4330 Woodgate Lane N',1/
City of Earn
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
RECFIVE0
SEP 13 2010
Use BLUE or BLACK Ink
Permit #:
Permit Fee:
Date Received:
Staff:
2010 RESIDENTIAL PLUMBING PERMIT APP ICATION
Date: Site Address:Lektrro ` 4 `
Tenant: K
Suite #:
- f
RESIDENT /OWNER
Name: or; Phone: qS ? ?-,i qI l0
�y ��,a
Address / City / Zip: 1'1 'N's‘ LUlc- t�T'C,. Ea
CONTRACTOR
Name: License #:
Address: 1313 Danita C Ir? City:
State: §pa952-445-4303pee, MN 5 Z9
Contact: Email:
TYPE OF WORK
New Replacement Repair Rebuild Modify Space _ Work in R.O.W.
_ _ _ _
Description of work:
PERMIT TYPE
RESIDENTIAL
XWater Heater Water Softener
Lawn Irrigation Add Plumbing Fixtures
(RPZ / PVB) (_ Main Lower Level)
_
Septic System Water Turnaround
New
_
Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation
$50.50 Add Plumbing
*Water Turnaround
$100.50 Septic System
$90.50 Fire Repair (replace
(includes $.50 State Surcharge) ,
Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge)
(add $166.00 if a 5/8" meter.is required)
New ($10.00 per as built) (includes County fee and $.50 State Surcha+rge)
burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
TOTAL FEES $
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. www000herstateonecall.oro
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 fd?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 whicti requires a review and approval gylans.
x C4 I
Applicant's Printed Nanie
I
x
Applic• ►ms's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: _Under Ground Rough -In _Air Test _Gas Test __Final
CITY OF EAGAN Remarks
Addition M-:31-3-.a_d p~~~ ~ir-d A,dd}t.ie~ Lot ~g Rik a Parcel #10 47252 380 02
Owner st«ec 4330 North Woodgate Lane scate Eagan, NW 55122
' 5 3 - i
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK
* SEWER LATERAL 1 = ?r
WATERMAIN
* WATER LATERAL •
WATER AREA i
STORM SEVY TRK
467-74 /57,
* STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
INSPECTION RECORD
' CI-T`t OF EAGAN ~ PERMIT TYPE: i~ r?~ ~ r{~,
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITEADDRESS: APPLICANT:
~ lillll{iljA 1 QMf N
:j li I, l 4h I
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION . D.
rIt. i,~i~rJi~rti ~ i~{ta
:!'F1M 1 fJif f; ~I(~f 1 Ni~
~ r+•.IiV A! I'M I 1 f; l f, l I<< f
I hl I' I. ftf; krrll(,II I N 11 i i,
I I t1Ir) 1'1 t~t~ P4i~1
I I MAf; l . f'!; V • i ; , . . . , ~ ~ ~
~ J
Pertnlt No. Pomlt Holdw Dob TNephons #
0 ELECTRI O~
.
PLUMBIN J/3f• ~
Hvac 9 i~ 9,~' 8 0
Inapectlan Wa Insp. Com)nonts
FoonNGs S ~ ~ ~,'7 aa.~J FOUND
FHAMING T.
ROOF7N(3
t~IH
~uNG O// ~ IPLBG K
AIR TEST
ROUGH
hI NG
GAS SV'C TES7 ( v
INSUL ~S D•i3 ` GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FlNAL HTG
ORSAT
TEST
! BLDGFINAL
BSMT R.I.
BSMT FINAL
I
I DECK FTG
DEqC FlNAL
I
I
INSFECTI4N REC4RD ~
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number.
Eagan, Minnesota 55122-1897 Date Issued: - ` % ~ •
(612) 681-4675
! ~ 1 r-t { l^ I ' . ; ? u 43 '
SITE ADDRESS: , APPLICANT:
4! tlOOpEiAlF I_ANk N=- i-~i •.1 t 14411 [J!-Nni I.
i I A f.' 11 f' A 1~ F 1 y! ~w•.'`ifi 1:' 1(i FT fi 1 1 i"f
PERMIT SUBTYPE: TYPE OF WORK:
1,;,i
INSPECTION .A .
~ J I
Pertnit No. Psrmit Holder Date Telephone It
ELECTRIC
PLUMBING
HVAC i
Inapwtlon Dab Msp. Commenfs
FOOl1NGS
FOUND
I FRAMING
ROOFlWG
ROUGH
PLUMBINO
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
i
' INSUL
GYP BQARD
FiREPLACE
FIREPLACE
AIR TEST FINAL PLBG
~ FlNAL HTG
i
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FiG G "N*~-~ J n I ~/,,I S ,
DECK FlNAL fk rri d J
d ~ N
Ae4&- &1,-NAaZr &,a` fllqt,V.
