1715 Woodgate Lane
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot Knob Road
P. O. Box 21 ',19 PERMIT NO.: 5363
Eagan, iJIN 55121 DATE: 3-29-84
Zoning: R1 No. of Units:
Owner; _ Grand 0 S
/lddress:
t Site /Wdross: _ 171 5_ Wood~ate T ane T 1 6 B1 Tih rnn
umber: McDonald's Plb
er No.: 0 3 Connection Charge: 470.0 Rd
Slze: Account Deposit: 15.00 pd
Reader No.: 6~3 L 3 Z pe?mit Fee• 10.00 pd
I eyroe M wmPlp wlth !he City of Eagon Surcharge: _ .50
Ud
O?dinanep. Misc. Charpes: - 63.00 nd merP
~ Total:
BY Dote Paid:
Dote of I nsp.: ~ nsp.:
CITY OF EAGAN WATER SERVICE PERMIT
383Q~Pilot`knob Road
P. O. Box 2114 PERMIT NO.: 3 (1
~ Eagan, MN 55121 ~
2oniny: ii I ~ATE: , s
Owner, GI'an:l Oal~.B No. of Units: 1
Addross:
Stte Address: 1725 Wood .ate Lane L18 B1 Tireron
Plumbe.: i`tcAonald s P1bA
Meter No.: Connection (harge; 470.00 d
Sfu:
Reader No.: Account Depcsit: ~ • P
Permit Fee: j1
~ eYroO to aoMPlp whi 6e Cihr of Eegse Surcha'ge`
Ordlwane~s, ~
Mrac. Cho.ges: 6~. 40 v_~ eter
BY Total:
Dote of Insp,; ~te Poid:
Insp.:
' CITY OF EE4GAN SEYVER SERVICE PERMIT
3830 Pilot i.,iob Road
P. O. Bax 21199 PERMIT NO.:
Eagan, MN 55121 DATE: 7-79 -7;7
Zoninp: 1 ~
Grand Oaka No, of Units:
Owner:
Address:
Site Addreu: 1715 WoodRate I,ane L16 B1 Tiberon
Plumber: *fcDonald's Plb
3--23-84 42151 , p
I e9ew to oanoy whh e1N Cihr oi Eevos ConnecNon Chorpe: _ 425.00 pd
' Ordlnanas. Acceunt Depesit: _ 15.00 Pd
Permit Fee: 10 0(? 1
Surchcrpe: .5~ nd
BY Misc. Charpes:
Dete of Insp.: Totol:
I"~.: Date Paid:
~
- - - I
M1111„T
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BlIt6QINCz PERMIT ' Receipt #
To be us ~rl YIREPl.ACB Est. Value Date .i11L 24 , 199,
~
Site Address 1713 W00D(',A?E LM Lot _ 16 _ Block I Sec/Sub. TINP.~N 131 OFFICE USE ONLY
Parcel No. . Occupancy - FEES
Zoning
W Name St3NNI$ i~'t$Gl1N~ (Actual) Const _ Bldg. Permit 2g•~
3 Address 1115 iiCkDGA'TL IO (Allowable) - tn
p Surcharge
City Phone 434+4418 # oi stories -
Length Plan Review
Z F Name N W MA$ONRY Depth - SAC, City
Address 13478 QL2? NRIC[ YABD QD S.F. Total
U¢ City St~1?1cOl?EE Phone 496-1952 S.F. Footprints _ SAC, nncwcc ,
F On Site Sewage _ Water Conn
W W Name on site weu - water nnecer
_ ; Address Mwcc system _
0 Z Acct. Deposit
< W City Phone ciry wacer
PRV Required _ S/W Permit ~
I hereby acknowlege that I have read this application and state that the Booster Pump - S/W Surcharge
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan OrdinancQS. Treatment PI
Signature of Permitee - ~~APPROVAIS Road Unit ~
A Building Permit is issued to: N WMABOMY 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. gldy, pn, _ Copies
~
25Building Official Variance - TOTAI
t
Permk No. Permft Holder Date Talephone #
WATER
SENfER +
PLUMBING
H.VAC.
ELECTRIC
Inspsction Dste Insp. Commsnts
FooNngs I
Foundation •
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Freplace j 9
Final Htg. s ory - G rs~
Orstat Test
Final Plbg. ff Plbg, Inspector - NoGfy Plumber
Const. Meter
Engr.7Plan
Bldg. Final
Dedc Fty.
Dedc Final
Well
Pr. Disp.
CITY OF EAGAN N? 8914
_ • 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH ON E: 454-8100
BUILDING PERMIT Recetpt
ro be w.d fo. cF D[.VG/GAH En. value ~ 50,000 oare MApcx 25 $4 ;
Site Address 1715 WOC)DGA'I'F LN. Erect ff Occupancy P, 3
4 Lot l() Block 1 Sec/Sub. TIBI;ROih 1ST Aiter ~''•1
' 10-76400-160-01 ~ Zonin9
Parcel No. Repair ? Fire Zone 141A
Enlarye Q Type of Const. V
W Name BLAI{F TR~WBR IDGr Move ? Stories
Z Address 1700 F f3 OTFT ST. perrrolish p Length 38
~ City BLOOMI NC_;TCWone 854- 4 9 91 Grode ? Depth 4 2 Sq. Ft.
o Name CRAND OAKS Approvala Fees
Z~ CTPPFR 17 6Ti-i Assessment Permit • 0
o Address
C~tY T,AY.FVILLF' phone 432-6561 00
Water 8 Sew. Surchorfle
Police Picn check 141.50
PW Name Fire SAC
Address o . ~ ~
ULO Enp. Water Conn.
