1721 Woodgate Lane
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot Knob Road 5364
P. O. Box 2119'~ PERMIT NO.:
Eagan, MN 55121 DATE: 3-30-84
Zoniny: Ri - No. of Units: 1
pr„ner; Grand Oaks
Address:
Stte Address: 1721 Woodp-ate Lane L15 B1 Tiberon
ltx,ber; McDonald's Plbg -
er No.: 3~ ~ Connection Charge: 470. 00 pd
Si Account Deposit: 15 . 00 pd
e: ~ f
Rea r No.: O 3 R3 Permit Fee: 10.00 pd
1 yree to eawPhr wie6 eM Cihr of Eetian Surcharge: .50 pd
OrdiMagm Mtsc. Chcrpes: 63.00pd meter
Total:
BY Date Poid:
Dote of Insp.: I^sp•:
CITIr'' (JF EAGAN Wp.rER SERVICE PERMIT
3830 Pilot Knob Rb ,o
P. O. Box 21109 PERMIT NO.: 5364
Eagan, ;JIN 55121 D^TE: _ 3--'3A-o;
Zoniny: - R_ - No. of Units: 1
Owner; rrand Oaks
Address:
Site Address: 1721 Woodsate Lacse L15 F1 Tiberan.
Plumber: McDonald' e Plbz
Meter No.: Connection Char9e: 470.00 d
Size: Acoount Deposit: 15.00 )d
Reoder No.: Permit Fee: _ 10.00 p[i
1 sgnw M aan* with !M Ciryr of Eeyen Surcharge: _ . 54 Pd
Ordimmem Misc. Choryes: - 63• 40pd meter
Total:
' BY Date Pcid:
Date of Insp.: ~nsp.:
CITY C.F EAGAN
3830 Pilot Knob Ru; d SEVVER SERVICE pENMrr
P. O. Box 21199
Eagan, PER/v11T NO.: 6:i53
Ionrnw: ~iAN 5512t DATE:
3-30--8ti
Owner: '''rattd Oaks No. of Untts: I
Address:
Stro AAd.eu: I7Z1 Wooclp,IIte Lane L1S B1 Tiberon
Plumber; '`Ic:Doaa7.d's plbp,
3-3r1-84 42250
~°On't° emNr wt& NN CRr ef igee. 1 Q0. 00 pd
Ordluonar. Cw+nsctlon (harge;
1locount DePOStt: 1 5 nn _
Permk Fee;
By Surchorge; I
Date of Insp.: Mise. Choroes:
Insp.: Totol:
Dote Pold:
~
. CITY OF EAGAN p I
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ~j ? 091Ir
PHONE: 454-8100
BUILDING PERMIT Receipt
To b~ w~d Mr :~"µf (;/GAR Esr. Value S y, 0 U 0 Dcte N1ARC F' 30 1 9 84
Site Addre 1721 WOODGATE Ltd. Erect
1 TIBEROI~` C3~X Occuponcy R 3
Lot lock Sec/Sub. Alter ? Zoning R1
Parcel No. 10--7640t)-150-01 Repoir p Fire Zone N/A
KAR.F_,N &.TAN1E5 YALFS E^1Oroe ? Type of Const. V
W Name Move p ~t Stories
3 Address 4237 - 2 8 TH AV E. 50 . pemoljsh 0 Length 50
b City Phone a I- 5 3 fi~o _ Grode p Depth a O Sq. Ft.
ce GRATin OAKS Approvals Fees
O Name 310-
OU Address Tp FR Assessment Permit • 00
~~tY LAKFVILLrha~e 432-6561 Wote?&Sew. Surcharge 29.5()
Police Plcn check 155.00
~W Name Fire ' SAC 525 . OC
H
x? Address
u0 Enp. Water Conn. 4
~ W City Phone Plonner Water Meter 63.00
Council Road Unit 2 6 0- Q('
1 hereby acknowledga that I hove read this opplicotion and stote that Bldg. Off.
the information is correct ond agree to Comply with oll cpplicoble
Stcte of Minnesoto Statutes and City of Eogon Ordinances.
APC Totol ' ' . ,
$ipnoture of Permittee
A Building Permit is issued to: GRANI~ OA'CS on the express conditlon thnt
oll work sholl be done in accordonte r1i al) opplicQble State of -Minnesoto Stotutes ond Ciry of Eapan Ordinances.
Buildinp Officiol
Psrmit No. Pormit HoltMr Mia. Psrmit No. Holder
Plumbiny ' q 1 3 'j
H.V.A.C.
R g
w.n
Water
Disp.
