1724 Woodgate Lane
Receipt r ~ MECHANICAL PERMIT Permit No.
` CITY OF EAGAN Fee S~
Fill in numbered spaces S/C
z Type or Prini legibly Tot.
1. Date 2. Installation Cost
I u J
3. Job Address/ (-2 /r Lot Z Blk. U~ Tract
Wa 4. Owner t~//' /
5. Contractor Phone :~S ~5 7~ s Z
6. Address 1Xd / q 0C_ 111# YE ~ l ~ ` ~ /~G •
7. City ll G u-, _ State ZiP
8. Building Type: Residential ? Commercial O Institutional ?
9. Work Description: New ? Add ? Alter ? Repair ?
10. Describe Fuel Type
11. No. Equipment 8 TU - M. Ea. No. EQUiament 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 Fi oJ
Inspections: Date Insp. Date ~~-4nsp.
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 legibly Tot.
1. Date 2. Installation C6st
Lh~
3. Job Address /70~~ ~LotBlk. U ~ Tract
4. Owner
5. Contractor /1 /1` ~ Phone
6. Address ~ S Js+ `t f S i ~ ~ _ ~ l •
7. City ~<< State I-I 1, ZiP
8. BLjilding Type: Residential E' Commercial ? Institutional ?
9. Work Description: New ? Add ? Alter ? Repair ?
10. Describe ~/i Id l~ !!f l!G / f Fuel Type
11. No. Equioment BTU - M. Ea. No. Equiament CFM
A- Forced Air Air Handling:
Mfg.
Boilers Mech. Exhaust
Mfg.
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outleu
12. I hereby certify that the above information is true and correct, and I agree to
comply withn~ll ordinances and codes governing this type of work.
Signed : f0r
Rough Fin
Inspections: Date Insp. Date Insp.-,&z
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
_
Receipt MECHANICAI PERMIT Permit No.
CITY OF EAGAN Fee
Fill in numbered spaces S/C ~
Type or Prini legib/y Tot.
1. Date 2. Installatiqn Cost
3. Job Address Lot Blk. U 1 Tract ~
4. Owner ('a i r R'!a' P
5. Contractor I T~ -!~t7 /Y S Phone r~'(,k 7/`{ Z ~
6. Address Zi~~
,
7. City '~(O( IN State ~~Ll Zip
8. Building Type: Residential ? Commercial ? Institutional ?
9. Work Description: New ? Add ? Alter 0 Repair ?
10. Describe Fuel Type
11. No. Equioment 8TU - M. Ea. No. Ectuipment 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
E ~
« T -
INSPECTION RECORD
' TY OF EAGAN PERMIT TYPE:
830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(651) 681-4675
SITE ADDRESS:~ APPLICANT:
I .
. , 1 ANr
PERMIT SUBTYPE: TYPE OF WORK:
I INSPECTION DA . .A
~ ~
Permit Holder Date Telephone A
SEWEW
WATER
PLUMBING
HVAC
Inspectlon Date Insp. Commsnts
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
I FIHEPLACE
AIR TEST
I FINAL PLBG
I
I FINAL HTG
I ORSAT
I TEST
I BLDG FINAL
I DOMESTIC
METER
I IRRIGATION
I MEfER
I FLUSH
MAINS
I coNOUCnvirr
I TEsr
I HYDROSTATIC
TEST
~ BSMT R.I.
BSMT FINAL
OECK FfG
DECK FINAL
CIT'e' OF EQ:GAN Remarks
Addition Wood ate 3rd Addition Lot 33 Blk 1 Parcel
ner P. Street 1724 Woodgate Ln. State Eaqan, MN 55122
U .551
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 7 O
STREET RESTOR.
GRADING 1974 $37.67 $7.53 5 71 &,tC3 3 7
J~{ SAN SEW TRUNK 1974 $65.31 $4. 35 15
* SEWERLATERAL 1976 3
WATERMAIN
* WATER LATERAL 1976 3
* WATER AREA 1976 3
~13 STORM SEW TRK 1976 $1628. 80 $542.93 3 0 "7
* STORM SEW LAT 1976 3
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. $160.00 1763 12-5-75
BUILDING PER. #380$ 1763 12-5-75
s,ac 1763 12-5-75
PARK
CITY OF EPGAN Remarks
Addition Wood ate 3rd Addition Lot 34 eik 1 Parcel 10 84602 340 Ol
Owner_. +,•--."eet 1726 Woodgate LN. State Eagan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. 3 1977 476.67 158.89 3 476.67 C003267 0-9-76
STREET RESTOR.
5GRADING 1974 $37.67 $7.53 5 PAID
AL4J SAN SEW TRUNK 1974 $65. 31 $4. 35 15 PAID
* SEWERLATERAL 1976 3
WATERMAIN
* WATER LATERAL 1976 3
* WATER AREA 1976 3
*S1 TORMSEW TRK 1976 $1628.80 $542.93 3 PAID
* , TORM SEW LAT 1976 3
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. $160.00 1763 12-5-75
BUILDING PER. 1763 - -
SAC 1763 12-5-75
PARK
I CITY OF EAGAN Remarks
additio Wood ate 3rd Addition Lot 35 aik 1 Parcel
Owner A~ Street 4439 WnnAgata Pt _ State Eac{ari, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. 1977 476.67 158.89 3 476.67 C003268 10-9-76
STREET RESTOR.
