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4337 Woodgate Lane N INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: `~''~t~ Eagan, Minnesota 55122-1897 Date Issued: (612) 6$1-4675 SITE ADDRESS: APPLICANT: ri,'rjt1r,ATF- f aNr N . + r~ ~~~r~~, i .•:s rd~i ?t,~r ..~t~ ~.•'r ~i.s i ~ ~ i ,~+t•t PERMIT SUBTYPE: TYPE OF WORK: INSPECTION .A . •A ~ ; u•.al! A 1 I+~i~ i I nt`i i (ic'tl,'P ~ J - ~ Permft No. Pormk HoldK Dets TeNphone • ~ • ELECTRIC ~ PLUMBING 9 9' HVAC hispwtlon Ins Comm~nts FOOTINGS 2 z-RT FOUND _ IS M*3 FRAMING ^ 4 / ROOFING I ROUGH ~ y I PLUMBING PLBG AIR TEST ROUGH ~ HEATING GAS SVC I TEST J 11,7-740 i INSUL GYPBOARD FIREPLACE I ~ AIR TESTCE ( I FINAL PLBG i FINAL HTG 5 ORSAT ~ TEST I BLJDG FINAL y/,7h ~ ssMr R.I. I I esMr flwu. DecK Fra DECK FlNAL I ~ I J _ _ . . - • W'"stificate df cccupanc~ Cfitig of Cf agan mcprrtntcKt vf eaitsixg anoccrioa This Cenificatt issutd pursuant to tfee requirements of the Uniform Building Code cenifying that at tht time of issuance this structurt was in compliance with the various oreiinances of the Ciry rrgWating buildieg construction or use. For the following: use clusirKsum SF DWG sid& Pamit Na. 30530 0-4-1Y T,C R-3 U-1 Zown Dtwmi R-1 Tra Cow. Vn 0~0(B~~wnz S PETERSEN CONST Ad&TW 10214 PARK VIEW C18., BIAOMINGTOH ~ 4337 NOODGATE LANE ~~ry L56, B1, lfALLARD PARK 4TH MN s , D.. ttic-sw PQST IN A CONSPICt10US PLACE _ ~ Address, 4337 WOODGATE LANE N Zlp 5$I2 _ Lot 56 Blk 1 $ub MALLARD PARK 4TH THESE ITEMS WERE / WEI2E NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION. 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 l/ Basement finish ~ Deck ? Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply [o the outside lawn faucet before freeze potential exists. Contact engineering division a[ 681-4645 before working in rightof-way or installing underground sprinkler system. ~ White - City Copy Yellow - Residenl Copy Pink - Contractor Copy 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) cirr oF E?caN 3830 PILOT KNOB RD - 55122 A L G S~ 651•681-4675 NewConcWCUOnReaufremeMS RertrodellReuairReauiremeMS l I~ D,,)~ g D 3 registered tke eurvays ehowing aq. R o( lot, tq. ft of house 2 wp)n of plan tnd ell roofed areas (20% maximum lot eoveraae allowed) 7 set otenerpy ctlculations for heated additions ? 2 eopla of pkns (chow beam 3 w(ndow cixes; poured (nd. decipn; etc.) 1 ske survay (orertedor addlOone 8 decks D lcetofenarpycalculaUons D 3 copiea o1 tree presenation plm H lot platted afler 711f93 DATE: CONSTRUCTION COST: .5 DESCRIPTION OF WORK: ~~1 Scr~ &-A-i F/ ni r rN STREET ADDRESS: 37 . GvU U J(,- iq ~ -z- N LOT: ~ BLOCK: SUBDJP.I.D.1l: mo, Q Q Oi. Name:__~~z~-~`~~ws,~i Phonep: ln5/-l~S~f- ~69d PROPERTY last Fiist OWNER StreetAddress: 3 7 /U. Gd U v D&It City L~ 6 I9 nu, State: Zip, Company:v` in/e-- Phone#: `71 (area eode) CONTRACTOR SVeet Address: ~0,-' IF e ucense # 9Fxp. -k4-0-d-o City v~Gooiyii~~TO.? State: Zip: SS 4'3 / ARCHITECT/ ENGINEER Company: Name: Telephone ( ) Street Address: Registration CkY State: Zip: Sewer & water Iicensed plumber (new consWCtlon onlvl: Telephone PenaHy eppliee when address change and lot change le requested once permit h iaaued. I hitreby ecknoxAedge that I have read MIe applkatlon, state fhat Me Infoimation ia corract, end agree to eo all applicable Sfete o inneaota Stetutes and Cit otEagan Ordinances. 