Sewsr
EMctric a ~Q A&Tft ~'S a
InWsction Da" Insp. Other
Footinpt
Foundetion
Framino
Rouph Plbp.
RouQh HVA
Inwlation
Final Plbp. ,jd•~
Find HVAC .30-Z
Final 30 ~ u/
Wa"r pesaibe Location:
V11s11
Sswer `
Pr. Dhp.
Receipt PLUMBING PERMIT Permit No.
CITY OF EAGAN ` G
Fee
Fill in numbered spaces S/C ~
Type or Print legibly Tot.
1. Date Installation Cost "
n flr,~ ,,r ~ , "
3. Job Address/ 4,T LotBlk. ~ Tract
7 ~
4. Owner j
5. Contractor Phone
6. Address
7. City State Zip
8. Building Type: Residential'-B~ Commercial 0 Institutional ?
9. Work Description: New,19~ Add ? Alter ? Repair ?
10. Describe
11. No. Fixtures No. Fixtures
~ Water Closet
Cesspool/Drainfield
/ Bath tubs Septic Tank
" - Lavatory Softner
/ Shower Well
_L Kitchen Sink
Urinal/Bidet Other
Laundry Tray
_L 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
iiough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
,
J
- - ~ . - - ~
Receipt MECHANICAL PERMIT Permit No.
CITY OF EAGAN
Fee
Fill in numbered spaces S/C '
Type or Piint legib/y 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 ? Institutional ?
9. Work Description: New ? Add ? Alter ? Repair ?
10. Describe Fuel Type
11. No. Ecluioment BTU - M. Ea. No. EQUiament CFM
Forced Air Air Handling:
Mfg.
Boiters 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 F inal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
CASH RECEIPT ~
CITY OF EAGAN
P. O. BOX 21-199 '
EAGAN, MINNESOTA 55121
DATE 19 ~
REGEIVED
FROM
AMOUNT I
& DOLLARS
+oo
? CASH ? CHECK
FOR
FUND CODE qMOUNT
Th You
~ BY
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
~
-11 Remarks
' addition TIBERON ADDITION Lot 1S eik 1 Parcel 10-76400-150-01
owner street 1721 WOODGATE LANE state EAGAN MIIV 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. 1 1977 307.21 30.73 10 61.45 A014018 6-11-84
STREET RESTOR. 1981 953.23 190.65 5 190.68 " "
GRADING
SAN SEW TEqQJC Lql 1974 128.30 8.56 15 34.34 A014018 6-11-84
*SEWERLATERAL gtu 1979 1483.09 98.87 is 889.87 it it '
WATERMAIN
* WATER LATERAL $tub 1979 15
WATER AREA LqM- 1 77 128.22 8.55 15 59.90 A014018 6-11-84
STORM SEW TRK
STORMSEWLAT 1981 79.71 15.94 5 15.95 A014018 6-11-84
CURB & GUTTER
SIDEWALK
STREET LIGHT
ROAD UNIT 260.00 #422 0 5-30-84
WATER CONN. 470.00 if if
BUILDING PER. 8917
sac 525.00
PARK
M2(155'6 1 4a~v itro~
/
Reques Date , Fire FoLg?In Inspection Required FDate ecti0 ther Than Rough-In
~j f , (YOU must call inspeclor when y) eady Now Wil N' In ector
7 / 3 ~ `t ? Yes o Read
I V~ Ticensed contractor ? owner hereby request inspection of above electrical work at:
Job Address (Street, Box or Route Np.) City
0
Section No. Township Name or No. Range No. County
Occupant(PRINT) Phone No.
'7~ C o V ~ l l
Power Supplier Address
echical Contractor (Company Name) Comractor's License No.
`/le k,47_7~
ailing Atldress (Contractor or Ow er Making Installation)
c~C/~ S r911 49 e~l~.`,~/~ u~r~3 7~
Authoriz nature (Contrac er Making Installation) Phone Number
511161ESOTA STATE ARD OF ELE RICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bld • Room S-128 BE ACCEPTED BY THE STATE BOARD
1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
1-K4
~J REGIUEST FOR ELECTRICAL INSPECTION R
0 561 ~ See instructions for completing this form on back of yellow copy. ~
`i '"X" Below Work Covered by This Request
V-1
Ne Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service
~ Duplex jFurnr er Heater Electric Heating
Apt. Building oad Management
Comm./Industrial ace Other (Specify)
Farm onditioner
Other (specify) Contractor's Remarks:
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Am s
Transformers Above 200 Amps Above 100 Am s
Signs Inspector's Use Only: v J TOTALJ~ Q
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 Rough-in oace
certify that the above inspection has
been made. F'"ai ~ - oace
-1
OFFICE USE ONLY ~
This request void 18 months from
This request void
1~ nI ths froat f S' AI~ /l~ ~ ` V
S
Reque ate Fire No. Rough-in Inspection
~ Required? ~Ready Now ill Notifv. y.