RADING 1974 37.67 7.53 5 PAID
I SAN SEW TRUNK 1974 65.31 4.35 15 PAID
* SEWER LATERAL 1976 3
WATERMAIN
* WATER LATERAL 1976 3
,t WATER AREA 3
*3i TORMSEW TRK 1976 1628.80 542.93 3 PAID
*31'1STORM SEW LAT 1976 3
CURB & GUTTER
SIDEWALK
STREET LiGHT
WATER CONN. $160.00 1763 12-5-75
BUILDING PER, 3
sac 425.00 1763 12-5-75
PARK lOO.OO
~
CITY OF EAGAN Remarks
Additio Wood ate 3rd A dition Lot 36 aik 1 Parcel 10 84602 360 Ol
I~wner treet 4441 Wood ate Pt. State Eagan, MN 55122
Improvement Date Amount nnual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
a3 GRADING 1974 37.67 7.53 5 15.08 A003156 10-6-76
~ SAN SEW TRUNK 1974 65.31 4.35 15 52.26 A003156 10-6-76
,t SEWER LATERAL 1976 3
WATERMAIN
* WATER LATERAL 1976 3
* WATER AREA 1976 3
*36 STORM SEW TRK 1976 $1628.80 $542.93 3 568.43 A003156 10-6-76
*jrSTORM SEW LAT 1376 3 517.44 A003156 10-6-76
CURB & GUTTEfi
SIDEWALK
STREET LIGHT
WATER CONN. $160.00 1763 12-5-75
13UILDING PER. 1763 12-5-75
SAC ~42b.00 1763 2-5-75
PARK
~ RESIDENTIAL
Y BUILDING PERMIT APPLICATION
CITY OF EAGAN
~ rp 2~ 3830 PIL 51 681-46R5 - 55122
D ? / (J
New Construction Reauirsrtwnts RamodaURewir Reauinments
• 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 aUowed) . 1 set of Energy Calculations for heated additions
• 2 copies of plan showing beam 8 window sizes; poured found desgn, elc.) • 1 site survey for exterior additions 8 decks
• 1 set oi Ene?gy Calculations . Indicate if home served by septic system fw additions
• 3 copies of Tree Presenation Plan if lot platted after 7/1/93
• Rim Joist Detal Optans selectan sheet (bldgs with 3 or less units)
DATE (A -Z 1-- 09 VALUATION 14.72 2:&
JOB SITE ADDRESS /5G
IF MULTI-FAMILY BUIIDING, HOW MANY UNITS?
PROPERTY OWNER ~IACPU ~Lr~v,~ L~ Tr Ce
TYPE OF WORK ~.CAL 17e_0_r FIREPLACE(S) _ 0_ 1_ 2
APPUCANT .122 4J06' PHONE# `763 9 2Y-,-E620
ADDRESS 3~5 6`7 j/rvZ7TY Vv • ZIP CODE h3Y2- 4
PAGER # CELL PHONE # FAX #
NE1V RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category MINNESOTA RULES 7670 CATEGORY
(check one) - Residential Ventilation Category 1 Worksheet Su ~i it1~d ~ r, I7 (117 ~
- Energy Envelope Calculations Submitted
MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
By
Plumbing Contractor: Phone
Plumbing System Includes: Water Softener Lawn 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/Wcter Contractor: Phone #
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the information is correct, and agre to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordi s. ~
Slgnature of Appllcant
-(-_771/~
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 1/01
OFFICE USE ONLY f
i
? 01 Foundation O 07 05-plex O 13 16-plex ? 20 Pool 0 30 Accessory Bldg
? 02 SF Dwelling O 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) O 31 Ext. Alt - Multi
0 03 01 of _ plex 0 09 07-plex O 17 Garage O 22 Porch/Addn. (4sea.) O 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex 0 18 Deck ? 23 Porch (screened) O 36 Multi
O 05 03-plex O 11 10-plex ? 19 Lower Level 0 24 Storm Damage
? 06 04plex O 12 12-plex Plbg_Y or _ N O 25 Miscellaneous
? 31 New ? 35 Int Improvement 0 38 Demolish (Interior) O 44 Siding
? 32 Addition ? 36 Move Bidg. 0 42 Demolish (Foundation) O 45 Fire Repair
0 33 Alteration O 37 Demolish (Bldg)• 0 43 Reroof 0 46 Windows/Doors
~9 34 Replacement 'Damolidon (Entire Bldq oni» - Giva PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code -113,~K 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 INSPECTIONS
Footings (new bldg) FinaUC.O.
D Footings (deck) eLo FinaUNo C.O.
_ Footings (addidon) _ Plumbing
Foundation HVAC
Drain Tile
Roof Ice & Water Final Other
_ Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Fireplace _ RI. _ Air Test _ Final Siding Stucco Stone
Insularion _ Windows (new/replacement)
Approved By Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
Ciry SAC
Water Supply & Storage
S&W Permit 8 Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
•'X?~::~._ L='1-._ _ - - _ _ _ _ , .wa.... ac._... ~ s.a uc,_ ._v.s ' . _,.rC_._-v."'_L"1 . viuacE.oF •_acaN WATER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NO.: 1894
Eagon, MN 55122 DATE: 12/12/75
Zoning: RII No. of U' 4
Owner: New Hori n Homes ood ate III
Address: S- _3~~
Site Address: 9- 1 WoOdgate Point & 1724 26 Woo gate Lane
Plumber: ThOmpson Plumbinq Co.
Meter No.: ?'B R Connection Charge: 640.00 pd
Size: Account Deposit:
Reader No.: Permit Fee: 10.00 billed
I ogree to comply with the Village oi Eagon Surcharge: • SO b1112d
Ordinances. Misc. Chargesi,4'`--10 -0
Total:
, Br ll~A• - - ~C~~ Date Paid: Date of Insp.: Insp.:
YILLAf1E.OF E;3AN SEWER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NO.: 2651
Eogon, MN 55122 DATE: 12/12/75
Zoning:RII No. of Units: 4
Owner:T,JL-w xorizon Homes - WoodcTate III
Address:
Site Address: 4439-41 Woodgate Pt. & 1724-26 Woodgate Ln
Plumber: Shompson Plumbinq Co.
1 agroe to comply with tbe Villoga of Eogon Connection Chazge:1700.00 pd
Ordinances. Account Deposit:
. i e
Permit Fee:
. i e
Surchazge:
By: Misc. Chazges:
Date of Insp.: Total:
Insp•: Date Paid:
K&6,G
Request Date Fi e No. Rough-in pection
Required. ~teady Now O Will Notify Inspector
? Ves No When Ready?
I)6licensed contractor p owner hereby request inspection of above electrical work at:
Job Address (StreeL Box or Route No.) City
i ~ 2-,q i,,jo 06c pr-~ C-4l ,+7-i
Section No. Township Name or No. Range No. Counry
NbA-tI 'A
Occupant (PRINT) Phone No.
