4377 Woodgate Lane N
~
WATER SERVICE PERM
,
sw4 Pilot Knob Roatl . 7 ,
~ P. O. Box 21199 PERMIT NO.:
i Eawn. MN 55121 DATE:
RI
i Zonirp: ,on w1n t~l urr. s Na of Untts:
Owrwr;
~ Addnac
~ ~ Addrem. 9377 A ls'c~,_'..,at:e .ane ,~a 11 - A urc. arr; '
; plcwnber. M3d5Cn
I
~ 11h!ftf NO.: _[er~.~4i~t~; y ~ • L . ~ ~
Rptok- Rpto s~~: di gm can ,
i oa.. No.:Q7~7aYS's~LEP.b
~ E-
LAVY
; 7T
Total: rgm . ometeT'
ey Dote Pfold:
; Dnte of I rap.:
CITY OF ZAGAM'
3830 Pilot Knob Road WqHR SERVICE PERMIT
P. O. Box 21199 =±PERMIT NO.: v
; Eagan, MN 55121 DATE:
Zonlnp No. of Units: -
pM,ner. r'cnc?rrin B,ii 1~?ers
/lddrsa:
51tr 114drem 4377 R h+ond~-ait?
~•'~'7 s:~ S C 71 p t: t 1
PlUTber.
Meftt No.: COnnlQfOn Chprpr
Si2l: ~1000N~1t DQp04It: A r • j.
Raad~r No.: Permit Fae: = s' ~
Nu te assepIy wm 11w Citi of /ypw Surthorpr •`-7''
AA(sc. Gqrm: 1;~. r' r r
~
Total: `_;f'~ wctt !-T
sY Dah Poid:
DoM of Insp.: Insp„
I
~ CITY OF F-AGAk SFWR SERVlCE PERM
i 3830 Pilot Knob Rosd pERMIT NO.:
~ P. O. Box 21199
Eagan, MN 55121
~ No. of Units:
Zaninp:
Owner, !>(;C1c~i+~ 1Fl ~:f _LT'S
'iAMflfE: + j i.~A
; Site /lddross: t
Plunber. ~.,ac~>;-.t~ f,•.:
. y, ?6 •(;~'>j '1 it'`i,:!`'
~
h1! wM~ !M t'is oi 4lPa Co~vwdlon Choepe:
Acoount Gleposih
Or~i~was. P+arn-Jt FM: SuKharpo:
By Mtac. Cho*om
Daft of Irop.: ToMI:
Insp.: Dat+ Pold:
~ CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNE50TA 55122
DATE 19
y ~ / i~
RKCILWZD
FROM
r
aMouN-r
& DOLLARS
1 oo
? CASH CHECK
S-1 v~`~.-c~~c~e-• *Z" _zl.C
RUND COD6 / AMOVNT
- 03
y
~Q 1.5 ~ ? G d
3713 Thank You , ~ -
BY_
F,... 6SO 1 U
White-Payers Copy
Yellow-Posting Copy II
Pink-File CoPY ~
CITY OF EAGAN ~t e
3830 Pilot Knob Road, P.O. Box 21-198, Eagan, MN 55121 ~ V b , 121:~ 5
s ---ti PHONE 454-8100 .
BUILDING PERMIT Receiptii Tobeumdfor SF DWG/GAR Estvalue $105,000 pate JUNE 26 19 86
Site Aderess 4377 N. WOODGATE LN Erect C~ Occupancy R3
Lot y Block 1 Sec/Sub. MALLARD PK 3R0 Remodel ? Zoning g 1
Parcel No. Repair ? Type ot Const Vn
Addition ? No. Stories
~ Name GOODWIN HUZGDERS INC Move ? Length 60
W P. O. HOX S 2t 123 I~ 3 RD Demolish ? Depth 33
o Address Int Impr. ? Sq. Ft ~
City CHAS~Phone $48-5522 Instal? O
o Name SA`E \ Approvsb FNs
$ ~ Address Assessment Permit $ 445.50
~ ciy Phone Water & Sew. Surcharge 52.50
Police Plan Review 222.75
Name Fire SAC 575-~00
58 Address Eng. WaterConn. 500.00 '
55 City Phone Planner Water Meter 63. 58
Council Road Unit 290.00
I hereby acknowledge that I have read this epplication and state thatthe Bld9 Off. 6/13 8 Tr. PI. 15b.00
in(ormation is correct and agree to comply with all applicable State of
Minnesota Stntutes and City d agan Ordinanc ^ APC Parks
Var. Date Copi
Signature of Permittee-~(,a~ ~ ,~!'t ~~deln- Total , ' S
A Building Permit is issued to: GOODWIN BUILDERS INC on the express condition that
all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official - - -
PWinp Na PwnHaldw DaM TMplan~ A
7~-3V ~ ~
UH.Y.&-C.
ll~ '
san«w
i- p ow Ww. co~.m.
IF"*~w I % cc,1
IFootleq~ II
Foundatlon
I Fra nlny
Roo1N~p
n«we v"•
aouoh Ma
anul.
Fk,pl.
FNnI Nlp.
IFww nba. ,~e -pi
Fin,l e~
. . ~
c.n. om.
wak rtg.
Doek Fmg.
W44 ONal" LOtatlon:
P?. DNO.
PERMIT # 7
MECHANICAL PERMIT
CITY OF EAGAN RECEIPT M •
~-i3a30 PILOT KNOB ROAD, EAGl1N, MN 65121 DATE
CONTRACT PRICE PHONE +54-8100
Site Addr , n(pE WORK DESCRIPTION
Lot _ Block 4_ Sec/Sub Q/~ 3 4 ~
es. ~ New
m Name ~ - ~ Mult Add-on
~ Address comm. Repair
c City Phone ~ 156 17 pMer
Name t,• r t FEES
~
c Address RES. HVAC 0-100 M BTU - $24.00
p City Ljeq ` C' Phone ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU - 6.00
TYPE OF WORK GAS OUTLETS - 1.50 EA
Forced Air M BTU COMM/IND FEE - 146 OF CONTRACT FEE
Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00
Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00
Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50
Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
Gas Piping Outfeb # ~
Other ~
1 i
FEE : ./f
s/C. SIGNATURE OF PERMITTEE
TOTAL•
FOR: CITY OF EAGAN
CITY OF EAGAN
3830 Pilot Knob Raad, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454-8100 -
BtRLDING PERMIT Receipt # ' ' ' ~ •
7oi7ouSe~for PUk(:t3 Est. Value Date ~ ' 7 ,19
Site AA~ess "3 ) 7 iri) :iW:;i;A1'E Liti OFFICE USE ONLY
Lot Block I Sec/Sub. ~nL.LAtiJ 1'{: 3k1) On Sfte Sewaye Occupancy
MWCC System 2oniny
ParCel No. On Site Well (Actual) Const
S~l{Iiv tx c? F.'I'EI ::tC l LL T;tii, City Water (Allowable)
oc Name
PRV Required ~ ot Stories
~ Address 1
~ City Phone Bo~ter Pump Length
Depth 1 `
o¢ Name (,...C1';cry: r• ~iLO~i.~j I S.F. TOt&f
o ~ Address P. U. b` 2 s i!; Footprint S.F.
U~ City A',i~A Phone ~~.t__.,'•2 i
APPROVALS FEES
~ a Engr./Assess. Permit
NBme Pfanner Surcharge
s . Address
C Z City Phone Council Plan Review
` W Bldg. OH. SAC, City
I hereby acknowledge that I have read this application and state that the Variance SAC, aVIWCC
intormation is correct and agree fo comply with all applicable 5tate of Water Conn.
Minnesota Statutes and City ot Eagan Ordinanees.