% ? No tor When Feadv
Licensed Electrical Contractor I hereby request inspection of above
? Ow,ner electrical work installed at:
Street Address, Box or Route No. City
ct on o. Township Name or . :fgRaa I
nge No. Cou~/)4
~q
,
O upant (PR1 ( Phone No.
owe Suppl er Addres °
, G cl~: ~#yt
Elec` i ContraFtor (Comp y Nam 1 ~ Contracior's Lgj,
~ . ~ ~ 7 Mailing dJress (Contractor or Owner M ing Instailation)
~2 y(o ~ ~t~ hr f . S^ ~ ~
'
Autho 1 d Signat re (Conyctor/(,~wner Making Installation) Phone Number ~ I
' MINNESOTA STAT BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD
1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (672) 297_2711 ENCIOSED.
l,~ .?C,r REQUEST FOR ELECTRICAL INSPECTION
' See instructions tor completing this form on back of vellow copy.
AQ._ 08 ""X"" Below Work Covered by This Request y
r
dd Rep. Iype of Building Appliances Wired Equfpment Wired
~ -Home Range Temporary Service
Duplex Water Heater Liyhtin,y Fixtures
Apt. Building Dryer Electric Heatin
~ Commercial Bldg. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
~ Farm Other Specify Oiher (SUecifY)
ther Specify Other pther
Compute lnspection Fee Below
# Fee Service Entrance Size k Fee Feeders/Subfeeders M Fee Circuits .ej 0 to200Am s 0 to30Am s ~ 0 m30Amps
Above 200 Ampsi 31 to 100 Arnps 2,J IJ 31 to 100 Am s
Swimming Pool Above 100-Amps Above 100_Amps
Transformers Irrigation Booms Partial/Other Fee
Signs Speciallnspection $
EE
Remarks TO,.A/j~o~~
Q
Rough-in Daie ~i I, the ctrical
V~ ~ ~ Inspector, hereby
Final certify that the above
r Dat1P~ j~aj/% inspection has been
s ,n 1v made.
This request void 18 months from
CITY OF EAGAN ~0 8917
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
` PH ON E: 454-87 00
BUILDING PERMIT Receipt # S~
To be used for SF DWG/GAR Est. Volue $ 5 9. 0 0 0 Date MARCH 30 l9 84
1721 WOODGATE LN.
SiteAddress Erect gX Occupancy R3
Lot 15BIock 1 sec/sub. TIBERON Alter ? Zoning RI
Parcel No. 10-76400-150-01 Re
pair ? Fire Zone . N/A
Enlorge 0 Type of Const. V
o~ Name KAREN & JAMES YALES Move ? # Stories
3 Address 4237 - 2 8TH AVE . SO . Demolish ? Length.52
° City Phone Grode ? Depth--AD-Sq. Ft.
ix GRAND OAKS Approvols Fees
o Name
~u Address 7623 UPPER 167 Assessment Permit 310.00
~ City LAKEVILLFQhone 432-6561 Water 8 Sew. Surchorge 29, 50
F Police Plan check 155.00
WW Name Fire SAC 525.00
,
Address Eng. Water Conn. ~ 0
Q,Zu City Phone Plonner Woter Meter 63-~1 0
Council Road Unit 26 0 n 0
1 hereby ocknowledge that I have reod this opplication and stote that Bldg. Off.
the informotion is correct ond ogree to comply with oll opplicable $1,812 .$0
State of Minnesota Statutes and City of Eogan Ordinances. APC Totol
Signature of Permittee A Building Permit is issued to: GRAND OAKS on the express condition thni
oll work sholl be done in occordance oppli able a o ~Votutes and City of Eognn Ordinances.
Building Officiol
~ Fo~`~Office lJse I
~ ~
City 1Eapn Of j Permit
~ Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 i Date Received: ~
Phone: (651) 675-5675 i Staff:
Fax: (651) 675-5694 . ~ ~
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
C~ ~ FW6Q~
Date: Site Address: ,
~ U C_ Suite
RESIDENT / OWNER Name: Phone:
Address / City / Zip: I '
Applicant is: - 6Owner C,`oo' Contractor
TYPE OF WORK Description of work: ~C -eaup
Construction Cost: ' + Vv Multi-Family Building: (Yes / No ~
CONTRACTOR Name: ! etU.S License 70(Y V _SS -7-
Address: J____' i-keCJ"lGl: W ?