- - - SGw-w5 r'1vS1-' estt
- i ~ /1 Lc. Jars~ tI14s~N~.4+~ ~-Q~A~~~3
_ _ f-/ ~,Qaww L05T jotiv4r•fie, N4,,-f
Kei.~ificate nf Cccuoancv
ait4 af Cfagan
Mcow".aat .f srob% 3«aptaio«
This Certificate issrKd pursuaiet to the nquinrnunts of the Uniforne Building Code
certifying that at thc tinu of issuance tbis stnrcture was in compliance with the various
ordinances of tht City regulating building constnrction or use. For the following:
un cunditioe: SF 1M emg. e+ermit ro. 26221
owq,,,y TYP~ R3/U I zon;,g oesuia Rl -rype ca,sc VN
o..a d ewwi%T C0 T Aaema 18784 KMQt AVE, tJWFVIL7 F.
awrww Awma 4330 WOmGKIE I" N tm,:~;~8. ffi, HAtl~itU YAl~ 3!~
p
P05T IN A CX)PISPIaJOUS P!_ACE
0 5~7030 38 c3'~ ~84~
ReQUes10ata Fr No Ch~:n}secdion ReqwreE InspecUOn OIM1er T~an Rln
(Vau usi callinspeclor when reatly) ~ ReaEy Now II Nollfy Ins08ctor
e5 ? No Date ReaOy
^ icensed conirector ? owner hereby request inspection of above electrical work aP
Jo0 AtlGra 5(SVe L Bax or Roule No I ~ Gty
/v
SecOan No Tawn5lrip Neme or No, Riflg. N0. co.:~:/'
' i /
•i L
OccuOantIPRINT) Plwne No
Power pplie/r~/~j pA, Atltlrass
l
E1eCtrIDALEeFRANK~~-c~~~NC Comractor a,
Matling AtlOress iConVaclor or pw~¢j~NM,Ag Inslallation) u
12803 FLORIDN «•1ei. -
Amhonietl S,gnaWre iL va to,'Owner Making Installauonl Phone IJu
MNESOT TAT qflD OF ELECTRICITY • THIS WSPEGTION RECUEST WILL NOT
qgrMiCway Eg. - Hoom S173 6E ACGEPTEO 6Y TME STPTE BOARD
1821 Unlvenity Ave . SL Peul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0600 ENCLOSED.
p5 ' ee
REQUEST FOR ELECTRICAL INSPECTION .oooo,-oe
? See msVUClions lor complaUng this form on Eeck ol yellow wpy ~,L'~~e~
5 7 3 O "X" Be/ow Work.Covered by This Request ~~m°•ti~
..y.~._.-
ew Add Rep TypeoBuildmg ApolianCesWUed EqwpmentWired
Home Range Temporery Service
Duplex Water Heater ElectriC Heating
Apt. Building Dryer Load Menagement
Comm./Industrial Furnace Other (Specify)
Farm Air Conditioner
Omer Isuecdyl Convactor5 Ramarks
Compute Inspechan Fee Below:
8 Other Fee Jt Service Entrance Sze Fe - # Circuits/Feeders Fe r
Swimming Pool j 0 to Amps to 100 Amps
Transbrmers Above 200 _ Amps Abova 100 _ Amps
Signs mspecior5l)se Only: TOTAL J
Irrigation Booms ~O - ~ ,
Spey:al Inspecuon
AlarmlCommunicanon THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 78 MONTHS. iI, Ne Electrical Inspector, hereby Rough-m
cerlify that ihe above inspeciion has o,ia
beenmade. 11- '-7-CIV~
OFFICE USE ONLV
ThiSI¢q1125t SOid 1B TOn1h5 bOm
Address 4330 4x)oDCAiE LANE N Zip 55122
Lot - 1R Blk 2 Sub MAr.TARD PnRR 3RD
THESE ITEMS WERE / WERE NOT COMPLLTG AT THG TIME OF THE FINAL INSPECTION.
Date: Yes No Inspector.
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway
Permanent gas ~
Sod/Seeded grass
TraiUcurb damage ?
Porch
Basement finish
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shutoff of water supply to
the outside lawn faucet before freeze potential exists.
Contact engineering division at 681-4645 before working in right-of-way or installing undcrground sprinkler system. ~
White - City Copy Yellow - Resident Copy Pink - Coniractor Copy
I2007 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWCUon Reauiremenls RemodeVReoair Reovirements OHice Use OnIV
3 regstered vte suneys showing sq. ft. of IoL sq. ft, of house; and all roofed areas 2 copies of plan shaxmg foo6ngs, beams, joisLS Cert of Survey Recd _ Y_ N
(20%mazimumlo[toverageallowed) isetofEner9yCalculationsfwheatetladdiGons SoilsReport _Y _N
1 Soils Report il proposetl Duiltling is to be placed on disturbed sdl 1 site survey for addi6on5 8 decks Tree Pres Plan Recd _Y _ N.
2copiesofplanshowinqbeam8windowsizes;pouredfounddesgn,etc. AddAion ->Micafeilon-sitesepticsysfem Tree Pres Required _Y _N
1 set of Energy Calala6ons 2p9~ On-site Septic System _Y _ N
3 copies of Tree Preservahon Plan ii lot platled aflu 711193 .~pR 2~
Rim Joist Detail Options selection sheet (butdings with 3 or less units)
MinnegasCO mechanical venhlalion form
Plans are considered ublic information unless ou state the are trade secret and the reason.
,m0
Date,M,tr 7 / c~Z Construction Cost ~
Site Address 30 ln'o Z,'rJ iQ _ Unit/Ste #
Descrip[ion of Work rC-cc\C~ ckuc-~'i { S'f~ S
Multi-Family Bldg _ YX N Fireplace(s) _ 0~ 1 _ 2
Property Owner l6ti S Telephone # ( ) 6 ~ ~ ' 2 3 R
~ S Co ~1S v~c o h 1~ ~Ma Q nU
Contrac[or
Address 21 I{~ S'r ~Us~ City L0.kav:11(1-
State I'LttN ~ Zip C`5~v 1( y 1'elephone ) 13 S'~2' YCI U
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Categorv I _ Minnesota Rules 7672
Ene~gy Code Category , Residenlial Ventilation Category 1 Worksheel • New Energy Cotle Worksheet
(d submission type) Submitted SubmRted
• Energy Envelope Calculahons Submitted
In the last 12 monfhs, has the City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber Telephone J
Mechanical Confractor Telephone )
Sewer/WaferConfractor 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; 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.
