493 mv? sTr2 ~;i.•S e I
Inspeetion Date Insp. Othsr il
Footinpt --tf-f- ,e,.~ "
~ Foundation
Fnminp o7
Rouyh Pibp.
Rouph HVA I
-.7w
Inwlation • y ~ ~
Find Plbp, . ~
Final HVAC
Final
Wour DKaibe Locstion:
YYell ~
Sovwr I
Pr. Dbp.
Receipt PLUMBING PERMIT Permit No.
CITY OF EAGAN
Fee
- c
Fill rn numbered spaces S/C
Type or Print legibly - r-
Tot.
1. Date 2. Installation Cost
3. Job Address ,9/ Lot, Blk. ~ Tract
7
4. Owner
5. Contractor Phone -
6. Address zQ
7. City State 4il-:' Zip >
~ 8. Building Type: Residential' Commercial ? Institutional 0
9. Work Description: NewAdd El Alter ? Repair O
,
' 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 that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
) o
Signed : ~ , ^ ~r--- .•T, for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
,
Receipt MECHANICAL PERMIT Permit No.
CITY OF EAGAN
Fee
Fill in numbered spaces S/C
Type or Print /egibty
Tot.
1. Date - 2. Installation Cost y
3. Job Address Lot Blk. Tract ~
4. Owner
5. Contractor Phone 6. Address
7. City State Zip
8. Building Type: Residential JD Commercial ? Institutional ?
9. Work Description: New 0 Add ~ Alter O Repair ?
10. Describe Fuel Type
11. No. Equi ment 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.
Signed : '
for
Rough Final '
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
?
Y ~ CASH RECEIPT ~
CITY OF EAGAN
P. 0. BOX 21-199
EAGAN, MINNESOTA 55121
DATE 19
eecerveo
FROM
AMOUNT $ I
& DOLLARS
oo
? CASH ? CHECK
FOR FUND CODE AMOUNT
Thank You f` ~0" BY
~White-Payers Copy
Yellow-Postin Co
9 PY
Pink-File Copy
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: 'I I ++t I Ni;
3830 Pilot Knob Road Permit Number: 0 Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS• 47 APPLICANT:
'
+ ;.iea{yCJt;Al`I" I AN F'
. 1 }s! i'tid'? k' { ~ • ! • ' ~ ' ?~W~
43b - 43Y 3 (H)
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION DA .
i1~ ~N Pf 1' t. f i 14
I
I
i
NttqtSkP11 '.f-F>ARA lt~ Pi P Pi ! I t~s Vq iitl 11=i ;fs trl.;~! i~.~iat, t6tIi t1t 1,111i:N~ '
I L K~3 I
. a~ ~ ~ -
~.x ~ i f•~'` v ~ c - ~ ~
1
Permit No. Permit Holder Date Telephone N
ELECTRIC
PLUMBING
HVAC
Inspectlon Date Insp. Commenta
FOOTINGS
FOUND
FRAMING
,~y•~
~
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST I
I ROUGH
HEATING
GAS SVC I
TEST
INSUL
GYPBOARD
FIREPLACE
I
FIREPLACE I
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST I
BLDG FINAL
BSMT R.I. I
~
BSMT FINAL
DECK FTG
DECK FINAL i
I
~
~
~
J
CITY OF EAGAN Remarks.45D80
Addition TIBERON ADDITION Lot 25 Blk 1 Parcel 10-76400-2S0-01
Owner street 4435 h1ALLARD COURT Or state EAGAN MIId 55122
I7$1 -WOODGkTE IMFL
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. 1977 307.21 30.73 10 61.45 A013840 5-4-84
STREET RESTOR, j9~.6] "
1981 953.23 190.65 5
GRADING
SAN SEW TRUNK 1974 128.30 8.56 15 34.34 A013840 5-4-84
*SEWERLATERAL gtu 1979 1483.09` 98.87 irJ 889•87 t
WATERMAIN
* WATER LATERAL Stllb 1979 15
WATER AREA 1977 128.22 8.55 15 59.90 A013840 5-4-84
STORM SEW TRK
STORMSEWLAT 1981 79.71 15.94 5 5.9 A013840 5-4-84
& GUTTER
SIDEWALK
STREET LIGHT
ROAD UNIT 260.00 41979 3-13-84
WATER CONN. 470.00
BUILDING PER.
sAC 525.
PARK
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot Knob P.,oad
PERMIT NO.: ' ~ • ^
P.,D. Box 21199
Eagan, MN 55121 DATE: 3-13-84
Zoning: j R1 No. of Units: 1
Owner: u i
h-1e~.25 i~l Tiberon
Der e V
r: rt 1' .}~SG?S fC.
No.: V*nection Chorge: 470.00 pd
Size: e 6Z ° 1lccount Deposit: Bm15 . 0 0 p d
Reoder No.: ~p •~Z-6 V F Permit Fee: 10.00 i3d
1 agrse h ooinoly whM ile Ciry of Eegan Surchorge: .50 12d
0raleenea. Misc. CFaryes: 63 . 0 0 pd met er .
