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4322 Woodgate Lane N CITY OF EAGAN Remarks - Addition $qg3jargd paTk Third Artrli ti nn Lot 40 Bik Z Parcel #10 47252 400 02 Owner street 4322 North Woodgate Lane State Eagan, NW 55122 Improvement Date Amount Annua4 Vears Payment Receipt Date ~t;7G1 ~L STREETSURF. 1981 2698-43 539-69 STREET RESTOR. GRADING . SAN SEW TRUNK 4~, *SEWER LATERAL 1981 3412-34 68 -47 WATERMAIN *WATER LATERAL 1981 r WATEFi AREA Z- STORM SEW TRK 1981 467.74 93.55 S ~~7• *S70RM SEW LAT 19$1 CURB & GUTTER SIOEWALK STREET LIGHT WATER CONN. BUILDING PER, 5AC PAR K . INSPECTION RECORD ' CIT1F OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: 1) Eagan, Minnesota 55123 Date Issued: 61 (612) 681-4675 SITE ADDRESS: I., APPLICANT: i~Id . ja iN t v PERMIT SUBTYPE: TYPE OF WORK: . ~i, ~:~i? . .A i'Ir r;., . ~iiMi:~~ 1 ~ ~!r~ • , t•: I N~1;1i1~1 1 P~~~ ~ .i~l AI IiiM ! Il,f I'I lt~ t ' -11,41 I N I I 10, i~• ' ~{1 It 1 I.tl {'f I~t-~ i 111,}1 t'114 i'r . I';+~r ~ W ( f It1; ~ ll- ~ Psrmk No. Vsrmft HoWer Date Tslephorw # _ S/W . • PLUMBIN(i rf ~ S. /2 g S~ q~9 Z 3 HVAC• ELECTRI S 9 ~'°D ELECTRIC inspsction 00ce msp. C«nmwnts Footings ' FoundeUon Frwning ~~~('P Lv W Roafinp a°"o aibg_ -1- ~ Rough Htg. y~u9 Isul. G _ Firoace FinM Hig. O_ . Orset Test /f Fnd Plbg. PIbO• lrmpactor - Notiiy Plumber COnst. Meler EriprlPlan Rnal Deck Ftg. Deck FNnaI VYeN Pr. Disp. N ~ -t - } 7- ~ ~ M1 • - Wertificate of cccupanc~ ~itq o~ ~agan This Certificate issutd pursrrant to the requirenetnts of the Uniform Building Code , certifying thnt ar tht tinte of issunrtce this structum was in compliance wrth the various o?dinances of the City regulating bpilding construction or use. For the followiag: . • ~ use ca_jr.O,,m SF M awg. Peffnit ro. 24267 . OoaMPonCY 7ype PA/Mi 7anina Disockx Ri iype Conxc. VN ~ o.,owara~ij&,g T C OCNSIRUCPIdN Ad&m19784 KMQL AVE. LAKEVIIUE 8i,;wig Add,. 4322 WOODGAIE LAM NftM L;VL40. BZ, KAI.IARD PARC 3RD EkW ae~ oR~ POST IN A CONSPICUQUS PLACE INSPECTI4N RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS' • " I r:' Il 0 4 4 APPLICANT: l tof. 4H Itl ut F: ~ I ht(111('iRTF 1 RHtf N ~ t~~~ik • ii ; i~ ~ t~i;~~~ ~ ~ i~~ i 1;+ PERMIT SUBTYPE: TYPE OF WORK: INSPECTION D• • D I ~ ~ Permk No. PMmit Holder Dab TNsphone t ELECTRIC I PLUMBIN(3 HVAC Inspection Dab Insp. Commmnb FOOTINGS FOUND FRAMING ROOFiNG Qc 7YA ROUQH 7 L PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC ~ TEST , INSUL al L ~f MO~ GYP BOARD FIREPIACE ' +4~E ~ IMR;FEB;F , FINAL PLBG ~FIINAL HTG I ORSAT ~TEST ~ E3t_DCi FlNAL I DSMT R.I. I i [3SMT FINAI r~ECK FTG . DFCK FINAI i . i` Address 4322 woouc',nte IADIE rroRIH Zip 5512 3 Lot 40 Blk 2 Sub Mar.T nRn eaRK 3un THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE.FINAL INSPECI'ION. Date: (p ~ 95 Yes No Inspector. Final grade (6° from siding) Permanent steps (garage) Permanen[ steps (main entry) Permanent driveway Permanent gas V/ Sod/Seeded grass TraiUcurb damage Porch Basement finish ' Deck Please verify with the builder the removal of roof lest caps from the plumbing system and ihe shuboff of water supply to [he outside lawn faucet before freeze potenlial exists. Contact engineering division at 681-4645 before working in righbof-way or installing underground sprinkler system. . White - City Copy Yellow • Resident Copy Pink - Contraclor Copy ~ P~ aL,,,W (~J~ c3'-2 Jr y5 6 7 49 Repuest Oate rze No oughln Inpsection RepwreC Inspecban OIher i~ughln (YOU must cail ~ns0ector when reatlyl ~ qeatly Now ill Notiry Inspecior Yes ? No Date ReaEy Vi icensed contractor ED owner hereby request inspection of above electrical work at Job Adtlress (SVeeL Box ar Roule N. I ~j/ Qry ~K3 2- /Z/a.Cl n ~.