~ W City Phone plan~r Wpter Meter -~_0 0
Council Rood Unit 260.00
I hereby acknowledge that I hove read this applicotion ond stote that gldg. Off.
the informotion is correct ond agree to tomply with oll applicoble $1~7 6 7.5 U
Stote of Minnesoto Stotutes.~nd City of Ea,gannces. ^PC Totol
i,
Sipnoture of Pem?ittee , -1~~( ?{O
~-rr<.T.~Tn ;,~,V ~
A Building Permit Is issued to: on the express condition that
ell work shall be done in accordy7'e ith pll oQplicqbie-_Stat~of Mlnnesoto Statutes ond City of Eogan Ordinances.
Buildirip Official
Permit No. Pe?mit Holder Mise. Permit No. Holder
Plumbinp tt ~d 3 7 ~
H.V.A.C.
4-2
Wsll
Water
Disp.
S~vwr
EUctric
IroWection Dm Insp. Othar
Footinqs -
Foundation
Framinp
Rouyh Plbp. - ~y
Rouph HVA
Inwlation
Final Pibp. ~O• c,~
Final HVAC
Final -30-~ 6r d,
Waftr Dewriba Location:
V11ell '
Sswer
Pr. Dhp. '
Receipt MECHANICAL PERMIT Permit No.
CITY OF EAGAN
Fee
fill in numbered spaces S/C
Type or Print /egibly
Tot. -
1. Date 2. Installation Cost
3. Job Address Lot Blk. Tract
4. Owner
5. Contractor Phone
6. Address
7. City State Zip
8. Building Type: Residential ? Commercial O Institutional ?
9. Work Description: New El Add ? Alter ? Repair ?
10. Describe Fuel Type
11. No. EqujRment 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. 1 hereby certify that the above information is true and correct, and I agree to
li
I 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 464-8100
l
Receipt PLUMBING PERMIT Permit No.
CITY OF EAGAN Fee
Fill in numbered spaces S/C
Type or Print legibly Tot.
1. Date ~2. Installation Cost
/n ~
3. Job Address 1/1`~ ~ LotBlk. ~ Tract
4. Owner : ~ ,l i'.J . ~ ' ~ ~ - 1 ' ~1/
5. Contractor Phone
6. Address
~
7. City State Zip
8. Building Type: Residential Commercial ? Institutional O
9. Work Description: New U' Add ? Alter ? Repair ?
10. Describe
11. No. Fixtures No. Fixtures
Water Closet Cesspool/Drainfield
Bath tubs Septic Tank
' Lavatory
Softner
Shower Well
/ Kitchen Sink
Urinal/Bidet Other
Laundry Tray
/ Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify 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
~
i vi
CASH RECEIPT ~
~
CITY OF EAGAN
P. O. BOX 21-199
EAGAN, MINNESOTA 55121
DATE 19
RECEIVED
FROM
AMOUNT $
r~.
& DOLLARS
~oo
~ CASH ~ CHECK
FOR
'
FUND CODE AMOUNT
I
Thank You
BY
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
CITY OF EAGAN Remarks G1 V,l
Addition TIBERON ADDITION Lot 16 131k 2 Parcel 10-76400-160-01
' Owner street 1715 hI00DGATE I,ANE state FAGAN NW 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. 1977 307.21 30.73 10 61.45 A014042 6-12-84
STREET RESTOR. 1981 953.23 190.65 5 190.68 GRADING
SAN SEW TRUNK 1974 128.30 8.56 15 34.34 A014042 6-12-84
*SEWERLATERAL 1979 1483.09 98.87 is 889.87 if if
WATERMAIN ,
* WATERLATERAL gtub 1979 1$
WATER AREA 1977 128.22 8.55 15 59.90 A014042 6-12-84
STORM SEW TRK
STORMSEW LAT 4bl 1981 79.71 15.94 5 15.95 A014042 6-12-84
CURB & GUTTER
SIDEWALK
STREET LIGHT
260.00 #42151 3-23-84
WATER CONN. 470.00
BUILDING PER. 8914
sAC 525.00 "
PARK
CITY OF EAGAN ~0 8914
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 •
° PH ON E : 454-8100
BUILDING PERMIT Receipt #
To bs uaed for S F DWG/GAR Est. Volue $ 50, 000 Date MARCH 2 6 lq 8 4
Site Address 1 71 5 WQopnATF. T,N _ Erect ~ Occupancy R3
Lot 1 6_ Block 1 Sec/Sub. TTRF.RnN 1~qT Alter ~ Zoning R1
Parcel No. 1 O- 7 6 4 O O-16 O- O 1 Repoir ? Fire Zone N/A
Enlarge ? Type of Const. U
W Name BLAKE TROWBRIDGE Move p # Stories
3 Address 1700 E 8 0TH ST. Demolish ? Length 3 8
° City BLOOM I NGTOKo,e 8 5 4- 4 9 91 6rode ? Depth 4 2 Sq. Ft.