TotoL• i
gy Dote Paid: I
Dote of Insp.: T- - Insp.:
~I
r-ITY OF EAGAN WATER SERVICE PERMIT
:).,30 Pilo,t Knqb Iftoad 5337
P. n, Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE: 3-13-84
~ ZonjnO: No. of Units: 1
Owner. (iT&I1~1 l7ar'" S
Addmss: .
Site /lddrcss: _1701 4oodgate Lanc L25 31 '1'ibcron
Plwnber: ~IaDonalws E' Ibg
Meter No.: Connection Charge: 40•00 pd
Siu: Account Depostt: 1215.00 j)d
Reoder No.: Permit Fee: _ 10.00 pd
I yrw to oanPly wilh tlM Ciep ef Eagea Surcharge: . 50 d
Ordteesa.. Misc. Chorpes: 63.00 p metor
' Total:
' BY Date Puid:
Dote of Insp.: Insp,;
- ------sc~^ - _ _
CITY OF EAGAN SEWER SERVICE PERMIT
3830 Pilat Knob 'Aoad pERMIT NO.: 6'2(,
~ P. n. Box 21199 D^TE: 3- L3 -R4_
Eagan, MN 55R ~1 1
I Zoninp: No. of Units:
GT811u Ua't1CS
'
Address:
Site Address: 1701 Viooc~ ate Lane L25 B1 Tib~.ron
~ Plumber: MCDOAiil S 1 '
3-Is-~~t dln7'? . p
~ `
' ei Eaye~ Connsction Choroe: 42S.00 ~?d
~ 1 eone to ee~nPl~r wi11~ N~s Cifr 15.00 pd
I Ordlnenus. AcoouM Deposit:
Permit Fee: 1 0*-0flpa
~
Surchor0e. .50 ?d
~ By Miac. Charpes:
' Dote of Insp.: Totol:
! Date Paid:
~ I nsp.:
CITY OF EAGAN NO 8886
* 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 •
` PH ON E: 454-87 00
BUILDING PERMIT Receipt #
To be used for SF DWG/GAR Est. Value $ 51,000 Date MARCH 13 19 8
Site Address 1701 WOODGATE LN. Erect ~j Occupancy R3
Lot 25 elock 1 sec/sub.TIBERON Alter ? Zoning RI
Parcel No. 10-76400-250-01 Repoir p Fire Zone NLA _
Enlarge ? Type of Const. ~1
oWc Name DANNY HOFFMANN Move ? Stories
3 Address 1939 S ILVER BELL RD Demolish ? Length 46
'
~ City EAGAN Phone 452-1749 6rode ? Depth-3-8-_Sq. Ft.
~ GRAND OAKS DEV. Approvals Fee•
o Name
v~ Address 7623 UPPER 16 7 TH Assessment Permit 2 8 • 0 0
~ CityL'~EVILLE phone 432-6561 Water & Sew. Surcharge 25.50
Police Plan check 14 3. 00
,~'„W Name Fire SAC 525.00
_ Address 470.00
Eng. Woter Conn.
Q W City Phone Plonner Water Meter 6 3. 00
Council Road Unit 260.00
I hereby acknowledge that I have read this opplication ond state that gldg. Off.
the informotion is torrect and ogree to tomply with oll applicoble $1 ~ 772 . 5~
Stote of Minnesoto Statutes and City of Eagan Ordinonces. APC Totol
Signature of Permittee &
/1 Building Permit is issued toc ~ a-,,~~ on the express condition that
oll work sholl be done in accordance Vlfh all oppli State of Minnesota Statutes and City of Eogan Ordinances.
Building Official e
_ Q)
This request void ~4f &a - 5 O
78 months from 1 ~ ~ Sy
A - z 9 993 ~I
Recluest Date Fire No. Rough-in Inspection l~
3~~ ~,y / Required? ~ReadY No Will Notify Inspec-
es ?No [or 0 When Ready
,
icensed Electrical Contractor I hereby request inspection of above
Owner, electrical work installed at:
Streev:4ddress, Box or Route No. Citv
/ Wood ` ~..a Ea aw
ec7on o. Township ame or No. \ Range No. Count
1.~~- 5 ~
Occupant (PRINT)/ Phone No.
CF K le 5
Power Supplier Address
Electn al°~Contr ctor (Company Name) Contractor's License No.
~'a ~ 6 Z 0 7~
Mailing Addre s (Contractor or Owner M/a
' Auth ized Sig ture (Co tractor/Owner Making Installation) Phone Number
__35
MINNESOTA ST TE BOARD OF ELECTHICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD
UNLESS PROPER INSPECTION FEE IS
7827 University Ave., St. Paul, MN 55104
Phone (612) 297-2111 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION Ee-ooooi_oa
W
' See instructions for completing this form on back of yellow copy.