Water Meter
Signature of Permittee Road Unit
A Building Permit Is issued to: `,~l)OD{3IN EL 9RS l:-C Treatment P1
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes end City of Eagan Ordinances. Parks
TOTAL i=:;, h
Building Official _
I
Permit NO. Porm(t Molder Date ToIophono #e
Plumbing
N.V.A.C.
E lectric
Softener
Inspsctfon Date Insp. CommentS
Footings I Q jzrc, 3 Ift-0„ ~ .
Footings II
Foundation
Framing S S•' `
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Final Plbg.
I Bldg. Final
j
ca
LP
Ftg
.
Deck Final
Well
Pr. Disp.
L
CITY OF EAGAN Remarks Addition Mal I ard Park 'i'hird Addition Lot 9 Rik 1 parcel #10 47252 099 01
owner Streec 4377 North Wooclga . i.an . Scace Eagan, MN 55122
Improvement Date Artlount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK
* SEWEFI LATERAL
WATERMAIN
* WATER LATERAL 1981
WATER AREA STORM SEW TRK 1981 467.74 93.55 5
-
* STORM SEW LAT ` 1981
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
INSPECTIUN RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: H"
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
1i)t70(iA! F I ANF N
t~~r~t I„{,t~ 1 f;l~t ,i~t1 I~•1 ) ~Id.i
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION D. .
f;'i1h11 Ni~ 1 I Idrtl
Pe?mn No. Ptrmn Hows? oate Tehpnon. •
S/VN
PLUMBINC3
HVAC
ELECTRIC
ELECTRIC
Inspwtion ow Insp. CommwNs
Foolings I I
Foundation
I
F~ 47JI I
ROO&V
Rough Plbg.
Rouor?
isu. / 3
F~rePiaoe '
Final FNg. it-
,p/
I
dsal Test
Fnal Pbg. PIb9• irmPeeo?- NOWy Pkmber
COnst. AAefer
r
EngrJPlan ~
Q~S r~S
Final
Deck Ftg.
Deck Final
Well
Pr. Oisp.
~
~ ~ ~ 9a ~
. 3 t~ 170
Re uest Da~e Fre Rougn-in Inspeaion
urted~ ? Reatly NQw ~Will Notily Inspector
~ ves G No ~1hen Reatly'
censed contractor p owner hereby request inspection of above electrical work at:
Job Atltlress (Sheat Box or Fowe No.) ~4A e Cny~
y3 7 ~ cpv"
Secuon No Towns~i0 Nema or No Rarge No Cqlo'n~ry •
Y / .
Occ/upxntIPRINT~ Phone No.
Voo~w. C . 'U viZ 2
aower Suppoer Atlaress
Eiecv Convecror ICompany Namel ConVaclor5 Litensa No
~
Z C400
Maihng Adtlress IGoNraclor or p.vnar Makmg Install6UOn)
7-2 01 n . d:S 4~L
numon Si ature i mraaonOwner lda+ing Ins;ellaLOn~ Pnone Number
71 - 7'2- 7~
MINNESOTA STATE BOAPO OF ELECTRIdTY fgS/'h 7~. THIS INSPEGTION REOUEST WILL NOT
Gripgs-MiEwey Bltlg. - Room 5473 BE ACCEPTEO 8Y THE STATE BOARD
1821 Unrversity Ave. St Peul. MN 55106 "5"`L pNLE55 PROPER INSPECTION FEE IS
Vhone (612) 642-0800 ENCLOSED
REOUEST FOR ELECTRICAL INSPECTION
? Sae msvuciions lor campleling Ihis lorm on beck ol yeliow copy 70<Q y
d 55018 x" 8elow Work Covered by This Request
ew tltl F6pi' TypeolBuiiding ApphancesWVetl EquipmaNWUed
Home Range Temporary Service
Duplez Water Heater Electric Heahng
Apt. Bwlding Dryer Othec(Specrfy)
Comm./Industrial Furnace
Farm Air Contlitioner
Othar Isyxiryl Convacmr5 Remarks O Q k f~
Compute Inspechon Fee Below:
N Other Fee # ServiceEntranceSize Fee # CucuitslFeeders Fee
Swimming Pool 0 to 200 Amps o to 100 Amos
TranSformers Above 200 _ Amps Above 100 _ Amps
SignS Inspector5 Use Only: TOTAL
Irrigation Booms
Special Inspecllon
Alarm/Communicanon THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Elecirical Inspector, hereby Rough-m
certity that the above inspection has F~~ai ez ~
been made.
OFFICE USE ONLY ~
Tnis repuest wio 18 monms Irom
.hz .a.ast,.oa/o/a(p/P'L C. 7/7C~
18 rtqnths Imm
° 099881 L_ g Ss0.Cp
RequesIte ' Fre No: Rouph-~n Insuectfan
~y Reqmr ~ReaAy Nuw ill Noulv, InsOec-
J p / es ? N. Inr When ReatlV
Licensed Electncal Gonvactor I boreb
? Owner electri alwork ' insialled at inspection ol nbove
e
Sbent Address, Box or Foute No. Cnv
43-1-1 ,t~1ov~ c~ac-,~qa~2 ( ~ oY•
ecuon o. Townsmp Name or No. ~ Ranyu M.
Coun~y
O pantIPFlI/NTI Phune No.
cp~
O O d d
Po nr $upplier Adtlress (
EI~p,acal C~nlrTCln~ n any Niel_, C itractm's License No.
6
`
M ilmB ~+dJress (Convac[or or Owner Makinp Instailafionl
.S ' sG•.~_ J ~ S~_
Aut ed Siea~ IConuacror Owner Maki ~stallationl Phone Number
~ 5~ ~ d 3 ~
MINNESOTA STqTE 80AHO OF ELECTFICITY THIS INSPECTION flEQUEST WILL NOT
Grig9s-Midwey BIJe. - Foom N•191 BE ACCEPTED BV THE STATE 60AFD
1821 Univarsity Ave., St. Poul, MN 55104 UNLE55 PflOPEN INSPECTION FEE IS
Phone (612) 297-2111 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION r EB-00007-04
See instructions lor completin0 ihis form on beck of yellow copy. 7(3
"X" Be/ow Work Covered by This Requesl
N.v4Addj Heo. ""7YOe o/ Bmldin0 Applinncea WneC Equipmem Wired
Home -Range Tertporary Seroice
Duplex Water Heater iqhbny Fixtuies
ApL Bwldinq 1-15ryer EleCtnC HeaUn
Cortunercial Bldg. umace Silo Unloader
Industnal Bldg. Air COndrtioner Bulk Milk Tdnk
Farm Othe, oeci v tber l5ncc,ry)
t ~r Suecify t e, OihiF
ompute InspecUOn Fee Belaw
p Fee ServiceEnVanceSize tt Fee Fenders/SUbfeetfers H' Fxo Circuits
.i 0 to 200 qm>s 0 to 30 qm ps jc 0 to 30 Am s
Above 200 qmps 37 to 700 Amps 31 to 100 qm s
$wimming Pool Atwve 100_Amps Above 100_Amps
Transiormers Irrigation Buoms c Partial: Other Fee
SignS Special InSpecLOn
nema.ks f S~a.SD TOTAL FEE ~
l 5
Roueh-in
I, the Electncal
Insoector, heraby
cerb/y [het che nDOVe
Fnal ~A mspactmn has baen
!C~ JJ mnda.
ThIereQUeSivmClBmonllulrom t~
\•lN1 ? ~ • ' ~ ' . .