1 Slpnature of Appli~ OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required OFFICE USE ONLY BUILDING PERMIT TYPE O 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea. ? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened) ? 04 2-plex 0 09 7-plex O 14 Apartments ? 19 Lower Level ? 24 Storm Damage ? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous WORK TYPE ? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia ? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors ? 33 Alteration ? 37 Demolish Bldg.` ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof ' Give PCA handout to applicant for demolition permit GENERAL INFORMATION Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. SAC Code UBC Occupancy sq. ft. No. of Units Zoning sq. ft. No. of Bldgs # of Stories sq. ft. MC/ES System Length sq. ft. City Water Width Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit SNV Surcharge Treatment PI. - Park Ded. Trails Ded. ~ Other Copies Total: SAC Units % SAC L ~ BL I / CITY USE ONLY RECEIPT t~ SUBD. Y A C~ ~ v- 0~ RECEIPT DATE: PERMIT # 1999 PLUMSINF P£fiMIT (RES[D£N'ctAL) C[1']' OF EAfiAN ssso eaor xxo$ Rn ER6AN, M1Y 55122 (651) 681-4675 Please complete for: : single family dwellings > townhomes and condos when permits are required for each unit % backflow preventer for underground sprinkler system FIXTURES EACH N TOTAL Bath tub $ 3.00 x = $ Floor drain 3.00 x = S Gas i in outlet ' minimum - i 3.00 x = $ Hot tub/s a 3.00 x = $ Kitchen sink 3.00 x = $ Laund tra 3.00 x = $ Lavato 3.00 x = S Minimum fee alterations to existin dwellin 30.00 x = $ 310c~-o Private Dis osal S stem new/refurbished ' re uires MPC iic 75.00 x = $ Private Dis osal S stem abandonment 30.00 x = $ RPZ new installation/re air 30.00 x = $ Rou h o enin 1.50 x = S Shower 3.00 x = $ Under round s rinkler if dwellin is under construction 3.00 x = $ Under round s rinkler if existin dwellin 30.00 x = $ Water closet 3.00 x = $ Water heater 3.00 x = 5 Watef SOftener If dwellin under construction 5.00 X = $Water softener if existin dwellin 30.00 x = $ Water turnaround 30.00 x _ $ State Surchar e 50 $ 50 TOtal $ ~ Reminder: Call for inspections of aiterations, i.e. water heaters, water softeners, etc. -I hereb --~------....edge - --tha- -t Iha ---ve re -ad-~th-is-- --~state-- that~-- t~h-e i --nforma--~- ti~on--is--co- r-r- -ect-, "an-d- a- --gree-to- com ~-~-ply- - -with-all---~applicable----- Ciry -of- E---aga - y acknowlapplication--,-- n -ordinan- --ces. It is the applicanCS responsibility to notify the property owner that the City ot Eagan assumes no liability for any damages caused by the Ciry during ds normal opere[ional and maintenance achvities to the faciiities constructed under this permit within Qty property/righ4of-way/easement . SITE ADDRESS: I_,Aj OWNER NAME: :(~P2 P-e~,sl IDLIl1CQ, TELEPHONE r (AREA CODE) INSTALLER NAME: ( 7i- T 1C~I TELEPHONE (/)!j `iZ3-1I4g" STREETADDRESS: W714~ (AREA CODE) !c_!7C/~Cf?T TY! CITY: ,(,In r STATE: ZIP: . S~ ~~J~ CJ G-e v~i ~~a ~ SIGNAT E OF P RMITTEE . C , , ae~kx, ~k~C~k~rx~f~K*~~kk~%~%~X~* W* YC~%:Kr,.Y~ V.11 **Wk C:I.T'Y C1P F_F1GFlN C;GI,'.i({.T.F"I{c Ji T'I::Fit'f.T.PlAI._ Nl7;: 543 DATt'.u 08/13/97 T.I:Mf:: W'I.FiY'i rii, tJAMF_': S PLT'IE:Fi:iF:N f::C7NaT INC i?i:?tSs, `.at:lUi 4337 I^IO(]DGrllfi: Q664„71 ~ 'fo+.•a:l. her..eipt: hmnurii:: Q664„7i CRE? i `.=)B?; USr'."R 1De ;i1N Y:7F 'M.`,l'M:F;~`l„XC%R%Xly>Xm~',t)F~k~?KYF~;:)k'M%k 'M'7F 'MY.C$( ~;~k; 9F.X?'~i,~ik~k#~: ' • --('CITY OF EAGAN PERMIT 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 030530 (612) 681-4675 Date Issued: 0 8 J 13 / 9 7 SITE ADDRESS: 4337 WOODGATE LANE N LOT: 56 BLOCK: 1 MALLARD PARK 4TH P.I.N.: 10-47253-560-01 DESCRIPTION: Building-Permit Type SF DWG Building Wor-k Type NEW ;UBC Occupancy R-3 U-1 Construction Tyoe V-N Zoning R-1 Building Length ~ 79 ~ Building Width ~ 33 ' ' Building stories / 2 • S~q'uare Feet 2,170 Census~.Qode_ 101 1- FAM. DETACH REMARKS: PRV S& W PLBR - GENZ RYAN PLBG FEE SUMMARY: VALUATION $175,000 Base Fee $1.262.25 MISCEILANEOUS $1,539.50 Plan Review $820.46 Total Fee $4,664.71 Surcharge $87.50 SAC $950.00 SAC % 100 SAC Units 1 Lic. Search Fee $5.00 3ubtotal $3,125.21 CONTRACTOR: - qpplicant - ST. Lrc OWNER: PETERSEN CONST,'SVEND 18845144 0001769 S PETERSEN CONST INC 10214 PARK VIEW CIR 10214 PARK VIEW CIR LOOMINGTON MN 55437 BLOOMINGTON MN 55437 612) 884-5144 (612)884-5144 r I hereby acknowledge that I have read this application and state that the information i correct and agree to comply with all epplicable State of Mn. L Statutes an ity of Eagan Ordinances. J APPLICANT/PERMITEE SIGNATURE ISSUED B SIG TURE 997 BUILDING PERMITAPPLICATION (RESIDENTIAL) 44,Ll.`~.'~~ 5wo CITY OF EAGAN 3830 PILOT KNOB RD - 55122 CLL~.UiI ~~q 681 -4675 Naw Construetion Reauirements RemodeUReoair Reauiroments . ? 3 registered ske surveys ? 2 copby of pian • 2 copies of plans (inGude beam & window s¢es; poured fid. design; etc.) ? 2 ake surveys (exterior atltlitions 8 dedcs) ? 1 energy calculations ? 1 energy calwlatlons for heated eddRions ? 3 copies Mtree prcaervetion plan N IM platletl after 7l1193 requiretl: _ Yes No - DATE: 7// 7 CONSTRUCTION COST: U' DESCRIPTION OF WORK: N& w /-~U M L STREE'f ADDRESS: 1-13 3 7 v o D 6f 7fE ` LOT 5 ~a BLOCK ~ SUBD./P,I.D. L/92 D PROPERTY Name: &o,Lf- iRcPhone#: OWNER ,M.. Street Address: 10a ~/-//e,< LL=G/ C r12 cL- CIty: State: A/ N Zip: .s S 7 3 7 ^ CONTRACTOR Company: nu N s"-- i~-C-phone -Pkq Street Address: License City: State: Zip: ARCHITECT/ ~ Company: Phone ENGINEER Name: Registration Street Address: City: State: Zip: Sewer & water licer.sed plumber (new construction onty): r f2Y171? . Penalry applies when address change and lot change arc, equested once permit is issued. I hereby acknowledge that I have read this application and state that the infortnation is correct an ree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY / RECEIVED ~ JUL 71997 Certificates of Survey Received i/ Yes No Tree Preservation Plan Received _ Yes _ No _ Not Required BY' OFFICE USE ONLY r ~ .y"+ - i. BUILDING PERMIT TYPE ` a 01 Foundation n 06 Dupiex ? 