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3028 Woodlark Lane CITY OF EAGAN Remarks Addition Oslund Timberline Lot 4 Rik 1 Parcei 10 55300 040 Ol -Owner - ~ 2, . ' Street 30 .2-g Wnnd 1 ark T.n _ State ' 5121 Improvement Date Amount Annual Yeers Payment Receipt Dete STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 1968 $100.00 $3.33 30 ~c SEWER LATERAL 1970 1210.00 60. SO ZO WATEfiMAIN WATER LATERAL WATER AREA iESTORM SEW TRK 1970 20 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. sAC $260.00 73 5-18-72 PAR K 11 cirir oF EAGAN 3795 Pi{et Keob Rssd . Eoqee, Minenota 55122 INSPECTOR NOTIFICATION No. M'°"~: 4s'M~00 REQUIRED BY LAW ~ • PERMIT FOR ALL INSPECTIONS Date: Receipt No.: Single I Site Addrcu: iResidentiol Lot Blotk ~ Su6/5e Multi Res., Comm./Irid. I + 1a:F., ' , Nome New//11ter./Repoir "]'P ~_:i ' !.~`"1 i Add?MS COSt Of InSLOllGYlO?1 ~ City Phone: Permit Fee ' Name ~ Surcharge ~ /lddress ~ . City . Phone: ' Totol This Permit is issued on the express condition that oll work shall be done in accordance with all oppliooble Stute of Minrxsoto 5tatutes ond City of Eogan Ordinonces. Building Offitiol / C/z 7/r U - I ~ I ~ I I I F yt7 y-7 3 RESIDENTIAL k"d- 8-~ BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 45122 C 1 T~~"~~ 651-681-4676 IHwConsWClbnRwuinmmh RemoMYRowkRecuirlmfflts ' a- p'~0 -01 . 3 iegiskred sqe smveys sMwdg 4 IL M l04 4 ti d house; w41 roobd areas . 2 capies a( pkn (20%macimum bl ooverage abwed) . 1 xt d Eneryy CaIwleUans tor healed addiions . s wcies a pan snowmy neem a winoow sua; pa.w rou,a aesiyo, e1c.) . 1 sne eurvey ror s,Mnor aaanaa a aeas . lxtofEnerpyCakulations . IndkatetllwmexrvedbysepHesystemiaraddifions ? - . 3 copies ol Tree Pmservatbn Pfen H bt platbd ePoer 711193 . Rkn,ldst Detai Optbns selec4on sheel (BWps wNh 3 or lass unAS) DATE 1~-a.a-QI v VALU/IION -t478(Q • JOB SITE ADDRESS 30a$i~ ( A )QoCt I Q.t-a1_ ~!T 6_0__~ IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER Ckb5£~le W1.''~ r5 TYPE OF WORK "2u3 SPIREPLACE(S) _ 0_ 1_ 2 APPLICANT WINUUW LITE Home Improvements PHONE~7(a~~ ~a5-r'~3d 7 usmess tr. # 4 ` ADDRESS SuitwdRn.Rdnn_ye. North OT~ L-iIila ZIPCODE PAGER # BmoklYn Park, Mttia4p8oNe # T>'A 1- $31 4 FAX • NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULFS 7670 CATEGORY 1 (check one) - ResidenGal VentilaBon Calegory 1 Worksheet Submitted - Energy Envelope Calculations Submitted _ MINNESOTA RULFS 7672 - New Energy Code Worksheet Submitted Plumbfnp Contractor: Phone M: Plumbing System Includes: _ Water Softener _ Iawn Sprinkler Fee: $90.00 _ Water Heater _ No. of R.I. Baths _ No. of Baths Mechanical Contractor. Phone R Mechanical System Includes: _ Air Conditioning Fee: $70.00 _ Heat Recovery System S*wsr/Water Conhactor. Phone 0 All above informatlon must be submitted prior fo processinp oi applicetion. i hereby acknowledge that I have read ihis application, state that the information is coneci, and agree to comply with all applicable State of Minnesota STatutes and City of Eagan nances./y Sipnalurotof Applkanf ~ - v ~ Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 1101 ^J . OFFICE USE ONLY O 01 Foundation O 07 OSplex 0 13 16-plex O 20 Pool O 30 Accessory Bldg O 02 SF Owelling O 08 06-plex ? 16 Fireplace ~ 21 Poreh (3•sea.) O 31 Ext. Alt - Multi O 03 01 of _ plex O 09 07-plex O 17 Garape O 22 PorcNAddn. (4-sea.) p 33 Ext. Alt - SF O 04 02-plex O 10 OB-plex O 18 Deck O 23 Poroh (screened) p 36 Muld 0 05 03-plex O 11 10-plex 0 19 Lower Level O 24 SOom pamepe 0 06 04•plex O 12 12-plex Plbg_Ya_N O 25 ANseellaneous 0 31 New O 35 Int Imprvvement O 38 Dertqlish (InteAor) O 44 Sidirg 0 32 Addition O 36 , Move &dp. 0 42 Demollsh (Foundatlon) O 15 Flre Repair ? 33 AlteraGon O 37 DemoFah (Bldpp O 43 Reroot 0 48 Windows/DOOrs 0 34 Replacement 'GmolHion (EnOn Bldp only) - Giw PCA handout to appllcant Valuation Occupancy MC/ES System Census Code Zoning Ciqr Water SAC Units Stories Booster Pump Nbr. of Uniis Sq. Ft. PRV Nbr. of Bldgs Length Fire 3ptlnklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinallC.O. _ Footings (deck) _ FinaVNo C.O. _ Footings (addition) _ Phmbmg Foundation HVAC Drain Tile Roaf Ice & Water Final OtLer _ Frarning _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Fireplace _ RI. _ Air Test _ Finrl _ Sidiag SNCCO Stone _ Insulation _ Wiadows (newlrcplacxment) Approved By , Building Inspector Base Fee Surcharge Plan Review MGES SAC City SAC Water Supply & Storage S8W Pertnit & Surcharge Treatment Plant Plumbing Pertnit Mechanical Permit License Search Copies Other Total ' EAGAN TOWNS1-IIP Ng 791 BL9ILDING PEPaFNIT .~..,l~.~f. Ea4an Township Ownex Address (preseni) -c7z' .-..c7.Y..!~..~.f.~.C7....._._.L..\.r_ Town Hall Builder . . Dale - - - Address DESCAIPTION Siories T'o Be Used For Front Depih Heighf £si. Cos! Permif Fee Remarks .:t LOCATION Slreet, Road or oSher Descripiian of Locaiion I Lo! Y•lock Additio 4or Traci This permil does not auihorize the use of sireets, roads, alleys or sidewalks nor does if give the owner or his ageni the righ! !o ereate any situafion which is a nuisance or which presenls a hazard !o the heal4h, safefy, canvenience and general welfare fo anpone in the community. THIS PERMIT MUST BE ygEPT- ryp,N/J Z~'H~E~PH~£MISE WFIILE THE WORK IS IN PROGAESS. This is fo cerlify, ihal...f[he._..~W-~'".".^7r~..._._. . .._._......_.haspermission !o ereci a.._....... ~~"upan the above describe rem' subjecf !o !h ovisions of the Building Ordinanee for Ea7an Townshi adod April 11. 1955. Per Chairman of Tnwn Board Building Inspeefor 640y ?a 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City OfEagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsW clion Reauirements RemodeVReoair Reauirements Oftice'llse OeN 3 registered sNe suneys showing sq. k. of bt sq. R of house; and all mofed areas 2 copies ot plan Cert af Suivey~Recd,~p;;,;n:sk~ `.--Y-:7- N (20%maximumlotmverageallowed) isetofEnergyCalculallonsforheatedadditions TroePreSP,lanReW ' Y zN 2 copies of plan showing beam & window sizes; poured iound des'gn, etc. 7 site survey for additions 8 decks i'tee Pres`Requ~red :=.Y _ I1 lsetofEnergyCalalaGans AddRion-indicatei(on-sifesepficsystem pnsAeSeptieSystem =Y ~~N 3 copies of Tree Preservalion Plan'rf bt platted atter 7l1193 Rim Joist Dehail Options seleclion sheet (bldgs with 3 or less unAs Date ,57 Construction Cost Site Address UniUSte # J~S4 Description of Work Multi-Family Bldg _ Yg_N Fireplace(s) _ 0 _ 1 _ 2 Property Owner ~ Telephone # (L'll-I ) b~ 1919ld Contractor /.f Address City State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 submission type) Submitted Submitted . Energy Envelope ~ons Submitted Have you previously constructed a building ' D~a~~h!~ tf~n I~ n2 _ Y _ N If so, 25% plan review fee aPPlies. MAY 2 7 2004 ~ Licensed Plumber Telephone ~ Mechanical Contractor Telephone J Sewer/WaterContractor 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 StaYe of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which quires a review and ~Z app o al of pi~ Applican' Printed Name ApplicanYs )ature ~ ~ OFFICE USE ONLY Sub Types ? 01 Foundalion ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi 0 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Pibg_Yor_N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition O 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ~ O~ 33 Alteralion ? 37 Demolish Building' ? 43 Reroot K 46 Windows/Doors ? 34 Replacement 'DemoliUon (Entire Bldg) - Give PCA handout to applicant Vaiuation GlZ.9 L Occupancy MCES System Census Code L/ ly_ Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Canst 101)_ Width REQUIRED INSPECTIONS Footings (new bldg) _ Final/C.O. Footings (deck) Final/No C.O. Footings (addition) ~ Plumbing Foundation _ HVAC Drain Tile O[her Roof Ice& Water _ Final _ Pool _ Ftgs _ AidGas Tests Final ~ Framing Siding _ Stucco _ Stone _ Brick Fireplace R.I. AirTes[ Final ~ Windows Insulation _ Retaining Wall 7 Approved By: , Building Inspector Base Fee Surcharge ~ ,ry ,nv~j Plan Review i~r~i ~•Y? f MC/ES SAC qrL ~ ~01)n" City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total EAGAN TOWNSHIP 3795 Pilot K:tob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERAIIT FOR SEWER SERVICE CONNECTION DATE: May 18, 1972 NUMBER 1008 Stan Lebbo 3028 Woodlark Lane ~ OWNER: Address H' i f imQF~hn~ PLUMBERWenzel Plumbing & Heating Ty[pE OF PIPE Heavy Cast Iron DESCRIPTION OF BUIIAING Industrial Commercial Residential Multiple Dwelling No. of units a~t Location of Connectfona: Conaection Charge 260.00 pd 5/18/72 Account Deposit 15.00 pd 772 Permit Fee 10.00 pd 5179/72 •50 Id 5/19/72 s/o Street Repairs Total Inspected by: Date Remarks• By Chief Inspector In consideration of the issue arnd delivery to me of the above permit, I hereby agree to do the proposed work in accordance with the rules and regulations of Eagan Toi-mship, Dalcota County, Minnesota BY Wenzel Plumbing & Heating Inc. 3600 Kennebec Drivep Eagan 55122 Please notify when ready for.inspection and coanection aad before any portion of the work is covered. a• EAGAN TOWNSNIP 3795 Pilot Knob Road r St, Paul, Minnesota 55111 Telephone 454 -5242 PERMIT. FOR SEWER SERVICE CONNECTION DATE: May 18, 1972' ' Ur • NffiER 1008 OWNER: 8tsn Limbo Address 3028 Woodlark Lane pL ERWenuol Plumbing & Heating TYPE OF PIPE liwtvIr Cast Iron DESCRIPTION OF BUIIDING Industrial Commercial Residential Multiple Dwelling No. of units xx Location of Connections: Connection Charge 260•00 P3 5/18/72 Acoount 1)aposit 5.O 5 /72 ,Permit_ Fee 10 .00 psi 5119/72 .50 Pd 5/19/72 ` a /o Street Repairs Total , • 4 Inspected by: f 71. Date S 0a � ' / � o, , Remarks: By Chief Inapector In consideration of the Lague and delivery to me of the above permit, I hereby agree to do the proposed work in accordance with the 'rules and '.' of Sagan Township, Dakota County, Minnesota By Wenzel Plunbing & Heating Inc. 3600, &elnebeo Priva, Fran 55122 Please notify when ready for inspection and connection and before any portion of: the work -is covered. • 41' City of Ea�ali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 RECEIVE JUN 06 2016 Use BLUE or BLACK Ink For Office Use Permit #: /7(/ G� q 9 5 . (if- cb'j Date Received: (0-(0 L `p c., Staff: 161 Permit Fee: 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: C) c" W #'r Name: (/7/Zi 5 /th%,&$ hone: 6/o2 3'01‘44.9 9* Address / City / Zip: 3Q 3/i�/4+ad//f 4"/ CPQ, Ji/ /11/J 55-421 Applicant is: X Owner Contractor TYpe ? Work` Description of work: Add Net.° G, -,t e A-Witche `, %SillAr 1 % Construction Cost: Multi -Family Building: (Yes / No ) . Contractor } :t Company: e t l/UO7Q" e i00//e/eie " Contaet;-O/'a/i/ Address: ( 4ms w,�✓ .. (, City: 4i9, A -553N `--_____ - State: IMA/ Zip: 55 -. Phone: d /027657 V Em ' . License // 99 /V-) Lead Certificate #: �r If the project is exempt from lead certification, please explain why: Vs..... In the last 12 months, Yes X No COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a 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: /4,441$ aiAIT Phone: :Z/,; O01 L+fs Yf Phone: Phone: Phone: INOTE Plans and sup ming doc dents t +ao < tar ; . ® dere nfrrrma#1 " • o information ma be lassi non p lic rf o ro ad P e so y ry concluAlhara f 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.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x C� /542,5 Applicant's Printed Name Appli ant's ignature Page 1 of 3 100CO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Single Family Multi 01 of _ Plex WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100%_) Census Code #of Units # of Buildings Type of Construction Fireplace y Garage Deck Lower Level Interior Improvement Move Building Fire Repair Repair 2_ REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Roof: s)' Ice & Water `�' Final Framing Y-7' 30 Minutes Fireplace: _Rough In Insulation Sheathing Sheetrock Fire Walls Braced Walls Shower Pan Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Siding Reroof Windows Egress Window Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Accessory Building _ Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building - give PCA handout to applicant Occupancy ,1,_.i2 [-- Code Edition 7u+5 Zoning Stories Square Feet Length Width 1 Hour Air Test Final Reviewed By: MCES System SAC Units City Water Booster Pump PRV Z Al Fire Suppression Required Meter Size: Final / C.O. Required Final / No C.O. Required . HVAC _ Gas Service Test Gas Line Air Test Pool: _Footings Air/Gas Tests _Final Drain Tile Siding: _Stucco Lath _Stone Lath _Brick Windows Retaining Wall: _ Footings _ Backfill _ Final Radon Control Fire Suppression: _Rough In Final Erosion Control Other: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL PPeki i`w en Aergo t o -To jet ,za- e TO 6-2.9-7(c 4'3 a 55. f cfsZellSe Page 2 of 3 • ADVANCE SURVEYING & ENGINEERING CO. 5300 Highway 101 Minnetonka, MN 55345 Phone (952) 474 7964 www.advsur.com Wednesday, June 2, 2016 Job Address: 3028 Woodlark Lane, Eagan, Minnesota 55121 Scope of work: Re-establish the south property line of the above property Legal Description: Lot 4, Block 1, Oslund Timberline Addition, Dakota County At your request, we verified existing survey monuments or set new survey markers, as necessary, at the south corners of the property above. The scope of our services did not include the preparation of a drawing, locating improvements or possible encroachments, if any, on the property. This is to certify that this work was done by me or under my direct supervision and that I am a licensed Professional Land Surveyor under the Laws of the State of Minnesota. Thank you for using our firm. Sincerely, ci4(cirm TV. a),14(4,111A, Wayne W. Preuhs, L.S. No. 43503 (koci Al& /---7/ /9