This request vofd 7- Q'~17-1,~- ~•JU
18 mon,hs from '/S--f~ (p y~3
C 17351 c- ~ •r
Request D'~e fire No. RoupA-m InsVer,tion
Requuctl~ ~ady Now Q W. No~i1y Insaec-
When Feadv
?~es ~ ~o11
43-Ccensed Eleclrical Contnctor I hereby eequest inspectwn of ebove
? Owner electricul ork i stalled ac
Sv¢et Address, Boa or Houte No. , ~ City
5137 7U,4z/,, u~
ectim, o. Township Name or No. RanBe No. Cow ~
~
OccvUant (PRINT) Phon No.
z -2-
POw¢r 5 pPli¢, Addre55 ~
ppp 27.~J ~r
Electy~al C.,utfuc~oF~oman, ine` ConVactor's LicensOe No.
Ma AdJress IConlraclor or Owner Mabne Installatmnl
,5
Aut aed 5i9~ar (Conuacwr/ wner M mB Iti4tal a~in I Phone Number
~ ~ ~~B 3 d
MINNESOTA STATE BOARD OF ELECTflIGITV TMIS IN PECTION NEQUEST WILL NOT
Griggs-Midwey Bldg. - Xoom N-191 BE ACCEPTED BV TME STATE BOAflD
1821 University Ave., St. Paul. MN 55104 UNLESS PHOPEP INSPECTION FEE IS
Phone 1612) 297.2111 ENCLOSED.
-7-_-7'T9 (p REQUEST FOR ELECTRICAL INSPECTION /E,,BC-/W001-0a
-7 _ ~ ?(`(j 0 See inatruc4ons lor comoletine this form on beck ol yellow co0v. ~ C/~ r 77~
~ 17 3 51 "x" eelaW Work Covered by 7his Request l ,1,f,3y
AAtl Rep. TyFbe ef 8u110ine Aaolioncea Wiretl Equ,ument WveA
Home Range / Tem{wrary Service
Duplex Water Heater Lightiny FixtuIes
Apt. Bwlding Dry¢i EIeC[ric Healin
Commercial Bldy. Fumace Silo Unbader
InAustrial Bldg. Air Condrtioner Bulk Milk Tenk
Farm otn, oeci v =hce ISnur.irvl
~v!r ucciW ther pihui
ompute Inspection Fee Below
p Fee SeraweENroncaSize H Fee Fendars/SuEtaedars b Fee Circurts
U to 200 qm s 0 to 30 Am ps 0 to 30 Am >
Above 200 qmps 31 to 700 Ainps 31 to 100 Am S
Swinming Pool Above 100_Amps Above 100_Amps
Transiormers Irngation Booms Partial."Other Fee
$i9n5 SUecial InSUeCtion 5/D q~
TOTAL FEE
flertarks
" J
r Q Y
\
Rouph-in O:rte 1,the Elecvical
IOSpBCtOr, hBrOEy
CBfllfy t~1At 1110 TbOVB
Final Dn~e ~~spec~ion has Cean
mede.
mls repueat vo1018 monttu twm
3830 Pilot Knob Ro dl P.O. Box 2G-^199, Eagan, MN 55121 N2 12185
PHONE: 454-8100 /
BUILDING PERMIT Receipt# (o Y~~~
Tobeusedior SF DWG/GAR Est.Value $105,000 oate JUNE 26 1986
Sitenddress 4377 N. WOODGATE LN Erect occupancy R3
Lot 9 Block 1 Sec/Sub. MALLARD PK 3RD Remodel ? Zoning R1
Parcel No. Repair ? Type of Consl l7n.
Addition ? No. Stories
GOODWIN BUILDERS INC nnove ? Length 60
z Name oemoiisn ? oepcn
3 Address P.O. BOX $Z, 123 W 3RD
IntlmPr? SQFt
0 City CHASKA phone 448-5522 Install 0
i o Name S~E APProvals Fees
Address Assessment Permit $ 445.50
` Ciry Phone Water & Sew. Surcharge 52 . 50
Police Plan Review 222. ~ 5
Fw Name Fire SAC 575.00
x,~-~ address Eng. Water Conn. 500.00
UZ
aw Ciry Phone Planner WaterMeter 63.50
Council Road Unit 290.00
Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe Bld9 off 6/13/86 Tr.PI. 156.00
inlormalwn is correct and agree to comply with all applica le State of
Minnesota Statutes and Ciry Eagan Ordinance . APC Parks
' ~ Var. Date Copies
Signature ot Perminee 2~ 305 . 25
Total
n Buildin Permit is issued to: 1GOODWIN BUILDERS INC
9 on the express condrtion that
all work shall be done in accordance with all applicable State ol innesota Stat es a Ci of Eagan Ordmances
Buildmg Of(icial J .C
av
CITY OF EAGAN N2 15 314
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454•8100 Og Il
BUILD!NG PERMIT Receiptn
To be used for SCREEN PORCH Est. Vaiue $5,000 Date SULY 7 1988
Site Address 4377 NO WOODGATE LN OFFICE USE ONLY
Lot 9 Block 1 Sec/Sub. MALLARD PK 3RD On Site Sewage _ Occupancy
MWCCSystem _ Zoning
Parcel No.
On Site Well _ (ACtual) Const
a Name JOHN & BETH QUILLING Ciry Water _ (Allowable)
PRV Required _ n ot Stories
i Address SAME
0 Ci~y PhOne 8oosler Pump _ Length 16
DePth 14
¢ Name GOODWIN BLDRS INC s.F.TOtai
0
o a Address P• 0. BOX 82, 218 PINE ST Footprint S.F
U: Ciry CHASKA phone 448-5522 pppqOVALS FEES
ww Name Engr/ASSess. Permit $66.00
li Planner Surcharge 2.50
z~ Address
aw City Phone Council PlanReview
Bldg. Olf. SAC, City
I hereby acknowledge that I have read Ihis apphcation and state that the Variance SAC, MWCC
information is correcl and agree to comply with all plicable Slate of Water Conn.
Minnesota Statutes and City EaganOrdina es '
~ Water Meter
Signature of Permitiee Road Unit
A Bwlding Permit is issued to:_ OODWIN-BLDRS ING Treatment PI
on the express contliUOn that all wo k shall be done in accordancewit h all
applicable State of Minne a Statules and Cy o~ F~a an Ortlinances. Parks
BuiltlingOfficial I TOTAL 50
~
PERMIT ~~e- °7
- dITYOFEAGAN
3830 Pilot Knob Road PERMITTYPE: euiLozNc
Eagan, Minnesota 55723 Permit Number: 0 212 0 9
(612) 681 •4675 Date Issued: 0 6/ 16 / 9 3
SITE ADDRESS:
4377 WOODGATE LANE N
LOT: 9 BLOCK: 1
MALLARD PARK 3RD
P.I.N.: 10-47252-090-01
DESCRIPTION:
Building.Permit Type BASEMENT FINISH
,Building Work Type ALTERATION
/
\
~
~F,~C\\// C/l/C~~/~i1
REMARKS:
FEE SUMMARY
Base Fee $35.00
Surcharge $.50
Lic. Search Fee $5.00
~ Total Fee $40.50
CONTRACTOR: - Applicant - sT. I.IC OWNER:
GOODWZN BUILDERS INC 14485522 0001065 ERICKSON JOHN
P 0 BOX 82 4377 WOODGATE LANE N
CHASKA MN 55318 EAGAN MN
(612) 448-5522
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 Mn.
Statutes and City of Eagan Ordinances.
L J
~
A PLICA 44
EWIPE/RMII
NATU ~ ' SSUED Y:SI AI RE
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: BuiLoiNG
3830 Pilot Knob Road Permit Number: 021209
Eagan, Minnesota 55123 Date Issued: 0 6/ 16 / 9 3
(612) 681-4675
SITE ADDRESS: LoT : 9 B L 0 C K: 1 APPLICANT:
4377 WOODGATE LANE N GOODWIN BUILDERS INC
MALLARD PARK 3RD (612) 446-5522
PERMIT SUBTYPE: TYPE OF WORK:
BASEMENT FINISH ALTERATION
INSPECTION .