11 Apt./Lodging ? 16 Basement Finish ra 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool 0 03 SF Addition o 08 8-plex a 13 Garage/Accessory ? 20 Public Facility 0 04 SF Porch o 09 12-piex o 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. a 10 = plex ? 15 Deck WORK TYPE id 31 New ? 33 Alterations ? 36 Move 0 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) JrJ Basement sq. ft. lq 2 MC/WS System ~ (Allowable) JN Main level sq. ft. iqN Z City Water ~ UBC Occupancy 'R-3, J-f sq. ft. 1159 Fire Sprinklered Zoning sq. ft. -722 PRV It # of Stories y sq. ft. Booster Pump Length 41 sq. ft. Census Code. Depth 33' Footprint sq. ft. 7,170 SAC Code oi Census Bidg Census lfnit APPROVALS Planning Building uP2, Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License 337 3 a9 MCNVSSAC ag" ~`r izea Clty $AC z v ~4's z9 Water Conn. WaterMeter zr, (.30, - Acct. Deposit ~ S/W Permit S/W Surcharge ' y4z m# sy: ~-7 Treatment PI. 2 ~ Road Unit ~ Park Ded. 1 yvz Traiis Ded. 'y•s Other - g K~L ~ q G Copies i 5-7. s ijAsq TotaL• 2Qx Zc~ %SAC ~28 SAC Units Certifkcate of House Location For: 'Svend Petersen Construction, Inc. 192/8 H9785 DELMAR H. SCHWANZ lANO SURVEY011S. INC ' Reqb4rW UnOe, l.r, ol ina SWe ol Minnaaou , 11750 SOUTH ROBERT TRAIL ROSEMOUNT. MINNESOTA 55068 812/423-1789 ' SURVEYOR'S CERTIFICATE I \V ~ ~ I Address: 43/~7 North Woodgate Lane Scale: 1 inch = 30 feet ~ • = Iron pipe monument O= Set wood hub at building setback 048 = Existing spot elevation O = Proposed elevation Proposed direction of drainage Po,t/1~ BP-Z3 • f~wG= 933• Proposed garage floor elev. 93jl Z 19 Proposed top of block elev. ~ l o Proposed lowest level elev. 36. ~ Drainage & Utility ~ Easements ~ h p . . \ . 9Ag5 ~ '?qn? y d~> 3 J` (I~o f 33 . GP 20 IV\ 93~? ~ ~ \ P oeR~~~ ~`0 ~ ~ - ~ f,~ ~ ~ ' 9A5.b~ ~ /,ci'l.j o + ~~85 -r. ~v E n -7~AGA,, o o. ° 35 0 9 3 5 , Description: ID9p• . 9~ p~~ Za 11 Lot 56, Block 1, MALLARD Zg 4~1 5 A~ 5k° q33' ~ PARK 4TH ADDITION, according • y~' Ft-~ 5 ~ to the recorded plat thereof, N 0 Dakota County, Minnesota. 6 R4q1k'~~j ~ 1 3q1~o~5 Also showing the location of a proposed ~ house thLte~on; L 110 ~/o ~0 D q31 yl D ePe ed by me oeunAe ~my tlir e't euPervls on antl ~_~\t\\~\\~,~'E'S l ihet I am e duly Reglelerod Lend Surveyor unAer ~ r~ r '•:9 the lewa of the Steta of Minosaote. ff AR Oelmer H. Schwen: = i NZ _ oeted 07-02-97 Mlnnesote Reglttretlon No. 8825 e'• $6 o` "uaeuiummn,iuaa~ . ' LOT SURVEY CHECKUST FOR RESIDENTIAL . B DING PERMIT PLICATION ~ PROPERTY LEGAL: ~ DATE F SURVEY: -D 12 LATEST REVISION: 2 Z s ~ DOCUMENT STANDARDS r1 o 0 • Registered Land Surveyor signature and company lr'~/o ? • Building Permit Applicant [7 O ? • Legaidescription H~? ? • Address ? • North arrow and scale ? • House type (rambler, walkout, split w/o, split entry, lookout, etc.) S" ? O • Dlrectional drainage arraws with slope/gradient % (c] ? • Proposed/exassting sewer and water services & invert elevation ? • Street name ~ 0 • Driveway ELEVATIONS Ebstina ? D/ O • Sewer service (or Proposed) 4~ ? ? • Property comers 13' ? ? • Top of curb at the driveway P~ 0 0 • Elevations of any exissting adjacent homes rosed d o 11 • Garage floor 0-~ o ? • First floor Er' o c • Lowest exposed elevation (walkouUwindow) O-- 0 ? • Property comers 1?r' ? ? • Front and rear of home at the foundation PONDING AREA fif aoolicable) R- ? ? • Easementline O~ ? ? • NWL Ca'" ? ? • HWL ef' o o • Pond # designation ? 0' ? • Emergency Overtlow Elevation . DIMENSIONS ~O 13 • Lot IinesBearings 8 dimensions d? ? • Right-of-way and street width (to back of curb) Q" ? ? • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. (.e. all structures requiring permanent footlngs) 12r o ? • Show all easements of record and any City utilities within those easements af ? ? • Setbacks of proposed structure and sideyard setback of adjacent epsting structures ? 01" ? • Retaining wall requirements ' any Reviewed: ame / Date January 1996 CR/JGiOD&BLOGPRMT.FM I Gerl_i.l uL Iluuse LncaCi.on For: Sve,nu Petersen Construction, Inc. 192/8 ~ H9785 ~ DELMAR H. SCHWANZ LANDSVRVEYOPS.INC Ra9isbrW UnOer larg ol iM Stab ol Mlnnoaob 14750 SOUTH ROBEiiT TRAIL ROSEMOUNT, MINNESOTA 55088 8121423-1769 SURVEYOii'S CERTIFICATE N Address: ~3 7 North Woodgate Lane Scale: 1 inch = 30 feet OTR~. ~~S • = Iron pipe monument eee~ P , Set wood hub at building set6ack Suw•Gu.~~ ~ ~ ~x/~j X9¢S = Existing spot elevation ` O = Proposed elevation ~ % SIR~ltilht~»~ %eu lo 6 Proposed direction of drainage ~ ri'u {e 6.4 P.4,..taet ty*- ,~1,61- Proposed garage floor elev. 93~3 C~~Uo, 4,44 8 "~^!l Proposed top of block elev. D Q!, w+4~ Proposed lowest level elev. 9,36•3 Drainage & Utility ` ~GANFORES7RY D'VI$'ON Easements REVe~ ~D if_. DATE 5 D X\ 0 IiL 14~ 0~ 9A2~ ~q'Ir 9A5•- UP Q(,~ y~ a 5 ' q% ~ a°' W ~ Description: Lot 56, Block 1, MALLARD C~i9G ~~9 9 q~ ° 5k D q33? / PARK 4TH ADDITION,'according to the recorded plat thereof, o N ~o~ a3P Dakota County, Minnesota, Also showing the location of a proposed house thereon. OuuM~/ q31'~0 I hereby cerlily thal lhle eurvey. plen, or repoA wee prevered Dy me or untler my dlre[t supervlalon and ~ duly Land tne iawa ol h S elelof M nn so e urvsyor unaar ```\\\~~~~o\N'N E$~D~~~i~~~~ ~D . l~ ` '•_;9 0 ~i' ~~.flt ~ *i'••*' Oelmer H. Schwenx oatea 07-02-97 _ SCf WANZ Mlnneeols Regletretlon No. 8825 8625 - '4; a.,yi,. :q '0•.., '.~:'i3i1VF'~~~~~~\\ •t;,,_ • Contractor S. Petersen Const. Inc. Job 4337 N Woodaate Ln. Enerav oalculation 7/16/97 . 1 Total exsposad wall area 2971 0.11 326.81 2 Total roof/Ceiling area 1445 0.026 37.57 Total 364.38 A Total window area 441 0.32 141.12 B Total Door area 56 0.128 7.17 C Total sliding Glass area 40 0.32 12.80 D Total fireplace area 20 0.128 2.56 0.1 Total framing area (av.10%) 297.7 0.119 35.35 F Tot. net wall area above floor 1563.9 0.045 70.38 G Total rim joist area 328 0.047 15.42 H Totalfoundation Window area 0 0.32 0.00 I Tot. net toundation above grade 225 0.14 31.50 Total p1 316.29 J Total skylight area 0 0.32 0.00 t#### Tot. roor/ceiling framing (10%) 744.5 0.049 7.08 L Total net insulated roof/ceiling area 1300.5 0.0193 25.10 Total 92 32.18 Total of land 2 348.47 ? L CITY USE ONLY RECEIPT#: '/Ic77` .'n BL I t~7` SUBD. ?;`Tr~ U OAJ%4~ RECEIPT DATE: 1997 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 • backflow preventer for underground sprinkler system FIXTURES ~ EACH TOTAL Shawer 3.00 x 'vVa2ei Closet 3.00 x Bath Tub 3.00 x - Lavatory 3.00 x Kitchen Sink 3.00 x Laundry Tray 3.00 x Hot Tub/Spa 3.00 x = Water Heater 3.00 x Floor Drain 3.00 x Gas Piping Outlet ' minimum - 1 3.00 x Rough Openings 1.50 x f{ _ ~ Water Softener ' for dwellings untler construction 5.00 X = Water Softener ' for existing dwelling 20.00 x = U. G. Spfinkler ' for dwelling under const. 3.00 = U.G. Sprinkler ' for existing dwelling 20.00 = AltefatlOns ' to existing residence 20.00 = Water Turn Around 20.00 = Private Disposal System ` oek Cty iic. 75.00 = (new and refurbished systems) Private Disposal Systems'Abandonment 20.00 = STATE SURCHARGE .50 TOTAL I hareby adcnowledge that I have 2ad this application, state that the infortnation is cortad, and agrea to comply with all applicable City of Eagan ordinances. It is the applicanYs responsibility to notify the property awner that the City of Eagan assumes no liabiliry for any damages caused by the City during its normal opereGonal and maintenance activRies to the facildies constructed under this pertnR within Ciry propertyJright-of-way/easement. ' SITEADDRESS: OWNER NAME: INSTALLERNAME: GENZ-RYAN PLUMBING & HEATING TELEPHONE#: 423-1144 STREETADDRESS: 74745 SO R(1RFRT TRI CITY: ROSEMOUNT STATE: MN Zip; 55068 V _ GNATU E OF PERMITTEE / vz CITY USE ONLY / L ~ BL / RECEIPT#: SUBDQ~ La-ffili~ (JA 'Y ft- RECEIPTDATE: 1997 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for. . single family dwellings P townhomes and condos when permits are required for each unft New construction Add-on fumace Aduwri aii Zuiiuiiiuiiiiiy iidu-on air exciiaiiyer, I.e. vailee sys[em, eic. Date: 12 /8 / FEES ? Minimum Fee: Add-on/Remodel (existing residence only) $ 20. ? HVAC: 0-100 M BTU 24.00 Additional 50 M BTU 6.0 ? Gas Outlets (minimum of 1 required @$3.00 each) ~00 ? State Surcharge .50 TOTAL SITE ADDRESS: / l~ lOD~GIQ,7L LI7 / V OWNER NAME: , J. A7e~I7 ~?ICY ~ PHONE#: INSTALLER NAME: GIIVZ-RYAN HEATING PHONE 423-1144 STREET ADDRESS: 14745 So Robert Trl CI7y: Rosemount STATE: MN ZIp: 55068 ~;~~(~iC 0l NAT E OF PERMITTEE CITY USE ONLY L BL _ RECEIPT#: SUBD. RECEIPT DATE: 1997 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 - (612) 661-4675 Piease complete for. . all commerciaUndustrial buildings. . mulG-family buildings when sepa2te pertnits are = required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: _ NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: ~ $25.00 minimum fee Qi 1% of conVact price, whichever is greater. . Processed piping - $25.00 ~ State surcharge of $.50 per $7,000 of permit fee due on all permits. CONTRACT PRICE x 1% PROCESSED PIPING STATE