3046 Woodlark Lane
CITY OF EAGAN ' •
3830 Pilot Knob Rosd, P.O. Box 21-199, Espe, MN 55121
eu1LDING IPERMIT PHONE: 4548100 RK~lpt
r. M..w f« s c:: a r. r-+ P V Rc tt Est. vaiue $5, 20cf oote I
•Site A 3046 itiv;TiLARK Likl. Eract Q' OcwPsncy
Lot ~ Block 1 Sec/Sub. (i.`'.~T,"Ni? `j'IMBER - Remodel ? Zoning
Pncel No. A17 7 Z?' 7 C i; Repsir ? Type of Const.
Enlarye ? No. Stories
W $OB $GAN Len hh
r Neme Dsmolish ? p"
Address Grede ? Sq. Ft.
City Phone 3 2 9 6 Install O
..JD` P ~,i3`Z.`; ~?YMeveM Eus
Name i';f.
A~re~ . cti •t; Assessment Partnit
~ City tS l :1 L; Phone 7 Woter & Sew. SurcFa?ye 3.00
~ Police Plan Review.
W Name Fln SAC
UV Addrsas Enp. Woter Conn.
City Phone Ploruw Woter Mtter
Councll Rood Unit
I herrby acknowlodfle thot I 1wve rcod this opplicotion and stcte that Bldg. Off. 4727 Psrin
the inlormation is correct and ogree ta comply with oll opplicabl• APC Totsl
Stote of Minnesota Stotbtes cnd City of fwqcn Ordinoncsa.
Var. Deta
Sipnotun of PertniRq ~ s - , - '
hivti+Plr:ii~~J^:C)
N Buildinp Permit Is issuad fo: BL~:: on the expreq tOnditbn thot
oll work sFwll be done in occwdoncs with all opplicablt Sta1s of Minnewta,,$otutst-ond Gty of Eopon Ordirqexes.
6uildinp Offidol
?
PKmit No. Nrnoit Holdm Dib Tia • s
Plumbino
H.VA.C.
ENetrie '
SoftwMr
Irupfttioe Dob Insp. Othw
Footinot
Foundation
Fnmirq
ROOHnp
Rou9h Ptbo.
Rough HVA
Imulntion
Final Mb4
Final HVAC
Final
Cw't/OOC.
w.a. o.,aib. LoesNon:
WNI
Sw~?
Pr. Dimp.
- ~ PERMIT #
MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE PHONE: 454-8100 ~
Site Ad ess ° s' 6 ~ ~~'~A'L
gLpr, TypE WORK DESCRIPTION
Lot~ Biock,~_... Sec/Sub Res. New
; c:? ?`n% - L ^~~d,: ~
Name Mult Add-on
m
~o Address ~ ls S ?/P" Comm. Repair
c Ciry Phone 4ther
- !S6 S FEES
Name RES. HVAC 0-100 M BTU - $24.00
; Address ~'6 ! DoQ,(,~,Q,r~?. ADDITIONAL 50 M BTU - 6.00
p City Phone y' ~9 (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PEHiIAIn - 1.50 EA
TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE
FOrCed Air ~vM BTU o u APT. BLDGS. - COMM. RATE APPUES
TOWNHOUSE 8 CONDOS - RES. RATE APPLIES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
Unit Heater M BTU REMODELS - 12.00
Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00
Vent CFM STATE SURCHARGE PER PERMIT - .50
(ADD a50 S/C IF PERMIT PRICE GOES
Gas Piping Outiets # BEYOND $1,000)
Other
FEE ~.Zuo J,
z,-, _ . ' , , :
S/C: lGNATURE F E ITTEE
TOTAL•
FOR: CITY OF EAGAN
d--~-~~ y/'/~>
CITY OF EAGAN Remarks
Addition Oslund Timberline Lot 7 Rik 1 Parcel A0 55300 070 Ol
Owner ~^~Pr t 4 Le +re Lu FQ ? Street 3046 Woodlark Ln. State Eagan, MN 55121
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 3. 33 30 PAID
SEWERLATERAL 1970 1210.00 60.50 544.50 A008668 11 28 79
WATERMAIN
WATER LATERAL
WATER AREA
*STORM SEW TRK 1970
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PfR.