FRAMING FINAL
~ ~
REACTIVATE _ GI 1 T Ut tAtaAIV Sv
PEfUiIT 9, 1993 BUILDING PERMIT APPLICATION s~~/I1 _
681-4675 ~
SINGLE S MULTI-FAMILY 2 sets of plans, 3 registered site surveys 1 d8@8ey
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
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 I % I -j q C Val uati on of work ~5^U U
Site Address: U/nn WO'd P ~-ClII `e-
SiAEET SUITE 0
Tenant Name: (commercial only)
LOT ~ BLOCK I SUBD. 41QlV P.I.D. M
Descri tion of work: rt iYr ST r y Li / / S
The applicant is: 0 Owner LJ Contractor ? Other (Deccribe)
Name y2a " &~ri -ENr( kso-1 hN /.li ~~-11,kl Phone
Property LAST FI0.5T
Owner Address )7 lGodGi %1v0(1q91e ln~i -e-
STREE7 STE N
City La 0 State Zip
Company : , (z Phone `/y~ S~)•~
Contractor Address /t/'110 License #0004")(5' Exp.'3-3i•v4
City Cf~ State _JW M Zip S 5 3/ (
Architect/ Company Phone
Engineer Name Registration N
Address
City State Zip
Sewer 8 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
t.
BUILDING PERMIT TYPE ~
13 01 Foundation ? 06 Duplex ? 11 Apt./Lodging X(I 6 Basement Finish
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
? 03 SF Addition ? OB 8-Plex ? 13 Garage/Accessory O 18 Comm./Ind.
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
? OS SF Misc. O 10 Multi. Add'1. ? 15 Deck 0 20 Public facility
O 21 Miscellaneous
WORK TYPE
P 3 1 New ? 33 Alterations 0 35 Tenant Finish ? 37 Demolish
2 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MWCC System
(Allowable) lst fl. sq. ft. City Mater
UBC Occupancy ~ 2nd F1. sq. ft. PRV Required
Zoning Sq. Ft. total Booster Pump
N of Stories footprint Sq. ft. Fire Sprinkler
Length On-site well Census Lode ~
Depth On-site sewage SAC Code .
~
APPROVALS ~
0
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS '
O Site 0 Footing Q Framing ? Insulation
? Wallboard RFinal ? Draintile ? Fireplace
Permit Fee .3S v~ v.iuac;a,: S
Surcharge . ~~v .
Plan Review
s
$AC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
5/W Surcharge
Treatment P1. •
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC %
SAC Units
~ % .
1986 BDILDING PEAIiIT APPLIC6TIOA
• ~ ' • ~ Q
AOTE: ALL CONTRACfOES MITST HE LICENSED WITH THB CITY OF EAGA 00 .o ao tr
SIAGLE FAlQLY D1iELLINGS 0v;PO °o x x
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY C.
- - ,
NOLTIPLE DiiELLZNGS - RFSZDENTIAG RENTAL ONITS FOR SALS ONITS ~
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SORV&Y - CHECB WIT9 BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
C0241ERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For: ,l N/f /py(i/ Valuation: 1[350C')d •C0 Date:
Site Address -7 7 ~r)dr4 e QN OFFICE IISE ONLY
V k7
Lot ~ Bloek f Erect ~ Occupancy ~
M~/ ~ / Remodel Zoning ~
Parcel/SuS cl QQ~ R p Repair _ Type of Const
T/ V Addition I! of Stories
Owner ~ nh,rii Y,r--' Move - Length 161 Demolish Depth ?.S
Address Int.Impr. _ Sq Ft
Install _
City/Zip Code
Phone APPROVALS FEES
Contractor / 7o o(Yy/ i p Au ./(YPdSr Z C Assessments Permit
n I ` -I Water/Sewer Surcharge $Z- Sb
Address 6Uo4~ 3 Police Plan Aeview Z.2Z. 7.G-
/ Fire SAC '~5 7r
City/Zip Code CIZqSkr., Engr Water Conn S~00
• ^ Planner Water Meter C3. SD
Phone Y~/~ ~~S V c7~ Council r Road Unit 29U
Bldg Off( -/7-$S l) Treatment Pl
Arch./Engr. APC Parks
Variance Copies
Address TOTAL ~ I ttyS. Z
City/Zip Code
Phone #
NOTE: ADDRESSES FOR CORNER LOTS - CONTRAC?OR/HOMEOWNER MOST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHiNGFS WILL BE ALLOiIED ONCE BDILDING PERNII'P IS ISSIIED.
71z/
3 5 4;~7
-Y,
n 1~ ~
' CERTIFICATE OF SURVEY
. .64"jR. eoutuTC, ;Daea,
ApLWx ~ 6713 DUPONT AVENUE SOVTH
a~~ inc BLOOMINGTON. MINN. 55420
eae-zoeo
LANDSURVEYORS
~
~
Survey for:
GOODWIN BUILDERS
DESCRIPTION:
/
Lot 9, Block 1,
h
~ ~ MALLARD PARK THIRD
1 I U ` ~ ~.~tio ADDITION
I ~ 'st. Lrj)
I //,6 0
°r o ~
M
\ ~l~ , ' 93Sb /p j r~ ~
Z7~--
~ ~ a 9 o 1" y o o v
-7 J933~ 3o v
I 9LI N' 3S~ NI o ~ ~
J 5e z6 93~- l~~ V qX ~ 6~ m O'
s~ - - - - - - - ~ /0
31,~ ~i 35,61
~ PI
~ \ • -~~~S~O-.._ yi Scale:
ol ~i 1 ° = 30'
M
c,~•~ 8~~~ • y,
Proposed Grades:
Top of Blocks 9359 Garage floor 935¢ Basement floor 92 7 9
We hereby certify that this is a true and correct representation of a survey of the
boundaries of the land above described and of the location of all buildings, if any, thereon
and all visible encroachments, if any, from or on said and. Dated this 30th day
,
of May , 1986
~ D24
~ Min sota Registration No. 9018
Z39-3G
~ i.. EXTERIOR EH4ElOPE THERMAL TRAHSMITTANCE Fh6E I
44l
STANDRRD I:ORKSHEET , ~
4S1te A4dress O.mer
Concraccor ~.?CC1cl w &e/~,.,,,e Phone ~&-gZ2- Uate 4H-B~i
Butlding Type (check ana) !C One and Tvo Famtty Dwe111ng L_j Other
Assemoly (Describe type from Table 3 or Area (A) U-Yalun U x A shnv cal[alatlons en Cao• 11 I ISoF!1
Insulated Aree 4.lS
. . ~_Framin Area • DZ 48
SY. lichts Tv e ~
~
~ Other descrlbe n .Q w ~ n~-~ '
u O[her de5cribe
, Toca,s 33.73
2 Avera e U-Value UxA / A fran L1ne t
,r,rk*i• QZ(o r,t,ra
3 Re ulred U-Value from text h*
~
- lnsulated Ar-!a U , Q
Fromi na Area ~2 s ~ e/ o , (1 .
, Iltndrn+s T e , /.5
Doors T e 0 d 6. U
. Rim JoTst Area O ~ 8• 1
Fire lace aall /i..l - -
~ Foundation NallaJcve crade S ~ 10 / 9-is-
v
. a Foundatian Lllndo++s T e u~ 0 19
~ Other descrlhe
Other descrlbe
Other d^scribe •
a roeats 9 b
5 D.vera e U-Value, UxA / A from L1ne 4 **'~'H`
. 6 R ulred U-4alue from text
!f Line 2 ts greater than Line 3, or Line 5 greater than L1ne 6, canDlete tha
followin [o determir.e alternatlve U-Value far total exterlor envelo e.