-RFi=' Fr-' (S'JQvt k_ks
Applicant's Printed Name App ca t s Signature
DO NOT WRITE BELOW Tf3IS LiNE
Sub Tvpes
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Eut. Alf - Multi
? 03 01 of _ plex ? 09 07-plex ? 77 Gara9e ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OB-plex '6 18 Dedc ? 23 Porch (screenlgazebo/pergola) ? 36 Multi Misc.
? 05 03-plex ? 11 70-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plez ? 12 12-plex • ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
32 Addition ? 36 Move Building 0 42 Demolish Foundation ? 45 Fire Repair
/
~7 .33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 WindowslDoors
~
? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant
DeSCfip[ion: Water Damage _ Yes
Valuation 2,ootgT1L Occupancy MCES System '
i
Plan Review ~7 1'00°h or 25%
Census Code y?T Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs ~ Length Fire Sprinklered
Type of Const 1~/ 7 Width
REQUII2ED INSPECTIONS
Footings (new bldg) _ Sheetrock Footings(deck) Final/C.O.
_ Footings (addition) Final/No C.O.
Founda[ion _ HVAC
Drain Tile Other
Roof _ Ice&Water _ Final _ Pool Ftgs Air/GasTests Final
Framing _ Siding _ Stucco Lath _ Stone Lath _Brick
_ Fireplace R.I. AirTest Final Windows
Insulation _ Retaining Wall
Approved By: Building Inspector
Base Fee ^
Surcharge
Plan Review
MC/ES SAC
City SAC ~
Utility Connection Charge
S&W Permit & Surcharge !V/Ki~Lrp~ ~Cv
TreatmentPlant
License Search
Copies ~
Other
Total
RESIDENTIAL
BUILDING PERMIT APPLICATION ~ ~ ~S
CITY OF EACAN
3830 PILOT KNOB RD, EACAN MN 55122 ~
\ 651-681-4675
New Construction Reauirementa RemodellReoair Recuirements
• 3 registered site surveys showing sq. R. o11oL sq. fl. of house; and all roofed areas • 2 wDies of Olan
(20% mauimum lot croveraqe allowed) • 1 set of Energy Caiculalions lor healed additions
• 2 copies of plan showing beam 8 windav sizes; poured found desgn, etc.) . i she survey for extenoraddrtions & decks
• 1 set of Eneryy Calculations . Iridicate if home served by septic system for additions
• 3 copies of Tree Preservation Plan d lot platted after 7A193
• Rim Jaist DetaO Optians selecUon sheet (bldgs with 3 or less units)
DAiE VALUATION
~
SITE ADDRESS V330 N- wocrD~iq-~ A.,n/ , /L oJ~¢f? MULTI-FAMILY BLDG _ Y ~
TYPE OF WORK ~oG~ I FIREPLACE(S) _ 02
APPLICANT /
STREET ADDRESS LI-33 a /'J ' LJ Dz2D6f19'~[.ill CITY STATEAU- ZIP SSf 2-Z-
TELEPHONE # F751-tI.5b4737 CELL PHONE # FAX #
PROPERTYOWNER TELEPHONE#
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category
NIINNESO"f:1 12ULI?S 7670 Cn"1'LCORY ] NUNA:1:S0 =1=A711 if['GS`7
- I~ ,
bmitted
(d submission type) • Resitlential Ventilation Category i Worksheet Submittetl N W~Edergy Code WorksheetL
• Energy Envelope Calculations Submitted ~ L-T Plumbing Contwctor. Phonc kk
Plumbing systcm includcs: _ ~Vatcr Sollencr _ L2«1~ Spiinl:lcr t' -rec• S90:OD
~Vatcr Hcater No. of R.I. Badis
No. of Badis
Mechanical Contractor: Phone #
b[cch.mical systcin includcs: tir CondiUOning Pcc: $70.00
[-Ical Rccovcry Systcm
Sewer/Water Contractor: Phone #
I hereby acknowledge ihat I have read ihis application, state that th information is orrect, and agree to comply
with all applicable State of Minnesata Statutes and City of Eagan O inance
Signafure of Applicant
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
OFFICE USE ONLY
? 01 Foundation ? 07 OSplex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07•plex ? 17 Garage 0 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex O 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Mul6
? OS 03-plex O 11 10-plex ? 19 LowerLevel ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundatlon) O 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowsfDoors
? 34 Replacement 'Demolition (EnHre Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaVC.O.
_ Footings (deck) _ FinallNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Warer _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Tes[ _ Final _ Windows (newlreplacement)
_ [nsulation _ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
W ater Supply 8 Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
PERMIT# IS-D-U 4 RECEIPTDATE:
2002 #tESIDENTIAL f'LUMBINF PER41Tf APPL[CATION
crrY oF E,e?s,vv
3$80 PILOT KNOS RD
EAswN, nuN 55122
651-681-4675
Please complete for: single family dwellings, townhomes and condos when permits are required for each unit,
backflow preventer for irrigation system
SITEADDRESS: -cpG~ Lr/• 'V
OWNER NAME: L. TELEPHONE (~9S) LIS6 ~ S7 '37
~ (AREA CODE)
INSTALLERNAME: SJ. .e1b 45ce...c ~i TELEPHONE#: /S Z&6 X
~
STREETADDRESS: S7-t a (AREA CODE)
~
CITY. STATE: 45~-j ZIP: SYO/~
_ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00
includes $40.00 County fee
Note: Additional consultant fees may apply
• MODIFICATIONlALTERATION TO EXISTING DWELLING UNIT, INCLUDING:
_ Adding fiMures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00
_ Abandonment of septic system.