0: GRAND OAKS Approvals Fees
p Name
ou Address 7623 UPPER 17 6 TH Assessment Permit $ 2 8 3. 0 0
City LAKEV ILLE phone 4 3 2- 6 5 61 Water & Sew. Surchorge 2 5. 0 0
Police Plan check 141 . 5 0
F W Name Fire SAC 5 2 5. 0 0
Address Eng. Woter Conn. 4 7 O. 00
~ W City Phone Planner Woter Meter 6 3. 00
Council Road Unit 260, ~ 0
1 hereby acknowledge that I have reod this applicotion ond state that Bldg. Off.
the intormation is torrect and ogree to comply with oll applicable
Stote of Minnesoto Statutes and City of Eogon Or inances. APC Totol $L 7 6 7 . 5- O
Signoture of Permittee
/1 Buildin9 Permit is issued to: GRAND OAKS on the express condition thai
all work sholl be done in accord e it oll oppli Stot f Minnesoto Statutes ond City of Eogon Ordinances.
Building Officiol 0~
~ 20 74 l Y *
Request D te ~ Fire No Rough-in Inspection
~ Reqwred? ~ eady Now ? Will Notify Inspector
~ Yes o When Ready?
I, licensed contractor E] owner hereby request inspection of above electrical work at:
Job Address (Street. r or R ute No
l~
Section No Township Name or No 7ange No Cou
OccupaM (PRINT) \ n Phone o
Power Supplier Address
Elecirical Contractor (Company Name) Contractor5 License No.
Harrison Electric Inc. 421867
Mading Address (Contract4r,,pr Owner Making Installation)
2525 Nevada Ave. No. Golden Valley Mn 55427
Author¢ed Signature (C ntractori0 i Installation~ Phone Number
544-3300
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REOUEST WILL NOT
Griggs-Midway Bldg. - Room 5-173 ° BE ACCEPTED BY THE STATE BOARD •
1821 University Ave., St. Paul. MN 55104 . UNLESS PfiOPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED .
REQUEST FOR ELE CTRICAL lNSPECTION `;T"F`•^ ~
~ ~ ee-oooo,-os
/ F'~!'`
/ See Instructions for completin this torrn on back of yellow copy.
Q ."Xi' Below Work Covered by This Request
New Add Rep. TypeofBuilding AppliancesWired EqwpmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
' Apt. Building Dryer Other (Specify)
- Comm./Industrial ~ Furnace
Farm Air Conditioner
Other (specify) Contractor's Remarks
!f C7 b' l
Compute Inspection Fee Below: '
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 Amps Above 100 Amps
SIgnS Inspector's Use OnlyTA
Irrigation Booms ~
Special Inspection ~
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rou9n-in Date
certify that the above inspection has Final r Date •
been made. . • 7
OFFICE USE ONLY • ThiS request void 18 months from
This request void ~
~ ~ X ~ 4 S O
18 months irom V
A - R 4. I L ~ b,~.,roti? I s~' 4a3SY
Reque t ate Fire No. Rough-in InsRe.tion
~ Required? OReady Nol1 Nolify, Inspec-
rj j es ?No »~~or When Ready
Licensed Electrical Contractor I hereby request inspection of abova
? Owner electrical work installed at:
Street Address, Box or Route No. City
~f 715 EG'LC?-a,~
ection o. Township Name r No. Range No. Coy Y
Occu ant (PRINT/) / Phone No.
V YGt,Yt d DG'c l~C, S
~J)$ l~ Ado° U~e/ Lto'i%(/f/Lc ? r'(/~/l vV ~C
EI t ical Contractor (C mpan Name) Contractor. s Licen- No.
6 4-le 7~
Mailing AdcJr ss (Contrac r or Owner M king Instailation)
Authori ~~d Signatu~ (Contrac r/Ow r Making Installation) Ph u er
` Y~~~
MINNESOTA STATE ARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room N-791 BE ACCEPTED BY THE STATE BOARD
1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 297-2111 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION Es-ooooi-oa
r See instructions for completing this form on back of yellow copy.
~ 40006 '"X"' Be/ow Work Covered by This Request
Now Ad Rep. Type of Building Appliances Wired Equipmen[ Wired
-~Home Range Temporary Service
Duplex Water Heater Lightiny Fixtures
Apt. Building Dryer Electric Heatin
Commercial Bldg. Fumace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm Other SPecify Other (Specify)
ther SUecify Other Other
Compute lnspeciion Fee Below
# Fee ServiceEntranceSize Yi Fee Feeders/Su6feeders # Fee Circuits
~ 0 to200Am s 0 to30Am s Oto 30Am s
Above 200 Amps 31 to 100 Arnps Q 31 to 100 Am s
Swimming Pool Above 100_Amps Above 100_Amps
Transformers frrigation Booms Partial/Other Fee
Signs Special Inspection $
~
T
Remarks L FEE
Rough-in Date J, rj~k. the Elec~l
Inspec or, hereby
~
Fin certify that the abova
al //y f ~~~f ~L( inspection has baen
made.