A-~ 3TAR 9 3 -x" Below Work Covered by This Request Y
Add Rep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Lightiny Fixtures
Apt. Bui Iding Dryer Electric Heatin
Commercial Bldg. Fumace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tanl<
Farm Other SPecify Other (Sper_'ify)
t er Specify Other Other
Compute lnspection Fee Below
# Fee„, ServiceEntranceSize # Fee Feeders /S ubfeeders # Fee/ Circuits
0 to 200 Am s 0 to 30 Am s 77/• 0 to 30 An, s
Above 200 qmEJS 31 to 100 Amps 31 to 100 Am s
Swimming Pool Above 100-Amps Above 100_Amps
Transformers Irrigation Booms Partiai-'Other Fee
Signs Speciallnspection
Remarks $ ~ TAGC.
Rough-in Date /
. l
~ /~3. d"'the-Pectrica
nspectorhereby
ertify that the above
Final ~~1,~! ~inspection has been
~ 70•d~ made.
This request void 18 months from -
CITY OF EAGAN NO 18451
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be used for vBASEMENT FINISH :;t. value $1, 500 Date ncT 11 , 1g4D-
Site Addtess 1701 WOODGATE T.N
Lot 25 Block 1 Sec/Sub. TIBERON 1ST OFFICE USE ONLY
Parcel No. occuPancy - FeFs
Zoning -
W Name DAN & ELAINE HOFFMAN (Actual) Const _ Bldg. Permit 39_ nn
o Address 1701 WOODGATE LN (Allowable) - Surcharge 1.00
City EAGAN Phone 435-1234 # or siories -
Length _ Plan Review
Zo Name SAMF. Depth - SAC, City
00141 Address S.F. Totai _
SAC, MCWCC
~ City Phone S.F. Footprints -
On Site Sewage _ Water Conn
~
F W Name On Site Well - Water Meter
sz Addf2SS MWCC System -
Q= Acct. Deposit
a W City Phone ciiy wacer -
PRV Required _ S/W Permit
I hereby acknowlege that I have read this application and state that the Booster Pump - SiW Surcharge
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinancem6A4 Treatment PI
Signature of Permitee e-e APPROVALS Road Unic
A Building Permit is issued to: nAN nR F.T.ATNF. HnFFMAN Planner - park Ded. on the express condition that all work shall be done in accordance with all Council
applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. _ Copies
Variance - TOTAL 36.00
Building Ofticial .f -
RESIDENTIAL
/ BUILDING PERMIT APPLICATION
ss (p CIZY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Construction Reauirements Remodel/Repair Reauirements
• 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas • 2 copies of plan
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions
. 2 copies of plan showing beam 8 window sizes; poured found design, etc.) . 1 site survey for exterior additions & decks
• 1 set of Energy Calculations . Indicate if home served by septic system for additions
• 3 copies of Tree Preservation Plan if Iot platted after 711/93
. Rim Joist Detail Options selection sheet (bidgs with 3 or less units)
DATE 9 ' /a VALUATION
SITE ADDRESS 1901 W oo2>C,R135- ZN MULTI-FAMILY BLDG YL-/ N
TYPE OF WORK JF?4- - lZOn. 'r FIREPLACF(S) _ 0_ 1_ 2
APPLICANT V ~~,ev}-~-Tr".~J6
STREET ADDRESS a~ ~i CITY CAcet,Sw2 STATEN/J ZIP J'.j'33 I
TELEPHONE # 1 'rL-417o -y q03 CELL PHONE # G,n- 77A= .i-o `l 4 FAX # ~4-2 - `f'7a " ,-f q 13
PROPERTY OWNER ~ ~ 4 -fT TELEPHONE # 3 Y3
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILD-INGS ONLY-
- ; - -
I rj I I 1-~ ~l I I rl ' ~
Energy Code Category
_ ti1INNESOTr1 12UI,ES 7670 CATLGORY 1 _ MINNE'.OTAaR ~LE ~7672i i
.
(V submission type) . Residentia! Ventilation CaYegory 1 Worksheet Submitted •'New Et~y Code ~orksheet 5ubmitted
• Energy Envelope Calculations Submitted Ull
- - J
Plumbing Contractor: Phone #
Plumbing system includes: ~ Water Softener L.awn Sprinkler Fee: $90.00
Water Heater No. of R.I. Baths
No. of Baths
Mechanical Contractor: Phone #
Mechanical system includes: Air Conditioning Fee: $70.00
Heat Recovery System
Sewer/Water Contractor: Phone #
I hereby acknowledge that I have read this application, state that the !Pll mation is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan di nces.
~ Signature of Applica
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
0 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
O 03 01 of _ plex ? 09 07-piex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex 0 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New O 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration O 37 Demolish (Bldg)* 0 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const W idth
REQUiRED INSPECTIOiVS
_ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) _ FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
CITY OF F11G11N Incl~e 2 sets of plans,
1 site plan w/elevations &
BUII.DING, PI:RMIT APPLICIY.rION 1 set of enerqy calculations.