~/pox ~ L.., Seclmn o Township Name or No Range No Counry OccupanliPR/INT~I ~ Pbone No, '~C~- 4 Powe Supplier Atltlress 12C 15_~ Eleclncal Canvatlor ~Compaay Name) Convaztor5 Lmense No . ~.n~ r... p yC"igA6b23s iCOmracto• or Owner tdaanq Insallauon) ...ra~ .:AF~'i.,~V` ° (F::`:55924 ~ tl'Si~ a ure IConvact . ner Maanq Ins:allaLOn) , Phpo~ne Numb~er/ Nt'~W MINNESOTA STATE BOA D OF ELECTHICITV iH15 INSPECTION FEOUEST WILL NOT Gdggf-Mitlwey Bitlg - Room S-113 6E ACCEPTED BY THE STATE BOARD 1811 Unrvenity Ave.. 51 Peul. MN 55104 UNLE55 PROPER INSPECTION FEE IS Phone (611) 642-0800 ENCLOSED REOUEST FOR ELECTRICAL INSPECTION ee-oooo,-os 9~ ? See instmclmns lor complenng mis form on Oack of yellow copy L 3a~j $~LI 5 6 4 9 yX" Below Work Covered by This Request GI ;-30 9~1 Y ~ e dd Re, TypeofBmlding AOPliancesWiretl EquipmentWired Home Range Temporary Service Duplea Water Heater Electric Healing Apt. Building ryer Load Management Comm.llndustnal Fwnace Olher (SpeciTy) Farm Air Conditioner Otner IsVeaty) Conlraclor's flemarks Compute lnspecfion Fee Below: # Other Fee # ServiceEmranceSrze Fee S Circmis/Feeders Fee Swimming Pool p ip Amps 20 0t0 10D Amps J S Translormers • Above 200 _ Amps Above 700 _ Amps $IJfIS Inspector's Use Only 7Q7pL s~ Irrigation 8ooms Special Inspection , Alarm/COmmunicanon - ' THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 M S. I, ihe Elechical Inspector, hereby Aouymm e ~O'9 cerhfy ihat the above mspection has Final oate been made. OFFICE USE JNLY Th5 repuest vmE 18 monIDS irOm ~cfe- -;,;.,i , ' T.C. CoNSTRUG7/o~. CpNgU1.TINo 6NO!NEEIIS ~i4'tk ~1, rLn?+~+ens ond 4(1ND 3unv(vons 4~6476,0? ifl0t3~ ENt?rINEERING ,3i. 211 COMPANY, INC. 1000 EAST 148111 STREET, BURIJSVILI.E, MINNESOTA 56337 PII 432"3000 , 1 CERTIFICATE OF SUFtVEY lal Description: LO-r~~~~~ ~.~~gl2_sPA 9K-~H jpp--A~r-2N- (g~~ UENOTES EXISTING ELEVATIOtJ ( y¢2.5 ) DENOTES PROP05ED ELEVATION INDICAlES pIRECTION OF SURFACE DRAIfdAGE 9¢Z,d3 = FINI51-IED GARAGE FLOOR FLEVAI'ION 935, I'L_ = BASEMENT FLOOR ELEVATION = TO1I OF FOUNDAfION ELEVAI'IUN GA^I. Mf! CAlS'J ar Lo7' 13Co r/C Z SCALE i 1' m3o• 7p~ = 930 94 Avv~rr-~S : 43r2 no~n~ N2'o0E•47E ~~~~~F EAGAN R~WED (BV: / . kN. WOUVGATe IANE DAv~: ~ _ _ i ~ " . SPECYIOiVS D9!/~Sl01~1 ~ i- ~i~ 91• ~ '~v~ pp5-- 3Z8,10 „ ~1 r 0 i}r r,-"^.'!•':~ ` ~ f- ~ ' (138._7' ° - - - - 941. yz , ~939°~ 1 1 \ ~ ~9z, ~ (q425) \ ~qZS~ 94z, lNB- 939,y6 : 5 (y¢a o_,~.~ Ioi ni S 5 3o FT. P"RONT 7 SETBac' L/nVF 323? 20'67 8--- I //uG, ~ . lo,ro y42.iz PKoPoSeD ~ I 1 ~ 85 1~ I~'i NovSE GaRAr~ NU~' y Ll?Z,n ai--A o.co - ,vu . e_ 9gz i2•00 r33l,9 7 mg.A9 ppp3z ~ u, 1 ~9¢z, ~ ~942•s~1 No~STi~v6 zz,s Sti ~ \ Y O W IZ) ~ ~l3-~ a lo"{G I p O , E A G REVIEWED 1 ~ ~ I EAGt1N~NG ERING D EPr. o~fe 51 I _ O T ,40, , f 5 P. R.~. fi`tt r,a.., 1" , v' ~i 3 DRAINA6E fWD UTILIT`~ EASEMENT ~ L-----------I ltl 1.I1 ~ C4f N88°04'S w CY3j-°. 35, ~ ceYtiRy that tliig is a true and correct Yeprese111ea~l,i8 or a trapy o hereby ~na described hereori. Ae prepc~rad bY ; and ae shown . , 19 • ~ ,lJ ' n sl r i~ , ' % i .19,• ~ 111~u1. i2t?r~. II~. I~ - :~~,k1,•~7C. Con1STRU671W-1. t. COIISUI.TINO 4 N0 NEEIIS ~a+„ • 'f . O.aF. PIANNEIIi ond ~i1ND 3UIIV6VOIIS 1a~ ~bq-7~.o r 3 ENaINEEAING i. Z'~ INC. • PU. 53 COMPANY , 1000 EAST 1481h STREET, BufiNSVILIE, MINNESOTA 06337 PII 432'3000 , I CERTIFICATE OF SURVEY . jal Description: LOT~~_~~ pENOTES EXISTING ELEVATIOtJ ( 9¢z 5) DENOTES PROPO5ED ELEVATION INDICA'fES DIRECTION OF SURFACE f1RAINAGE 94Z,.e3 = FItJISNED GARAGE Fl-OOR F-LEVAI'ION 93`, 12. _ = BASEMENT FLOOR ELEVATION TOP OF FOUNDAfION ELEVATIUN F51 Sfv.~. MFI. Eti5'7 nr- Lo7' ?s; raGari~ Z scnLe i r m 30• ?o,~ = 930 • 99 /IOU/1F~~ : ~T-$22 N02TN N2'o0647E Lr1elF EACiAN ' RE1/lEWED Bv WODUGATE Lf}NE DAYE-~.,a~.• ~l (S ~,9!lpg~1~'~! 4'~@, 99i12z; fo~ - T' LIGIIl 91•°L._ 'S?'61 ' Q ' ~oOLE L=ilU,OO bTEL, 0 ~ (q425) 642,5) y6 - 51 (y~o,o,'. ~'~vi 94z,g JC 3o FT ~'RDNT l~u8_939, ~?3SETB4C/~' GiivE Q~, -1- P - ~ 2n.r~~ 8 n IZOPuSED ~ll lo,cb l ~ /luQ y4z.i~ , P , HoUSE GARA~E NI ~ I rLp9~''~~%~tG~ -A Nv a . . 9= i2.00 A9 g2. 3z q ¢Z' , ~ ~ 1 IE ~z2,1 J SN o GN E A G REVIEWED~.~, ~ D ~ I EAG~NG ERING DEP'!'. I__oT 40 . ~M ~ •.t.: . P. R. v, n F~L-J~U I , DRAINA6E AND 1 L._ 5 UTILIV EASEMENT ~ ~ - ; SG, 09 '93 . ,~3.. Q / ~n C35,`~"~ /VBV~QY 15"w 37n~ . certiEy that tlii~ is a true and correct r.epreeentaL-~.oii oE.~traRt o hereby described t~ereos~. Ae Prepared by tne tl~is Y i and ae shown ana 19~_ • I I ~?!.Y ' ~ 7~~3~ . - 90 2007RESIDENTIAL BUILDING PExMiT arrLicaTrorr ' City Of Eagan . 