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 $260.00 73 5-18-72
PAR K
11
cirir oF EAGAN
3795 Pi{et Keob Rssd
. Eoqee, Minenota 55122 INSPECTOR NOTIFICATION
No. M'°"~: 4s'M~00 REQUIRED BY LAW
~ • PERMIT FOR ALL INSPECTIONS
Date: Receipt No.:
Single I
Site Addrcu: iResidentiol
Lot Blotk ~ Su6/5e Multi Res., Comm./Irid. I
+ 1a:F., ' ,
Nome New//11ter./Repoir
"]'P ~_:i ' !.~`"1
i Add?MS COSt Of InSLOllGYlO?1
~
City Phone: Permit Fee '
Name
~ Surcharge
~ /lddress
~ .
City . Phone: ' Totol
This Permit is issued on the express condition that oll work shall be done in accordance with all oppliooble Stute of
Minrxsoto 5tatutes ond City of Eogan Ordinonces.
Building Offitiol
/ C/z 7/r U -
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F yt7 y-7 3
RESIDENTIAL k"d- 8-~
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 45122 C 1 T~~"~~
651-681-4676
IHwConsWClbnRwuinmmh RemoMYRowkRecuirlmfflts ' a- p'~0 -01
. 3 iegiskred sqe smveys sMwdg 4 IL M l04 4 ti d house; w41 roobd areas . 2 capies a( pkn
(20%macimum bl ooverage abwed) . 1 xt d Eneryy CaIwleUans tor healed addiions
. s wcies a pan snowmy neem a winoow sua; pa.w rou,a aesiyo, e1c.) . 1 sne eurvey ror s,Mnor aaanaa a aeas
. lxtofEnerpyCakulations . IndkatetllwmexrvedbysepHesystemiaraddifions ? -
. 3 copies ol Tree Pmservatbn Pfen H bt platbd ePoer 711193 . Rkn,ldst Detai Optbns selec4on sheel (BWps wNh 3 or lass unAS)
DATE 1~-a.a-QI v VALU/IION -t478(Q •
JOB SITE ADDRESS 30a$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