sAC $275.00 9605 -
PARK
INSPEC-TION RECURD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
~ I I., iJ~lili~f i~l r 1 rtiNl F~; I~ 1 i' l Mi
.1 04111 11 i p~;f ?~i ~ aF- ~ -1 ,
PERMIT SUBTYPE: _ TYPE OF WORK:
INSPECTION DATE INSPTR INSPECTION TYPE DA
4 I i~ I 1' 1 t+~ I
l
I
~ J
Permn tro. w.n,n I+older o.ro relapr,on. •
S/W
I PLUMBING
I
I HVAC
I EIECTRIC
I ELECTRIC
~ Inapscdon Dats Insp. CommMts
I Foofings I
I
I I
I
, I
Fourfdetion I
Framkp I~
~
RoofhV I
Ragh Pb9- I
Rough FKp•
W.
Fkeplace
rr
' /
g3 ~
FMW ft. .
Orspt Test
Fnal Plbp. Pibg. inspeclor - NotitY Powriber
Const. AAeter
ErqrRlan
&dp. Fnal
DeCk Ftp.
DeCk Final
Well
Pr. Disp.
` '~/3
INSPECTION RECORD I COnt?ol No.
CITY OF EAGAN PERMfT TYPE: f"' I 1 11'
3830 Pilot Knob Road Permit Number. #Goa! '
Eagan, Minnesota 55123 Date Issued. a~: r t H/ y:•
(612) 681-4675
SITE ADDRESS: APPIICANT:
3040S t,l~?~?[+1.I~NK I A~F R(IPIERTS sF5 R[ ~~iR~l_ x~i~ I?1r~
10',1 0Mt) 1 fMNF Fil ZME It,t.: 111•t4- 414f1
PERMIT ~U~TYPE: TYPE OF WORK:
sr N ;c
tou Rr-aegrlaa
i
i
@
~
wn" Da. a«dt Nowa ar Tw.phlx,. s ~ srw I
M-uMeiNc I
; I
I HvAC ~
BZCTFOc ~
I
aMcTuc I
' ti.~.otlon or. k,.y, ca.ra.tis
Foo0rqel .
FaurK%tlon
I
Fwft0 ~
POA~ I
PIK* P69. ~
plao ft. I
- I
~
Faw p+ev. Pbo. mwom• - Wurr amrb?
cow. mew c,p G.~~ JZO ~,.w.r4*A':4P
&VA%n V
Bk%~ Fk"
Do* FinW
V"
'
YILLAOE OF EAOAN SEWER SERVICE PERMIT
3795 Vibt Knob Road PERMI"I'NO 2139
Eagan. MN 55122
Zonin R-1 DATE: _12/31/73
B: '
Owner. RobeLt E an NO~ of Units: I
~
Address 0
Site Address. 3096 Woodlark Lane Ea an hW 55121
Plumber: Richfield Plumbin Co.
paid 12/10/73
~a9~ to comply wieh tM Villaga ol Ea9 -9605
on Connection Charge:275.00 pd 12/10
Ordinances.
Account Deposit: 15.00 pd 12/10
Permit Fee: 10.00 pd
Surcharge: • 50 pd 12/31/73
BY~ Misa Charges:
Date oF Insp.:
Total:
Insp.: Date Paid: '
CITY OF EAGAN N° 10 0 2 6
3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121
BUILDIIbB PERMIT PHONE: 454-8100 Receipf #
Te 0 wd /er SCREEN PORCH Est. Volue $5,200 Date APRSL• 3 , 19-B-5.
SiteAddreu 3046 WOODLARK LN Erect Cj{ Occupancy
Lot 7 Block 1 Sec/SubOSLUND TIMBER - Remodel ? Zoning
.
PercelNo. LINE ADDITION Repair ? TypeotConat.
Enlarge ? No. Stories
BOB EGAN Move ? Length
~ Name
= Demolish Depth
~ Address SAME Grada ? Sq. Ft.
ciiY vnona 454-6296 i,,,teu ?
c H2IMMERLOND BLDRS Anvro.o4 Raa
O Name
Addres~ PLEASANT LN Hssessment Permit $56•50
~ City BURNSVILLEphone 890-2010 Water85ew. SurcMrge 3.00
Police Pian Review
tu
W
Name Firo SAC
~
I 2 ~ Address Eny. Water Conn.