Power Supplier Address
c,4
Electri al Contractor (Company Name) Contrector's License No.
l_I_ ~i....~_ I l~ C• 0 O~"' ~
Mailing Address (Contractor or Owner Making Installation)
Aut ¢ed Signat nt ct ner king Installation~ Phone Number
~ Lo-6zrZ
MINNESOTA S BOARD OF ELE RICITY THIS INSPECTION REOUEST WILL NOT
Griggs-Midway 8 dg. - Room S-173 BE ACCEPTED BY THE STATE BOARD
1821 University Ave., St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
- / a-- ;ESee QUSEStT~ FOR oEL ~ECTRICAL INSPECTION T.:.•.... ee-oo/oQ],~ oa
9 this orm on b yellow PY i
1~
. 59366 Below Work Covered by This Request ~~~Vew Add Rep. Type of Building AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other-(Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Other (sNecify) Contractor's Remarks 6•~' 4 ~
r.-Y
Compute Inspection Fee Below.• tj"D- L,_,~ r_~
# 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 Only. TOTAL
Irngation eooms / ~ ~S(-
Special Inspection V Y
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rough-in Date
certify that the above inspection has Final Datel
been made.
OFFICE USE ONLY
This request void 18 monihs from
7/45 f~ ~R 9 6T
~ 19 5 5 .~~Q ~ o
Request Date Fire No.' Ro •In Inpsection Required Inspe ' n Other Than Rough-In
7 (VO must call inspector whe ready) Ready Now Will otify I peclor
,-10 h ? Yes No Date Ready 2
IS censed contractor p owner hereby request inspection of above electrical work at:
Job Address (Street. Box or Route No ~ Ciry
Section No. Township Name or No. Range No County
~ f<o t R
Occupant (PRINT) Phone No.
Power Supplier Address
a le-07r-!9- ~cc( l~2a ~ ~ K' T 'Af
Electncal Contractor (Company Name) ConVactor's License No.
r i~G' f~ . ~ ~~4 d ~02 -7 `f
Mailing Address (Contrador or Owner Making Installation)
Authorize n ture (ContractoriOw king Installation) Phone Number
-OQaJ'~
WN-es"OTA STATE BO D OF ELECTRIC THIS INSPECTION REOUEST WILL NOT
Griggs-Midway Bldg. Room 5-173 ler BE ACCEPTED BY THE STATE BOARD
1821 University Ave., St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
REGIUEST FOR ELECTRICAL INSPECTION ee-ooooi-oa
/ ? See instructions for completing this form on back of yellow copy. ~9
~
N 1~..a~,5 eelow Work Covered by This Request
ew Add Rep. Type of Building AppliancesWired EquipmentWired
Home Range Temporary Service
~ Duplex Water Heater Electric Heating
Apt. Building Dryer ad Management
Comm./Industrial Furnace Other (Specify)
r _ Farm ir Conditioner
~ 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 Amps
Transformers Above 200 Amps Above 100 Amps
Signs Inspector's Use Only: TOTAL 5-
Irrigation Booms
Special Inspection
Atarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rough-in Date
certify that the above inspection has Final / Date ~
been made.
OFFICE USE ONLY
This request void 18 monihs from
i " GZTY. 0F i:AG:?T1
3797 P1l.:Ot; I•':'?ob r'Qc^ad ~J C9 ~
Eas-.,n., Min_1,~so-ta 5j122
Fi.FuaT 1vTJ, a 20
T~,e City of La.gan here?-y grants to ~mm~~; Soft Water_ Co.
3801 California St., N.E.
Fobert Doten
a W SOFTENER Pe,,x~it fora (0-vrner) Paul Grosz_~__ ~
443. Woodgate Pt.
at 86 Wo°aqate Pt. pursuant to apnlication dated 3/18/76 _
Fee Paide _ $10,00 ciated this 22 day of March , 1~ 76
1.00 s/c ~
Euildir.g TnGpector
Nt=ch^nica.i_ Perrni_{.;s: ' . .
Bid ~I'ota.1.
~ .
_ i0 6~ 3s1o o %
r.:TT~ir on r;!,c :is G 3
379`i Kncu Foad
E.~?-a-n, Niir.rv:so ,-a c-j122
• PEPuviIT IJO.: 26
T'ie City of E,-.,-an hereby grGn 'u-s to Cbmmers Soft k'ater Cb.
O1 Minr?eaPOlis
a W~ter Soft~ner Perm.i+ i'ors (Owner)Milton Kv11o & Carl Hanson _i__
4449 Woodgate Point
E-'~ ..._.~MW.Qoc7;a4te Lane pur:,uant -,o ap.li^,ation cla-ced r~ 4 8 76
dE.ted thi:~ day of Ap ril 76 ~
1.00 s/c
- T ; -
' --~)l)1.-''.Z.al~ J_ZaiJyJG(• ~l.
~.bL:~ '1'OLci8
~
CITY CF EIAuAN
3795 Pilot Ki-iob Foad
Eagan, Nlinnescta 55122 PERMIT NO . : 7 3
The City of Eagan hereby grants to Commers
of Mpls. , .
a Water Softener permit for: (Owner) G. Fleetham
at 4441 Woodgate Pt. ~ pursuant to application dated 9/30
Fee Paida $5.00 dated this day of October , 1976^
.50 s/c
Buildirig Inspector
Piecha.nical Permits:
Bid iotals ,
CI!~~'a i..~.f-_,.;~!
~ ~
3 79,5 ?11_~1; I~r.;~b ~a~,~;d $~(c0 Z 50 61
Eu, ;~:i.;..i-,ta 1-1i?2
,
~ ET
i-.'.r,_
--~1--•--- -
i':)e Cit-v u~ Ea,;or, r.'~i;s to Thompaon Plurl;ing Co.
_ . : 12201 Minnetonka Blv:!.
a PLIf*RI"dG ~-;7;it for; (0w:,er) New Horizon - Wooagate III
4443-45-~:7-4~, 4439-41 [aoodgate Pt., 1724-26 Woodgate In, 4468-70-72-74, 4469-62-64-66
A452-5~-56-59, 1700-02-04-06, .
. -Pt-.-
e mp
Fee ~a~c ~t? _.i,ed this 12 dav of T~C. 75
IIilled : ~ 2~2rE~0 s%c - ` ~ -
o d-~ 1~tCC:_1..;J.i:~;.J_ i'~Ytii_i_~,;S: . 'i•;~~sl'.