rhis request void 18 months from `
CITY OF EAGAN No 19 4 7 6
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PHONE: 454-8100 Receipt # ~ i y
To be used for ` FIREPLACE Est. Value Date JUL 24 , 1 g 91
Site AdLtress 1715 WOODGATE LN
Lot 16 Block 1 Sec/Sub. TIBERON iST OFFICE USE oNLY
P2fC@I N0. Occupancy - FEFS
Zoning _
W Name BONNIE WIEGAND (Actual) Const _ Bldg. Permit 25.00
o AddreSS 1715 WOODGATE LN (Aliowable) - Surcharge .50
City EAGAN Phone 454-4418 # or scories -
Length _ Plan Review
ZR Name N W MASONRY Depth _ SAC, city
U< Address 13478 OLD RRT .K YARD RD S.F. Total
-
cc City SHAKOPF.F. Phone 496-1952 S.F. Footprints _ SAC, nnCwCC
On Site Sewage _ Water Conn
~
~ QW Name On Site Well - Water Meter
=-0 Addf@SS MWCC System -
¢ W CltY Phone City Water _ Acct. Deposit
PRV Required _ S/W Permit
I hereby acknowtege that I have read this application and state that the Booster Pump - S/W Surcharge
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinanc s. Treatment PI
Signature of Permitee . APPROVALS Road Unit
A Building Permit is issued to: N W MASONRY 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 I14AA.I 1 I I-d Variance - TOTAL 25.50
1
ANDERSON
2008-10-28 11:50 ANDERSON 6513881098 » 651 675 5694 , P 1/1
~-~,~....Me- -4 )I-'?,`1-------------
. ~,~p;~ Cf~P ~ ~ oat:nnlausi I
~
City of Eakan ~ ParmN p: I
~ Pertnit Fae:
.
3830 Pilot Knob Road . ( ~ i
Eagan MN 55122 ~ i Data Recefved: i
rw~ 75 c
P ~
~ I StaH:
ax: (BSi ) 675-5694 ~ a ~ ~
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: S 5ite Address: h/dL-?.~A ~t-.9 ~~Y~'• ~ 1 S~
Tenartt: S -CS Sulie
RESIDENT / OWNER Name: Phone:
Address ! City ! Zip: t ~ 95L .L/&a_~
Applicant is: Ownar -XL Contractor
TYPE OF WORK Descripti0n of work:
Construction Cost: A.{aC.a- Mutti•Family Bullding: (Yes / Na ^
CONTRAGTOR Name: "z("A rV9Aa License 25C-
Address:
CiEy: State:~ Zlp:
1 1 Contact Person: `r
Phone:~tl ~,,~t
C4MPLETE THIS AREA ONLY IF CONSTRUCTiNG A NEW BUILDING
_~l p,nesota Ru] s 7870 Catego[1C1 _ Minnesota Ruies 7672
Energy Code . Re6idential Ventilation Cateqory 1 Waksheet • New Energy Code Workshaet
CBtBQOry Submltted Submined
(d aubmisslon type) • Energy Erevelope Calculatlons Submitl0d
(n the last 12 months, has the Cfty of Eagan Issued a permk for a simpar plan based on a master plenT
__Yes _No It yes, date and address ot master plan:
Licensed Plumber: PhO^e:
Mechanical Contractor: Phone:
Sewer & Weter ContraCtor: Phone:
IYOTE: Plaas 8nd suppartJng documen[s that you submit arie consrdenCd to be pub/1c lnformatlon. Portlan9 of
rhe Jnlormatlon may be alesslfW as non-publlc !1 you provlda speclflc reasoas that would permlt the C/ty to
corrClude that the are trade creta.
I hereby acknowlgdge that this intarmatlon Is complate and accurate; that the work wlll b conformanCe wlt he ordinanCee and codea ot the City of
Eagan; that I undarstand thls is nOt a permit, but only fln appllcation for a permlt, and rk ia "Ot to start hout a pelmiY that the work will be in
eacordance with the approved plan in the case ot work whlCh requlres a review and approv ot na.
AJ ~A~~~ I A-z- IV F
x
Applicant's Printed ame csnt's Slgnature
Page 1 0( 3
2004 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date Ds / -2 v ~ o v
Site Street Address Wood ~ a. /llv. SS/,2-2Unit #
Property Owner 5(:;,01'~ n/~lm Telephone # ( )
Contractor 6a:AL CLA( ~~jn S j~~u,m~lna Telephone #(7~3)'~vS-lv~~~
Address .lit ~ Si-f'2ej- City Oz1C_LL1ap. State ~N Zip vSSdve
The Applicant is: _ Owner VContractor _Other
Alterations to existing dwelling $ 50.00
_Add fixtures to rooms, excluding water softener and water heater
_Septic System Abandonment
_Water Turnaround (add $121.00 if a 5/8" meter is required)
Other:
Water Softener ?Water Heater $ 15.00
_Z replacement _ additional
Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00
11 State Surcharge $ .50
Total $ So
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.
-I " 1 GwVic, ~
Applicant's Printed Name Applicant's Signature
~ I rc
MAr z 4 c.uUi
By ...,~.r..,...,._W._a.~_...._~
+ 1 CZI"t OF_LACLAN :Inc;luc3e 2 sets oE ~x#
1 s i Le p]_an /e levG ons &
LUTZ.J~T'~k; PI:FMIT 7TPI,.ICYC:LON J_ set oF enc:rc;y calct.ilati.ons.
s -
e i.3 ~~7A For Uatc
-
S i r.e r,,dc:re,s oFt.,r.cr UsE _oNIrV
Lot .31oc};. Sec. `.~u -
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74 yUv ~~e~.'~i te r 'I.,or1_i. ncJ
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E Y O R' S' E R T I F l C A T E GRAND OAKS DEVELOPMENT COMPANY
F6R'l
(184) _ N 89°44'37"E 84.73
~ ~ DRAINAGE A UT/LITY EASEMENT~
PER PLAT
o--
N g
6 LOT
~ W) I 1 -
~qyD.7)
~ - 38.0
' o • PROPOSED
/HousE , ~ ~ -
3 N~
1767 . N~
N GAR 1-- ~
20.33 - Z
26_1?