. ,
0 7 Area (Lire 1) 4 Area (Ltne 4), * !
L
= 8' UxA (Line 1) r UxA(line 4). ~
g 9 Area (L1ne 1) z U-Value.'(! ine 3) _ x
v
~ 10 .1rea (Line 4) x U-Value (line 6) _ x
W
, 11 "Budqe:" Line 9+ Line 10
0
~ 12 Alternatlve U-Value. Line 11/L1nr 7
If Line 8 1s great:r than Line 11, aller assambltes as required so Line 3
does not exceed Line 11.
. ~G.; .
. , .
AS
GYP Bci 5/II" .56 ItISULATION F.G
eOF I•1000 W71,
CELLULOSE 12 44.0 stiTG 25 32" •
~
SIDING . 1/2"AVE .75
iRIOR F-V LUE • INTERIOR F-VALUE
ASSEMBLY U-VALUE .021 ASSEMBLY U-VALUE .03
p
P'MTPP FNTro nm PArF 1 -
AY)t!1BCP'~ ~ "
-IHICKFAESS- -
GYP Bd 5/8" .56 GYP Bd 1/2" .45
SOFTI~!OOb 31/2" 4.33 FIBERGLASS 3 1 2" 13.
, i
CELLUL05E= E 5" ' ~
• . 68
.6 EXIFRTOR - .17
FXTFRTOR - ~ 16.19
-
. SSE! BLY -V LUE .061
EPIT€R ON PAG rar~rn
GVP B1 1/2" -45 paw rnR
FIRERGLASS 1 2" 1
SHTf 25/32" - 2.06 .
. . .12
SIDItIG 1/2"AVER-,
T 23.23
BL -V llE 04 ASSE"16LY U-VALUE AG q~
M ALL FRAMINC U
GYP Bd 1 2" DO .45 SOFTWOOD 1/2" 6.88
S~ 25 32 2.06
H. WRAP 19
- '
SIDING ~ -75
IPJTERIOR F-VALUE
.17
1. 1 TOj _
5
_
FNIPR N r
1988 BUZLDING PEHMIIT APPLIC9TION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS Sc/ e Q rj /0
~
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SUR EY, 1 SET OE ENERGY CALCULATIONS
NOTEs ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIAED. NO CHANGES WILL BE ALLOWED ONCE HIIILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL QNITS FOR SALE UNITS 0 OF IINITS
INCLUDE 2 SETS OF PLANS, CEHTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENEEiGY CALCULATIONS
COMAtERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STAUCTURAL PLANS;
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
ScREIE:?J o Jc
To Be Used For: T,6'(ICl-~ Valuat on: SDOD Date:
i
Site Address ~/37] ~OY~ ~~do ~4 OFFICE USE ONLY
Lot -f- Block ~ On site sewage_ Oceupancy R.3
~ ~ L MWCC system = Zoning
Parcel/Sub /~Q/JoY d Y~~ 3 On site vell Actual Const Y-N
City water Allowable V-N
Owner PRV required _ # of stories
Hooster Pump _ Length ~
Address q3 r 4W)o r1 Depth
G'ryJ S.F. Total
City/Zip Code 4.,Q 0 4H n Footprint S.F.
Phone APPAOVALS FEES
Contractor ~TOO (Y~dI h /Julg~y < -71 C Engr/Assess Permit
t ~L ` Planner Surcharge 2. Sa
Address Couneil Plan Review
(,ho.tAa.~,y~~7/s Bldg. Off. i~~ SAC, City
City/Zip Code , $S 3/~' Variance SAC, MWCC
Water Conn
Phone G/,/gWater Meter
Road Unit
Mch./Engr. Treatment P1
Parks
Address Copies
TOTAL a
City/Zip Code
Phone U
CERTIFICATE OF SURVEY
raivy,~. eautuu, ;D,u.
8113 [)WGNT AVENUE SOVTM
+nfan 9LOOMINGTON, MIIJN. 86470 8AP-2084
r
LANDSURVEYORS
R~ -
Survey for:
S~ GOOD.WIN BUILDERS
DESCRIPTION:
\
v I~ Q9= ~ Lot 9, Block 1,
~ ~z~° q MALLARD PARK THIRD
I W c~= a \ ~,~+o AODITION
Y r~
1 U ~ o Q «7 ~ \
0e- y3 , 3e d 7
i.3g ~ >
~ 14 rl I41~ +1`
d) M 9~Sb ip ~
c~ ~}~rive a l ~
I ~ 9n. ~ ~ Qp• c~
y X 7 9 ^ ~ ~
9e
~
131
~ s~- - - - - 1~' 1
i~•/ 3/~ ~ ~ 35.6 o-I
~ o . oeq_.._ Scale:
~ s
1" = 30'
oI
Proposed Grades:
Top of Blocks 9359' Garage fioor 93S¢ Desement floor 927.2
We hereUy certity that this is a true and correct representation of a survey of the
boundaries of the land above described aud of the locatioii of all Uuildings, if any, thereoii
and all visible encroacliments, if any, [rom or on said and. Dated tliis 30th day
of May . 19 El6 .
~ Y
MLu sota Registration No. 9018
n
Z39~3G
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) ~q~1.. Ob
CITY OF EAGAN
~ I 4 I O 3830 PILOT KNOB RD - 55122 651-681-4675 t (\aI Ie(A 7'I~loi
Q
New Conshuctlon Reaulremenh ~k-13~ -7t, 5 Remodel/Reoair Reaulrementa
? 9 replstereG slte surveys atwwlnQ aq. tf. of lot, sq. M. of houae 2 coplea of plan hy)
and QII roo}etl areas (ZO% maximum lot coveraae alloweOl ' a U- 8 ~ 1 set of energy calculallons for heafed addltlons
? 4 copies of plans (show beam d wlndow slzes; pouretl fid. deNgn; etc.) I atle suney for exted'or addlMOna 6 decks
? 1 set of energy calculaHOna
> 3 coples of tree presenation plan it lot platted alter 7/1/93
DATE: z~~ - co CONSTRUCTION COST:
DESCRIPTION OF WORK: If mulfl-famfty bldg., how many unlts4
//-'w ~eLIr ,~.y!/ t~/in.Dec/ ~ yOU~SE C`osFtE7C UPA~'T~s'
STREETADDRESS: - P N ZZ
~ 3r
LOT: ~ BLOCK: SUBD./P.I.D. ~ lorj
~
Name: 4vi,t.411-16 -/o~•v Pnone 6S/- yc~- /783
PROPER7Y loal Fint
OWNER
SheetAddress: y377
Cly state: zip:
Company: -ZZ7C • Phone b/z 7131
(area code)
CONTRACTOR ~ys ~ 3/
Sfreet Address: 1e~OO~ License qExp.
City dv'eN~S f/iGLf State:til/"' zip: fS33~1
ARCHITECT/
ENGINEER Company: Name:
Telephone Y:
Sheet Address: ~ril'-C-c~- _ RegishaHOn q:
Cly State: Lp:
Sewerlwater licensed plumber (if installina sewer/water): Phone
1 hereby acknowledge thaf I have read this application, atafe Maf Me in(ormaNon is cor ect, and a ree io compty wifh all appl'icabte State
of Minnesota Sfafufes and City of Eagan Ordinances. .
Signature of ApplicanY
OFFICE USE ONLY Certificates of Survey Received Yes _ No
Y~
~ 0
Tree Preservation Plan Received _ Yes _ No _ Not Required ~IL
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 21 Porch (3-sea.) ? 31 Ext. Alt - MuW
? 02 SF Dwelling ? 08 06-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Att - SF
? 03 01 of _ plex ? 09 07-plex ~ 18 Deck ? 23 Porch (screened) ? 36 Mutti
? 04 02-piex ? 10 08-plex ? 19 Lower Level ? 24 Storm Damage
? 05 03-plex 0 11 10-plex Plbg _V or_ N)< 25 Miscetlaneous
? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bldg.