3
CIT1' 017-1" E'7;li AN
3j95 Pilo-t Knob Road
Eagan, Minnesota 55122
c PEP~N1IT NO.: 774
The City oi Eagan hereby grants to Geo._Sedgwick Heating_& AL
of 1001 Xenia Ave_So.
aI:r.ATINr,_______ Pc,rrnit for: (Owrier) PIew ?tar' on - wood ate III
1775 ',ahiit LdTlf', ,:~43--'!r-47-49 Woodqate Point and 1724 2C)Woodgate Lane &
,..4435=41 Woodgate Point Pu?"su3;1t -to appJ.ication da ed
~ ; • _ 180. 00 de:ted this 15 day of Dec. 75_ ,
,
4.50 s/c
~Building Tnspector
Aleehanical Permits:
Bid Total:
r~( Q (:t2LI Wa odia4-C L"i° i~
~~L,~ 2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan "
' 3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694 ls~ !
New Construction Reauirements RemodeVReoair Requirements Office Use Onlv
3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cert of Survey Recd _ Y _N
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd _ Y_ N.
2 copies of plan showing beam 8 window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Required Y_ N
1 set of Energy Calculations Addftion - indicate il on-site septic system On-site Septic Sysfem _ Y_ N
3 copies of Tree Preservation Plan 'rf lot platted after 711193
Rim Joist Detail Options selection sheet (buildings with 3 or less units)
Da l l v~ Construction Cost
Sittdd ess VVoC3 '
Unit/Ste #
!
Description of Work O//v
Multi-Family Bldg ~ Y _ N Fireplace(s) _ 0 _ 1 _ 2
PropertyOwner ~ 0v ~ q _~C.' &44 _eYelephone # ( )
Contractor ~ • D -e v d &i ~ Q 1,1
v 1 vv `0
Address L f'I h LJ l" C City
State 1~4/ y1 v! Zip ~ S 3 7~ Telephone #(qSZ) Z/ V 7,f
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Categorv 1 _ Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(4 submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously construct -buildf"i ith a sim ilar plan? Y _ N If so, 25% plan review
fee applies. ~ Licensed Plumber .~UL Telephone )
u . ~ ~
Mechanical Contractor Telephone # ( )
Y
Sewer/Water Contractor Telephone # ( )
I hereby apply for a Residential Building 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 State of MN
Statutes; 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.
L 19 ")_C te u-ali -5-) a
Applicant's Printed Name Ap icant's (Ynature
OFFICE USE ONLY
Sub Types ~
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling O 08 06-plex 0 16 Fireplace ? 21 Porch (3-sea.) O 31 Ext. Alt - Multi
? 03 01 of _ plex O 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex O 10 08-plex P 18 Deck O 23 Porch (screen/gazebo) ? 36 Multi Misc.
O 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
, : , ~ .
,
lp 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building O 42 Demolish Foundation 0 45 Fire Repair
? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors
? 34 ReplaCement 'Demolition (Entire Bldg) - Give PCA handout to appiicant
Valuation Zi oov-^ Occupancy 2-3 MCES System
Census Code L Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire -Spnnklered Type of Const 9 Width
REQUIRED INSPECTIONS
_ Footings (new bldg) Final/C.O.
~ Footings (deck) ~ FinalMo C.O.
_ Footings (addition) _ Plumbing
Foundation _ HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final
_ Framing _ Siding _ Stucco _ Stone _ Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
Insulation _ Retaining Wall
Approved By: Building Inspector
- - - - - - - -
Base Fee
Surcharge F Zf ~
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
~
~
- - -
- - t,~~~ ~ _ _ -
~
x
~
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For Of ,ce Use -
~ j Permit LJ/~~ I
City 0f E; . ;
~ Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 j Date Received:~
Phone: (651) 675-5675 i ~
-CLI I ~
Fax: (651) 675-5694 ~ i Staff: 1I~PGLYVI
~----r-----------J
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 10 Site Address: _I 1 c3r Q W a up L~/~~~~ GIVWR rf' ~roN M 13- 1.
Tenant: _~v ~r,~ ryn -c--~nn, ttW.\)ntn\yi Suite
RESIDENT/OWNER Name: DAVtC~ ruVa %(4S) QomON~~tjN Phone: GSl -3'4 u- 17»
Address / City / Zip: (~3tD W`900Q-~NF L/14-1c e n VAN M r) j S I 2D
Appiicant is: [I" Owner Contractor
TYPE OF WORK Description of work:
Construction Cost: Multi-Family Building: (Yes No
CONTRACTOR Name: -TO M 12oS04C N License ( 3~S
Address: aS ~1 ~ C LAALNC~C s' 1
Ciry: MA P LC wOO0 State: N zip:
Phone: L-( ia- 1 o `f 3 Contact Person: ToM SZ6S5fipc,N
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672
Energy Code • Residential Ventilation Category 1 Woiicsheet • New Energy Code Worksheet
Cate901')/ Submitted Submitted
(4 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: P/ans and supporting documenrs that you submit are consldered to be public /nformatlon. Portions of
the information may be classified as non public lf you provide speciflc reasons that wou/d permit the City to
conclude that the are trade secrets.
I hereby acknowledge that this information is complete and accurate; that the woric 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 pertnit; that the work will be in
accordance with the approved plan in the case of worlc which requires a review and approv ~ of
X `D r~ O1rwNrrhls` x
ApplicanYs Printed Name Ap cant's Signature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
SUB TYPES
0 Foundation ? 05-plex ? 16-plex ? Accessory Building ? Pool
? Single Family ? 06-plex ? Fireplace ? Porch (3-season) ? Ext. Alt. - Multi
? 01 of _ Plex ? 07-plex ? Garage ? Porch (4-season) ? Ext. Alt. - SF
? 02-Plex ? 08-plex eP Deck ? Porch (screeNgazebo/pergola) ? Multi Misc.
? 03-Plex ? 10-plex ? Lower Level ? Storm Damage
? 04-Plex ? 12-plex ? Miscellaneous
WORK TYPES
New ? Interlor Improvement ? Siding ? Demolish Building•
? Addition O Move Building ? Reroof ? Demolish Interior
? Alteration ? Fire Repair ? Windows ? Demolish Foundation
? Replacement ? Egress Window ? Water Damage
' Demolition (entire building) - give PCA handout to applicant
DESCRIPTION:
Valuation Occupancy z C-~ MCES System
Plan Review Code Edition Zoa'7 SAC Units
(25% 100%~ Zoning City Water
Census Code 43 1 Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Const. Width Z'a
REGIUIRED INSPECTIONS
Footings (new bldg) Sheetrock
to Footings (deck) Final/C.O.
Footings (addition) ~O FinaUNo C.O.