, ' I•i
~ y
• ~r. r
s 5 CM
t5
V, 8_34705 ~
N89°44,37„E 6g.51
. ° GAT E L Q N Eca~9~1? /
. H/ pOD
.f_ DENOTES PROPOSED SURFACE DRAIPdAGE
O DENOTES IRON h10NUMENT SET SCALE: 1 INCH = 30 FEET
• DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR = 9y/•O FEET
X000.0 DENOTES EXISTING ELEVATION oROPOSED LOWEST FLOOR = 938•1 FEET
(000.0) DENOTES PROPOSED ELEVATInN PROPOSED TOP OF BLOCK = 9y1•3 FEET
I HEREBY CERTIFY TO GRAND OAKS DEVELOPMENT COMPANY THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
. Lot 16, Block 1, TIBERON 1ST ADDITION, according to the recorded plat
thereof, Dakota County, P4innesota.
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,
TNIS 2ND DAY OF ".A"CH , 1984.
SIGNED: JAME . ILL, INC.
~ c
BY :
HA LD C. PETERSON, LAND SURYEYOR
. MINNESOTA LICENSE N0. 12294
PROJECT NO. BOOK / PAGE JpMES R. HILL, INC.
84565
Planners / Engineers / Surveyors
FILE NO.
8200 Humboldt Avenu• South ~
FO L D E R Bbotntngton, Mn, 55431 a 12-884-3029
• :
ELIE CARRIER LOAD
INFORMATION CENTER
S4AK38AJQ4 w,ikoo ~
OPTION 1 OPTION Z OPTION 3
~ #
1. Summer design degrees . . . . . . . . . . . . . q D # 9 ~
(90, 95, 100, 105, 110 or 115) _
(If 90, 105, 110 or 115, Item 2 N.A.)
~-s~': r :
;k
-
2. Dailyrange(0°-35°) q
3. Winterdesigndegrees /1~ d0 # 1~oZ O # #
(Precede a minus number with M)
4. Number of window panes . . . . . . . . . . #
(1, 2 or 3. If 2 or 3, Item 5 N.A.)
5. Storm windows? (Y or N)
6. Windows weatherstripped? (Y or N) . # ~
7. Four window areas starting with N or
NEorientation
(Ex: N#25#30#20#25#ti; Max per side:
999 sq. ft.)
71 NorNE 7I #1 #
72 E or SE O # 0 # #
73 s or sw #
74 w or Nw a p ~a a b aa
8. Shaded window area 0 U # #
(0 or sq. ft. Enter 0 if not applicable.
Max: 999 sq. ft.)
9. Door area . . . . . . . . . . . . . . . . . . S/ q # . #
(0 or sq. ft. Max: 999 sq. ft~ If 0, •
Items 10 8 11 N.A.) • ~;r= m
10. Door weatherstripped? (Y or N) . . . . . . . ~~a"y^;~$~,~'~~~r~ i #z
^r~~~
.
11. Storm doors? (Y or N) . . . . . . . . . . . . . . . .
12. First story peri meter # #
13. Second story perimeter . . . . . . . p # C) # #1
14. Thickness of wall insulation . . . . . . . . y #1 7 #
(0, 2, 4 or 6" fiberglas. Enter MA for
masonry; R values, enter R, then value.
Ex: R19). •
15. Basement perimeter / a O # /a O # #
(0 or linear ft. If 0, Items 16, 17 8 28
16. Basement heated? (Y or N) . . . . .
(If N, Item 17 N.A.)
°a
17. Percent above grade (Ex: 5°h = 5) . . . . . .
18. Area of roof with exposed beams or
studioceiling
(0 or sq. ft. If zero, Items 19, 20 & 21 N.A.) „ , .
;~w
19. Woodorfiber
:e!' f~~i:.~ iar
55
(W for wood, F for fiber. If W, Item 20 N.A.,
If F, Item 21 N.A.)
20. Thicknessoffiber .
(1.5, 2 or 3" or R values)
x` ~ nn t
i, ~ ~
21. Insulation .
(Y, N or R val4!+s, YftO§uR1o9 1~:6"?
.
.S4fl N CQ A Rd UJA I kO tJ t
OPTION 1 OPTIOM Z OPT1O~1 3
22. Area ot ceiiing under vented roof or ,
unconditioned space . . . . . . . . . . . . . . . . 9316,0 Q 3 ~o #
(0 or sq. ft. If 0 Item 23 N.A.)
23. Thickness of lnsulation i'~~y~e,
(0, 3, 6, 12 or 18" ot fiberglas or R values. ,8
Ex: R30)
24. Area of floors over unconditioned space b p # q
(0 or sq. ft. If 0 Item 25 N.A.)
25. Thickness of insulation tl :~:_:,t;<;~~••:-,-~ ~ •
(0, 3 or 6" fiberglas, or R values) #
26. Area of tloors over open or vented space,
orgarage O q# #q • qq
(0 or sq. it. If 0 Item 27 N.A.)