WORK TYPE
0( 31 New ? 36 Move Bldg. ? 43 Reroof
El 32 Addition O 37 Demolish (Bldg)' ? 44 Siding
? 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair
? 34 Repair ? 42 Demolish (Foundation) 46 Windows/Doors
' Give PCA handout to applica for demolition permit
GENERAL INFORMAT,IOfI
SAC Code / # of Stories sq. ft.
No. of Units Length sq. ft.
No. of Buildings Width Footprint sq. ft.
Const. (Actual) Basement sq. ft. Census Code
(Allowable) *,Pi Main level sq. ft. MC/ES System
UBC Occupancy sq. ft. City Water
Zoning -1?7L sq. ft. Booster Pump
PRV
Fire Sprinklered
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
-:FPROVALS
fPlanning Building ~~iYLIL~ Engineering Variance
/
Permit Fee Valuation: $ 3 [9i9~7
Surcharge
Plan Review
License -
MC/ES SAC
City SAC
Water Conn.
Water Meter ?~7 f ~~~^'~Vl"~ - ~ ~
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
ToWI:
SAC Units
% SAC
C) O
C
Cit~O¦ C'C1CJC7P1 N~ oy o•.'
0 ¢ PATRICI WADA ~ C
m~ z ~1d',9-C~ O MaYor > fC
~
0 o pqUL BAI~kEN y~
. ¢ o~~
O1
~ BEA BLOfdQUIST vl
J ~
+1 PEGGY /t-MCARLSON cd b.0
~ o s£f6 K
O ¢ n ~+o SANDRA4FC. MASIN
p f¢ 941172 Council NWbers 0 'a '
6
9/ iHOMAS4IEDGES
W
a ~ Q 8=7 ~ J`Z Ino~/ Gry ndm~snotor ~ A~
~
v / Uoi~ Zf`6 m C RS
°o w ~O r+~ j ~ZfG ~ m rn 0,
~So p
+ ^+It%
-44
j o 81f6/.~Sv ^£f ~E' 0) H ,~i N ~ f" U'I
~ z sFd ~ o ~
i
N
0 . <
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i o, ai ~ N I Q ~ o,
"'A v [ z
i"
LI)
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cm ~ O
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- - - -
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.
MUNICIPAL CENTER THE LONE OAK TREE MAINTENANCE FACILITY
3830 PiIOT KN08 ROno 'THE SVMBOL OF STRENGTH AND GROVJTH IN OUR COMMUNITV 3501 COACHMAN POINT
EAGAN, MINNESOTA 55122-1897 , EAGAN. MINNESOTA 55122
PHONE: (651) 681-4600 PHONE.(651)681-4300
FAX(651)aa1-4612 ~ EqualOppodunityEmployer FAX:(65t)681-4360
TDD (651) 454-8535 ' WWW,Cf1yOf0ag(2n.COm TDD'(65))454-8535
CTl'X<:[ISE UNI.;.
, , ,
, . .
.
. ~
L ~L
.
_ . . .
. ~ - .•...~.i~~::a!:'j'i
. ~ . .
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. . . . . . . . . s...
~ . . ~ .
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~ . ~ . . , ..j'.. . . . ;.:y'..
N..~ . .
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. . . .i ..v.......~:.n..i ~
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• ~'.<:::.:<.:< ...:....::::...::::3~;.>;AA.~:..;i~`,~~''~;~~~;;~;::>::-
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1993 PLUMBING PEItMIT (RESIDIIVTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED ;FOR EACH UNTT.
IO. FIXTCTRES j~ 0_ EACH
SHOWER 3•00
~ WATER CLOSET 3•00
BATH TUB 3.00
LAVATORY 3•00
~ KITCHEN SINK 3•00
LAUNDRY TRAY 3.00
HOT TUB/SPA 3•00
WATER HEATER 3•00
FLOOR DRAIN 3•00
GAS PIPING OUTLET • minimum - 1 3.00
ROUGH OPENINGS 1.50
WATER SOFTENER 5.00
rn nn~iVAll: LIJ mr, r~tcIn. - Cl'A[.Ny iiC. 15.n-o
.
U.G. SPRINKLER • nome under oomi. 3•00
ALTERATIONS ' to a6sting 15.00
WATER TURN AROUND 15.00
STATE SURCHARGE .50
TOTAL: S S ~
woodgqte
SITE ADDRESS: Z/3 '2 7 //Oh 7~4
OWNER NAME: 0 h a
WSTALLER: u&, e d~~~k y
ADDRESS: kJ
3 ~ v
CI7'Y: A/ ~ u N c! STATE: !Ll K ZIP CODE: 6"5_
PHONE ( »
SIGNATURE OF PERMI77EE
k6L
~ L,
.
. .;.~.:A..:.~.:,w....,k;~:..::.~.:..~ ~rrY ~a~o -
, . ,
....:..:..,:x.::,:...:.::x.:,:;~<::.;.':....;
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...:.,...:._n .,,...a,...¢.:.~.....v.:::...::o.V.:,';:::..........3..,.~.<...,c.:..:.... ...._it.r. ~ui`•F:l:'p;p:".:.':Y.'i...._S.:',.":I';,A..
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P.... '..y:.'..:'..': ,..s..:.;~. :..~•r:<~~~'.a'....y.s:.,.~,.E:E`:''dFd:'~1•":uA::..a....'t.9~„z%pS'r.y.Abr bi:.:(:S•r',i.:.:r:..:.<:i<9;
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,.:::~:E..:,.... ~.".,.b.~. .....:...::...:.:£rEi~.`~:'Sa;'~3:i::'~, a....s~.,:~r,...•:,-..
...:::::.:::.:.:»:::>.~._.,....~..._:k..........~~...,,............,~.m.._~.,..w.~..,,..~......,.....~.;:~.,...~,:,• .._>z::.:::::~'~~~;;;sz>.~~..::
1993 PLiJMBING PERMIT (COMMII2CIAL)
CITY OF EAGAN
3830 PIIAT KNOB RD
EAGAN 14N 55122
(612) 6814675
PLEASE COMPLETE FOR ALL COMAIERCIAL,'INDUSTRIAL BUII.DINGS. AISO FOR MULTI-
FAMILY BUI:_7INGS WHEN SEPARATE PI;RMTI'S ARE NOT REQUIRED FOR EACH
DWELLING L':.~,T.
NEw CONSTRUCI70N
ADD ON
REPAIR
WORK DESCRIPTION:
CONTRACI' PRICE: $ _
FEE: 1% OF CONTRACT FEE.
STATE SURCHARGE: 5.50 FOR FACH 51,000 OF P£RRSTf FEE
11.fTA1tM1iM CFF• 4 ~CM
CONTRACT PRICE X I% $
STATE SURCHARGE $
TOTAL $
SITE ADDRESS:
TENANT NAA1E: STE. #
OVVri'ER NAAtE:
INSTALLER:
ADDRESS:
CITY: STA1'E: ZIP CODE:
PHONE
FOR:
CI'Il' OF EAGAIr' APPI.ICAA"T
^ *f*t#*##*t*f*****t**#*~****#**f#4f*f
^ ?
~ C I T Y O F E A A f~ PAYMM~Tr OF FF~ AT TI[~ OF
* APPLICATION DOFS NOrP COm1ZZLTIE
*F APPROVAL OF PFR1yIIT.
APPLICATION FOR PERMIT ;
* Ixspncriota oF sBM r,NID/ox WMM
* If15TAuaTTONS WII.L AIOT BE SaIIm-- ;
SEWER AND/OR WATER CONNECTION ~~m uwm Pmt"QT m%-9 BEm
* APPF20VID.
~
*
w
. . . +**,r*,r+rt+r+*rr***x+**~*f,r*,r:***,r*:,r,ri
P ease Pr1nt)
1) PROPERTY ADDRESS: ~,3 77 /.Vor7`',~ GI/poa( c~ a y'e- Gcz h e "
LEGAL DESCRIPTION: 'OlocA /
(Lot/Block Subdivision or Tax Parcel ID )
IF EXISTING SPRCCiS.'RE, DAT'E OF ORIGZNAL B[JILDING pERMIT ISSL'Af7CE: '
~
PRFSENP 7ANING/PROPOSID LSE: (Mon Year)
~ CODR•]EFtCIAL/REPAIL/OFFICE ~ R-1 SINGLE FAMILY
0 IPIDC'STRZAL f-I R-2 DCPLEX (1t•o Onits)
n INSTITL'TIONAL/GOVERNhtENT ~ R-3 TUWNHOCISE (Three + Units) ( L~nits)
Q R-4 APARTMEDPPf/CObIDOMINILfi1 ( Units)
2)
NAME:- oh a
,DoRESs:~
CITY. SrATE, ZZP: tYj b U k.~ A? h/ C
PHONE:_y
3) u A,~d `~e h p~ For City Use .
Plwibers License:
ADDRFSS:~ a 7o Go IPd / o I? Q Active
Dcpired
~ CZTY. STATE, ZIP:_ ~_1 rrot recoraea
PHONE:_ 11) 2^/ F? 7 MASTER LI(ENSE#
/'1 /YY7 I
Sta7F
4) • • ...,i~:
NAME: &odd
ADDRFSS: •
CITY, STATE. ZZP: G cZ S/[~ B
PHONE:_<I'y P .SS o?;~,
'S) n v ' ,5 d• • o~ y' ry~_~~
~ CONNECTION 'IO CITSC SEIdER ~ CpNNECrION 70 CITY WATER ~ pT[-IER .
6) ~ r•• r ~ PI,F,ASE HOLD APPROVID PERPIIT FOR PICK-OP BY ONE OF ABOVE
~ PLFASE MAIL APPROVID PERMIT M 1. 2,Q 4, ABOVE
(Circle one) '
7) r n u• - ~./~'~...-l
`7-
• y- • ~ ~ ~ y l~ • ii~xTi«i.'7,1 '2f r' -
a~: ~a ~~w r v~~ a~} 1 ~u4~ ~ 1. • L 9• ~
~ ~ ~ ~ r r .na~ i ~ ~ a ~ •r • ~ u -
, u.
. J'
- C
. FOR CITY USE ONLY PERMIT # ISSL'ED
7 7-:~ /
Pd w/Bldg. Permit FEES:
$ $ U SEWER PERMIT (INCLUDE SDRCHARGE)
$ $ /Di ~D WATER PERMIT (INCLODE SC'RCHARGE)
$ (l~~~ ~n $ WATER METER/COPPERHORN/OC'TSIDE READER
$ $ WATER TAP (INCLC'DE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOUNT DEPOSIT - SEWER
$ $ ~S• OtJ ACCOUNT DEPOSIT - WATER
S $ wac
$ $ sAc
$ $ TRUNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ ` LATERAL BENEFIT/TRC'NK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
S ~.~-6. C_7CJ $ WATER TREATMENT PLANT S['RCHARGE
$ $ • OTHER:
S z) TOTAL
l )
R/C EIT~ / REC IpTD~C
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
~ YES IF YES, THEN A"PERMIT FOR WORK WITHIN PCBLIC
ROADWAY" MUST BE ISS[iED BY THE ENGINEERING
~ NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOSVING CONDITIONS:
n
APPROVED BY:
TITLE:
DATE : ~ - ~ lj 4,61
CITY OF EAGAN
CASHIER: SS TERMINAL NO: 691
DATE: 08/28/00 TIME: 06:56:36
ID:
NAME: P.DVANTAGE AIR, INC
r
3213 9001 4377 WOODGATE L 30.00
2155 9001 4377 WOODGATE L 0.50
Total Receipt Amount: 30.50
CR136523
USER ID: JAN
~`/SO 3
CITY USE ONLY
LOT ~ BL ~ PERMIT SSC~
J I r
SUBD QY'Yl 3 RECEIPT
RECEIPT DA'i'E:
2000 MECHANZCAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT I4dOB RD
EAGAN D4I 55122
651-681-4675
Date:
Complete this section onlv if you are installing HVAC in a single family dwelling, townhome or condo under
construction and not ownedoccuoied.
. HVAC: 0-100 M B T U $ 30.00
ADDITIONAL 50 M BTU 6.00
• Gas outlets (minimum of one required @$3.00 ea.) •
State Surchazge .50
Total $ '
Complete this section on/v if you are remodelin¢, addinR to• or reoairine an existing single-family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or repair.
New ~ Alteration _ Repair _ Other
Fumace _ Air conditioning
_ Air exchanger ~ Other o2Stpp11es \ fD ~
/ rcA_r-n s~ po~y
Fee $ 30.00
State Surchazge .50
Total $ 30.50
Reminder: Call for inspectrons
SI7'EADDRESS: y3~~ ~U~qc0.~-' l-C.l~ /!/'YW
OWNER fiIAME: j lg"*/dA-- eOnSl PHONE
(AREA CODE)
INSTALLERNAME: ~"CMJW ~9-2 ~tJ\~ ~'(ve-) - PHONE#: 95~- - ~/yS-/g00
I_`r~1 (AREA CODE)
STREET ADDRESS: aS I~c~`~ ~Ct e2.~' W~~
2)
CIT'Y: vt~~~~QSL STATE: ~ ZIP: 5S 37 g
RECEIVED
AUG 2,5 1')000 sGNaruREoFr i eE
BY:
ciTV use oNLr
L _ BL _ PERMIT
SUBD. RECEIPT#:
APPROVED BY: , INSPECTOR RECEIPT DATE:
2000 MECHANICAI. PERMIT (C0MMERCIAL)
CITY OF EAGAN
3830 PILOT 1RiOB RD
EAGAN, MN 55122
651-681-4675
Please complete for. all commerciaUndustrial buildings
multi-tamily buildings when separdte pertnits are not required for each dwelling unit
DATE:
WORK T'YPE: New construction Install U.G. Tank
_ mterior Improvement _ Remove U.G. Tank
_ Processed Piping
When inslalling/removing underground tank, ca!! 651-68I-4675 jor lnspection by f:re marshal and
. plumbing inspec[or.
Description of work:
Fees: 1% of contract price OR $30.00 miuimum fee, whichever is greater.
Underground tank removallinstallation = minimum fee
Contract price: $ x 1%= $ (Bate Fee)
State surcharge calculate at $.50 for each $ 1,000 Baze Fee
TOTAL $
SITE ADDRESS:
OVl',1CR NAivIE: PHONE
(ARFA CODE)
TENANT NAME (IMPROVEMENTS ONL1): _
WAS'I7-ERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME:
INSTALLER: ,
ADDRESS: PHONE -
(AREA CODE)
CITY: STA1'E: ZIP:
SIGNATURE OF PERMITTEE
~----------------i
. - i .orous'~
Clty of Eayfl i Permit#
l
3830 Pilot Knob Road Perznit Fee:
~ I
Eagan MN 55122 i ~
~ Date Received: ~
Phone:(651) 675-5675
Fax: (651) 675-5694 1 StaH: I
2008 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 0 Site Address: bkla w'
Tenant: John Quilling Suite
4377 Woodgate Lane ~2-~~--
RESIDENT f OWNER Nami Eagan, MN 55122
Phone:
6514051783
Addn
CONTRACTOR Name: -NoroboxyL License 0 U/ 1 52~
Address: 2005 biwfi 1~50
City: t,> . State: - t"YW ZiP: f_
Phonel WIV Vi l' TD33 Contact Person: Je J J
TYPE OF WORK _ New _ Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W.