_ Water tumaround - existing dwelling unit 5/8" meter if needed -$718)
Other:
_ RPZ: new installation/repaidrebuild $ 30.00
_ lawn irrigation system
ReplacemenUadditional: xz watersoftener _ waterheater $ 15.00
State Surcharge $ 50
- - ~ p
Total JUN 2 0 ZOOZ -
I hereby acknowledge that I have read this application, state thatthe mformation is correct, and agree mplywith all apphcable City o YEagan oMinances. It
istheapplicanYsresponsibility to notify the property owner that the City of Eagan assume ny ~cau b theCityduringitsnormal
operational and maintenance activities to lhe Bcilities constructed under this permi in Ci property/rig -of-way/ea en
6dL~
GNATURE OF PERMITTEE 1102
; PERMIT ~~010
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U I L O I N G
Eagan, Minnesota 55122-1897 Permit Number: 026221
(612) 681-4675 Date Issued: 0 8/ 2 4/ 9 5
SITE ADDRESS:
. 4330 WOODGATE LANE N
LOT: 38 BLOCK: 2
MALLARD PHRK 3RD
P.I.N.: 10-47252-380-02
DESCRIPTION:
Building Permit Type SF DWG
Building Work Type NEW
UBC Occupancy', R-3 U-1
Construction Type V-N
Zoning R-1
Building Length 57
Building Width 50
Building stories 1
SqUare Feet - 1,929
REMARKS:
PRV 5& W PLBR - MCDONALD PLBG
FEE SUMMARY:
VALUATION $96,000
Base Fee $862.25 MISCELLANEOUS $1,892.50
Plan Review $301.79 Total Fee $3,954.54
Surcharge $48.00
SAC $850.00
5AC % 100
SAC Units 1
Subtotal $2,062.04
CONTRACTOR: - Applicant - sr. LIC. OWNER:
T C CONST INC 14693723 0001076 T C CONST
19784 KENNICK AVE 19784 KENNICK AVE
LAKEVILLE MN 55044 LAKEVILLE MN 55044
(612) 469-3723 (612)469-3723
I hereby acknowledge that I have read this appl.ication and state Chat the
information is correct and aqree to comply with ail applicable StaCe of Mn.
Statutes and City of Eagan Ordinances.
L J
APPLICANTlPERMI E SIGNATURE ISSUED B: SI NATUR
INSPECTION RECORD
CITYOFEAGAN PERMITTYPE: su7LoznG
3830 Pilot Knob Road Permit Number: 926221
Eagan, Minnesota 55122-1897 Date Issued: 08 / 2 4/ 95
(612) 681-4675
SITEADDRESS: P'I'N.: 1e-47252-38e-e2 pppLICANT:
LOT: 38 BLOCK: 2
4330 WOODGHTE LANE N T C CONST INC
MALLARD PARK 3RD (612) 469-3723
PERMIT SUBTYPE: TYPE OF WORK:
SF DWG NEW
INSPECTION .
FOOTINGS FOUNDATION
FRAMING ROOFING
INSULATION FIREPLACE
ROUGH IN PLBG ROUGH IN HT6
FINAL PLBG FINAL
REMARKS: PRV S& W PLBR - MCDONALD PLBG
F- ~
L- J
~
CITY OF EAGAN
3830 PILOT KNOB RD - 55122 ~ Y
1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
New ConatrucHon Reauhemente RemodeVReoair Reouiroments
? 3 repistered sHe wrveys ? 2 mpies M plan
? 2 coDiee o1 plans (Indude beam 8 window sizea; poumd fid. design; etc.) ? 2 sile suneys (exleriar WEitions 8 dedcs)
? 7 enerpy eakulationa ? 1 energy oalwlations for Iroffied addkions
? 3 ccpbs otfiee pnaenation plan M lot plattetl efter 7Hf93
iequirod: _ Yes _ N
DATE: g ~ l r CONSTRUCTION COST: °
DESCRIPTION OF WORK:
STREET ADDRESS: wUv J C.Z Cl Gt ~
LOT ~ g BLOCK c~ SUBD./P.I.D. ~ C'r ~ 1Z~
PROPERTY Name: 77 c- Phone T~ 3 7Oh~
OWNER
Street Address• /`c~+ .""h 1 ~1 L/
City: A/Lcul State: Zip:
CONTRACTOR Company: SLl," ~ Phone
Street Address: License
City: State: Zip•
ARCHITEC7/ Company: Phone
ENGINEER
Name: Registration
Street Address*
City: State: Zip:
Sewer & water licensed plumber. Penalty applies when address change and lot
change are requested once pertnit is issued.
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 RECEEVED
Certifiptes of Survey Received Yes _ No AUG 0 7 1995
Tree Preservation Plan Received Yes Lf" ~No
OFFICE USE ONLY .