: L ~ - -
Zb Be Used For Valuation Date 31 -/f _
Site Acidr wt1t,oA 17o /~~s~- - OITICT USI; OtJLY
~ ~
Lot ~J Block Z_ Sec./Sub. Erect Oc;cupancy T
~
narcel # : - o 1 Aiter Zoning
! Repair I'ire Zone ~Q.
Owner: 4AA1 V' d //-'MAWA--- Enlar<7e 'type of Cons t.~-
Address: /23 ~ -S'11141-~ &1i M°ve • # Stories
Demlish I'ront ft. .
Gity/Zip Cocie: Gradc nepth -v$ ft.
Phone
11F'PIUV71T. S I'fTS .
Contractor: Assessrirnts Pernut
f~ Water/Sc~ver Surcharqe
Pddress: 7~ Z 3 l~ ~fzrr~ f 67 _ Police Plan Check 9~9-
City/Zip Cocie: G~~e Fire SIc vr"~S IM .
Phone # : Y3a- - S (P / n x7 • _ wa ter Conn. 5~7D -lz"
Planner Watcr Meter C9
Arch. /Fng. C;ouncil I2oad Unit g?/ o~
: • ~
IIldg. Off.
Address :
City/?,ip Code:
Phone # : Zl7I'AL, ~L~ -2v2- J
~ • ~
- ~6 b~
%
.
..~URVEYOR'SCERTIFICATE ~ GRAND OAKS DEVELOPMENT COMPANY
.
~
^
~ f 1? 16 3,,~ ~y '
N .
69 ~ \ o
9,~ UTR t Y P~A1
~RAIEMEN~ PE - ~15 ~FCfi W"
. p~e6 30 1 1 o F. PS"
V ~
" va w
. ~ .z, ag o~
~ N a~' E o'•o - r 1
t~ 3 , pP 6
~~0~~ pR ~ ~ A 00
. . ~ ~ ~ ri
,9 \ ~~A ~ ~ . •0
Q cr_ -o g 9'$
5
• N ~ W rn. v
N-
.p
~
22
~~9~ • ~ ~ /
\0
i
-A o
. ~ 10 0.00 X. 93X~
'E
3C) 1~ t~ 3p?N~s-~
. ~ _N6 L $
~
GA
W0Op
0
/
T_ DENOTES PROPOSED SURFACE DRAIPdAGE
O DENOTES IRON htONUMENT SET SCALE: 1 INCH = 30 FEET
- • DENOTES- IRON MONUMEfr'T FOUND PROPOSED GARAGE FLOOR = 938. 5 FEET
X000.0 DENQTES EXISTING ELEVATION PROPOSED LOWEST FLOOR = 931,9 FEET
_ (000.0) DENOTES PROPOSED ELEVATTnN PROPOSED TOP OF BLOCK = 93a.e FEET
'I HEREBY,GERTIFY TO GRAND OAKS DEVELOPMENT COP1PANY THAT THIS IS A TRUE AND CORRECT
. REPRESENTATION-OF A SURVEY OF THE BOUNDARIES OF:
- Lbt 25, Block 1, TIBERON 1ST ADDITION, according to the recorded plat
. . . thereof, Dakota County, Minnesota.
%AND OF THE LOCATION OF..A PROPOSED BUILDING. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS_
OR ENCROACHMENTS, IF ANY, THEREON. AS SURVEYED BY ME, OR UNDER MY DIRECT SUPERVISION,
THIS9114_DAY OF AQ~N , 1984.
SIGNED: JAMES R. HILL, INC.
BY : ~ ~C.~~~.t1?`_'
HAROLD C. PETERSON, LAND SURVEYOR
MINNESOTA LICENSE N0. 12294
PROJECT NO. BOOK / PAGE JAMES R. HILL, INC.
845T8
~ k /e>5 Planners / Engineers / Surveyors
FILE NO.
6200 Humboldt Avenu• South ~
FOLDER C
BbormtngtoN Mn. 55431 812-884-3029
•
, ' . . -.j
. . ,j~•~l
I Y
f ZARRIER LOAID
i
T ~ ~
n: FORHAVION .
~~SM ~ ~ ~~~~~N m
1. Sum mer design degrees #1
(90, 95, 100, 105, 110 or 115)
(If 90, 105, 110 or 115, Item 2 N.A.)
2. Dailyrarge (0°-35°) F ~ ~r
3. Winter design degrees ~ • a
(Rrececle 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? (Yor N) . . . . . 4 1 i
i
7. Four window areas starting with N or
NE orientation . . . . . . . . . . . . . . . . . . . . . . .
(Ex: N#25#30N20425#4; Max per side: L_i__J L
999 sq. ft.)
71 N o r N E F-
72 E or SE
73 S or SW C'J__
74 W or NW
8. Shaded window area . . . . . . . . . . i#
(0 or sq. it. Enter 0 if not applicable.
Max: 999 sq. tt.) •
,
9. 0 0~ sqft. Max: 999 sq. fL if 0, . . . . . . . . . .
Items 10 & 11 N.A.)