Description of work:
PERMIT TYPE REySfDENTlAL
J` WaterHeater WaterSoftener
Lawn Irrigation Add Plumbing Fixtures
~ RPZ PVB) ~ Main _ Lower Level)
Septic System Water Tumaround
New
Abandonment
RES/DENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround' (includes $.50 State Surcharge)
'Water Tumaround (add $136.00 if a 5/8" meter is required)
$100.50 Septic System New ($10.00 per as built) (includes Counry fee and $.50 State Surcharge) .
$90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) C~ O
TOTAL FEES $ SO,
I hereby acknowledge that this informatlon is complete and acwrate; that the work will be in confortnance with the ordinances and codes of the City of
Eagan; that I understand this is not a pertnil, but only an applica6on for a permit, and ed" not to start without a pertnit; that the work will be in
_ accordance with the approved plan in the case of work which requires a review and ap f pl~is. tz~LZ
X k )e~r~ Norbl am.
Applicant's Printed me nYs i ture
:'s':-~~:= -::i::':~,~:- -1T',: :._;f`•n,:i~.T,~-V.ii'S;Skd~.<?,;e.;i.~iir7"'..-3e:F"':"..4`_`y,~,w*7..-~~;,t•r.~:"'.S ':ir _ yq n" ,w.;
.r-' . • ! .kJ:'r - ~ 3~ tR~ cx' ~MLY" Jf.... I«.F `~~w l4}$'U'~:
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t."ce':,i'0'~- ir;^t~~ ~=iF%, .q.-••'1`._=.=°_c^%.'ti, ,r::1:~?=~.'~v`=- .~.i..~ ~;'rii._^~S`iFn;~~~T.Siis.~.-
~~"a', r. xaa':; V ;~i' _ ~ "_.aa.:=:;:}~ ,T_>:. 4= .*y'?n.i °v~ .:'•,'~i ~7%"' .l 3',~~ ~l.v~.;~ Lv~,- ~ _:c.
ti. °3'-~wrs'%':~.a.4_ n.;?':a..:''=„r,:~~:r 3 ~~~~Ui-a;,_ "3`^s.`'~'T.h_"t.~sv§tKF,,l~uS.,2.r"3+w.'~w~'e'`r3a :/i{r'edA;• Sx,~.-,~~^.G
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA132308
Date Issued:08/05/2015
Permit Category:ePermit
Site Address: 4377 Woodgate Lane N
Lot:9 Block: 1 Addition: Mallard Park 3rd
PID:10-47252-01-090
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Elizabeth J Erickson
4377 Woodgate Lane N
Eagan MN 55122
(651) 402-5875
Wenzel Heating & Air Conditioning
4145 Old Sibley Memorial Hwy
Eagan MN 55122
(651) 894-9898
Applicant/Permitee: Signature Issued By: Signature
!"
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA154557
Date Issued:04/01/2019
Permit Category:ePermit
Site Address: 4377 Woodgate Lane N
Lot:9 Block: 1 Addition: Mallard Park 3rd
PID:10-47252-01-090
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 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 -
Elizabeth J Erickson
4377 Woodgate Lane N
Eagan MN 55122
(612) 312-7531
Krech Exteriors Inc
5866 Blackshire Path
Inver Grove Heights MN 55076
(651) 688-6368
Applicant/Permitee: Signature Issued By: Signature
. ..
REcE1141'
ED
r -
For Office Use
. t • , JUN 12 2019 /,r4 02-ob
Permit*:
.... .... /.7,. ,1
Permit Fee:
4,.........
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff:
buildinqinspectionscityofeagan.com -I
1.--.41q
2019 RESIDENTIAL BUILDING PERMIT APPLICATION 6,-/9.-/7
Date: Site Address: Unit#: .5
Name: ... Ail( - 0 Phone: / &CI.-- • ,
Resident/ - 1
Owner Address/City/Zip: /A- 1M . • I I Lit _
Applicant is:is: OwnerContractor
y
Type of Work Description of work: •F-A1/441)ba- 71/44.V-t.4& &vrAfin0 AA
Construction Cost: 44-0 000 Multi-Family Building:(Yes /No,,Y)
Company:AAMrPtkOe• 44/VV4i : Contact: Qh0,c4-47r:419,64 rinq e-)
Contractor
Address: ' 'h s €46e/ it_Ai City:
State: Zip:... .,__S Phon :fseS1:15tc,61. Email:AbartAiolop•avik
License#: ISC.151.4c/4") Lead Certificate#:
If the project is exempt from lead certification, please explain why:
lz-r )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If y-s, date and address of master plan:
4 ,
Licensed Plumber: I,:AMR im."INN,,V. Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may be
classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeadan.com/subscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www qopherstateonecall 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 no a permit but only an applicatio• •• - •- it, and work is not to start out a permit th‘t the work will be in
il
SUFI rilte#6 I
4.41
L/3 ' 0666170.1.f LetA Q /V
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
Single Family — Garage — Porch(4-Season) _
DeckExterior Alteration(Multi)
Multi Porch(Screen/Gazebo/Pergola) _ Miscellaneous
01 of_Plex — Lower Level — Pool _ Accessory Building
WORK TYPES
_ New _ Interior Improvement _ Siding _ Demolish Building*
Addition _ Move Building _ Reroof _ Demolish Interior
Alteration — Fire Repair _ Windows _ Demolish Foundation
_ Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building—give PCA handout to applicant
DESCRIPTION
Valuation 0 Occupancy " .,t.. .; 6 MCES System
Plan Review Code Edition ; SAC SAC Units
(25%_100%i) Zoning li,r City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction \IF— Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings(Deck) Final/C.O. Required
Footings(Addition) Final/No C.O. Required
Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood
Roof:_Ice&Water _Final Pool:_Footings Air/Gas Tests _Final
Framing 30 Minutes 1 Hour Drain Tile
Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS
Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
—
Sheetrock Radon Control
—
Fire Walls Fire Suppression:_Rough In_Final
—
Braced Walls Erosion Control
I\ IShower Pan Other:
eviewed By: / , Building Inspector
RESIDENTIAL FEES
Base Fee ( frill
Surcharge
Plan Review 0611\IQ"'
MCES SAC
City SAC
Utility Connection Charge
S&W Permit&Surcharge1A1 0-.4 i 0 (2°
Treatment Plant 1, i
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA157112
Date Issued:08/05/2019
Permit Category:ePermit
Site Address: 4377 Woodgate Lane N
Lot:9 Block: 1 Addition: Mallard Park 3rd
PID:10-47252-01-090
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Fixtures
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Elizabeth J Erickson
4377 Woodgate Lane N
Eagan MN 55122
Norblom Plumbing
1465 Selby Ave
St Paul MN 55104
(612) 827-4033
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA173250
Date Issued:11/04/2021
Permit Category:ePermit
Site Address: 4377 Woodgate Lane N
Lot:9 Block: 1 Addition: Mallard Park 3rd
PID:10-47252-01-090
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
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 -
Elizabeth Joan Erickson
4377 Woodgate Ln N
Saint Paul MN 55122--228
(651) 402-5875
Wenzel Heating & Air Conditioning
4145 Old Sibley Memorial Hwy
Eagan MN 55122
(651) 894-9898
Applicant/Permitee: Signature Issued By: Signature