Foundation HVAC
Drain Tlle Other:
Roof: _Ice & Water _Final Pool: _Footings _AidGas Tests _Final
Framing Siding: _Stucco Lath _Stone Lath _Brick
Fireplace:_R.I. _Air Test _Final Windows
Insulation Retaining Wall
Reviewed By: ~ Building Inspector
RES/DENTIAL FEES:
Base Fee
Surcharge Fe-e-
Plan Review
MC/ES SAC ~ ~ ~ ^
City SAC 7
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
Total
Page 2 of 3
• . c ~ ~ o ~.e~l.4~e ~,~:ST•-..nj D ec(~
PROPOSED NEW DECK LOCATION FOR:
DAVE 8c TINA EDMONDSON
N 1726 WOODGATE LANE I I
651 -340-5755 "m
WOODGATE LANE I I
o s ,o Curb 0 rn
sc`le ;n r"t 68.56' Lot line
c~ m
1 I
c~ m
Easement I
I cs, _ a m
~ NLil Et- QAN I I
REV O f~~/n1V V~I~v ADJACENT
'S L~DRJVEWAY ~ m DRIVEWAY
~ E /
~ II
~ - ~ I -7 0 rn
~ ~
L~3MOL~DO~'1C~ O~J~pC+ `I~0 ~OoOm 8 nRMOC~n~~-
vu
r
10.41' ~
ELECTRIC I ~
. ~ - & GAS z ^
SERVICE I :D a
'to zu
r-. NEW EXISTING ~ ~
Z '1' I DECK TOWNHOUSE ~ Q
O I N - 12'x20' ~ ~
o
w I I
Q 2.27
O ~
~ - 70.00'
~o
ADJACENT UNIT I w
I PRIVACY (ATTACHED) ¢
aQ
WALL
¢
ANDERSON
2008-09-16 06:23 ANDERSON 6513881098 » 651 675 5694 P 112
• a ~itL ~ i r ~
of Eapn
Pernwt FeC
3= Plla~ Knob Road ~ ~ ~ N ~ ~
, :1 ~
Faqah M 55122 ~ oeft H.o*r.d:
P ne: 6f1 675-5675 i i
CAN4 ?kCt4S • `17r/!iJ'+~! 1 E
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f ' ~ Z ~?~C. ~~3
20M COMINERCIAL 6UILWNG PERMI'r APPuCAT10N
080: 91 i VLgae waaro... 4 R: ij
r«,.m N.a,.• - Renod a: mff~
PROPERTY owNER r,a?,e:
Address ? cur, aa "g'l~d
Appdtant is: _ Owne. Coimactor
7YPE GF WORC ' pesaiptiors ot woAc:
CAwtutuctio, Cose
coMntAcroR Nanis: i L.+Do?" +p
- • Aearon: lss~
Rmlti
City: ..IST PAn~L.._. state: ~ 27p:
P,o„e6o -:ui~=_~ 14 c«ncax Persw,: J1J1+4ctii~l[. G'~?'-1.
ARGHITECT / Nama: . . Regle;tratia? 0•
ENQINEER
Addresa: _
CitY"._--.... .Stdte-. 73P: ~
Contact Petson•
lJpnMd Plumber instaHing n= sewe?/vrater servioe:, PhoM
IM07 E. P1llti !1?d I[lppOftMB doCflAfen[s f11Bt )noe/ spbrl'fl/ am emoldamd tD 6A p11kO6 kWWVUWD". PbPUorls of
~N llllmfflatlOr! N1fy bA CMWffod af Itaf1-m/bNC NyOif fJftfY/do qfAiCM mamm OW libdlQ/~ MA CitY t0
COllClf/d9 that fhI am b'!dA SACfbb.
I nr.eby .wr.w.Nedye aW aua kdamaaon is canaae ane aannes: c?wt Bw .rork .M bs M oomwYnWos erw coesa a a+s cky d
Eapon: uuc I wneeretarw a++s is na a vsmdt ton only an appNcatiw, tor a pen?Ut. ar+e eae to : uW nhs wodc wm bs in
aaoonione wkh O?e ipprvr6d pkn rn " casa d rrnrk reqa~i?~s a?w~vw arld d •
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AppNpMN's PdnrAd Hatnon APPOMFWs Siontwo
Page 1 of 3
2008-09-16 06:23 ANDERSON 6513881098 » 651 675 5694 P 2/2
.r .
~ p U American Family Insurance Group SI h1
WOODGATE III H011EOW5
' Building
~ Exterior
Rooting
Acscrfptton Hase Servlce Replacement Actual Cagh
Qty Unit prlce CharYe Taxes Cast Total Depreciatiou Value
i
The foUowing tferHS reflec7 replacement of roof aH this struChttre. lKSUred indtcaled roaf rs approaunatsly 10 years oJd Based on averagQ
condiliton tutd ljfe expeclancy of 30 years; 33% depreciahon Ifas been applied Price includer debris removaL
1- Remove Tear off, haul and dispose of comp. shingles - 30.40 year
46.37 SQ $50.96 $0;00 $0.(10 $2.373.21 4783.1 b' (3396) $1.590.05
2- Replace ltoofing felt - 15 Ib.