10. Doorweatherstripped?(YorN)
11. Storm doors? (Y or N) . . . . . . . . . . . . . . . . . ~t# #P?
12. First story perimeter . . . . . . ~~'T ~ ;t ~ ~ ~
13. Second story peri meter . . . . . . . . . . . . . . . . a 1
~ _.J
14. Thickness of wall insulation . . . . . . . . . . I v/ # ~r~ C__~ •
{0, 2, 4 or 6" fiberglas. Enter MA for
masonry; R vaiues, enter R, then vaiue.
Ex: Rt9)
15. Basement perimeter . . . . . . . . . . . . . . . .
(0 or linear ft. if 0, Items 16, 17 & 28 W.A.)
~
16. Sasement heated? (Y or N) . . . . . . . . . . . . .
~
(If N, Item 17 N.A.)
-
17. Percent above grade (Ex: 5%= 5) , . . . . . .
18. Area ot roof with exposed beams or
studioceiling . . ~i#
(0 or sq. ft. If zero, Items 13, 20 & 21 N.A)
19. Wondorfiber . . , #
(W for wood, F for tiber. If W, Item 20 N.A.,
If F, Item 21 N.A.)
20. Thicknessoffiber N ~ ~ ~ ~ • ~
(1.5, 2 or 3" or R values)
21. Insulation . . . . . . . . . . . . . #
(Y, N or R values, Y assumes 1'.5") ~
.
~ V-1141010N L v1 7 oP~nc~ A 2 OPT1ON 3
22. Area of ceilinc} under vented roof or
unconditioned space . . . . . . . . . . . . . . . . - ~ f1 q p
(0 or sq, ft. if 0 Itern 23 N.A.)
23 Thicknessofln,ulation k #
(0, 3, 6, 12 or 18" ol libergl2s or R values.
Ex: R30) -1
24. Area o( (loors over unconditioned space ~ M a I
(0 or sq. It. I( 0 Item 25 N A.)
25 Thick ness ot irsulation . . . . . . . . . . . . . . . .
(0, 3 or 6" fiberglas, or R vAlues) -
26. Area of floors over open or vented space,
orgarage c, qq Nq Nq
(0 or sq. it. It 0 Item 27 N.A.)
27. Thickness of insulation . . 1? ~ ~
(0, 3 or 6" of tiberylas or R values)
28. Basementarea If j~G aJ ~
(0 or sq. it. If Item 15 is 0 akip thla entry.)
~
29. Total hented area . . . . . . . . . . . . . . . . . . . 17 # / ,q ~
(sq. ft.)
30. Perimeter of concrete slab ~ # a #
(0 or linear ft.) (I( 0, Item 31
31. Thicknessotsla`,) insulation ~
(0, 1 or 2")
32. Desired summer indoor temperature -
swing ..........~y~ kN ~ qq t?k
(Value between t and 6 inclusive.)
33. Desired winter inside temperature ~ N # ~
34. Ductlocation #
(AT = attic, BA = baser _ nt, SL = slab.
CR = crawl space. CO r.onditionzd
spa.:e) (I( BA, SL, or CO Item 35 N A.)
35. 7hiCknesso(insulaiion ................i
(0. t or 2" Use 2 for t" rigid )
,.REPEATDATAI........................... ~ NH y qd qq
YorN
..CORRECTIONS?"
If there are no corrections required enter HN.
I( there are corrections [o ihe data, enter
question number, the new data, and
Ex: 19awaa a aq a aa
If no iurther correcUOns enter N# only. N, N17
COOLING B.T.U.M.
EQUALS.~ I 6 f- ~AT r °F B.T.U.H._ AT °F B.T.U.H. AT °F
HEATING B.T.U.H.
EUUALSI 7 JC S qT"' J~ ~F B.T.U.H. AT ~~F B.T.U.H. AT °F
"REPEATTHEANSWERS"(YorN) !tN NN Ntt
. ~
"SAVE YOUR DATA?" . . . . . . . . . . . . . . . . ti# Nk
Y or N: or YRq# witl save your data and goes
to beginning fpr new Analysis: or NRhp will
not save data but goes back to beginning for
new Analysis
JOBNUMBER
II you want to save your data CUC assigns
Job Number
"STRUCTURE CHANGES?.................
I( there are no changes required enter pri.
I( there are changes to trie data: enter
question numbi:r, p. the new daia. and tt# ~ pp " pp #
Ex• 25aR30#it
If no further changes. enter tMa only. Nk Wn
AN
OPPORTUNITY HOfvIE 3-78 Printr.d in U.S.A. 830-039
i
• _ :~.an:`m.'~- - - -
` PERMIT "
CITY OF EAGAN
d 38,'-;0i;Pi1ot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 031095
(612) 681-4675 Date Issued: 11 /10f 9 7
SITE ADDRESS:
1701 WOODGA7E LANE
LOT: 25 BLOCK: 1
TIBERON 157
P.I.N.: 10-76400-250-01
DESCRIPTION:
1, Ot(rwo BEnROOMS)
Bia,z`:°ltitf`iri;g.;Permit T y p e BASEMENT FINISW
:Bdu;~i.g]: ci a:~ra<g 3>W.aar~k T y p e A L T E R A T T Q N
4 3 A A L T . R E S I D E N T I A L
,y~°~; ~'ga s•~e~~^~~:~~,
'~N
'~~''~'->'~.~~=:sa ~ a,~:~%~a~~z~~:~~,trxpx&;~%agis•s-~d:~~S',.'s .