City: (,State: ° Zip: _5'Jz_06Z
Phone: Contact Person: n f u- /V'
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 submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that fhe 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 permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plan
x
ApplicanYs rinted Na e Appl' anYs Signat
Page 1 of 3
CITY OF F11GAN Include 2 sets of plans,
1 site plan w/elevations &
~ BUILDING PrRMIT 11PPLTCIITION 1 set of enerqy calculations.
~ G ~ - -
Zb Be Used For Valuation 91~ Date 3-,5z
Site Address fi 2. 1 ~ 1V r pT7FICT' USE ONLY
Lot 15' Block r Sec.%S . ~ ~ Occupancy
Parcel # : 111ter _ Zoning
~ Repair I'ire ZOI1e
Oaner: Enlarc7e `Iype of Const.
Address: 2 32 ,os,~ Q,,, S. MO"e Stories
I~rr~lish Front ~ f.t.
City/Zip Cocie: _ GLade _ Depth f. t.
Phone # 77
AP['P.OVI\T. 5 I7TS
Contractor: 11ssesslUnts Pcrntit
Address • ~ Water/Sc~,oer St.ircharge
' Police Plan Check
City/Zip Cocle: Za;,~~i Fire S11C
- S .
Phone Wa ter Conn. ~ p . 0
~ - Planncr Water Meter ~ 6 3- pC)
Cour.ci 1 Rr~ad Uni t ~lfl op~
Arch. /Fng. . • B1dg. Of f . z rt °'4'
Address : AIIC
City/Zip Code:
Phone # ; ZC)'I'AL,
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- . ~c,89~
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'N 89°44'37"E 76.50 ~ ~
~ORAlNAGE A UT/LITYL~~ 5 .
5 EASEMENT PER PLAT
<
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o ~.4...s, a=: • 0 1
QL!.
N 89°44'37"E 85.00 '
° WOODGATE LANE
l ~.3'1 • 4 _ ~938,3)
fVOTE
PROPOSED ELEVATIONS WERE TAKEN FROM THE PRELIMINARY PLAT -
DRAINAGE PLAN BY SIGMA SURVEYING'SERVICES ,
DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET -SCALE: 1 INCH = 30 FEET
• DEPIOTES IRON MONUPIENT FOUND PROPOSED GARAGE FLOOR = 9~.o FEET
X000.0 DENOTES EXISTING ELEVATIOP PROPOSED LOIJEST FLOOR = 93c,,4 FEET
(000.0) DEIJOTES PROPOSED ELEVATIOH PROPOSED TOP,OF BLOCK = 940,-:5 FEET
I HEREBY CERTIFY TO GRAND OAKS THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot 15, 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 16TH DAY OF MARCH , 1984.
SIGNED: JAME R HILL,
H ROLD INC.
BY :
C. PETERSON, LAND SURVEYOR MINNESOTA LICENSE N0. 12294
PROJECT NO. BooK ~ PAGE . JA M ES R. H ILL, I N C.
84569
Planners / Engineers / Surveyors
FILE NO. '
6200 Humboidt Avenu• South
FO L D ER Bbomineton, MR 55431 012-884-3029
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) ~l I S
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
New Construction Reaufrements Remodel/Reoair Reautrements
? 3 registered sffe surveys showing sq. ff. of lot, sq. ff. of house 2 copies of plan
and cil roofed areas (20% maximum lot coveraae allowed) 1 set of energy calculations tor heated addffions
? 2 copies of plans (show beam b w(ndow sizes; poured fnd. design; etc.) 1 sHe survey for exterior addffions d. decks
? 1 set of energy calculations
? 3 copies of hee preservation plan if lot platted affer 7/1/93
is DO
DATE: CONSTRUCTION COST:
DESCRIPTION OF WORK:
STREET ADDRESS: o
20-
LOT: ~ BLOCK: SUBD./P.I.D.
Name:14ft/ PhUO& Phone 0q ~ l
PROPERTY tast First
OWNER
Street Address: ~
City State: I~ Zip: 5 S! 0~~
Company: Lo Yeo Wola 0o~ - Phone#:
(area code)
CONTRACTOR
O ~ ~ Tkd 8hd S License # Exp.
Street Address:! l
City Sl~ State: Zip:
ARCHITECT/
ENGINEER Company: Name:
Telephone area code ( )
Streel Address: Registration
City State• Zip:
Sewer L water licensed plumber (r_equtred for new construction onlv
Penalty applies when address change and lot change ts requested once permff is issued.
I hereby acknowledge that 1 have recd this appltcation, state that the information is correct, and agree to comply with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances. '
Stgnature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received Yes No
Tree Preservation Plan Received Yes No Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace O 21 Porch (3-sea.)