46.,57 SQ $19.71 S 15,71 $19.34 $951.94 -$308.95 (339b) $642.99
3a - Removc Additional charge fnr high roof (2 stories or g?-eater) 46.57 SQ $4.43 $O.(x) $0.00 $206.31 -$68.08 (33%) $138.23
3h - Replace Additional charge for high roof (2 stories or greater)
46.57 SQ $1t.39 $9,08 $0.00 $539.51 -3175.04 (3396) $364.47
i
4- Replace Flashing - pipe jack
4.00 EA $23.19 $1.59 $1.57 $95.91 -$31.13(33%) $64.78
I
5- Rcplacc Rcof vcat - turtlc typc ~
14.00 EA $36.05 $8.64 $1I.9ti $525.32 -$170.50 (3.39E) E334.82
h- Replace Fxliaust cup - thmuEh roof
4.00 EA $64.98 $4.45 $8.64 $273.01 -$88.62 (33'b) $1134.39
7a - Remove Roof mount power attic vent
2.00 P.A $20.91 $0.00 $0.0(1 R41.82 -$13180 (33%) $28.02
7N - Replace Roof rnount riower attic vcnt i
2.00 EA $280.83 $4.61 $9.20 $580.47 -$I88.39 (3396) $392.08
8- Replace Ice & water thield
1.337.60 SF $1.35 $30.89 $51.27 $1.887.11 4612.55(33%) $1.274.56
9- Repiace Flashing, 14" wide
40.00 LF $2.68 $1.83 $3.41 $112.44 •$36.51 (33'7b) $75.43
10 - Replace Chimney flashing - Avernge (32•' x 36")
4.00 EA $209.72 $14.36 $10.94 $864.18 •S280.44 (3356) $583.74
i I- ReplaCe Larninattd - 30 yr. - comp. shingic rfg. - w/out [clt
53.67 SQ $149.69 $137.49 $237.96 $$,40).21 -$2,729.66 (33%) $5,679.55
12 • Replace Ridge cap - High profile • composition shingles
I36.751.F, $3,51 $8.22 $I0.84 $499.05 -$I61.98 (339h) $337.07
~
Totals $241.86 f364.0 S17,359.49 -$5,648.81 571,710.68
WOODGATE III HOMEOWNERS 00311284576 7/21/2008 Page: 4
ASSOCiATIONS ,
~
-
~ F0r7OH4ce Usa- 1
, Per?T,it x:
Dtl of Eap
; Qermi, Fee:
3830 Pfiot Knob Road i ~
Eagan MN 55122 ~ Date Recetved' I~ ~ E
Pno:,e: (651) 675-5675 i '
~ i
Fax: (651) 675-58~.94 stan:
~ i t
I _r.---_J
20b8 GC)MMERClAL BUILDiNG PERMIT APPLICATION
W 6~ cjt. L-0- Yk -0-. .
Dece: ske a¢arow: LALI',)q 0 _y4b o
I
Teffant Neme• (Tenant Is: New / Existing) Suilte
PROPERTY OWNER Name: Ahone,
Address / City 1 Zip:
AppliCSnt is: ovlmer COntrBCtor
i
TYPE OF WORK Description of work:
Construction Cost:
CONTRAC'YOR Name: rfMEEt NG Livense ?
3141 PEARSON pICWY
ACldfess:
ANNArQ~~'i197 " State: Zip:
City:
Phone: CorrtaCt Persan: ~
ARCHITECT ! Name: Registration
ENG{NEER
Address:
City: Stats_ Zip:
Phone: CvnteCt Persort: ~
Licensed plumber instalting new sewer/water service: Ph~ne P,
I
NOTE: Plsns and supporilng documerrts that you submJt sre considered ta be publjc ?nfoimetioit. Portions af
the IMormatlan nray be classiNed as non-public if you provide specific reasans that w+auld ~Pt the Cffy to
conclude that fhe a?e trade secrets.
I hershy acknovNedgs ttist ihis irrformati0n Is complete and acCUrdte; that ttle work will be in confomtanCe vrrith the ordinanCes and cotles Of the Ci[y of
Eagan; that 1 urderstand thls "s not a permit. but onty an aMication for a permii, and worx Is not to start withovt a permit: thai the wak +rn13 be i„
accerdanee w'vth tne apWoved pi&n In the cei59 of worK whlch requir2S a feview 8nd aPProval Of plans.
X_ kin n ox E ~ X
qppllcant's Printed AppllcanYs Slgnah+re
N&nL
Page 1 of 3
bt/90 3017d 0101U dNNd L£b6C09C9L 9E-.ZT 8006/EZ/60
~;t7('sK:;c'l,c~;c3'(,~,Y?~47;C)K7;c7~)~t)',C i$>;('a~ Y~ n<*~CY,U: itY~c;g4F:.Y,C3hY~C n~ iP7~47~c?~<;
r..ITY Oi- r-_:nr.;niv.
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cari::1•-iI?_:R4
DATE;: l.Cl/i?:I.t98 7:Ci'if::a 10002:l.
zD u
NAME e s11T_iURE;flN rK"1l.if' :CNC
215; i 9001 :l.c t:,..0o
3210 9001 J70B Hr.'lr)Dc:;ATN L. 262„25
'.:#r.~~i(~ '.:l ~f~4`_ Ix!OtJT_'1=: 1' i:..~-.,c..oc.5
262.25
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262.25
`:7()~a1 ~•46E3 1diC1(:15:+[_ATC 1~ 262.25
3c.'.'i.[J ~~(:10:f. fi•fi~5e? InO~•JL~GI~ I::• I" 3219 9001 4404 Wr_rODGATr::: F, 262u25
3210 9001 17-~~ ~:..4 WOaL-~,~,nTF 1_ 262.25
C 7;:~~ti t:Cli~!'T'TN1.11
ft.i:l`;s.:3~ ~
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r(]tc]l r\C.'ck`.l(}t AIYIOE.1Y1t.", 37797.
CR~.~9Sil84
USEil .4 D.". 1"iAt Kr T
a~y,tp,S$C~;(~ ~C);D;<9,tY,C1FYFYt~~'~Y~;;;;ri>~~Xh'~>i~~?X>X~'~>k'~F.~(>t• ?<7;Ch:~'c:•1,~~'~
PERMIT
CiTr- OF EAGAN BUILDTNG
3830 Pilot Knob Road PERMIT TYPE:
Eagan, Minnesota 55122-1897 Permit Number: 033750
(651) 681-4675 Date Issued: 10I21I 9$
SITE ADDRESS:
1724 WOODGATE LANE
LOT: 33 BLOCKs 1
WDODGATE 3RD
P.I.N.: 10-84602-330-01
DESCRIPTION:
T.O. & REF200F/4-PLEX ~
Bu„a:1 dinc~ -,Permit Type mISC.
Building W)o-rk Type q'3`AREPAIR
, en s u s C o de~_ ~ 4-3~ . _
G
/
i ~
~
<
• , / ~ - _ _.,,.-'t ,--^-"i I---"ti
REMARKS~DES: 1726, AND 4439 WOODGATE PT., flND 4441 WQODGATE PT.
FEE SUMMARY
VALUATION $18,000
Base Fee $262.25
S u r c h a r g e 9.0 0
Tota1 Fee $271.25
CONTRACTOR: TAP P 1icant - OWNER:
5UBUFtBAN EX7ERIORS 2881$232 W00I]GATE ASSOCIATION
97m1 PENN RVENUE SOUTM 1724 WOODGATE LANE
BLO0MINGTON MN 55431 EAGAN MN 55122
(6,12) 881-8232 (651)
I hereby acknowl.edge that I have read this appla.catian and stata that the
information is c4rrect and agree ta comp].y with all app.licable State raf Mn<
Statutes and City of Eagan OrrJinances.