•
BUILDING PERMIT TYPE • . o 01 Foundation ? 06 Duplex o 11 Apt./Lodging ? 16 Basement Finish
,.ztfj02 SF Dwelling o 07 4-plex o 12 Muiti RepaidRem. ? 17 Swim Pool
0 03 SF Addition ? OS 8-plex o 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
0 05 SF Misc. 0 10 = plex o 15 Deck
WORK TYPE
,z;431 New o 33 Afterations ? 36 Move
0 32 Addkion o 34 Repair ? 37 Demolition
GENERAL INFORMATION
o~
Const. (Actual) 7-4 Basement sq. ft. MC/WS System
(Allowable) 2il-14 Main level sq. ft. City Water ~
UBC Occupancy L3 -i sq. ft. Fire Sprinklered
Zoning X-1 sq. ft. PRV ~/Cs
# of Stories l 03 sq. ft. Booster Pump
Length 57 sq. ft. Census Code. !o i
Depth s0 Footprint sq. ft. SAC Code oi
Census Bldg i
Census Unit
APPROVALS
Planning Building Engineering Variance
Pertnit Fee Valuation:
Surcharge
Plan Review
License r-
MC/WS SAC
City SAC ~
Water Conn. - , ;
Water Meter Acct. Deposit
S/W Pertnit
S/W Surchar9e
Treatment PI. / 7 ~7
Road Unit
Park Ded. - ~ g - r
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
~
.
CONSUITINO !NO NEEfIf TC CONSA
PIENG AOf3E PIfINNBIIS ond ~RND 3UpVEYOIIi pqpJECINE. Ai1:G COMPANY, ING• ~ 1000 EAST I461h 37REET, BURNSVILLE, 1AIHN£SOTA 553D7 PN N 432-3000
CERTfFICATE OF SURVEY
Legal Description: [.oT 3a. R~ 2 MA,!1~4.t~D f'ARK 7l~/,2D /fDD/T/G~t/'
A7~%lA CDVN7Y'~/19/NNESoTA• T
~
(HJEQ) DENOTES EXISTINQ ELEVATION
(9377 ) DENOTES PROPOSED ELEVATION
iNDICATES DIRECTION OF SURFACE DRAINAGE
136,00 = FINISHED GARAGE FLOOR ELEVATION
32o= BASEMENT FLOOR ELEVATION
940, 34 = TOP OF FOUNDATION ELEVATION
ADD2E$5 ¢330 NO,QTf1 W~1~6,97~. Ll~NE
SCALE : 1' = 30'
~c.vCN /~IARK :/57 M.N. EAST OG LoT3S,
T. = 930-89 ~
b) ~
;5. y _
EAGAN D z
R f V i E W E D ra,h~' ~GART EIVG - ERING DEPT.
3Y ~q ~ ' ~ ~ 36q; 3o FT FKONT
0
56TSfLK LINE
ol~~) ~ bk 33 v
~
IW~,~k~~~ q'~~~ @~g 9~31
yl:' a $•oo \o
ig,
0 q3
• ~l ~ ~ , e oo ' \
o
o o (S.-
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_0
pp 1~%" 3
ol)f
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~iyob~ ~ 10 ;3 ( `.~5~~~
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R
8_ y
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O
1y36, 2
A,
UTiI-/7y E4SEn6vT
0 (~0 ~0 n n~~
I hereby certify that this is a true and correct representation of a tract of
land as shown and described hereon, As prepared by me this 3RD day o£
AU( mT _ t 1995;
REVIJEp 8-l8~ys;G~~~~ C~~~ Minn. Reg. No. )fco85
. 7-0 11411V84ER , w/&'V,"T w..va,vs
LOT SURVEY CFiECKLlST FOR RESIDENTIAL
' s BUILDI G PERMIT APPLICATION
m
6 ~
W y PROPERTY LEGAL: .3
J n~i Q p
a i W DA E OF SURVEY: 0 7-5
~ 6 m
W Y.
LATEST REVISION:
L O >
a z s
DOCUMENT STANDARDS
~ ~ • Registered Land Surveyor signature and company
~ 13 • Building PermitApplicant
~ 0 • Legal descriptlon
~ 13 • Address
~ 0 • North arrow and scale
0 • House type (rambler, waikout, spllt w/o, splft entry, lookout, etc.)
~ 0 • DirecUOnal dreinage arrows with slope/gradfent 96
~ 0 13 • Proposed/eadsUng sewer and water services & invert elevatlon
0 • . Street name
LR~ ? ? . Driveway
ELEVATIONS
Existina
C3 0 0 • Sewer service
m----r3 c3 • Property comers
3-'13 Cl • Top of curb at tfie dfireway
2~~(3 0 • Eievations of any eiassdng adJaceM homes
Pro os
~ ~ • Garage flaor
13 • Frst floor
• Lowest exposed efevatlon (walkauVwindow)
• Property comers
• Front and rear of home atthe foundatlon
ONOING AREA fif aooiicable)
0 ~ • Easement line
? ~ ! NWL
o O • HyyL
13 • Pond # designatlon
~ 0 • Emergency Overflow Elevatlon
DIMENSIONS
~o 13 • Lot Iines/Bearings & dimensions
0 • RighFof-way and streetwidth (to back of curb) •
0 • Proposed home dimensions tncluding any proposed decks, overhange greater fhan 7,
porches, etc. 0.9. all structures requiring permanent foodngs)
• Show all easements of record and any City udlRies within those easements
~~b 13 • Setbacks of proposed structure and sideyard sethack of adjacent ebsGng sVuctures
• Retaining wall require , i ny
Reviewed:
Name / D te
July 1 995
in~-G C
931.917
270'- 8" VC-0.41%
c~ . . . .