02 SF Dwelling 0 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea.
03 1 of _ plex ? 08 6-plex ? 13 16-plex O 18 Deck ? 23 Porch (screened)
t] 04 2-plex 0 09 7-plex ? 14 Apartments ? 19 Lower Level ~ 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging O 20 Pool 25 Miscellaneous
WORK TYPE
31 New O 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
O 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
D 33 Alteration ? 37 Demolish Bldg.' ?.41 Wood Stove 0 45 Fire Repair
? 34 Repair C] 38 l7emolish (Interior) 42 Reroof
" Give PCA hando to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. Census Code
(Allowable) Main level sq. ft. SAC Code
UBC Occupancy sq. ft. No. of Units
Zoning sq. ft. No. of Bldgs
# of Stories sq. ft. MC/ES System
Length sq. ft. City Water
Width Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review License
MC/ES SAC City SAC
Water Conn.
Water Meter
Acct. Deposit S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
SAC Units % SAC
i ?
~ y. 2/84
i
j CITY OF EAGAN
< <<-~; /y APPLICATION FOR PERiMIT
- SEWER AND/OR WATER CONNECTION
(PLEASE P4INT)
1) PROP= ADDRESS : 9~2-1 w e L
r.Fr32~LL DESOZIT'TICN: b 'Ir C3 Yl ~l
(Lot/Block/Subdivision or Tax Parcel I.D. Niunber)
i STRL'C1~J:2E, Dr~T~,' G~' ORIGi dAL aiILDI~`1G F-~~?IT IS~u~~CE:
~ PRES_"`~~' ;^`Il :t:/g:~°OS= !'SE. ~-1 SMIGZu rPytT LY • ,
? R-2 DUPLEX ('ItitiO U'NITS )
0 R-3 TG4vNH0L?SE (THREE + LTNITS) ( LTiQITS)
? R-4 ApAR'IT=:T/CO`IDa-,Li,TIL':1 ( L'NITSi
? COMMERCIAL/RETAIL/OFFICE
p MML'STRIAL
? INSTITUTIONAL,/GOVEPan,=
2) APPLI= (PLEASE PRINT) U
NAME: `:~~~i~i 1217 Ci ~/~3 ,n (A
ADDRESS:
cITY, sTATE, zzP: L tii"// ~ /'~/I , ; > 5'~
PHONE:
3) PLUMER NA PLEASE PRINT) FOR CITY USE ONLY
t~ :
PLUHBERS LICE4SE:
ADDRESS: Active
` CITY, STATE, ZIP: • ~ Expired
MASHR 0 Not o Recor
PHOiVE: PLUMBER LICENSE #
arr nitia
4) Q=A,NT/aqNER (PLEASE PRINi)
llc~- Cj a 65 e, 1/
ADDREss :
CITY, STATE, ZIP: ~ A'k Z/
Pxo:vE:
5) INDICAM WHICIi PEP,MIT IS BEINIG REQUESTID:
,a CO;VNF,C,'TION TO CITY SE,Tr1ER
'Ja COrdINJECTION 'Ib CITY WATEIt
? OTfrER (PLEASE DESCRIBE)
6) U1DI= 0:E:
~ PLEA.SE NOLD APPRWED PEP,14IT FOR PICF:-UP BY OIVE OF ABO~?E
~ PI.EASE MAIL APPROVID PER%tIT 'Ib 1, ~j 3, 4 r'1BWE
~ (CiT~le one)
7) S I~v'~'IL'RE : Q74 DATE :
/ _ /
a+l:a~:a+~-~:~ ~r fre ~t as rs~~•-.--:~ s s+s ~~;s's:a;a a a.~ n.t~r~:.~rs:~,~,~ ~ s~it ~1=~s~avse
F 0 R C I T Y U S E O N L Y
PERtitIT " ISSUED
F
~
F°rS• $ < O• S d Sy?':E? PERMT'n SL'Rr~;~Pr;~}
$ WATER PERP4IT (INCLUDE SURCHARGE)
WATER METER/COPPERHORN/OUTSIDE REaDER
$ WaTLR TAP (INCLUDE COP.PORATZCN STOP)
$ 5..~.:`lEp 'T'AD
$ ACCOUNT GEPOSIT - SE:IER
$ !S- ° -a ACCOUNT DEPOSIT - [JATTER
$ wac
$ sac
$ TRUNK WATER ASSFSSP-IENT
$ TRliiQK SEWER ASSESSMENT
$ LATEP.AL BENEFIT/TRUNK SEWER
$ LATEP.AL BENEFIT/TRUNK WATER
$ OTHER
$ TOTAL
AMOUNT PAID/RECEIPT
DOES UTILITY CO[V[VECTION REQUIRE EXCAVATION IN PUBLIC RIGriT OF 6JAY?