~u=i City Phone Planner Woter Meter Council Road Unit
I hereby ocknowledge rhot I Mve read this aOGlicolion and state that Bldg. Off. 4/2/85 Parks
fhe intormafion is [orrect and o9ree fo comply wirh all apvlicable APC Total~
Srata of Minnewta Stat tes and City of aGn Ordirwnces
y// _ ~ r Var. Date
Sipnoture of Permiftee_> A Building Dermit Is issued to: HAMNiERLOND BLDRS on the expross condiHon tMo
oll work shull be daro in ac<ordcnce wirh all applicoble t of Minne ta S a t~City~ Ordinonces.
Buildinp Offlcial ~
-lyp
1985 BUILDING PEIUIIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACiORS MUST BE LZCENSED 4!I'IH THE CITY OF EAGAN
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
uO
To Be Used For•
• Scre." Qjc~ Valuation: „fy U v ~ Date: 1~-
Site Address: ,30 A16 lyaud /'x ,u k Jaw+ OFFICE USE ONLY
Lot: ~ Bloek ~ Sect/Sub 6Erect X Occupancy
'r~Remodel Zoning
Parcel # Repair Type of Const
Enlarge 1/ of Stories
Owner 5,,6 Ey 2 Move Length
Demolish Depth
Address 3u~/` wou~z~k ,(w,~ Grade Sq Ft
City/Zip Code 5'5-11~
' Phone 45w, 6 'LSL APPROVALS
Contractor ~ui ~f... r Assessments Permit 5(-0.
~ Water/Sewer Surcharge
Address 1-7C~y Police Plan Review
Fire SAC
City/Zip Code Engr Water Conn
Planner lJater Meter
Phone ~ 90 - Zo / O Council -oad Unit
Bldg Off Z Parks
Arch./Engr. APC Treatment P1
Variance
Address TOTAL
City/Zip Code
Phone /1
~ PERMIT
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55123 Permit Number: 022143
(612) 681-4675 Date Issued: 10 / 0 4/ 9 3
SITE ADDRESS:
3046 WOODLARK LANE
LOT: 7 BLOCK: 1
OSLUND TIMBERLINE
P.I.N.: 10-55300-070-01
DESCRIPTION:
i~ (INSERT & GAS LINE)
Buildirig- Permit Type FIREPLACE
Ij B uilding Work Type ALTERATION
~
\
J
i ~
~
L1 LJ
?vY~-~~
REMARKS:
FEE SUMMARY:
Base Fee $25.00
3urcharge $.50
Total Fee $25.50
CONTRACTOR: - Applicant - OWNER:
METRO AIR INC 14478124 EGAN ROBERT
16980 WELCOME AVE SE 3046 WOODIARK LN
PRIOR LAKE MN 55372 EAGAN MN 55121
(612) 447-8124 (612)454-6296
I hereby acknowledge that I have read this application and state that the
inPormation is correct and agree to comply with all applicable State of Mn.
Statutes and City of Eagan Ordinances.
- ~
APPLICANT/PEAMITEE SIGNATURE ISSUED B SI NATUR
INSPECTION RECORD
CITYOFEAGAN PERMITTYPE: BuzLorNG
3830 Pilot Knob Road Permit Number: 022143
Eagan, Minnesota 55123 Date Issued: 10 / 0 4/ 9 3
(612) 681-4675
SITE ADDRESS: Lo T: 7 8 L 0 C K: 1 APPLICANT:
3046 WOODLARK LANE METRO AIR INC
OSLUND TIMBERLINE (612) 447-8124
PERMIT SUBTYPE: TYPE OF WORK:
FIREPLACE ALTERATION
DESCRZPTION (INSERT & GAS LINE)
INSPECTION .
FIREPLACE
~ ~
REfiLTIV,;TE _ CIIY OF EAGAN
PERMiT # 1993 BUILDING PERMIT APPLICATION
22,143 681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural 8 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 af month.
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date Ie / 93 Yaluation of work
Site Address: 30 ~q ,[JnoaLlq,eK L,~i?~
STREET SUITE M
_
Tenant Nam?; (commercial ooly)
IAT BLOC& I SUSD. P.I.D. M
Descri tion of work: Zns!'q// ooo.zne-N~ ~ ~ -~-P~ 9` nsnzr
The applicant is: O Owner ? Contractor ? Other (Deaeribe)
Name EGAN . RaBE274- Phone ysy-4~74
Property ~~ST I FIpST
Owner Address '36 ~/6 /,cJoov C"e-K Z'Y//~r_
STREET S7E M
c;ty ~Ff6~n/ state InN z;p
Company Phone -~4~7
Contractor Address l69lYD 4/FLL'4m,E 14k- SF. License # Exp.
City P44-/Ze State /J"u?. Zip SS37.;>--
Archftect/ Company Phone
Engineer Name Registration M
Address
City State Zip
Sewer & water licensed plumber Processing time for
sewer 8 water permits is two days once area has been approved.
I hereby acknowledge that I have r this aPplication and state that the information is
correct and agree to comply wi all a plicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
:
BUILDING PERMIT TYPE -
0 01 Foundation ? 06 Duplex ? 11 Apt./Lodging Er 16.1„a,sementI i n i s h
? 02 Sf Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17-Sw1- AP Pdo1
? 03 SF Addition ? OB 8-Plex O 13 Garage/Accessory 0 18 Comm./Ind.
? 04 SF Porch ? 09 12-Plex 0 14 Fireplace ? 19 Comm./Ind. Misc.
O OS Sf Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility
? 21 Miscellaneous
WORK TYPE
? 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish
? 32 Addition O 34 Repair ? 36 Move
GENERAL INFORMATION
Lonst. (Actual) Basement sq. ft. MWLC System
(Allowable; l.r [1, 5q . fL. Clty Mdt2!'
UBC Occupancy 2nd F1. sq. ft. PRV Required
Zoning Sq. Ft. total Boaster Pump
M of Stories Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code
Depth On-site sewage SAC Code
APPROVALS
Planning Building Assessments
Engineering Yariance
REQUIRED INSPECTIONS
O Site ? Footing ? Framing ? Insulation
? Wallboard ? Final 0 Draintile ? Fireplace
Permit Fee v.i~na,: S
Surcharge
Plan Review
License
MWCC SAr
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC %
SAC Units
CITY-O! F EAGAN PERMIT C°" 0649
~ •
3830 Pilot Knob Road PERMITTYPE: suiLoiNG
Eagan, Minnesota 55123 Permit Number: 000852
(612) 681-4675 Date Issued: 0 6/ 18 / 9 2
SITE ADDRESS:
3046 WOODLARK LANE
IOT: 7 BIOCK: 1
OSLUND TIMBERLINE
DESCRIPTION:
~ RE-R00FZNG
'Building Permit Type SF (MZSC.)
~ 8uilding-Work Type REPAIR
UBC Occupancy R-3
REMARKS:
FEE SUMMARY:
VALUATION $5,000
Base Fee $72.00
Surcharge $2.50 ,
Total Fee ;74.50
CONTRACTOR: - Applicant - ST. LI OWNER:
ROBERTS RES REMODELING ZNC 18944146 000686 EGAN ROBERT
4456 CINNAMON RIOGE TR 3046 WOODLARK LN
EAGAN MN 55122 EAGAN MN 55121
(612) 894-4146 (612)454-6296
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.
3tatutes and City of Eagan Ordinances.
L ~
~a,a R~cll rn11
APPLICANT/PERMITEE SIGNATUfiE I UED EYY GNAT RE~~
INSPECTION RECORD I C°n 0649
CITYOFEAGAN PERMITTYPE: BuiLoirvG .
3830 Pilot Knob Road Permit Number: 000852
Eagan, Minnesota 55123 Date Issued: 06 /18 /92
(612) 681-4675
SITEADDRESS: LoT: 7 BLocK: 1 APPLICANT:
3046 WOODLARK LANE ROBERTS RES REMOOELING INC
OSLUND TIMBERIINE (612) 894-4148
PERMIT SUBTYPE: TYPE OF WORK:
SF (MISC.) REPAZR
DESCRIPTION RE-R00FING
INSPECTION D. . D.
FINAL
F
L
~
PERMIT M ~ CITY OF EAGAN
: 1992 BUILDING PERMIT APPLICATION
~ 2
681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural.8 structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which re uest is made or lot chan e is re uested once ermit is issued.
10
Date a-7 Valuation of Mork"
Site Address: 30y6 t,100,D Ln„% L-h
STREET STE /
Tenant Name: (commercial only)
?oT _I eLae __L- weo. dl~ ~Ut11h~JlXf.M. v.I.o. 0
ll
Descri tion of work: r3 e~j
The applicant is: ? Owner B Contractor 0 Other (Deseribe)
Name Ot E~r ~ 20 6e,7' Phone ysY- ~=9G
Property LAST y FIRST
Owner Address W~ub
S7REET S7E I
City State Zip SS-/'zi
Company j", rs Phone Yi W.
COI1tf8CtOf Address yVsC- Licens =Exp.
City State y"n Zip
Company Phone
Architect/
Englneer Name Registration #
Address
City State 2ip
Sewer R water licensed plumber . Processing time far
sewer 8 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: _Dr«- WAr"U&
OFFICE USE ONLY
BUILDING PERMIT TYPE ~"'~p • ;
O 01 Foundation O 05 Apt. Bldg O 09 Basement Finish O.k3%Comn/Ind New ~
02 SF Dwg. O 06 Garage/Accessory 0 10 Swim Pool ? 14 Comm/'Ind Add
? 03 Two family ? 07 Fireplace ? 11 Res. Add. 0 15 Comm/Ind Rem
D 04 Multi-fam. T.H. O 08 Deck 0 12 Res. Porch ? 16 Public Fac.
. ? 17 Agricultural
WORK TYPE
? 31 New ? 33 Alterations O 35 Move ?e~,
0 32 Addition O 34 Tenant Finish ? 36 Demolish
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MWCC System
(Allowable) lst F1. sq. ft. City Water
UBC Occupancy 2nd Fl. sq. ft. PRV Required
Zoning ~ Sq. Ft. total Booster PumP
i' of Stories Footprint Sq. ft. Fire Sprinkler
L:mgth On-site well Census Code
Depth On-site sewage SAC Code
APPROVALS
Planning Building Assessments
Engineering Yariance
REGIUIRED INSPECTIONS '?Z=--?MAKKS'• Re2oa+'
? Site ? Footing O Framing ? Insulation
[3 Wallboard ? Final ? Draintile O Fireplace
Permi t Fee t D v.iLot;a+: s`~ O v~ '
Surcharge 2 . S o
Plan Review
License ,o•
MWCC SAL
City SAC
Nater Conn.
Water Meter
Acct. Deposit
5/M Permit
S/W Surcharge
Treatment Pl.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAL %
SAC Units
CITY OF EAGAN
CASHIER: JS TERMINAL N0: 004
DATE: 03/29/00 TIME: 10:57:42
ID:
NAME: ALLIED FIRESIDE INC.
3210 9001 3046 WOODLARK P 60.00
2155 9001 3046 WOODLARK P 0.50
~
A
Total Receipt Amount: 60.50
CR125222
USER ID: JAN
~+,.++ft~++++***~+***++**+++**:r+++*+***+ I
%o.s°
2000 FIREPLACE PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD - 55122
651 681-4675
Date:~IRII.rG ~ 9L I
Description of Work: ~ Construct new fireplace ;~_Gas _Masonry _ Alterations to existing
_ Install pas inserl onlv _ Install izas line onJv
Other
Jobaddress: l,UdO ZaY'k Z Q' A P~
Lot: •-7 Block: ~ Subdivision/P.I.D. 0541 110l 7,1r?1&rl'"n U
Applicant (circle one only): Owner Contractor Permit Fee: $60.50
Name: ~CI Q' yI i> P > Phone ~/J S~ " 7.~y [ LG~' jYi
PROPERTY Last First
oViNER
Street Address: Za% f ~
U 17
City State: e. Zip:
Company: ~l- I?~~S/%1/ P(JoryLV' iAl ( ~~i/''P~"ILPhone #:lp/~- ~90 D~~
FIREPLACE 2j, (azea code) ~
INSTALLER StreetAddress: ~L "j ~ A& 49 12
cicy f ~ ~ ro S'/i i ' 17P, srau: /~l zip:
Company: Phone
(area code)
GAS LINE ~
INSTALLER Street Address:
City State: Zip:
' I hereby acknowledge that I have read this application and state that the information is coaect and agree to
comply with all applicable State of Minnesota Statutes d City of E~ Ordinance .
Sign ture
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 16 Fireplace
WORK TYPE
? 31 New O 33 Altetations ? 39 Gas Line ? 41 Wood Stove
? 32 Addition O 34 Repair ? 40 Gaz Insert
GENERALINFORMATION
Census Code 434
SAC Code 01
RE114.ARICS
Chimney/flue must be inspected before concealing.
r
f
~5'g~g 9q a~
2006 RESIDENTIAL BUILDING rEUNnT .arrLicaTiorr
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsUUChon Reauirements RemodeVReoair ReouiremenLS Office Use Onlv
3 registe2d site surveys shaving sq. ft. of IoL sq ft of house; and all roofed areas 2 copies of plan showing foolings, beams, joists Ced of Survey Recd _Y _ N
(20°4 maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Soils RepoR _ Y_ N
1 Soils Report if proposed building is to be placed on disturbed soil i site survey for additlons 8 decks Tree Pres Plan Rerd _ Y_ N.
2 copies of plan showing beam & windrnv sizes; poured found design, eic. Atldifion - indicate i/on-sRe seplic system Tree Pres Required _Y _ N
1 set of EnMy Calculatbns On-site 5ep6c System _Y _ N
3 wpies of Tree Preservalion Plan if lot platted aRer 711193
Rim Joist Detaii Opiions selection sheet (buildings with 3 or less units)
Minnegasco mechani[al ventilalion form
Date Construction Co ('S
SiteAddress ~b~~ ~s-~Ol~1~wa~- ~-'N • UniUSte #
Description of Work
Multi-Family Bldg _ Y~ N Fireplace(s) _ 0 _ 1~A 2
Property Owner 0 AtJ id- Telephone # (('J
Contractor ~~~~czt~ ~N~ \
Address G~MQ S AU'- City
~
State Zip Telephone #(q S`1)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Enefgy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
- • Energy Envelope Calculations Submitted
In ihe last 12 months, has ihe City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber Telephone )
Mechanical Contractor Telephone # ( )
Sewer/Water Contractor Telephone # ( )
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; 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 ofplans.
App icanl t's Printed Name Applica t's Signature
DO NOT VVRITE BELOW THIS LINE
Sub Tvpes
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OB 06-plex O' 16 Firepface ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex 0 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
O 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo/perola) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Tvpes
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors
? 34 ReplaCement 'Demolition (Entire Bidg) - Give PCA handoul to applicant
D@SCrIptIOf1: WaterDamage_Yes
Valuation Occupancy MCES Syslem
Plan Review 100% or 25%
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings(new bldg) _ Sheetrock
Foo[ings (deck) _ FinaUC.O.
Foo[ings (addition) _ FinallNlo C.O.
Foundation _ HVAC
Drain Tile ' Other
Roof Ice & Water Final Pool Ftgs Air/Gas Tests Final
_ Fnming Siding _ Stucco Lath _ Stone Lath _Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
Insulation _ Re[aining Wall
Approved By: , Building Inspector
Base Fee
Surcharge
Plan Review MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatmenl Plant
License Search
Copies
Other
Total
2007RESIDENTIAL BUILDING rERMIT arrLicaTioN
~ City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reamrements RemodelA2eoair Reouirements Offlce Use OnN
3 registered stte surveys showing sq. ft. of lot, sq. ft. ot house; and all roofed areas 2 copes of plan showing footings, beams, joisis Cert of Survey RecG _Y _ N
(20 % macimum lot wverage allowed) 1 set of Energy Calculations for heated additions Soils Report _ 1' _ N
1 Soils Report if proposed building is to be placed on disturbed soil 1 site survey for addiEons & decks Tree Pres Plan Reoi _ Y_ N
2 copies of plan showing beam 8 window sizes, poured found desgn, etc. Addfion - mdicate if on-sfte septic sysfem Tree Pres Required _ Y_ N
1 set of Energy Calculalions On-site SepOc System _ Y_ N
3 copies of Tree Preserva4on Plan if lot platted after 711193
Rim Joist Detaii Opfions selection sheet (buildings wilh 3 or less unAS) r~~e ~ -~5'
Minnegasco mechaniral venfilation (orm J !~V
U
Plans are considered ublic information unless ou state the are trade secret and the reason.
Date Construction Cos[ ~ I~~~, Q~Q
Site Address NUnit/S[e #
s
Description oC Work
Multi-Family Bldg _ Y11 n~ N Fireplace(s) _ 0_ 1~ 2
Property Owner Z)r-kc,~ "4m--1 Z4:zw-L, Telephone #
Contractor
Address St>+t'~cT ~C<<Y
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 submissionrype) . Submitted Submitted
. Enerqy Envelope Calalahons Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber Telephone )
Mechanical Contractor Telephone # ( y
Sewer/Water Contractor Telephone )
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the CiTy of Eagan and the State of MN
Statutes; 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 lan in the case of work which requires a review and
approval ofplans.
Applicant's Printed Name Applicant's Signature
DO NOT WRITE BELOW THIS LINE
Sub Tvpes ~
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory B,ldg
? 02 SF Dwelling ? 08 06-plex O 16 Fireplace ? 21 Porch (3-sea ) ? 31 E#. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex 0 10 08-plex ~ 18 Deck ? 23 Porch (screen/gazebo/pergola) O 36 Multi Misc.
? OS 03-plex 1:1 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Tvpes
? 31 New ? 35 Int Improvement O 38 Demolish Interior ? 44 Siding
_15i" 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building• ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg) -Give PCA handout to appliwnt
DCSCfIpYlOI1: Water Damage _ Yes ,
Valuation Occupancy MCES System
Plan Review 100% or _ 25% Code Edition
Census Code L/ 31Y Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const ~ Width
REQUIRED INSPECTIONS
Footings (new bldg) _ Sheetrock
~ Footings(deck) FinaVC.O.
_ Footings (addition) ~ FinaUNo C.O.
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool Ftgs Air/Gas Tests Fina]
_ Framing _ Siding _ Stucco Lath _ Stone Lath _Brick
_ Fireplace _ R.I. _ Air Tes[ _ Final _ Windows
Insulation _ Retaining Wall
Approved By 6wlding Inspector
Base Fee
surcnarge
Plan Review v v" e v
MC/ES SAC .
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
. Dakota County Real Estate Inquiry Page 1 of 1
Dakota County Real Estate Inquiry
. ~ Data Updatetl 5131/2007.
, Need Help? WhaPs New?
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Select option and click on map:
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CopyrigM 0 2007. 0ako
PLEASE READ DISCLAIMER 0~4?1
T
his application was developed by the Dakota County Office of GIin cooperation with Assessing Services, Treasurer - Autliror antl Propert~ecords Departments
L G coun~~
Click on the Dakota County Logo above to relurn to the home page
http: //207.171.98.200/scripts/esrimap.dll?Name=webq 1 &Le8=537219.467&Bottom=23631... 6/ 1 /2007
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Use BLUE or BLACK Ink
r------------------.
I For Office Use
\ I Permit
City of Eq,~ Permit Fee:
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I 1
Fax: (651) 675-5694 I Staff: I
I I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit M
1
`Name: Phone:
Resident/
Owner t Address / City / Zip: 3 0 0 o d ~G! &
Applicant is: Owner Contractor
Description of work: Y O 1f 1
Type of Work
Construction Cost: 5o Multi-Family Building: (Yes No,
Company: 5u/\,,) ( 5 ~i d~ Contact:
Contractor i Address: -eV -TVAt City:i-~)O L)
- -
State: Zip: Phone:
i 2
Lead Certificate
4-S License J ~
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
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 yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water 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 4
conclude that they are trade secrets. i
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.org
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 "Ro clot, [ C/ tl~ v x
Applicant's Printed Name Applicant's Signature
Page 1 of 3