#
27. Thickness of insulation . . . . . . # ` ° •
(0, 3 or 6" of fiberglas or R values)
28. easementarea ~:$3~ tt 3(p. s a
(0 or sq. ft. If Item 15 is 0 akip this entry.)
29. Total heated area . . . . . . . . . . . . . . . . . . . . . ~ (p rf # #1 ~
(sq. ft.) o
30. Perimeter of concrete slab p ~
(0 or linear ft.) (If 0, Item 31 N.A.)
~ A .
1
31. Thickness of slab insulation . . . . . . . . . . . . # #
(0. t or 2") .
32. Desired summer indoor temperature
qit
I
swing ~ N# ~ #ii
(Value between,l and 6 inclusi.ve.) .
33. Desired winter inside temperature 7 p # '70 # #
34. Duct location . . . . . . . . . . . . . . . . . . . . . . . . . 66} ri a a
(AT = attic, BA = basement, SL = slab,
CR = crawl space, CO = conditioned ,
space) (If BA, SL, or CO, Item 35 N.A.)
35. Thickness of insulation . . k N M
(0. 1 or 2". Use 2 for 1" rigid.)
' REPEAT DATA7.......................... #q y qq ' k#i
YorN
"CORRECTIONS4"
If there are no correctjons required enter #N.
If there are corrections to the data, enter
question number, N, the new data, and #N.
a~
E no 9urt ~rhe~ corrections, enter only. F~ ~ a aq a
COOLING B.T.U.H. .
EQUALS a 3, O y q AT (30 °F B.T.U.H. a 4/,95$ pT 9 a°F B.T.U.H. AT °F
HEATING B.T.U.H. - ,
EQUALS S tIy 9-Q rJ AT~ a°F B.T.U.H. S 9-9 9 AT °F B.T.U.H. AT °F
"REPEAT THE ANSWERS" (Y or N) . . . . . . . . . #tt . qft
"SAVE YOUR DATA?" . . . . . . . . . . . . . . . . . . . . #q qq aa
Y or N; or YR#q 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.
J08 NUMBER .
If you want to save your data CLIC assigns
Job Number
"STRUCTURE CHANGES?" . .
If there are no changes required enter qM.
It there are changes to the data; enter
question number, q, the new data, and kq. # ##I # a~ k tt#
Ex: 25iIR30t1iI
If no further changes, enter qq only. aa p# aa
AN
CHCRGJ .
~UII ~s
OPPORTUNITY HOME 3-78 Printed in U.S.A. 838-039 ,
1991 BUILDI G IT P CATION
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.
IAT 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.
`1//,qs o"., 1- Y o
To Be Used For: ~IiW0Q-f.16 Valuation: Z Date: 2q-
Site Address ~7/'~ OFFICE USE ONLY
Lot ~ Block FEES
Occupancy Bldg. Permit
Zoning Surcharge
Parcel/Sub Actual Const Plan Review
Allowable SAC, City
Owner W i # of stories SAC, MWCC
Length Water Conn.
Address 5~~- Depth Water Meter
S.F. Total Acct. Deposit
City/Zip Code Footprint S.F. S/w Permit
Phone 4 S/W Surcharge
On site sewage_ Treatment Pl.
On site well Road Unit
Contractor N' vv MWCC System _ Park Ded.
Address C 3 y-7~ S L-~ 6&)V- City water Trail Ded.
PRV _ Copies
~s,~ Booster Pump _
City/Zip Code ~ SIIBTOTAL
APPROVALS Penalty
Phone _ 6- I R S Z Planner Lot Change
Council TOTAL
Arch./Engr. Bldg. Off.
Variance
Address
City/Zip Code
Phone #
Sewer/Water Licensed Contr.
t~ agrees that all work shall be done in accordance with
(Signature Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
CITY OF EAGAN FOR CITY USE ONLY
3830 PILOx KNOB ROAD
EAGAN, MIId 55122 PERMIT #
/ PHONE: (612) A454-8100 RECEIPT # Oo~ O~o~-
- ~s/q
eV,
~1~~C DATE :
: . :
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
.
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION FEES
NEW CONST qlG ADD-ON MINIMUM $15.00
ADD ON ? HVAC 0-100 M BTU 24.00
REPAIR . ADDITIONAL SO M BTU 6.00
GAS OUTLETS - MINIMUM 3.00
' , OF 1 PER PERMIT
OWNER NAME : lC.l~ i ,C 4's.r
SUBTOTAL: $ '/fo
SITE ADDRESS: r1l L11~1/~ ,~i?.T. r~ STATE SURCHARGE: .50
LOT : Ae BLOCK SUBD. ~
zst t OTAL : $ / S • ~ a
INSTALLER: _AI~i_..0G'~VI~K
HEA?ING & AIR CONQITIONING .
ADDRESS : S^1o WENM'JRTH AVE. S0. SIGNATURE OF PERMITTEft
IYIIiYIY ^ ~i
881-9000
CITY: ZIP:
PHONE
P
~QMMER~:~AI;j~DUST;: PLEASE COMPLETE THIS Pt)RTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS,
APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPAR.ATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
CONTRACT PRICE: FEES
OWNER NAME: 1$ OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
SITE ADDRESS: EACH $1,000 OF PERMIT FEE.