YES IF YES, THEN A"PERMIT FOR WORK WITHIN
PUBLIC ROADWAY" MUST BE ISSUED BY THE
~ NO ENGINEERING DIVISION. LIST AS A CONDI-
TION. •
SUBJECT TO THE FOLLOWING CONDITIONS: .
APPROVED BY:
TITLE:
DaTE:
OR Ec M NO
City of hp
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
For Office Use J17/c Permit#: f
Permit Fee:
Date Received:
Staff:
L
2012 MECHANICAL PERMIT APPLICATION
❑ Pleaseeasu mit two (2) sets of plans with all commercial applications.
Date: p ' / Site Address: )742/ 0 004'5 4 i L"/ ' ')
Tenant:
Suite #:
RESIDENT / OWNER
Name: /3'4 » Off ' J Phone:
Address / City / Zip:
CONTRACTOR
Name: Co N w 4 Y /11 /_= c 44rAi ,`CAL License #:
'-A-, K.
Address: F7-5-5- /LI ' "' ' PLea/2 -- k C 4 , City: 13'x�' '�
State: % rJ Zip: S S' C/Y� Phone: 1 � G..7
Contact: /3&2.A14 An' %T4'S1'.4Email: iv /kA iCoro wAY ,1,9 L. C a",
TYPE OF WORK
New Replacement Additional Alteration Demolition
Description of work: RFP -44c 64 Fctf"✓4Ct per-- "(C. --
NOTE: Roof mounted and ground mounted
Code. Please contact the Mechanical
mechanical equipment is required to be screened by City
Inspector for information on permitted screening methods.
PERMIT TYPE
RESIDENTIAL
Furnace
COMMERCIAL
New Construction Interior Improvement
?Air Conditioner
Install Piping Processed
Air Exchanger
Gas Exterior HVAC Unit
Heat Pump
Under / Above ground Tank ( Install / Remove)
Other
RESIDENTIAL FEES:
$60.00 Minimum Add-on or
alteration to an existing unit (includes $5.00 State
burned out appliances, ductwork, etc.) (includes
Surcharge)
$5.00 State Surcharge) = $ TOTAL FEE
$100.00 Fire repair (replace
COMMERCIAL FEES:
$75.00 Underground tank installation/removal
$60.00 Minimum (includes State
(includes $5.00 State Surcharge)
Surcharge)
$10,010, surcharge is $ 5.00
surcharge increases by $.50 for each $1,000 Permit
Fee requires a $ 5.50 surcharge)
OR Contract Value $ x 1%
= $ Permit Fee
- If the Permit Fee is less than
= $ Surcharge
- If the Permit Fee is > $10,010,
Fee
= $ TOTAL FEE
(i.e. a $10,010-$11,010 Permit
CALL BEFORE YOU DIG. CaII Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before
you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance
with the approved plan in the case of work which requires a review and approval of plans.
8''"
Applicant's Printed Name
x
Applicant's Signature
FOR OFFICE'. USE
Required Inspections:
Underground Rough In Air Test
Gas Service Test
Heat , Final :: HVAC Screenin
City of Eaaau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee:
Date Received:
Staff:
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: -a. Site Address: n21
RESIDENT /
OWNER
Name:
Address / City / Zip:
Unit #:
Phone:
Applicant is: Owner
Contractor
Description of work: r-'csu itAJ 12* 23 WeivaK
Construction Cost: , Op Q
Multi -Family Building: (Yes / No >)
Company: VAn1E.K CoN sseocch- 1-L-ts Contact: ISCA VANC1(
Address: )c alivme C=fec City: Si PAUL,
State: %r`/V Zip: 7j9 Phone: -/52
License #: SC_ Co Sci g(p Lead Certificate #: N 1\' ' 1 1 / 377 --
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
?D 60-k 104
IN) tcWN (K-it—i2. 1910
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes No If yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.c opherstateonecatl.orq
1 hereby acknowledge that this infomiation is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
x grAl At.+s K
Applicant's Printed Name Applicignature
Page 1 of 3
i l 114)2cc ;i44-( 1r1
-
SUB TYPES
Foundation
Single Family
Multi
01 of Piex
_ Accessory Building
WORK TYPES
New
Addition
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25%_ 100%L7
Census Code
# of Units
# of Buildings
Type of Construction
DO NOT WRITE BELOW THIS LINE
5z7
Fireplace
Garage
Deck
Lower Level
Porch (3 -Season)
_ Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
_ Interior Improvement
Move Building
Fire Repair
_ Repair
/-/,74'
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: Ice & Water _Final
Framing
Fireplace: _Rough In Air Test
Insulation
Sheathing
Sheetrock
Reviewed By:
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Final
Siding
Reroof
Windows
_ Egress Window
_ Storm Damage
Exterior Alteration (Single Family)
_ Exterior Alteration (Multi)
Miscellaneous
_ Demolish Building*
Demolish Interior
Demolish Foundation
_ Water Damage
*Demolition of entire building — give PCA handout to applicant
JG -J-
.2007
PO
,2-2C
/2
A3
Meter Size:
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Final / C.O. Required
Final / No C.O. Required
HVAC _ Gas Service Test Gas Line Air Test
Other:
Pool: _Footings _Air/Gas Tests —
Siding: _Stucco Lath _Stone Lath
Windows
Retaining Wall: _ Footings _ Backfill
Radon Control
Erosion Control
Building Inspector
Final
Brick
Final
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
7G x
Gs 76' 0ox.c'.
Page 2 of 3
r -a(7+-.[-6,
SURVEYOR'S: CERTIFICATE
1 /1
L. li
/ / `)
N 89°44'37"E 76.50
GRAND OAKS
L_ i1 1
• h
DRAIN E 8 UTILITYYLr
EASEM NT PER PLAT 11
—
151
J•
0
/
121
2.0(939'1)
O OVERHANG-'
I0
L_
Imo_
Ol
N 89°44'37"E
!Vro;••wpx
:O
O
85.00
W00DGATE LANE
L931.4 (938,3)
O
NOTE
PROPOSED ELEVATIONS WERE TAKEN FROM THE
PRELIMINARY PLAT -
DRAINAGE PLAN BY SIGMA SURVEYING'SERVICES
0
•
X000.0
(000.0)
DENOTES PROPOSED SURFACE DRAINAGE
DENOTES IRON MONUMENT SET
DENOTES IRON MONUMENT FOUND
DENOTES EXISTING ELEVATIO
DENOTES PROPOSED ELEVATION
EY:
FP%
/07c.?5V
B
N
'71ONS DIVISION
-SCALE: 1 INCH = 30 FEET
PROPOSED GARAGE FLOOR = 940.o FEET
PROPOSED LOWEST FLOOR = 93(42.4 FEET
PROPOSED TOP, OF BLOCK = ,4.0.-5 FEET
1 HEREBY CERTIFY TO GRAND OAKS THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot 15, 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 16TH DAY OF MARCH , 1984.
SIGNED: JAMESR, HILL, INC.
BY:
HAROLD C. PETERSON, LAND SURVEYOR
MINNESOTA LICENSE NO. 12294
PROJECT NO.
8 4569
FILE NO.
FOLDER
BOOK / PAGE
JAMES R. HILL, INC.
Planners / Engineers / Surveyors
8200 Humboldt Avenue South
Bloomington, Mn. 65431 812-884-3029
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA114842
Date Issued:09/19/2013
Permit Category:ePermit
Site Address: 1721 Woodgate Lane
Lot:15 Block: 1 Addition: Tiberon 1st
PID:10-76400-01-150
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
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: 8,000.00
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 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 -
Joshua D Durst
1721 Woodgate Lane
Eagan MN 55122
Select Exteriors LLC
13029 Owatonna Street NE
Blaine MN 55449
(763) 767-6086
Applicant/Permitee: Signature Issued By: Signature
I—
For Office Us
Au;
i ;•°•, Permit#:
., EAGAN
17-1
Permit Fee:
Date Received: 1
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
ECIE 1 4
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 ., Staff: I1 1
buildinainspections(a7,cityofeagan.com JUL 3 1 2019
2019 RESIDENTIAL BUIL'; : ► I_ APPLICATION IT-1?-Ac-17
Date: 1 I 345Igori Site Address: 1i a Wopd t-e tv\ Unit#:
11
Name: S'E L(..tct IuVS-- Phone:(67(a) .3 i
Resident/
Owner_ Address/City I Zip: (-rat Wd �� (a►1
Applicant is: ) Owner Contractor
Type of Work Description of work: K fOke t Ke Moc e
Construction Cost: 1 '.S sov Multi-Family Building: (Yes /Noy )
Company: ./U it Contact:
Contractor Address: City:
State: Zip: Phone: Email:
License#: Lead Certificate#:
If the project is exempt from lead certification, please explain why:
fD
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe
classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeagan.com/subscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.gooherstateonecall.orq
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and appy ins.