]LD
Op
o O -------I ~ - - -
~
i F~d C!7Y Or I6`.GF,N D02S f!rr,~ ~~~,<i i•~~_;_ ~ ,
7.12 A^CUPACY OF UTILI'i'd I.0;,A71p~f5 Y ;
, E.:: `/OFt ELEVA710NS. THIS DA'i~l I~ ;=OP U A
~ ""it~;Ai'IOlil PURPOSES O;:LY v guRiE~ gY D
i)UEING IT SHOULD Vc~:'rY 1'HE ? d~vF~OPER ~
'F~ic~~t;PvTiOi~ O~f THE SITE. 34 33 ~ N
~ 14t15rl% ~
35
`P 16 30t 15125~~~
36 Ik,
37 ~oo17t2o~ H-17 ~~30.4`Mkl-16
" 40 , 38 ~o N 18t05~
yy~ 21t2 0o y 39 19t00 ,,6~~
~ 201204 61.D 31•l0 ` `
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NOTF:
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PURPOSES C'
e"x6"TEE & HYD. P=;;;;;;~S U~IfVG IT SHO'.lLi. ~-T• ~ ti` ^
I1'. =C;~v KTIOi~ ON TN'~ITE. •
W 00 D G AT E.-- L A N E-- -
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94 •87 I~H-19 CONSTRU TION PROF LE
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' ???.^PEP,SOP, EidlrELOPB fiVERAQE "U" COMPUTATION
OWNER_----..~.---
3ITE ADDttE>S
CONTRkCt'uR. _ _ . DATE_ PHONE
I>ef;L~:~mJ.ne worlcing sqiiF.re footage of esch.
1. Total rxpo„ed wall area.... •
l aq. ft. z 1 •
2. Tot:al rc.~i,f/ceiling aras..... Y~~sq. ft. x.01so vK- ~
7.'o"al a:<posed wa1l nreei abbve floor
s. Tol:al wall window area
b. Totnl door area,. '
.'X
c. Total ;il.iding.glass door 3reII..............
. d. Total t'ireplace wall area.................
e. Tota.l wall i'raming area (average 1Dx).....
f. ToCsl neC wall area above floor . . . . .
g. 'Poia.]. :ri_m Joiat area . . . . . . . . . . . ,
'L`c,~a1 expoued i'oundatlon area '7 ~
h. Tot,ttl fotandation window area
- 1. ''o1;a. i, rieL Poundation area above grade...~. .
l:ei,errn:i.ne "U" vr,1ur: of each wall •aegnent.
)c tUtt
X nUit
- ~ r / .
. . C. ~ ~ C nUir
,1 1tUrl s
x IIull
r. ~
. . , ; a L t
ItUil
. 1 •
i~ !?r X
I1 y I1U ~I II Y
r
1 ~ X IIUII
3 . TOtHl /..sT
If I,tC_]Il ,'3 :L1: Cili: 4F1Tfif, ffs, or l.esn than item N1, you have met the
intent oi' SY,C 6OU6 (c)2.
.
, , •
- Total ozpoeed roof/ceiling r,ren
. Total groea raof/oeil:ing area
J. Total ekylight area. . , . -
k. Total roof/ceiling frsming flrea,
1. Total net ineulated roof/ceiling area~_/77"`"
c .
~ Determino "U" value foz, raach roof/ceiling
r~:~~mont~.
' X nUn
_ . , . ,
"......,.,.,.__...M__._
~r( n X nUa
k.
~ . . _.._._..G:!...,..;.____....~~
1 ~ I ~ X II U ? i Y'1 Y i : ~ .
4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Tota1 .
If total of N4 is the aame as, or l.can L-hun #2, y.r,u ht;vt: ;i±r;t: the intent
of SBC 6006 (c) 1.
To utilize the total envelope aystern method, the valu+;•~: esbr.',lishad by
the gum of Stems M3 and.#4, ahai.l rot bt! grenter.- thn;n of ltems
N1 and 12,
1. + 2.
3. -i 4. '
Materlale Therm. Reaiatance "H"
Extnrior Air
Siding Materinl
Sheathing
Inaulation
Sheetrock
Interlor Air
Studa
RSm
Conc. Slka.
G
PERMIT
` CfTY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Fioad B U I L 0 2 N G
Eagan, Minnesota 55122-1897 Permit Number: 028181
(612) 681-4675 Date lssued: 0 7 J 0 9/ 9 6
SITE ADDRESS:
4330 WOODGATE LANE N
LOT: 38 BLOCK: 2
MALLARD PARK 3
P.I.N.: 10-47252-380-02
DESCRIPTION:
,Building-Permit Type DECK
!Building Work Type NEW
Census Code 434 ALT. RESIOENTIAL
i~
\
.
•
REMARKS:
FEE SUMMARY:
Base Fee $45.00
Surcharge $.50
Total Fee $45.50
CONTRACTOR: OWNER: - ppplicant -
WESTLUND WENDELL
4330 WOODGATE LRNE N
EAGAN MN
(612)688-3118
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicable State oP Mn.
~ Statutes and City of Eagan Ordinances.
~1-7 4-8 A ~
APPLICANT/PERMITEE SIGNATURE ISSUED BV' S GNA qE
CITY OF EAGAN
3630 PILOT KNOB RD - 55122
1996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675 'c'`~•~.~
New Construdion Reauirements RemodeVRevair Reauirements
? 3 registered sile surveys ? 2 copies of plan
? 2 copies of plans (includa beam 8 window sizes; poured fnd. design; etc.) ? 2 site surveys (exterior adddions & decks)
? 7 energy calculalions ? 1 energy ealculations for heafed additions
? 3 copiea ot tree preservation plan il lot platted aRer 717193
required: _ Yes _ No
DATE: 7Z 3CONSTRUCTION COST:
DESCRIPTION OF WORK: S f`' ~'e c-~
~
STREET ADDRESS: N:), WooD^A7E LIV '
LOT 13 r BLOCK L SUBD./P.I.D.