PROCESSED PIPING = $25.00
LOT: BLOCK SUBD. _ $25.00 MINIMUM FEE.
INSTALLER: _ CONTRACT PRICE x 1% $
ADDRESS: _ STATE SURCHARGE $
CITY: ZIP:
TOTAL: $
PHONE
~ (SIGNATURE)
FOR : CITY OF '?.Are,nr
- i
~
~L. 2/84
• /j CITY OF EAGAN
APPLICATION FOR PERMIT
- SEWER AND/OR WATER CONNECTION
(PLEASE P4INT)
1) PROPERTY ADDRESS :
r •Fr3~L DESC:RI-TyI'ICN:
(Lot/Block Subdivision or Tax'Parcel I.D. Ntanber)
i =S-7=`:i~ STRL'CT1_71ZE, DAT.' GF CRIGi AL EuILL'I:`1G P~~,?ZT I=:a~~iC^:
~ P2..S=7 ~ .^`Jl T/F:wCP05ED L'SE. ~ R--1 5INGI.E r^PLt1LY - ,
? R-2 DUPLEX (T`O WiITS)
0 R-3 TCLv1NIOLSE (THRF"' + UNITS) ( Wi ITS)
? R-d_ ApARlR^.E!.7/COjtDOi-,1NILn1 ( LNITS i
? CONlMERCIAL/RE,TAII.,/OFFICE
o LMusTxIAL
p INSTITUTIONAL/GOY'~~IIIV`I'
2) AppLIC.F~~-T (PLEASE PRINi)
N11ME :
ADDRESS :
cITY, sTATE, zzP:
PxoNE:
3) P=,IBER ~ PLEASE PRINT) FOR CITY USE ONLY
r~:
PLUHBERS LICENSE:
ADDRESS: rqzc;p] Active
CITY, STATE, ZIP; ~ Expired
MASTLR Not f Re ord
PHOiVE: . p pLUMBER LICENSE I,t,i~
,G..., •.-r-..- ~
atr initia
4) OCC[TPANT/CF,%Tj\IER NI~'IE : (%1E A S~ P R I N i) (..J 1 lQ I~
ADDREss :
CITY, STATE, ZIP: ~f~?' /j~~ 1~ j S(?~~
PHONE :
r
5) INDICA'I'E WHICH PEP,MIT IS BEIIVG REQUESTID:
12~CONNECTION 'Il7 CITY SalER
"Aa CONNECI'ION TO CITY WATER
? OTEM (PLF.ASE DESCRIBE)
6) UdDIG=E C:Z:
? PL,EA.SE HOLD APPRUVED PERM-IT FOR PICF{-UP BY ONE OF 11BOVE
PL.EASE %7LIL APPROVID PERtilIT TO ~ 3, 4 ABWE
(Ci le one)
f N
/ 7) SIQv'~,ZL.;E: ?~ii'
f
F 0 R C I T Y U S E O N L Y '
PERtitIT u ISSUED
FErS, $ le, .!si-4 SEI•:ER D=-117 $ WATER PEItP1IT (INCLUDE SURCHaRGE )
G WATER METER/COPPERHORN/OUTSIDE READER
$ WATE? TAP (INCLUDE CCRPORATICN STOP)
$ SE:JEp TT.'''
$ ACCOUNT DEPOS IT - SEtWER
$ ls; r--s~ ACCOUNT DEPOSIT - WaTER
$ "o WAC
$ ~ -z '-0 sac
$ TRUNK WATER ASSESSP-lENT
$ TRliNK SETJER ASSESSMENT
$ LATEP.AL BENEFIT/TRUNK SE?;'ER
$ LATE:2AL BENEFIT/TRUVK WATER
$ OTHER
$ TOTAL
$ 1.!~7_ L•°'~° AMOUNT PAID/RECEIPT T•~,~.?~ / g
DOES UTILZTY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGnT OF WAY?
YES IF YES, THEN A"PERMIT FOR 690RK WITHIN
~ PUBLIC ROADWAY" MUST BE ISSUED BY THE
NO ENGINEERING DIVISION. LIST AS A CONDI-
TION. SUBJECT TO TFIE FOLLOTdING CONDITIONS :
APPROVED BY: p~~1i0
TITLE :
DaTE : 4f V
_ n! Wis sriu w wif Nli+ ! m mt
r - - - - - - - - - - - - - - - - -
~ Foi;Q~ce"Use ~
77- Permit ~ / ~ 7v I
City of E6_I Permit Fee.
3830 Pilot Knob Road
'T / j
Eagan MN 55122 ~ Date Received:
Phone: (651) 675-5675
Fax: (651) 675-5694 i Staff: i
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site ddress: / ~71,~ ,~-Z~P
Tenant: Suite
RESIDENT / OWNER Name: Phone~t~~
Address / City / Zip:
Applicant is: ~Owner Contractor
TYPE OF WORK Description of work: k=w--,en
Construction Cost: Multi-Family Building: (Yes / No
.