APPLICANT/PERMITEE SIGNATURE (JSSUED BY: SIG ATURE
~ 1998 BUILDING PERMIT APPLICATION (COMMERCIAL)
CITY OF EAGAN
681-4675
Submit following to obtain necessary permit
Foundation Onl New Construction tnterior Improvement
structural plans (2 sets) architectural plans (2 sets) archftectural plans (2 sets)
civil plans (2 sets) structural plans (2 sets) code analysis (1) "
code analysis (1) " civil plans (2 sets) project specs (1 set
soils report (1) landscaping plans (2 sets) Key Plan ~
project specs (1) code analysis (1) " energy calculations (1) notaArays "
Speciat Inspections & Testing Schedule " soils report (1) Eledric Power 8 Lighting Form (1) not aMrays "
SAC determination letter from MC/WS - SAC determination letter from MC/WS - SAC determination letter from MC/WS -
call 602-1000 call 602-1000 call 602-1000
Special Inspections 8 Testing Schedule (1) "
project specs (1)
energy calculations (1) "
Electric Power 8 Li htin Form (1) 1
"
" Contact Building Inspections for sample
Food & Beverage or Lodging facilities: Plan must be submitted to Minnesota Department of Health. Catl 215-0700 for details.
DATE: / D - j(, WORK TYPE: NEW REMODEL
DESCRIPTION OF WORK:
CONSTRIJCTION COST: TENANT NAME: WOc)C~..K~
~Ylejc
S1TE ADDRESS: I 7Z~~ I77~o~'jQa !,,,~~~-1.Q44J w&*ok SUITE
LOT BLOCK l SUBD. U_ y`-'L- P.I.D. #
Name: L(J~b~ Phone
PROPERTY Last First
OWNER
street Address: d-~~ 4Q~r 4.4.41
City State: Zip:
Company: 5U VC1o'ki, Phone
CONTRACTOR q
Street Address:_ [i 7C~ ( N~/~~ ~S License #
City B State: ?/"t.~(1 Zip:
ARCHITECT/
ENGINEER Company: Phone
Name: Registration
Street Address:
Cih' State: Zip:
Sewer 8 water licensed plumber (only if installing sewer 8 water):
1 hereby acknowledge that I have read this application and state that the information is rrect and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE .
? 01 Foundation ? 19 Comm./Ind. Misc. O 21 Miscellaneous
? 18 Comm./Ind. ? 20 Public Facility
WORK TYPE
O 31 New ? 33 Alterations O 35 Tenant Finish O 32 Addition O 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MC/WS System
(Allowable) First Floor sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. Census Code
# of Stories sq. ft. SAC Code
Length sq. ft. Census Bldg.
Depth Footprint sq. ft. Census Unit
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $
Surcharge C7
Plan Review
M CNVS SAC
City SAC
Water Conn.
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Water Qual.
Other
Copies
Total:
% SAC
SAC Units
Meter Size
~
~ E 111
GP
O~
~O
Q'
144 WOODGATE 3RD HOMEOWNERS ASSOCIATION
P.O. BOX 21012, EAGAN, MINNESOTA 55121
_ ,
June 18, 2001
Ciry of Eagan
3830 Pilot Knob Road
Eagan, MN 55122
Re: Deck Construction by MAPS Construction
Jacqueline Letich
] 726 Woodgate Lane
Eagan, MN 55122
This is to advise that the owner of the above property has requested pernussion to replace the existing deck
on his townhouse.
This request has been granted based on our approval of the required architectural request and construction
plans for the new deck.
Yours truly,
WOODGATE 3RD HOMEOWNERS' ASSOCIATION
anet Stevens, President
appr'1 deck
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1994 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
NEW CONSTRUCTION
~ A.DD-ON A/C
ADD-ON FURNACE
FIREPLACE INSERT
DATE (Y] ` I ~~q4
FEES
HVAC: 0-100 M BTU $ 24.00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS (MINIMUM 1 @ $3.00 EACH)
ADD-ON/REMODEL (EXISTING CONS'rRUCTION) $ 20.00
STATE SURCHARGE .SO
TOTAL
SITE ADDRESS:
OWNER NAME: TELEPHONE At)('a
INSTALLER: - oA
ADDRESS: R~MQ
CITY: STATE: ~ ~ - ZIP CODE:
TELEPHONE
I
SIG URE O PERjvi TT EE
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. . . . . . . . . . . . .
1994 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO COMPLETE
FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE
PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
- - - - -
DATE: CONTRACT PRICE: $
NEW BUILDING
INTERIOR IMPROVEMENT
WORK DESCRIPTION:
FEES
1% OF 901EM FEE $
PROCESSED PIPING: $25.00
MINIMUM FEE: $25.00
STATE SURCHARGE $.50 FOR EACH $1,000 OF PE~~ FEE.
TOTAL $
SITE ADDRESS:
OWNER NAME: TELEPHONE
TENANT NAME: (IMPROVEMENTS ONLI)
INSTALLER:
ADDRESS:
CITY: STATE: ZIP CODE:
TELEPHONE `
SIGNATURE OF PERMITTEE CITY INSPECTOR
~
MECHANICAL (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Please complete for: Single Family Dwellings
Townhomes and Condos when permits are required for each unit
Date02)
Site Address ~ Q-~~ L~ • Unit #
Property Owner Telephone # ( ~S f )~~J ~ ~
Contractor
Wohlers Southside Htg. & Air, Inc.
Street Address 6950 W. 146~' St., 4106 I City
Apple Valley, MN 55124
State (952) 431-7099 Tetephone # ( )
~
The Applicant is Owner ~ Contractor Other
Add-on, modification or alteration to existing dwelling unit $ 30.00
~ furnace replacement
_ air exchanger
air conditioner
_ other
State Surcharge $ .50
Total $
Nov ~ 7 2003
I hereby apply for a Residential Mechanical Permit and acknowledge that the ' tion is curate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and wi ec amcal Codes; that I understand this is not a
permit, but only an application for a permit, and work is not to start without a pernut; that the work will be in accordance with the
approved plan in the case of work which requires a review and approval of plans.
Applicant's Printed Name Applicant's Si ature
MECHANICAL (COMMERCIAL)
Permit Application
City OfEagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Pleasc complete for: commercial/industrial buildings
multi-family buildings when separate permi[s are not required for each dwelling unit
Date
Site Address Unit #
Tenant Name (if applicable) Previous Tenant IYame
Property Owner Telephone # ( )
Contractor
Street Address City
State Zip Telephone # ( )
The Applicant is Owner Contractor Other
Work Type
New construction Underground Tank _Install _Remove
Interior Improvement Call for inspection during installation/removal of tank
Processed Piping
Nature of Work:
Permit Fee $50.50 Minimum Fee (includes State Surcharge)
Contract Value $ x 1% Permit Fee
• If permit fee is $1,000 or less, add $.50 $ State Surcharge
If permit fee is over $1,000, add $.50 per
$1,000 Permit Fee
$ Total Fee
1 hereby apply for a Commercial Mechanical 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 with the Mechanical Codes; 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 accordancc with
the approved plan in the case of work which requires a review and approval of plans.
Applicant's Printed Name Applicant's Signature
Approved By: , [nspector Date:
Date:
City of Eapll
3830 Pilot Knob Road
Eagalt MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
1
Permit#: `07ALl
Permit Fee: Z)CD
Date Received: ! -07 I Z -
Staff:
2011 RESIDENTIAL PLUMBINGPERMIT, .APPLICATION
fZ 41/ Site Address: `pay U)oJ4 � WY /V1.
J
l.i/' ! Suite #:
1
RESIDENT 1 OWNER Name: 69a. / Phone
Address / City / Zip:
CONTRACTOR
Name: MILBERT COMPANY INC.dba C GAN WATER
Address: 1801 50Th ST EAST City: INVER GROVE HGTS
State: MN Zip: 55077 Phone: 651 .451-2241
Contact: BILL MILBERT ; . Email:
TYPE OF WORK
XNeW — Replacement Repair — Rebuild — Modify Space Work irk.R.O.W.
Description of work:
PERMIT TYPE
RESIDENTIAL
Water Heater
Lawn Irrigation ( RPZ / PVB)
Septic System
New
Abandonment
�,AJater Softener
Add Plumbing Fixtures ( Main / i Lower Level)
Water Turnaround
RESIDENTIAL FEES:
$55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$35.00 Lawn Irrigation (includes $5.00 State Surcharge)
$55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
*Water Turnaround (add $166.00 if a 5/8" meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
$95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) % /� t0
TOTAL FEES $
CALL BEFORE YOU DIG. Call Gopher State One CaII 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.aooherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval ofplaps.
x W!if(Am ►'ht /i z.ti---
Applicant's Printed Name
equ re' I specs� s' der
x
Applicant's Signature
Date:
C!ty ef Eag,aii
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651)675-5675
Fax: (651) 675-5694
r
I I
tb5 • a.�
I Permit Fee:
1 / t /
f Date Received: 13 1,
Q
{ staff: o `�,
t t
Use BLUE or BLACK Ink
For Office Use
Permit#: t 13 931
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
X
i—� Site Address: 1 1 2.-L2 . , r , f. - . 1 LO Unit ##: a t 1..
Resident!
Owner
Type of 1NOI
Contractor
Name:
Phone:
Address / City / Zip:
Applicant is:
- Contractor
Description of work: �(' .Q S l
4000 rn I Multi -Family Building: (Yes _ / No
Construction Cost
Company: Z 9 t 2 r C or\i-r ask t i'% cc
Address: V)'t Cj kwon e _ G C, : S ty
State: .NW Trp: 553(..o2.. Phone: Q \2. 32T (o'1(D 5
Contact 100,..yi
License #: 'b C 1-112k
Lead Certificate #: I - 315 - `() - Q01
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master pian?
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 the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Cali at 1651) 454.0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.copherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and Bodes of the City of
Eagan; that 1 understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
x A r\r\ci. C l o k d 1n)
Applicant's Printed Name
x
Applicant's Signature
Pagel of3
Dale Schoeppner
From: Bjorklund, Gary (DLI) <Gary.Bjorklund@state.mn.us>
Sent: Thursday, February 18, 2016 6:01 AM
To: Joel@jacksonmedicalequipment.com'; Joel@jacksonmedicalequipment.com'; Dale
Schoeppner; DLI.EIevator.ETrakit
Subject: Final Approval for Permit Work at 1724 Woodgate Lane, Eagan
JACKSON MEDICAL EQUIPMENT INC:
The ELV INSTALL permit work has been completed and approved for the following project:
Permit Number:
Project Na
Site Locat
The Department of Labor and Industry is required to inspect and provide approvals on elevator related devices
prior to allowing them to be placed into service.
An Inspector from the Elevator Safety Section recently performed an inspection of the work performed under
the permit listed at the site above.The new installation is in compliance with the Department rules for
elevators.
NOTE: Compliance with Minnesota Rules and the ANSI/ASME A17.1, Safety Code for Elevators and Escalators
does not necessarily assure compliance with the Americans With Disabilities Act of 1990.
CONSTRUCTION CODES & LICENSING DIVISION
Elevator Section
1
Dale Schoeppner
From: Bjorklund, Gary (DLI) <Gary.Bjorklund@state.mn.us>
Sent: Thursday, February 18, 2016 5:59 AM
To:joel@jacksonmedicalequipment.com'; Joel@jacksonmedicalequipment.com'; Dale
Schoeppner; DLI.EIevator.ETrakit
Final Approval for Permit Work at 1724 Woodgate Ln, EAGAN
Subject:
JACKSON MEDICAL EQUIPMENT INC:
The ELV INSTALL permit work has been completed and approved for the following project:
Permit Nu ' , - EIVI 09-0
Pro t Name: Craig Fost
Si e Location: 1724 Woodgate Ln, EAGAN
The
prior to a or, - : Qbe placed into service.
artment of Labor and Industry is required to inspect and provide approvals on elevator related devices
An Inspector from the Elevator Safety Section recently performed an inspection of the work performed under
the permit listed at the site above.The new installation is in compliance with the Department rules for
elevators.
NOTE: Compliance with Minnesota Rules and the ANSI/ASME A17.1, Safety Code for Elevators and Escalators
does not necessarily assure compliance with the Americans With Disabilities Act of 1990.
CONSTRUCTION CODES & LICENSING DIVISION
Elevator Section