SURCHARGE TOTAL SITE ADDktSS: OWNER NAME: TELEPHONE TENANT NAME: (innPROVernerrrs oNLv) INSTALLER: GENZ-RYAN PLUMBING & HEATING ADDRESS: 14745 SO ROBERT TRL ROSEMOUNT MN 55068 CITY: STATE: ZIP; PHONE#: 612 423-1144 SIGNATURE: SIGNATURE OF PERMITTEE CITY INSPECTOR PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA108461 Date Issued:12/07/2012 Permit Category:ePermit Site Address: 4337 Woodgate Lane N Lot:56 Block: 1 Addition: Mallard Park 4th PID:10-47253-01-560 Use: Description: Sub Type:e - Water Heater Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Renae Freinwald 2200 Hwy 13 W Burnsville, MN 55337 952-767-1870 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 Surcharge-Fixed $5.00 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 - James J Brzezinski 4337 Woodgate Lane N Eagan MN 55122 Genz Ryan Plumbing & Heating 2200 West Highway 13 Burnsville MN 55337 (952) 767-1000 Applicant/Permitee: Signature Issued By: Signature �City otEatau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use �j Permit#: f J .i Permit Fee: 1b5aY Date Received: Staff: 1 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date: d/(11 t Site Address: 73 7 /Vo 4C/r- £N Unit #: Resident/ Owner Name: t,I. ! i2 ,jF/N 5 Z Phone:4'5Y ci e. ` d &%6 274.3 Address i City / Zip: 3 7 At t /oDU&M /c-_-. eig, ' 4'- 72� Applicant is: Owner X Contractor Type of Work Description of work: < eDl let c_c-= ��-A' Construction Cost: / 7357 Multi -Family Building: (Yes / No 7c) Corrtractor Company: z..t1 ;dpi' e7`�( ( /2� ar.) -Contact: 5/4Z-' 7Xei W[['4 Address: 5P( i-3 dam/ �. A o6 / . City: 7/4p ( S State*4 Zip ze�� Phone:79 Y 65 Email• License #: 4-4 (pc -7175-0e Lead Certificate #: Am ---t— 70- , 73 If the project is exemptfrom lead certification, please explain why: A/ ® 14 P 772 In the last 12 months, Yes No COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit fora similar plan based on a master plan? If yes, date and address of master plan: Licensed Plumber: Mechanical Contractor. Sewer & Water Contractor. Fire Suppression Contractor. Phone: Phone: Phone: Phone: NOTE: Plans and supporting documents that you submit am considered to be public information. Port,ons of the information may be chts.sffied as non-public if you provide spec reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 4544002 for protection against underground utility damage. Cali 48 hours before you intend to dig to receive locates of underground utilities..,m 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 m accordance with the Minnesota S a.(3uildinyCode mus,be completed within 180 days of permit issuance. Sirb Applicant's Printed Name Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA145632 Date Issued:09/18/2017 Permit Category:ePermit Site Address: 4337 Woodgate Lane N Lot:56 Block: 1 Addition: Mallard Park 4th PID:10-47253-01-560 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 - James J Brzezinski 4337 Woodgate Lane N Eagan MN 55122 St Paul Plumbing & Heating 640 Grand Ave St. Paul MN 55105 (651) 228-9200 Applicant/Permitee: Signature Issued By: Signature