~~,,~'-~~,.5~n i'~~?, ,i~~~aicF3P~$$~~a'~~3a§3•$,^nF'~~e:;~.~' . .
~ ~,a:.~ „`.~,F E-fai.'..•,,~~;R~.~ W&.•.n'i.i .
~'k.G y e.°.m'.e » a"~ ~ p s ~;m x ~~~~r.«,.mR•'g,,:e,'nfi?!~., ;e~•,9 : ` /.e W .
s.ve;~%~.Y,' YH ~.°,'`~~i. .
k3..;'@t•,gz ~
~
w~~gj: ~a,;;' ` ,
-
'~'w r~~~ ~~,A~ '
s~~ s
REMARKS:
A SEPARATE PERMIT TS REQUTRED FOR ANY PLUMBING OR ELECT'RICAL WORK
FEE SUMMARY:
Base Fee $50.00
Surcharge $.50 ~
Total Fee $50.50
CONTRACTOR: OWNER: _ a p p 1 i c a n t
~ ' MOFFMAN DAN
1701 WqODGATE LN
; EAGAN MN 55122
(612)827-2971
S=;L ~d'2•,qi "a"g'i ..~„f;S~3~,~x~~?€;.s ~;~R,P:3ffi'g;•Di~e'e ~8 ~'~,"°y,~,`"
i<~~•.~£ xiA~~ s~$$,`,.~:.. ~.§i~,~F~ ~>~i%&'A:;S?' ~ °~;~,'~,•~.`n $ ~'R,
p~e, mqs
'eHl s.ri+ +d ~
W+ '~a'~E 3. ~eff.~ s.$..A.,::,.¢:~ Ae'
<E .;~a.
. ~Fy x~ ~a~~
ae~
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"e& a8t sa^~x .@ , 3'4§•~
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m"nwl~ e:d
PP: ~
~
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f:t~°r.
a~
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a.
e.2; x
` 3 _ a 4
w•ffi, $ ~ i.
`~y•y Q e
;a ri `cl ;~i:r ci.~i ri a ra'c4e.'
~t-i tY."~ f. ° ta `
~
9
s:g'x ~ j ~ q•k' ~
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. ~n
a APPLICANT/PERMITEE SIGNATURE ISSUED B: I ATUR
CITY OF EACAN
LAai-1IEFio a TEFiMIN(-11.. NOs 53
DATE: :li/1U/97 TIMEa 140906
ILi ~
NAME u DFtN E H0FFMAN
2155 9001 1701 k(QpIIGATF_ 50a00
205 9001 Q01. MlOpDGAl'E 0.50
~
70tal f'tacea.pt Amount „ 50.50
cRns283a
IJSER :[Do NANCY
31mg97 BUILDING PERMIT APPLICATION (RESIDENTIAL) $~0„~~``o
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
681 -4675
New Construction Reauirements Remodel/Reoair Reauirements
? 3 registered sde surveys ? 2 copies of plan
? 2 copies of plans (include beam & window sizes; poured fid. design; etc.) ? 2 site surveys (exterior additions 8 dedcs)
? 1 energy calculations ? 1 energy caiculations for heated additions
? 3 copies of tree preservation plan if lot platted after 7/1/93
required: _ Yes _ No -
DATE: i 1 I\/4"1 CONSTRUCTION COST:
DESCRIPTION OF WORK:
STREET ADDRESS: _~~l b\ ~,7onr@~2J l
v
LOT Z~ BLOCK SUBD./P.I.D. v\
1~ Co BC.Q ~ ~3
PROPERTY Name: t-k~-~'rnav~ 'n,~::A.v-\ Phone #:u-' 8z~1 Z~.~ll
O W N E R lAST FlRST
Street Address V-101 L-020&0\0.`ta- cLv'te.
City: State: t^ tN-~ Zip: ~5\ 22
CONTRACTOR Company: C>~ ~-e-v- Phone
Street Address: License
City: State: Zip:
ARCHITECT/ Company: cTW Phone
ENGINEER
Name: Registration
Street Address:
CitY: State: Zip:
Sewer & water IicFr.ced plumber (new construction only): . Penalty applies when address change
and lot change arc iequested once permit is issued.
I hereby acknowledye 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 Applicant:
OFFICE USE ONLY REC:EI'6TED
Certificates of Survey Received Yes No
Tree Preservation Plan Received Yes No Not Required $y;
Z.~D.so
OFFICE USE ONLY
w . .
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging 16 Basement Finish
? 02 SF Dwelling o 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool
0 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory o 20 Public Facility
0 04 SF Porch ? 09 12-plex o 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. 0 10 = plex ? 15 Deck
WORK TYPE
? 31 New M' 33 Alterations ? 36 Move
? 32 Addition ? 34 Repair o 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MC/WS System ~
(Allowable) Main levef sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code. Ai a,#
Depth Footprint sq. ft. SAC Code o ~
Census Bldg ~
Census Unit c~
APPROVALS
Planning Building /tAg Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit S/W Surcharge
Treatment PI.
Road Unit
Park Ded. Trails Ded. .
Other
Copies '
Total:
% SAC
SAC Units
~j CITY USE ONLY
l ? BL I RECEIPT ja 9 552j
SUBD. 1 Ibe rOYi It RECEIPT DATE: 15-9' U0
. PERMIT #
2ooo PI.UmDil,e r i:i?ml aWsaIfT.Na il'[l+)
CirrY OF EA8AN
sgso Paor Kxos ftn
ElfiAN, MN 55188
651-6$1-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
> backflow preventer for underground sprinkler system
FIXTURES EACH # TOTAL
Alterations to existing dwelling - minimum fee
Dsscribe: _ $ 30.00
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
G8S i in Outl2t ' minimum -1 3.00 X = $
Hot tub/s a 3.00 x = $
Kitchen sink 3.00 x = $
Laund tra 3.00 x = $
Lavato ' 3.00 x = $
Se tIC S stem new/refurblshed • requires MPC lic. 75.00 X = $
S2 tiC S stem abandonment 30.00 x = $
RPZ new installation/re aidrebuild 30.00 X = $
Rou h o enin 1.50 x = $
Shower 3.00 x = $
Under round s rinkler if dwellin is under conswction 3.00 x = $ Under round s rinkler if existing dwelling 30.00 x = $ !
W ater closet 3.00 x = $ I
W ater heater - 3.00 x = $
Water softener If dwelUng under construction 5.00 x = $
Water softener if existing dwelling 30.00 x = $
Water turnaround 30.00 x _ $
State Surchar e .50 $ .50
Total $
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
I hereby acknowtedge that I have read this applicaGon, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances.
It is the applicant's responsibility to noGfy the property owner that the City of Eagan assumes no liability for any damages qused by the City during its nortnal
operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easement.
SITE ADDRESS: 6c)"Z- 41,
OWNER NAME: TELEPHONE
(AREA CODE)
INSTALLER NAME: TELEPHONE 66lzj
STREET ADDRESS: ~BaU &ft,(i°Lc 1 (AREA CQDE)
1L fF'~ ~
CITY: Alepou /-ele- STATE: 14~w ZIP:
A
SIGNATURE OF PE MITTEE
L~ gL ~ CITY USE ONLY RECEIPT#: ec~ U .5
SUBQ. RECEIPT DATE: 9
1997 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? singie family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES EACH NO. TOTAL
Shower 3.00 x =
Water Closet 3.00 x =
Bath Tub 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x =
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x =
Floor Drain 3.00 x =
Gas Piping Outlet * minimum -1 3.00 x =
Rough Openings 1.50 x =
Water Softener " for dwellings under construction 5.00 X =
Water Softener for existing dwelling 20.00 x =
U.G. Sprinkler * for dwelling under const. 3.00 =
U.G. Sprinkler ` for existing dwelling 20.00 =
Alterations * to existing residence 20.00 = 2D,~
Water Turn Around 20.00 =
Private Disposal System " Dak Cty lic. 75.00 =
(new and refurbished systems)
Private Disposal Systems Abandonment 20.00 =
STATE SURCHARGE .50
TOTAL C~ ~gJ
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City
of Eagan ordinances. It is the applicanYs responsibility to notify the property owner that the City of Eagan assumes no liability for any
damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within
City property/right-of-way/easement.
SITE ADDRESS: ~
OWNER NAME: a-
pa"
INSTALLER NAME: TELEPHONE In.gutie_ cra vCv(p
STREET ADDRESS:
STATE: ZI P: ~ ~ ZZ
CITY:
SIGNATURE OF PER EE
~r„~
. 1l
0•=~
35•00-+-
1•00+
36 • 00
~
. ~1
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
pp MpNTU 7TQ yJH7rH RF(,TTgcT TC MeDF,
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.
To Be Used For : -Valuation: Date : MO
Site Address - OFFICE USE ONLY
Lot Z5 Block FEES
Occupancy
Zoning
Parcel/Sub p( Actual Const Bldg. Permit ~_v0
Allowable Surcharge ~,Op
Owner # of stories Plan Review
Length SAC, City
Address Depth SAC, MWCC
S.F. Tctal Wate-r vG71T:
City/Zip Code Footprint S.F. Water Meter
Acct. Deposit
Phone ~~~SZ-557 ~.5EAaktie,W,135-\231, On site sewage_ S/W Permit
On site well S/W Surcharge
Contractor ,x~~,~S MWCC System _ Treatment P1.
City water _ Road Unit'
Address PRV _ Park Ded.
Booster Pump _ Copies
City/Zip Code SUBTOTAL
APPROVALS Penalty
Phone Planner TOTAL ~nn
Council
Arch./Engr. Bldg. Off.
Variance
Address
City/Zip Code
Phone #
I
: 2/84
r • - v i
,I CITY OF EAGAN
~ APPLICATION FOR
~ ,V • PERMIT
- SEWER AND/OR WATER CONNECTIODI
(PLEASE PRINT)
1) PF.OPER'1'Y ADDRESS : 1/]/0 0 D JCJ C(, / , ~
TyFC,2~L DE-q=T-'YrzcN,: f-3 I :Zr ~ 0'/-0Y1
(Lot/Biock/Subdivision or Tax Parcel I.D. Ntirber)
i: Da'r' GF CRIGi 1AL BiILL'DTG P---_.Sm Ic=C^:
U:E. 11~-R--1 SINIC~"LE r A_MII,Y . - i L! R-2 DUPLEX (T`0 UNITS )
0 R-3 'IGGviNHOL?SE ('I'HRF r'. + U?~IITS UiqITS )
? R-4 ApAR'I1`=:T/CC:,Z)a,LT~i1IL~tiI ( LNITS i
? COr,1ME2CIAL/RETAIL,/OFFICE
p IML'STRIAI,
? INSTITUTIONAL/GC~~~IIIN'I'
2) APPLI=~~+~T (PLEASE PRINT)
NAI"IE :
ADDRESS:
CITY, S=, ZIP: -
PHOiNE:
3) P=IBER ~ PLEASE PRINT) FOR CITY USE ONLY
.
PLUHBERS LICENSE:
` ADDRESS: 4Q!jQ~J 00~~ ~//P, = Active
CITY, STATE, ZIP: k~o; 1 s_j~ l~L~/ C] Expired
`~faSitR 0 Not of Rec,~ord
PHOiVE:~pLUMeER LICENSE # ~ gZ
~ L
a r initia
4) occt,A~,rr/cr,•7NER tvAME: (PLFsF PR~Nr) ~
ADDRESS:
CITY, STATE, ZIP: ' X2, ~
PHONIE:
5) INDICA'I'E 69HICH PEP,MIT IS BEIivG REQUES'I'ID:
~-COD~IECIrION TO CITY SEr7ER
--,JEJ:~20..T~IEC.'TIGN 'ItO CITY 6aATEit
? CII'fIER (PLFASE DESCFtIBE)
6) ~~'DIC=,;:.
"-~PLuASE HOLD APPROVEp PERMLIT FOR PICK-LP BY ONE Or 11BC7,'E
? PL.F-nSE ti'AIL APPROVID PEFZ~LIT -.0 1, 2, 3, 4 ABWE
(Circle one)
7) S ICv'a'?L~E : DA'I';:. :
amt NWW1W:61000100-.lll fe a~ `c ~s'~ss~ac ea
F O R C I T Y U S E O N L Y
PERtitIT '-.4 ISSUED
~
FEES • $ SEWER DEp\~T'r (',~~i_~.,.;rE Sj:R`,
- F-i ] .,7 r E)
$ WATER PEPS•tIT (INCLL'DE SURCHARGE)
$ WATER METEP,/COPPERHORN/OUTSIDE READER
$ 4r'ATE? ^AP ( ItiCLiiDE CO.°.PORATZON S'_"OP )
Y SEWER TAD
$ ACCOUNT LEPOSIT - SEWER
$ ACCOUNT DEPOSIT - WaTER
$ wac
$ sac
$ TRUNK WATER ASSESSMENT
$ TRliNK SEWER ASSESSMENT
$ LATE°,AL BENEFIT/TRUNK SEWER
$ LATE:2AL BENEFIT/TRUNn L4ATER
$ OTHER
$ TOTAL
$ AMOUNT PAID/RECEIPT n
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGriT OF WAY?
YES ZF YES, THEN A"PERMIT FOR WORK WITHIN
PUBLZC ROADLJAY" MUST BE ISSUED BY THE
~ NO ENGINEERING DIVISION. LIST AS A CONDI-
TION.
SUBJECT TO TFIE FOLLO.>>ING CONDITIONS:
APPROVED BY:
TITLE:
DATE:
~ w ~ ~ ~r~ w~ ~ ~ w~~ r4 ~ w ~-.w wr~ ~a ~t~ w ~ ~ ~s~ w.~ ~ ~ ~ s.tw ~e.a r~ ~ i.t ~.:w ~
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA133275
Date Issued:10/02/2015
Permit Category:ePermit
Site Address: 1701 Woodgate Lane
Lot:25 Block: 1 Addition: Tiberon 1st
PID:10-76400-01-250
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
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.
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 -
Kathryn E Gilje
1260 Haight St Unit 5
San Francisco CA 94117
Maus Construction
13432 Geneva Way
Apple Valley MN 55124
(612) 703-5025
Applicant/Permitee: Signature Issued By: Signature