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWUbn Reouirements RemodeURenair ReauiremenLs Office Use Onlv 3 registered site surveys showirg sq. (L of lot sq, fl. of house; and all roofed areas 2 mpies of plan showing foofings, beams, pists Cert of Survey ReM Y_ N (20% maeimum bt coveroge allmved) 7 set of Energy Calcutations for heated addifions Soils RepoR _Y _N 1 Soils Report'rf proposed building is to be placed on disWrbed soil 1 site survey for addNOns & decks Tree Pres Plan Recd .'=Y _N. 2 copies ol plan shovnng beam & window si¢es; poured found desgn, etc. AddRion - indicafe if on-sife sepfic sysfem Tree Pres Requiied _ Y_N 7 set ot Energy Calculations On-site Septic System _ Y_ N 3 apres of Tree Preservation Plan if lot platted after 711193 Rim Joisl DeUil Optlons selection sheet (buildings wAh 3 or less uniLS) Minnegasoo mechanical ventila6on form J Plans are considered ublic information unless ou state the are trade secret and the reason. Date 9 / S Construction Cost r~ 300 .Q 0 SiteAddress 3772 1v0f''tK w1bD6, Pf Tite- LANE Unit/Ste # Description of Work e( S O'(~ Mul[i-Family Bldg _ Y~ N Fireplace(s) ~ 0 _ 1 _ 2 r~ Property Owner Tn•e, * 1"51f1aiz G C, lri N.-, Telephone #(!aS/ )(~'F<6- !E~ S Z.2- Coutractor I.{°~SIGi'\ Address 12.il1qo ~~A?~l~i 1`T VL City 1~052MOc.l!'1f- State Zip :550bg Telephone It (651) H Z 3- S I 3 Fj COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Enefgy Code Category . Residential Ventilalion Category 1 Worksheet • New Energy Code Worksheet (4 submissian type) Submitted Submitted • Energy Envelope Calwlations Submitted In the last 12 months, has ihe City of Eagan issued a permit for a similar plan based on a master plan? _ Y _ N If yes, daie and address of master plan: Licensed Plumber Telephone ) Mechanical Contractor AI,If, 01Telephone ) 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 ermit, and work is not to start without a permit; that the work will be in accordance with the approved plan in case of work which requires a review and approval of plans. Ste.p~n ~e,r ApplicanYs rinted Name • Applicant's S) ature DO NOT WRITE BELOW THIS LINE Sub Tvqes ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dweiling ? OS 06-plex ? 16 Fireplace 4P 21 Porch (3-sea.) ? 31 Ext. Alt- Multl ? 03 Ot of _ plex O 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 E#. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebolpergola) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex . ? 79 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work T es ' 31 New ? 35 Int Improvemenl ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration O 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacemenl 'Demolition (Entire Bldg) - Give PCA handout to appliwnt DesGription: WaterDamage_Yes Valuation e 31 &00 -eOccupancy ~rI~G I MCES System Pian Review 100% or 25% Code Edition TQc L~~ Census Code y3 y Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered TypeofConst Y~ Width 13.6, REQUIRED INSPECTIONS Footings(new bldg) _ Sheetrock Footings(deck) FinaUC.O. Footings (addition) ~ FinaUNo C.O. Foundation _ HVAC Drain Tile Other Roof Ice & Water Final _ Pool Ftgs Air/Gas Tests Final ~O Framing _ Siding _ Stucco Lath _ Srone Lath _Brick Fireplace _ R.I. _ AirTest _ Final _ Windows . Z Insulation _ Retaining Wall Approved By: 4WM* , Building Inspector 1~} - ~ ----------~-------------------------e c - Base Fee U~ r D`~ O T {i Surcharge PlanReview MGES SAC City SAC ReR--p81 - lSoo.oa Utiiity Connection Charge S&W Permit 8 Surcharge Treatment Plant License Search Copies Other Total PERMIT ~ CITY OF EAGAN 3830 Pilot Knob Road PERMITTYPE: C~~~~ING Eagan, Minnesota 55123 Permit Number: 0 2 4 2 6 7 (612) 681-4675 Date Issued: 0 8/ 01 / 9 4 SITE ADDRESS: 4322 WOODGATE LANE N LOT: 40 BLOCK: 2 MALLARO PARK 3RD P.I.N.: 10-47252-400-02 DESCRIPTION: B"uilding Permit Type SF OWG Building Work Type NEW ;iUBC Occupancy R-3 M-1 Construction Type V-N Zoning ~ R-i ~ Building Length ; 70 r Building Width ` 24 Building stories 2 ~(112~ REMARKS: PRV S & W PLBR - FEE SUMMARY: VALUpTION $123,600 Base Fee $720.00 MISCELLANEOUS $1,828.50 Plan Review $468.00 COPY $.50 Surcharge $61.50 Total Fee $3,878.50 SAC $800.00 SAC ~ 100 SAC Units 1 Subtotal $2,049.50 CONTRACTOR: - Applicant - sT. LzC. OWNER: T C CONST INC 14693723 0001076 T C CONST INC 19784 KENNICK AVE 197$4 KENNICK AVE LAKEVILLE MN 55044 LAKVILLE MN 55044 (612) 469-3723 (612)469-3723 I hereby acknowledge that I have read this application and state that the infiormation is correct and agree to comply with all appiicable State of Mn. Statutes and City of Eagan Ordinences. - ~ ' 19a R PLI``~EE SIGNATURE IS D SI.p I INSPECTION RECORD CITY OF EAGAN PERMITTYPE: euzLoiNG 3830 Pilot Knob Road Permit Number: 0 2 4 2 6 7 Eagan, Minnesota 55123 Date Issued: 08 / 01 / 9 4 (612) 681-4675 SITE ADDRESS: APPLICANT: LOT: 40 BLOCK: 2 4322 WOOD6ATE LANE N T C CONST INC MALLARD PARK 3RD (612) 469-3723 PERMIT SUBTYPE: TYPE OF WORK: SF DWG NEW INSPECTION . FOOTINGS FOUNDATION FRAMING ROOFIN6 INSULATION FIREPLACE ROUGH ZN PLBG ROUGH IN HTG FINAL PLBG FINAL REMARKS: PRV S& W PLBR - F ~ L J ' CITY OF EAGAN 1994 BUILDING PERMITAPPLICATION 681-4675 / SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered y of energy calcs. .~(11 2 7 1994 COMMERCIAL 2 sets of architectural & str ctural plans, 1 se of specifications, 1 copy of ene Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date Valuation of work c C>O Site Address: c,'Y~ )_t,Lc STREET ~ SUITE # Tenant Name: (commercial only) LOT ~ BLOCK ~ SUBD. P.I.D. # 1/7 Le 7T~' Descri tion of work; y'(~- v,' t~~/~ ~ The applicant is: L~1 Owner IXContractor ? Other (Describe) Name TC C 6V'L~i ~fhC Phone S~~ 9~37c~ Property LAST FIRST Owner C C ~r ~ 7ao_ Address ~ .~~rAN,~~< /t v STREET STE # City 1G,~~ State /'vl •'u u Zip Company Phone Co ntractor Address License # Exp. City State Zip Architect/ Company Phone Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE O 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish 'El 02 SF Dwg. O 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory 0 18 Comm./Ind. ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc. ? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck 0 20 Public Facility ? 21 Miscellaneous WORK TYPE C]'31 New ? 33 Alterations ? 35 Tenant Finish 0 37 Demolish ? 32 Addition ? 34 Repair 0 36 Move GENERAL INFORMATION Const. (Actual) Basement sq. ft. yn MWCC System (Allowable) lst F1. sq. ft. 3,>L City Water y UBC Occupancy 2nd F1. sq. ft. 9?: PRV Required Zoning Sq. Ft. total Booster Pump # of Stories 2 Footprint Sq. ft. Fire Sprinkler Length On-site well Census Code Depth 21i33 On-site sewage SAC Code Census Bldg s APPROVALS Census Unit Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ? Site 0 Footinq El framing O Insulation O Wallboard El Final ? Draintile ? Fireplace Permi t Fee veimcia,: S Surcharge Plan Review ~z-/ _ 5~~ f License MWCC SAC X City SAC Water Conn. Water Meter //s Acct. Deposit ) S/W Permit S/W Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Copies Other Total: sac % SAC Units . 'JUL 27 '94 10:59 Ti7 4E9 3304 FP,011 FF.nBE EII_r,IP1EEF.il1_r, T---76 F.02 , j, ° CONSUlTINO ENOINEEIIS T C• C0NSTIZUG7100 R04~ PIpNNE05 ond 4AND jUOVEVOfli NGINEEIiING Pt~' ~K. 2,, COMPANY? INC. P~1 . 53 ~ 1000 EAST 1461h STREE7, BUqNSVILLE, IAINNESOTA 563j7 Pfi 432°3000 CERTIFICATE OF SURVEY ~ Legal Description: L~pT M_~pc~ 2~.pALLARp pA~.x -rNlrzD ApDIT~oN~ T~AKD_1~.A _~QUN'7N_~L1 NESOT~ . C2~~_) DENOTES EXISTING ELEVATION C9¢7- 5) DENOTES PROPOSED ELEVATION INDICATES DIRECTION OF SURFACE DRAINAC3E 9_ 4Z.B3 = FINISHED QARAGE FLOOR ELEVATION 93512 = BASEMENT F1.00R ELEVATION 9¢~,/6 = TOP OF FOUNDA'f10N ELEVATION SCALE 1' m 30' geiJr.n ninR.?..: ~~n_57 GAv, M/-L EM57 nr L07' ?S, Z. t 7"0,l = 930. 94 ACDRFSS : 4322 N02TN N/coOE~lT_F LfV/E ~ N. WoovGATE L}NE --k-----t~_.--~ C~ ~ `~I1ZZJ 0 POLZ ^I LI L=ilo,0o~~~ =328,10 '4=~ ` -j ~ 0 5c"RUrcF PEp 8" _ Q - ~9390 ` _ - 5 (q425) 642_S) IA~B_ 939,56 : I ~9iM~°'~_ '_Id ni 94z,5 .S Q 6, 29 7srwv _ 99-/.g i 3o F7. P"lZONT ~j 39. 3~ r; --~3. f~~ S E T 6 9 C K L/ N F PKoPo~Ep 8/0'ro~_. p~g ; y li, By I~ N HoUSE I GARAQ-~ ~ I• I - n N + rs~~: 70.00 i2'oO mLe= 9gz ~ ~98 .89 3z ~t 4 Z • S)' ~ tix~STi ZZ 1j = 0. EAGAN i2EV1EWED I ~ ~ yY Z/ ` q L I EAG~EIVG EIt ~ o~? ~ ~ D T 4 D / rnlG DEp~ t_._ DRAINA6E fWD 5 i~ i' U' U1cnr 3 V Ff--))r'r,:~)r U71L17Y EA$EMENT SG, 09 9 q35,4~ N BS° o¢' /5"W (-F35 7 hereby certiPy that thig ia a true and correct representation oP,a tract of and as shown and deacribed hereon. As prepared by me ttiie 27-m day oE ~~~J , 19~~• • . o~;, tdinn. Rea. No. 11,1)114' W' , LOT BIIRVEY CHECRLIST FOR RESIDENTIAL ¢ ~ • SIIILDING PERMIT APPLICATION m • ~ ~ S2 PROPERTY LEGAL: Date of 8urvey: DOCUMENT BTANDARDS ' 0 • Reqistered Land Surveyor signature and company p~ 00 • Building Permit Applicant p~~C7 0 • Legal description 0~ 0 0 • Address p---0 0 • North arrow nnd bafscale Q--Q 0 • House type (rambler, valkout, split v/o, split entry, lookout, etc.) 0 0 • Directional drainage arrows with slope/gradient t. D'~D 0 • Proposed/existing sewer and water services !d, 0 0 • Street name D--t ? • Driveway ELEVATZONS Existiaa B`0 ? • Sewer service 6-~0 0 • Lot corners 0? • Top of curb at the driveway • Elevations of any existing adjacent homes Prooosea 0~D 0 • Garage floor [7~0 0 • First floor D~0 0 • Lowest exposed elevation (walkout/window) cr-0, ? • Property corners 0---b ? • Front and rear of home at the foundation PONDZNG AREAS (if acclicable) 0 0~? • Easement line C] 0~ ? • NWL 13 LT' ? • HWL ? Cd' 0 • Pond # designation 0 • Emergency Overflow Elevation DIMENSIONB 0'13 0 • Lot lines 0--13 0 • Right-of-way and street width (to back of curb) 0~ 0 0 • Proposed hoa+e dimensions including any proposed decks, overhangs greater than 21, porches, etc. (i.e. all structures requiring permanent footings) 01~'0 0 • Show all easements of record and any City utilities within those easements ~D 0 • Setbacks of proposed structure and setback of adjacent ~ existing homes ~ O • Retaining wa requirements, if any Reviewed• -::?4 Nam / Date October 1992 ' 6uR~E~ BY ~ . 2 vEvF~oPE~ 33 g N 2' 34 14t150 m ° HI2t' ~ 35 a~ 15125~~-~~ yE 36 ~~16t30 r. ~ i3p 4 AM1ki- 16 ' ' - 1T ,-o17t20 t h , ~ H-17 ~N=---~ 37 41 . ~ 8f05y~r B"G.\ ~ 38 ° o- P- ti 24020 y 39 w~19t00 8~~x6"TE b Al h' „20120~ ^ r~ H-IS a,.p>? 8" 6"TEE 8 HYD. ~ ^ n n 1 ` ~ O. ' BA . MH-20 MH-19 8"x6"TEE S HYD. 8"x6 TEE & HYD. Nm; t r,oo~Nm. n .ow W 00 D G AT E_. L A .t - - - r - - r~io' Vert. 7 f oot MWNM C". - - ; - - , ' MH 20 ~ 94 .87 I c ' WIH-19 - 3H.85__ 340 H-I8 - - ~ ~ - I ` _ _ ~ 34.21 ~ I ' ~ 930 -~:f; ~(JcS ° -.I~U~iR 200 8 ~ :Y OF UTILI"i~' ~=.t~_EI,R7'IONo THIS 250-8 P ~ L - - ' ' PUR, O~~S G IT 1 920 - ~ ~I I - - I- _ - - - - - - 910 ~ N . - Ol , - --J ~ ~ Y1 i00i;c"@ Oi s G. ~ x 1<, c?':'_2. iL- _ 1--- _ ji ~ - . . . . . . . . . . . . . . . . _ _ _ G ~ . . - . . . . . . . ~ - C " . y~PSJ ~...~i:J~ . . . . . . . . . . ^ 1 . . . . ry l - - _ ..C :~_'lp G~~~ ? Je . . . - - -G. .~..~C'G ~ _ " . _ ' _ . - . ..~..~1~. ' y.... _ _ _ .._.1... v~_ ~ _ i ; - _ - ; _ ` ;i _ ' u ' ' J~J S' 1 ~ !',I il~ . . . . . . . . . . . . . . . . . _ . _ . _ II! . . . . . . . . . . . . . . . c.. _ _ L.... ~II - ; ?I z;:poseu ^oc_`/c~i11:~~ a~•ea = - - ~'cc= _~°a = -'oo-% ~ _.,~2'_ 2='2= . . . . . . . . . . . . . . . aT'F?.._.. '-il5U1c i,td :'GOi.~C8i1tC~ Z_ Cp linc va1ue `or e2ch roef%c°'- n ~J n s = - _ _ ^ 1 L r ~ , I~ - n U n _ - l~ c r,ave ...sz E :r.;:et r~ ~ of -_C-:' "q......, o....,.'.OC~ ° .?lU°5 cci.,2C115-.°u }J:i E e5'. S ..SCc=_ , y "nA-7 ^nC'_S~~ =?C2 " . i~ C'., ~ ~ i~ _ • l~f~J TSllI G SiioA VroCt_ ' ~ - _ i ~ _ . _ _ . \C i 1 ~ . i . _ PERMIT ~ CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 0 2 8 0 3 3 (612) 681-4675 Date Issued: 0 8/ 0 7/ 9 6 SITE ADDRESS: 4322 WOODGATE LANE N LOT: 40 BLOCK: 2 MALLARD PARK 3RD P.I.N.: 10-47252-400-02 DESCRIPTION: FOR FUTURE PORCH Building`Permit Type DECK Building W'ork Type NEW ~ Census Code 434 ALT. RESIDENTIAL / ~ ~ . . i. . ~ . REMARKS: FEE SUMMARY: Base Fee $45.00 Surcharge $.50 Total Fee $45.50 CONTRACTOR: - - qpplicant - S7. Lzc.OWNER: WOODEN RAINBOW INC THE 14528466 0006892 GRIMM JOE P 0 BOX 702 4322 WOODGATE LANE N MENDOTA MN 55150 EAGAN MN (612) 452-8466 I hereby acknowled9e that Z have read this application and state that the information is correct and agree to comply with all applicable State of Mn. Statutes and City ot Eagan Ordinances. ~ ~ w, 7f(&',A ArVt,~ pJ:1~ rn ~ AP ICANT/PERMIT E 51 NATURE ISS~I D BV: IGN URE ~ W. CITY OF EAGAN ~~O ~ 3830 PILOT KNOB RD - 55122 U 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 -~c.~i 1YtC~ New Construction Reauirements RemodellReoair Reauirements O w/Zc7 ? 3 registered site surveys ? 2 copies of plan ? 2 copies of plans (include beam 8 window sizes; poured fnd. dasign; etc.) ? 2 site surveys (exterior additions 8 decks) ? 1 energy calculaliona ? t energy calculations for healed additions ? 3 copfes ol lree preservation plan H lot platted after 711193 required: _ Vee No DATE: (o I(oI 4 b CONSTRUCTION COST: 7 iooo •CV3 DESCRIPTION OF WORK: C- Fmmig-A t4 3~ ° ~REET ADDRESS: ~J2Z r e- - , LOT LW BLOCK Z SUBD./P.I.D. - ? PROPERTY Name: Toe d- &A42_ (-7 i'idvl M, Phone OWNER u81 cJ i1R61 Street Address: City: ~aoun State: ~A Zip: S$ ~Z~ CONTRAC70R Company: ~fX~YRR ~rxiy\WuO Zu.c. Phone Street Address: -P o Ba x / OZ License 2- City: e V\ dr,Aa State: rA n_ zip: ARCHITECTI Company: 000P-V\N6)w Phone q.SZ~~'~'~LL ENGINEER - Name: Sten~~.v~ ~1 ~der/' Registration h Street Address: I"f Eu5 t S 1 r St' City: State: ~fl,n Zip: S~~T Sewer & water licensed plumber: Penalry applies when address change and lot change are requested once permit is issued. I hereby acknowledge that I have read this application and state that the information correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. ~ Signaiure of Applicant: OFFICE USE ONLY RECENED ~ Certificates of Survey Received _ Yes _ No ~ ~ ~~$ggs ~ Tree Preservation Plan Received _ Yes _ No OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging o 16 Basement Finish ? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool ? 03 SF Addition o 08 8-plex o 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-plex o 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. ? 10 = plex apo--t5 Deck WORK TYPE e33l New ? 33 Alterations ? 36 Move 2 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Boaster Pump Length sq. ft. Census Code. ~ Depth Footprint sq. ft. SAC Code Census Bldg / Census Unit APPROVALS Planning Building Engineering _ Variance Permit Fee Valuation: $ Surcharge Plan Review License ' / MC/WS SAC . City SAC Water Conn. Water Meter Acct. Deposit S!W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units .V:D7 IU 4ny J5L1y • ~ ' Y ~ Di CONSUlTINO 61N[0 NEE05 /RODE PIANNEIIS o~d ~qNU iunv6vons ~6476.01 EN(31NEEflING COMPANY INC. P~ 5 r a. 3 ~ 1000 EA9T 1181h STREEI, BURroSVILLE, AIINNE50TA 56357 PII 432-3000 CERTIFICATE OF SURVEY Legal Description: I^1~)dµI,/~^o 1~1y~r_~/q~'q1~p_PAR~C 3:~~QApU17_~ N ! JZJ~IL DENOTES EXISTING ELEVATIUtJ 0 ¢75 ) DENOTES PROPQSED ELEVATION INQICA'fES DIRECTION OF SURFACE pRAINAGE 9¢7-13 = FINISt-IED QARAGE FLOOR F-LEVA7'ION 935, 12 = BASEMENT FLOOR ELEVATION ~ 124'.?, 16 _ = TON OF FOUNDAf10N EI.EVATIUN 8CALE i T e 30' ~~r~7 AInQ.Y. : ~105"7 GA~J. M{! fM5"7 np Go7' a$; g(.oc/C Z. ?v,~ = 930. 94 l1DORF!~ : ~F312 No2rN uiCoDE07',c LfV~.iE c~ N.WODUGATE LANE ~ ~jmy~,' ~~1ZZJ O ~~^'~~~~-~,•.-C'= _ . ~ - ~;~wn~-~,eL',_ . ~ _ 6~~~_ ~ ,io,oo'~ =328,ro ~---~---'Q'.~ - - - _ oZ „ b rec ~~38•? ~ ~ Q ~ ` ' ~ 5I \ (9425~ ~ ~42_5) ^ ~S~z,g)~ lAUB= 939,56 r _._O`,k:0" n, 94z.q 5 930 h7 '-"RONT ~9.i? SETB9CK 4/NE PKOPo~Ep 2n.6i e ln.ro I /l~Q_ y¢Z.i` GARA-, $ ~-I ~ 012'0 7o.pp i^- IZ.00 ~39,9i .c r9~7.e:$ J Hce" 9F2, 32 ~ 22, s N"S E A G A N REVIEWED 8~ \ 1 ~ Ra o+~TB ~ NG L D T 40 I ~ ERIIVG DEpT ARAltilA6E fWD 1')~_:: /g P.R.V. ~f'~~1.11 U71L17Y EASEMENi- u ' ifl-- -V) . (y ~ 5, BB°o¢,~5~W 34 iV hereby certiPy tttat tlils is a true azid correct r.epreeeiltatj.oi1 oP,a tract of and/as shown and described Yiereoti. Ae prepared by me tiiie 277V day oP. . ~ ~ i 1~, ~ lllnn. Recl. iln. /,nf7r Q'XY.U$E t3NLY , #,~^n~~'~; , . _ , . . . , . $UBD. DA't'E ~ . . . . . ~ . _ , : 1994 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 PLEA3E COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUII2ED FOR EACH UNIT. ~ NEW CONSTRUCI'ION ADD-ON A/C ADD-ON FURNACE FIREPLACE INSERT DATE FEES HVAC: 0-100 M BTU $ 24.00 ADDITIONAL 50 M BTU 6.00 GAS OUTLETS (MINIMUM 1@ 53.00 EACH) ~ /j a0 ADD-ON/REMODEL (EXISTING CONS7RUCTION) $ 20.00 STATE SURCHARGE .50 TOTAL SITE ADDRESS: 2-- OWNER NAME: TELEPHONE INSTALLER:_~ ADDRESS:_ CITl':~.~s,Y~rn~S,`,~~~ / STATE: /41). ZIP CODE: TELEPHONE SD,Sc7 SIGNATUR OF PERMITTEE CITI'.~TJSE;U3~IT:Y • . _,....;..:BL-:::=; .:,:.:.~o~ r'~ . ,:r.i:.; r. . ~'~~..:;::J.:?::.:'t:::r-r.._f:..r:.<~.;r..:: . _e . . . ........:..>.:,:_.r... - ....3..>::<_<r.:...:.~::. , . . . . . .::r. . . i;'~ '.~..::"?':r5z ::.y-. . . . ~ : ..:c,.,..;:/ . . c.z.:>'?i.:?>:._..,.....• . _ ~ : _c..;..,~..:.. ':.F:::~ c• . .F . . ..c..:-.. . ~ , .....s .o.,.::..... (~~ip i7VD~:' ..:c . , 3`'':...... - - -.:?S`~.: - . . ..::i t. . x..''', i...........a,.,.. . ~ . ...a...... 1994 MECHANICAL PERMTf (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 UNTT. - - - - - - - - - - - - DATE: CONTRACT PRICE: $ NEW BUILDING INTERIOR IMPROVEMENT WORK DESCRIPTION: FEES 1% OF CONTRAGT FEE $ PROCESSED PIPING: $25.00 MINIMUM FEE: $25.00 STATE SURCHARGE $.50 FOR EACH $1,000 OF PERMTT FEE. TOTAL $ SITE ADDRESS: OWNER NAME: TELEPHONE TENANT NAME: (IMPROVEMENI'S ONLY) INSTALLER: ADDRESS: CITY: STATE: ZIP CODE: TELEPHONE SIGNATURE OF PERMITTEE CTI'Y INSPECTOR UT'ylLTSE'.ONLY. w :....~..r..;.. REcEm o 1994 PLUMBING PERMTT (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. NO. FIXTURES EACH TOTAL ~ SHOWER 3.00 -6 5 WATER CLOSET 3.00 ~ BATH TUB 3.00 ~ LAVATORY 3.00 /4 KITCHEN SINK 3.00 3 LAUNDRY TRAY 3.00 3 ~ _L HOT TUB/SPA 3.00 3 ~ WATER HEATER 3.00 j _L FLOOR DRAIN 3.00 3 _L GAS PIPING OLJTLET • mmimum - 1 3.00 3 ROUGH OPENINGS 1.50 WATER SOFTENER 5.00 PRIVATE DISP. • Dek.ay. rc. 20.00 U.G. SPRINKL.ER • nome under consi. 3.00 ALTERATIONS • toaisting 20.00 WATER TURN AROUND 20.00 STATESURCHARGE ~ TOTAL: L~ SITE ADDRESS: /L OWNER NAME:-7^c-, CDh~~^ _ INSTALLER: G~.~. aA41 ADDRESS:If2Z~~~A~ CITY: Z'!l .e ST.ATE:~/',p Z I P CODE: PHONE d F- D'Y~ ATURE OF P MI EE , ;IISE°t)NT.Y „...,.......m,.~...~:..,.<. : .•.r s .voo ~.r... : . V . . ~y . . ~~.._;.;:..:":....%n:>i",z:.;:.':.Si:?.:<'.' a , ~1.~~.,,__..V;..,;` ..w ~ ~ :°ic~ ; SUBDw..,.~ ~v._M.~:.. ~..,~.,~.,<.n~,~..~....~ra~ ,m~ IfA'I'E mH....w~~.. 1994 PLUMBING PERMTT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI- FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. _ NEW CONSTRUCTION _ ADD ON _ REPAIR WORK DESCRIPTION: CONTRACT PRICE: $ FEC: 1% OF CONTRACT FEE. STATC SURCHARGE: $.50 FOR EACH $1,000 OF PERMtT FEE. D11NIAtUAf FEE: $ 25.00 ~ CONTRACT PRICE X 1% $ STATESURCHARGE $ TOTAL $ SITE ADDRESS: TENANT h'A114E: STE. # 0N4T'ER NA114E: INSTALLER: ADDRESS: CITY: STATE: ZIP CODE: PHOnE FO R: CITY OF EAGAN APPLICANT City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4322 Woodgate Lane N Lot: 40 Block: 2 Addition: Mallard Park 3rd PID:10- 47252- 400 -02 Use: Description: Sub Type: e- Reroof Work Type: Repair Description: House & Garage Census Code: 434 - Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Gopher Company 2701 36th Ave S Minneapolis MN 55406 (612) 331 -1555 Permit closed without required inspection(s). Letter sent to applicant on 2/11/09. (pf) If there is no ice protection inspection prior to final, you must meet inspector with ladder and flat bar. Pictures are not acceptable in lieu of inspections. BL - Base Fee $3K Surcharge - Based on Valuation $3K Total: I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - Construction Type: Occupancy: $88.50 0801.4085 $1.50 9001.2195 $90.00 Owner: Joseph R Grimm 4322 Woodgate Lane N Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: Issued By: Signature Building EA081165 11/19/2007 ePermit Use BLUE or BLACK Ink I For Office Use I I City l Ea j~ Permit of Rd' lv~~~~1 I Permit Fee: I 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I I 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 5"17' Z01 q Site Address: V-3-22 aJ c ~t~- Unit Name: A!y.,e ~rst~t~r7 Phone: (o,`~" Resident/ Owner Address/ City/ Zip: X32 2 Z_ Applicant is: Owner -4~-_ Contractor I Type of Work Description of work: Construction Cost: A Multi-Family Building: (Yes No I W~ Company:,, 'r G,CtAl'-( el e -4 ZL L Contact: ~~f5'eA,r Gr Contractor Address: gyp t r.~64-17,,e- L,os~r City: ll~v ets ~,s ~ I;IAO, Zi State: Phone: p~ -0Tom( G License _~L,1,(7 fj G AF Lead Certificate T-- f/2 571,3"--I E 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 plan? 4 _Yes _No If yes, date and address of master plan: t Licensed Plumber: Phone: Mechanical Contractor: S 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 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.qopherstateonecall.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. 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. x4451,-7.44 x Q, Applicant's Printed Name Applic ignature Page 1 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA145852 Date Issued:09/26/2017 Permit Category:ePermit Site Address: 4322 Woodgate Lane N Lot:40 Block: 2 Addition: Mallard Park 3rd PID:10-47252-02-400 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater 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. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$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 - Joseph R Grimm 4322 Woodgate Lane N Eagan MN 55122 (651) 226-3892 Benjamin Franklin Plumbing 5718 International Parkway New Hope MN 55428 (612) 238-9709 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA150977 Date Issued:08/01/2018 Permit Category:ePermit Site Address: 4322 Woodgate Lane N Lot:40 Block: 2 Addition: Mallard Park 3rd PID:10-47252-02-400 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 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 - Joseph R Grimm 4322 Woodgate Lane N Eagan MN 55122 Golden Valley Heating & Air 5182 West Broadway Crystal MN 55429 (763) 535-2000 Applicant/Permitee: Signature Issued By: Signature (-For Office Use cra n l� ° Permit#: /Sg Permit Fee: 6 OCT 3 Q Ct!)°S Date Received: 6 3830 PILOT KNOB ROAD 1 EAGAN, MN 55122-1810 (651)675-56751 TDD: (651)454-8535 1 FAX: (651)675-5694 Staff: buildinginspectionsAcitvofeagan.com _ ___., 2019 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 2o1 Site Address: I �'y1i i' 43 N Tenant: Suite#: Reslderlt%Owners Name: �-� on . 6si A dam• 377 J } t f>�hY Address/City/Zip; • _. Name: MILBERT COMPANY dba CULLIGAN WATER License#: WC641376 COtItFaCtOr Address: 1801 50TH STREET EAST City: INVER GROVE HEIGHTS State: MN Zip: 55077 Phone: 651-451-2241 • Contact: BILL MILBERT Email: gloria.abas@culligan4water.com Type;of Work. —New _Replacement _Repair _Rebuild Modify Space Work in R.O.W. Description of work: Water Heater Lawn Irrigation( RPZ/_PVB): . x Water Softener D8S6fIptlOn Add Plumbing Fixtures( Main/_Lower Level) Septic System Description: New - Connection to City Water from Well Abandonment —" RESIDENTIAL FEES `. $60.00 Water Heater,Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation(includes State Surcharge) $60.00 New fixtures, adding or removing piping (includes State Surcharge) $60.00 Septic System Abandonment $100.00 New Residential (fee collected with Building Permit) $115.00 New Septic System (includes County fee and State Surcharge) $60.00 Connecting to City Water from Well* + $290 for Meter and $190 for Radio Read = $540 *Sewer&Water Permit also required for connection charges 60.00 TOTAL FEES $ • CALL BEFORE YOU DIG, Call Gopher State Ono 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.gopherstaleonecall.orq You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on tho City's website at www.cityofoagan.com/subscribe. 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 onl an application for a permit, and work is not to start without a permit; that the work will be in accordance the approved p In the se of work vhich requires a review and approval of plans. • A}U,Applicans Printed Name App ant's ignat re Page 1 of2