PROPERTY Namekn/E6WC~, WE~~L W- [J Phone 6' U,?/ ~
OWNER
Street Address~ Lyoob ~T~ ~ ~ •
City: 0 1Q~ State:Zip:s57;~~
CON7RACTOR Company: Phone
Street Address: License
City: State: Zip:
ARCHITECT! Company: Phone
ENGINEER
Name: Registration
Street Address-
Ciry: State: Zip:
Sewer & water licensed plumber: Penalty 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 ' ormation is correc ~-agree to compl with all
applicabie State of Minnesota Statutes and City of Eagan Ordinances.
Signature oF Applican .
OFFICE USE ONLY no
(C
Certificates of Survey Received _ Yes No j~~a
Tree Preservation Plan Received Yes No - UC y996
OFFICE USE ONLY
. ,
BUILDING PERMIT TYPE
? 01 Foundation o 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool
0 03 SF Addition ? OS 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch o 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
0 05 SF Misc. 0 10 = plex IP 15 Deck
WORK TYPE
)9 31 New ? 33 Aiterations ? 36 Move
? 32 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
ii of Stories sq. ft. Booster Pump
Length sq. ft. Census Code. X'? q
Depth Footprint sq. ft. SAC Code ~L
Census Bidg /
Census Unit
APPROVALS
Planning Building Engineering Variance Permit Fee Valuation: $
Surcharge
Plan Review
License
MCNVS SAC .
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S!W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
' CPNANN~AS ndRND S3UflV4YONt ` r
pROJECT NO. (99,01
EN(;INFWRII:G aoaK ZZs
COMPANY, ING• I'A4E 37
1000 EA9T I46tA STftEET, BURNSVIILE, MIHNEBOTA 05337 Pli 432-3000 ,
CERTIFICATE OF SURVEY
.egal Description:.~T. PARK 7.7,~/,QD ADD/T/A-t/'
DAKP A C_Da~l/TY M/NNESoTA•
(HDEQ) DEN07ES EXISTINQ ELEVATION
( 937, 7) DENOTES PROPOSED ELEVATION
INDICA7ES DIRECTION OF SURFACE DRAINAGE
138,00 = FfNISHED GARAGE FLOOR ELEVATION
32 0= BASEMENT FLOOR ELEVATION
940. 34 = TOP OF FOUNDATION ELEVA710N
AODQEgS ~ ¢3 10 NoRTH lV~D~,97~". L4NE
SCALE : 1' m 30' ENCN /19ARK :/ST M.N. E.OST O~ L073S, B~~ Z• DD
T. = 930.89 ,yTO~ By ~
D z
t A G A N 1~3k;11~; EGAN ENG i'ERING DEP'!:
REVIEWED
3Y (~~Yl~~ ~0 ~ 36q' 3o F-T Fleon/T
(l,z 3 g S o Re ~35~ 15E7$WK LINE
um--(jX,~i~~~ 4
~ 3 ~ Ly o~ \p
a %.9k°.
ti0 3e w~
\
00 ~ o~o C--
0
9 ~
~ • ~,f~' y ~ ~ ~ 3q 7 ( /Y ~ ~ ~'l9'~' o
. ~
i-1v'~
~~1.i'1 ~ i ~ ~ ~•~fo' ~ Qd~" q ~V ` ~~5.~
op
°
Vi~ 431
o ~
L'I-J 5~ ,
D,pA/,uA~E .~uD ~ b3
!J% % 5in,i6161GV ; / ~p
/b~
~i Vo R E Q U l47 32. t1.J
I hereby cartify that thie is a true and correct representation of a tract of
land as ahown and, d19c bed hereon, As prepared . by me this _3RD aaY o£
Au,vsT ~ , ,
IZEV/9~p 8-/8'ys1, y~~~~ ~~F~ Minn. Req, No. W85
. Ta /IAmBLEK w~uxz~eair w~i~~aws
- . _ ._W
~ CITY USE ONLY
L ~tY BL 0~1 RECEIPT IXIN04
SUB~~ DATE: VP&
1995 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ~ single family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES EACH NO. TOTAL
Shower 3.00 x
Water Closet 3.00 x
Bath Tub 3.00 x -
Lavatory 3.00 x Z/-
Kitchen Sink 3.00 x
Laundry Tray 3.00 x
Hot Tub/Spa 3.00 x / = 3
Water Heater 3.00 x
Floor Drain 3.00 x
Gas Piping Outlet ' minimum - 1 3.00 x
Rough Openings 1.50 x =
Water Softener 5.00 x =
Private Disposal " Dakota Cty. license 20.00 =
U.G. Spfinkler ' home under const. 3.00 =
Alterations • to existiny 20.00 =
Water Turn Around 20.00 </S
STATE SURCHARGE .50
TOTAL y~ ?~O
SITE ADDRESS: Z~~330
OWNER NAME:
INSTALLER NAME:
STREETADDRESS: /~~~/~'Q'n
CITY: STATE:ZIP: SS9
PHONE /'J&
~
CITY USE ONLY
L BL RECEIPT
SUBD. DATE:
1995 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ~ all commercial/industrial buildings.
? multi-family buildings when separate permits are ngt required
for each dwelling unit.
DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION ADD ON REPAIR
DESCRIPTION OF WORK:
FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per
$1,000 of permit fee due on all permits.
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL
SITE ADDRESS:
TENANT NAME: STE. #
OWNER NAME:
INSTALLER:
ADDRESS:
CITY: STATE: ZIP:
PHONE
SIGNATURE:
APPLICANT CITY OF EAGAN
CITY USE ONLY
L BL ~ RECEIPT#: r~7
SUB6~~AaXKQ~~ 3~~ DATE:
1995 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
~ New construction Add-on fumace
Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc.
Date: ~-5-
FEES
? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00
~ HVAC: 0-100 M BTU ~ 24.00 Z~
Additional 50 M BTU 6.00
? Gas Outlets (minimum of 1 required @$3.00 each) ~1 7CE
? State Surcharge .50
TOTAL
SITE ADDRESS:
OWNER NAME: ~ ? PHONE
INSTALLER NAME:
STREET ADDRESS:~
CITY: STATE: ~l~l/Z/ ZIP:-~s -2-
i'
PHONE el'pOp S49,rz)
~
/
CITY USE ONLY
L BL RECEIPT
SUBD. DATE:
1995 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-1675
Please complete for: ? all commerciaVindustrial buildings.
? multi-family buildings when separate permits are p~ required
for each dwelling unit.
DATE: CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: ~ $25.00 minimum fee gl 1°/a of contract price, whichever is greater.
• Processed piping - $25.00
• State surcharge of $.50 per $1,000 of pem~ fee due on all permits.
CONTRACT PRICE x 1%
PROCESSED PIPING
STATE SURCHARGE
TOTAL
SITE ADDRESS:
OWNER NAME: TELEPHONE
TENANT NAME: (IMPROVEMENTS ONLY)
INSTALLER:
ADDRESS:
CITY: STATE: ZIP:
PHONE
SIGNATURE:
SIGNATURE OF PERMITTEE CITY INSPECTOR
41,!11
City of Eaaari
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
l
2 \F
Use BLUE or BLACK Ink
A
Permit #: \02..S\
Permit Fee: 'Np5S
Date Received:
Staff:
2010 RESIDENTIAL
PLUMBING
�pPEERMIIT APPLICATION
(%
Date: �i ` cd':,+ j
l tO ite Address: �fV tijelyGl..t"�-�
Tenant:,,-,(,
Suite #:
RESIDENT / OWNER
Name: '(. saikr) Phone: • q 5? t991 L-/4
Address / City / Zip: 4MO LAMA, Li):
CONTRACTOR
)1•
Name: P. ' 1 anck "o sections Inc Lionse #:
Address: 1313 Danita Cr City: ��
\
Shakopee, MNAA;79
State: Zip:
952-445-4803
Contact: Email: ..
TYPE OF WORK
New & Replacement Repair Rebuild Modify Space Work in R.O.W.
_ _ _
Description of work:
PERMIT TYPE
RESIDENTIAL —
Water Heater Water Softener
Lawn Irrigation Add Plumbing Fixtures
(— RPZ / PVB) ( Main _ Lower Level)
_
Septic System Water Tumaround
New „
_
Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation
$50.50 Add Plumbing
*Water Turnaround
$100.50 Septic System
$90.50 Fire Repair (replace
(includes $.50 State Surcharge) ,
Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge)
(add $166.00 if a 5/8" meter.is required)
New ($10.00 per as built) (includes County fee and $.50 State Surchia'rge)
burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
TOTAL FEES $ /
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.aonherstateonecall.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 fffr'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 wdrk whici requires a review and approystl of plans.
x; >(t. 0 1
Applicant's Printed' Name
r
Applin nt's Signature
FOR OFFICE USE Reviewed By: '' Date:
Required Inspections: Under Ground _Rough -In _Air Test _Gas Test _Final
I,
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA116742
Date Issued:10/10/2013
Permit Category:ePermit
Site Address: 4330 Woodgate Lane N
Lot:38 Block: 2 Addition: Mallard Park 3rd
PID:10-47252-02-380
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
Luanne Yang
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Agustin R Dean
4330 Woodgate Lane N
Eagan MN 55122
New Life Contracting Inc.
814 Grand Avenue
St. Paul MN 55105
(651) 224-3442
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA118613
Date Issued:11/05/2013
Permit Category:ePermit
Site Address: 4330 Woodgate Lane N
Lot:38 Block: 2 Addition: Mallard Park 3rd
PID:10-47252-02-380
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:North (front) & West elevations
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments: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.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Agustin R Dean
4330 Woodgate Lane N
Eagan MN 55122
New Life Contracting Inc.
814 Grand Avenue
St. Paul MN 55105
(651) 224-3442
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA146435
Date Issued:10/25/2017
Permit Category:ePermit
Site Address: 4330 Woodgate Lane N
Lot:38 Block: 2 Addition: Mallard Park 3rd
PID:10-47252-02-380
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 -
Agustin R Dean
4330 Woodgate Lane N
Eagan MN 55122
Angell Aire
12253 Nicollet Ave S
Burnsville MN 55337
(952) 746-5200
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA159109
Date Issued:11/21/2019
Permit Category:ePermit
Site Address: 4330 Woodgate Lane N
Lot:38 Block: 2 Addition: Mallard Park 3rd
PID:10-47252-02-380
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Agustin R Dean
4330 Woodgate Lane N
Eagan MN 55122
James Barton Design/Build Inc.
5920 - 148th St W #100
Apple Valley MN 55124
(952) 431-1670
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA167155
Date Issued:02/25/2021
Permit Category:ePermit
Site Address: 4330 Woodgate Lane N
Lot:38 Block: 2 Addition: Mallard Park 3rd
PID:10-47252-02-380
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Agustin R & Kelly D Dean
4330 Woodgate Ln N
Eagan MN 55122--227
(651) 895-7273
Noah Acquisitions Llc
5718 International Pkwy
Brooklyn Park MN 55428
(612) 822-5292
Applicant/Permitee: Signature Issued By: Signature