X � 4.AC‘ u t4s X
Applicant's Printed Name Appli, t s Signature(
A
DO NOT WRITE BELOW THIS LINE n)-1 U -\- �-R 1 )1 U1�
A�-
SUB TYPES
Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
XSingle Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
_ Multi — Deck _ Porch(Screen/Gazebo/Pergola) — Miscellaneous
01 of_Plex Lower Level Pool Acces9ory Building
WORK TYPES
_ New — Interior Improvement _ Siding _ Demon Oh Building*
_ Addition _ Move Building _ Reroof _ Demonoh Interior
X Alteration _ Fire Repair _ Windows _ Demolish Foundation
Replace _ Repair Egress Window Water Damage
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuationlil -(21)
OccupancyMCES System
/,,
Plan Review Code Edition j9,..0!if-
...
SAC Units
(25% 100% 1 ) Zoning City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of ConstructionNo----- Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings(Deck) Final/C.O. Required
Footings(Addition) / Final/No C.O. Required
Foundation Foundation Before Backfill HVAC Service Test Gas Line Air Test Hood
Roof: Ice&Water Final Pool: Footings Air/Gas Tetts Final
x Framing 4 30 Minutes 1 Hour Drain Tile
!` Fireplace: Rough In Air Test Final Siding: Stucco Lath Stone Lath Brick EFTS
' Insulation Windows
/N Sheathing Retaining Wall: Footings Backfill Final
Sheetrock Radon Control
Fire Walls Fire Suppression: Rough In , Final
Braced Walls Erosion Control
Shower Pan 11 Other:
Reviewed By: , Building Inspector
RESIDENTIAL FEES
Base Feet
Surcharge : 1
Plan Review �^ ,/ r' if)
j II
MCES SAC `�
City SAC 1 4
Utility Connection Charge
S&W Permit&Surcharge f
Treatment Plant / x 0
____ I iii (6, b
Radio Meter Read
Copies
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA160022
Date Issued:02/06/2020
Permit Category:ePermit
Site Address: 1721 Woodgate Lane
Lot:15 Block: 1 Addition: Tiberon 1st
PID:10-76400-01-150
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Fixtures
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 -
Joshua D Durst
1721 Woodgate Lane
Eagan MN 55122
Dns Plumbing & Heating Llc
358 10th Ave S
S St. Paul MN 55075
(651) 403-1986
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA160388
Date Issued:03/06/2020
Permit Category:ePermit
Site Address: 1721 Woodgate Lane
Lot:15 Block: 1 Addition: Tiberon 1st
PID:10-76400-01-150
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Fixtures
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 -
Joshua D Durst
1721 Woodgate Lane
Eagan MN 55122
Applicant/Permitee: Signature Issued By: Signature
1ck -
-F ,E: Jeffrey Wheeler
V ' ' / 9= \ Building Inspector
r -- �. ! 3830 Pilot Knob Rd I Eagan, MN 55122 RECEIVED
e...,„•4,
,' ,,.._.� . / Office:651-675-5680
+�� s o`. https://www.cityofeagan.com MAR 13 2020
From:Joshua Durst<jdurst83@gmail.com>
Sent:Thursday, March 12, 2020 3:34 PM
To:Jeffrey Wheeler<JWheeler@cityofeagan.com>
Subject:Scope of work for 1721 Woodgate Ln.
Hello Mr. Wheeler,
As requested here is a description of work performed while relocating the drain pipe for the kitchen sink at 1721
Woodgate Ln, Eagan, MN 55122. The original permit is EA157246. I did apply online for a plumbing rough-in permit
(EA160388)
Extended drain pipe horizontally to the right about 12" so that it would line up with the new sink cabinet box.
Please let me know if you have any questions.
Thank you,
Josh Durst
(612) 203-2313
2
Jeffrey Wheeler
From: Joshua Durst <jdurst83@gmail.com>
Sent: Friday, March 13, 2020 10:31 AM
To: Jeffrey Wheeler
Subject: Re: Scope of work for 1721 Woodgate Ln.
Follow Up Flag: Flag for follow up
Flag Status: Flagged
Good morning Jeff,
The existing drain was 1-1/2" ABS and I used 1-1/2"ABS to extend the drain. I used ABS cement to make the
connections.
Thanks,
Josh Durst
On Thu, Mar 12, 2020 at 4:03 PM Jeffrey Wheeler<JWheeler@cityofeagan.com>wrote:
Good afternoon Josh:
Please provide some more detail.
What was the existing drain material (ABS or PVC)?
What was the size and type of the added drain material (1-1/2" or2" diameter, ABS or PVC)?
What type of primer and cement was used to make the connections?
Thanks,
Jeff wheeler
1