CONTRACTOR Name: License
Address:
City: State: Zip:
Phone: Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateqory 1 Minnesota Rules 7672
Energy Code. . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
submission type) • Energy Envelope Calculations Submitted
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:
NOTE:::Flans~and sup" ortin"g.docuinents that, yo,u'submit are,conside~eal fo;,be putilic.information:: ~ Portions~of
, ,
, P -
- ;
~°.,tlie information may be classified as non=public; if you provide spec~fic~ reasons'that would, pe""rmit, the C?ty to
coiiclcide that:,tfie .are trade:secrets
d codes of the City of
I hereby acknowledge that this information is complete and accurate; that the work will be in conf =Tu-re
Eagan; that I understand this is not a permit, but only an application for a permit, and work ' n t at the work will be in
accordance with the approved plan in the case of work which requires a review and approval o pl s.
Applicant's Printed Name t s SigPage 1 of 3
' r - - - - - - - - - - - - - - - - -
I ~or.O~ce~llse ~
~ Permit ~ 11
City of Eapn I M I
I Permit Fee: 1 ~
3830 Pilot Knob Road
Eagan MN 55122 ~ Date Received: ~
Phone: (651) 675-5675 I i
Fax: (651) 675-5694 Staff: 1
I I
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: ~ J?
Tenant: Suite
RESIDENT / OWNER Name: Phone: 6,521- 9o5-- SlSV3
Address / City / Zip:
~7
Applicant is: -,L<,pwner Contractor
If.
TYPE OF WORK Description of work: 4c1i
Construction Cost: Multi-Family Building: (Yes / No
CONTRACTOR Name: License
Address:
City: State: Zip:
Phone: Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Category 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
submission type) • Energy Envelope Calculations Submitted
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:
NOTE: Plans and'supporting documents that you subinit are`considered to be public information. Portions of
the,information ir?ay be classified as non~=~public if you provide specific reaso`ns that would permit tlie City to
=~~ti,.
` concludelthaf the are trade secrets. 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 permitf work is no 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 val of pla
X
Applicant's Printed Name A li Ys Signa ure
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
SUB TYPES
_ Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage
Single Family Garage _ Porch (4-Season) _ Exterior Alteration (Single Family)
_ Multi ~ Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi)
01 of Plex Lower Level Pool Miscellaneous
Accessory Building
WORK TYPES
_ New _ Interior Improvement _ Siding _ Demolish Building*
~ Addition _ Move Building _ Reroof _ Demolish Interior
_ Alteration _ Fire Repair _ Windows _ Demolish Foundation
_ Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall `Demolition of entire building - give PCA handout to applicant
DESCRIPTION '
Valuation QOccupancy T 7' /t_L~ MCES System
Plan Review Code Edition ~t~,.~~~i• SAC Units
(25%_ 100%~ Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Sheetrock
~ Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC
Drain Tile Other:
Roof: _Ice & Water _Final Pool: _Footings _Air/Gas Tests _Final
Framing Siding: _Stucco Lath _Stone Lath _Brick
Fireplace: _Rough In _Air Test _Final Windows
Insulation Retaining Wall
Meter Size: Radon Control
Erosion Control
Reviewed By: Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC .
Utility Connection Charge
S8W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
,VEYOR'S' CERTIFICATE ' GRAND OAKS DEVELOPMENT CONPANY
' (184)
~
y~`
~ (
'_\N 89°44'37"E 84.73
1. U) ~ ~ p INA6E a UTILlTY EASEM T~ ~
_ PER~PL,'~AT
~ . ~ -
r~ 0 5I ~
-
~ "
_.22•56 - 38.0
=~27.zy
' o - PROPOSED
3 ouse I
d' 17.67 ~i r 1 ~ r~
N
ccsv GAR I-- 1 -J
~ 20.33 Z -
' /i •~I ° vj *
~ 7. o ~ fri' -
a • p ` '
R=34745~ o
26.47 6=11°18'34~~ ~
N89°44?37"E 68.51
M GATE L A NECq39.2) ~
W pOD
.
T_ DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET SCALE: 1 INCH = 30 FEET
• DENOTES IRON MONl1MEhT FOUND PROPOSED GARAGE FLOOR = 9y1•0 FEET
X000.0 DENOTES EXISTING ELEVATION °ROPOSED LOWEST FLOOR = 938.1 FEET
(000.0) DENOTES PROPOSED ELEVATInN PROPOSED TOP OF BLOCK = 9yl•3 FEET
I HEREBY CERTIFY TO GRAiVD OAKS DEVELOPMENT COMPANY THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot 16, 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,
THIS 2ND DAY OF "A.".CH , 1984.
OW~,~~; s~~~y ~1~~~~~ SIGNED: JAME . ILL, INC.
,
~
B. Y. z, c
~
HA LD C. PETERSON, LAND SURVEYOR
PSINNESOTA LICENSE N0. 12294
PROJECT NO. BooK ~ PAGE JAMES R. H1LL, INC.
84565
Planners / Engjneers / Surveyors
FILE NO. •
8200 Numboldt Avsnu• South
FO L D E R ebotntngton, Mn. 55431 812-884-3029
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA159658
Date Issued:01/07/2020
Permit Category:ePermit
Site Address: 1715 Woodgate Lane
Lot:16 Block: 1 Addition: Tiberon 1st
PID:10-76400-01-160
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Replaced kitchen faucet
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Scott D Chisholm
1715 Woodgate Lane
St Paul MN 55122
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA163934
Date Issued:09/16/2020
Permit Category:ePermit
Site Address: 1715 Woodgate Lane
Lot:16 Block: 1 Addition: Tiberon 1st
PID:10-76400-01-160
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Luke A Davidson
1715 Woodgate Lane
Eagan MN 55122
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature