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3053 Woodlark Lane cinr oF EAGn?N 3795 Pilot Knob Roed Eagan, MN 55122 Ng 4469 PHONE: 454-8100 7283 BUILDING PERMIT ,S 3, 5('iU. ReceiPt # Te b~ ns~d far ~.e+r~odel Dote `epLc?mber 6, 19 ~ Site Address 3053 Voodlark Ln Erect ? Occupancy Lot, jqrl Blxk 2 Sec/Sub. TimberZ ine Alter p Zoning Parcel # Repair ~ Fire Zone _ Enlarge ? Type of Const. ix Name +-li. & `iis, liumfel t Move ? # Stories W 3 Address ~~3 (,.g~I _•-U Demolish p Front it. ~ Ci Phone b 54 - 134 Grade Depth ft. 5 ? ~ Approvols Fees n Nome U.,; tp,-t W,..,.-Qiked _ c L i b o' Address TrJSL. '±v+rnevi I,L Assessment Permit U§ :unnsviiic Ci Phone 890• 1618 Water & Sew. Surchorge F Police Plan check _ FW Name Fire SAC /Wdress Eng. Water Conn. <W Ci Phone Planner Woter Meter Council I hereby acknowledge that I have read this opplicotion ond stute that Bldg. Off. the informotion is correct and agree to comply with o!I opp!icable ApC Total ~ State of Minnesotn Statutes nnd City of Eagan Ordinances: l: Signoture of Permittee - U~itrc~ ;::iversified ~eat u 1s1c;E;. A Buildi~g Permit is issued to: _ on the express conditian that oll work shull be done in uc~dance with all applicoble Stote 94 Minnesoto Stotutes and City of Eugan Ordinonces. - : Bullding Official - / . Poewk # OeM lawW fwMllM . Plumbing ' Methonitol INSPECTIONS DATE INSP• RoupMln Find Footinga ~ Dots Inp. Date leup. Foundotion ~ Plumbinp Frome/ins. Mechanloal , Final 0' ~ N Remarks: ~ INSPECTIaN RECORD IControl ' CITY OF EAGAN PERMIT TYPE: 383Q Pilot Knob Road Pertnit Number: Eagan; Minnesota 55123 Date issued: 04 /;!b { 9 2 (612) 681-4675 SITE ADDRESS: APPLICANT: 9053 WQODLARIf IANE OAitLBTitOM OESTqMEN HOMEB ` ! OSLU1f0 tIMDERLiNE (612) 465--2245 PEPIT 1WRTY rklEr.:M TYPE OF WORK: ~oex~tAtl ~ , ; ~ FUUT INd FR1~NxN9 TNSUEATxQN PIMAL. ti AEMARKBt R[CEIPr 0 SRPARArE ?ERMITS *E9111440 fOR EL!`CTItICAL PMn*i100. WfelklbldR OUS 1II60pol01w# SAM PU1M8iNC3 FIVAC ELECTFi1C ELECTFi1C kopecom DOU map, commwft ~ Foqein¢ I ~ FOUndUion _ Frart?kV Rooig ilotpl?Pb?• : Ra~gh H~4 ~ ~ul• Fi~Pi~O~ - Finsl Hlp. tkad 'i" ~ Rrad F'bp• Pbp. MrPOOb?- NOllfll PIu1+8w - Canwl. Mslar ~+p~JPfan . eao. Fh* °o* F,°. - o.* Fh,.+ ` . wo PC o,v. CITY OF EAGAN Remarks Addition Oslund Timberline Loc- 8 Rik 2 Parcel Owner Street 3053 Wnndl ark T.n _ State 2 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GiiADING SAN SEW TRUNK 1968 $100.00 $3.33 30 43.39 C008767 -30-84 *SEWERLATERAL 1970 1210.00 60.50 20 302.59 C008767 -30-84 WATEFiMAIN WATER LATERAL WATER AREA *STORM SEW TRK 1970 ZO STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC 200.00 1982 - - PARK EAGAN TOWNSHIP x~ 1_198 BiJILDING PERMIT Ownex Eaqan Township Address (Present) Town Hall Builder J-.11.`~---.-'---- /Gs7 Dafe Address ._....~«~-<_...1...._.._.J4!'.M.~~~~........................................_ DESCAIPTION Siories To Be Used For Froni Depih Heigh! Esi. Cos! Permii Fee Aemarks G~t~~~^~/ r.7i 3(~•1 'Jl ~c~~~~ ~ ~ LOCATION Sireei, Road or other Descziption of Location Lo! Block Addition or Traci This permii does not authoriae the use of sireefs, roads, alleys or sidewalks nor does it give the awner or his agent the righi !o create any situation which is a auisance or which presenfs a hazard !o the heelih, safefy, convenience and general welfare !o anyone in the communiiy. THIS PERMIT MUST B£ K PT ON THE pAEMISE WHILE THE WOAK IS IN PAOGAESS. .........haspermission fo ereei a, upon This is !o ceriify, ihak....._ _ . .il 11, the above dESCribed premise subjeei !o the provisions of !he Building Ordinanee for Eaga' Township ~.ted. Apr. .........._-------.....ICS!!-^.-:!t.'-:!.t.:4....... ----Per ..........-----...p Chairman of Tnwn Boar Suilding Ins ecfor - l ciTr oF eacnN ' 3795 P71oe Knob Road Eagan, MN 55122 N2 4469 PHONE: 4548700 7283 BUILDING PERMIT APPLICATION $3,500. Receipt # To d, und f,r Remodel Dote September 6t 19_77 Site Addr~e,~-Is 3053 WoodlBik Ln Erect ? Occupancy Lot ryb p= Block 2 Sec/Sub. Timberline qlter 7~ Zoning Parcel # Repair ? Fire Zone _ Enlarge 0 Type of Const. s Nnme Mi, S MLS. Humfelt Move ? # Stories 3 Addreu 3063 rdiaFk_ Demahsh ? Front ft. 0 Cit ~ Phone 454-7 9L5 Grode ? Depth ft. w Name ApDrovala Fees o ~ ou Addre 1016 W Rnrngvilla Assessment Permit-~.-QQ__ NUIIIIS-~r~ Woter & Sew. Sur<horge L vv Cit Phone 890-1618 Police Plan check ~w Name FZ Fire SAC Addreu- Eng. Woter Conn. a`° Cit Phone Planner Woter Meter Council I hereby acknowledge thot I have read this apPlication ond state that Bldg. Off. the information is correct and agree to mmply with all oppli oble -17.0U- State of Minnesoto Stotutes ard City of Eagan Ordinan e. APC Totol Signature of Permittee~ A Building Permit is issued to: U lted DiVCISi ed ptp Q$Ld on the express condition thot all work sholl be done in a dance ith liwble tote Minnesota Statutes and City of Eagan Ordinances. Building Officiol , Thc,kquest void 18 months from /p SS3 0,1 Oro d a 2&- o~-~ 9/ 6T P 12212 Date oz this Request 9 - 9' 7 7 I, as Et i.icensed Electrical Contractor ? Owner, do hereby request inspection of the above electri- cal wiring installed at: e ,~n n Stree[ Address or Route No. J O J 3 ~J o~V--~ 9-,, Ci[y Section Township ~ Range County ~ Which is occupied by 44 . ~ ~,,,.~,~e.,~ ( ama oT Occupant) Is a roughin inspection required on tt~is 'ob. ? No ? Yes EY Ready Now 0 Will Call Cl' Power Supplier - Address 10 0 ~ , Z Cv' Contractor's License No. _ ElectricalContractor <I~v--Q-a..J ~ `3vyE~ (CO~`"~~any Nnama) .p Mailing Address (o $ 3 U 1-~A • (Electrlt I Contr c[or or Owner Makin9 This tnstallatlon) Authorized Signature 11 y1'1 1 4, Phone No. 2133--4 $as (Electrl<al Contraclor or Owner Making T11I5 Installatlon) STATE BOARD COPY Minnesota State Board of Electricity ~a y3 9, , 0#954 University Ave., St. Paul, Minn. 55104-Phone 645-7703 REQUEST FQfi ELF TRICAL INSPECTION CHECK BELOW WORK COVED BY THIS REQUEST 12 212 Type nf Building New Add. Rep. Check Appliances Wind For Check Equipmen[ Wired For Home ? ? ? Range ? Temporary Wiring ? Duplex ? ? ? Water Heater ? Lighting Fixtures ? ApGBldg. ? ? ? Dryei ? E(ectricHeating ? Commercial Bldg. El ? ? Pumace ? Silo Unloader 11 Industria] Bldg. ? A'u Conditioner ? Bulk Milk Tank 11 Farm ? ? ? Ltst pList Other ? ? ? Herers) HeheT51 COMPUTE INSPECTION FEE BELOW Service Entrance Size: # Fee Feeders&.SubfeeQecs: ` Fee C¢cuits: # F 0 to 100 Am s. 11 0[0 30 Am tes V u 0 to 30 Am etes O ]Ol to 200 Amps. 1131 torkQO Ampeies.\ 31 ro 100 Am eres Above 200 Amps. 11 A o"ve.100 ~%Am s. Above 100 Amps. Transformers 11 Remote Cun[iol Cire. Parttal or o[her fee Signs 11 Speci3le ns ec[ion Minimum Cee $5.00 Remaiks TOTAL FEE /q j v I, the Electrical Inspector, hereby cer ha[ t1}~ b~eve inspection has been de. (Rough-in) L-(~i~'~C~t.~) Date (Final) Date ly ~ This request void 18 months from ~ 5 8 3 O 3 a_° ReQuast Date Flre No. Rough-in MspecOOn / ?L Re uiretl? ? Reatly Now ~i Wrll NoLly InspecYOr ves ? No Wnen Reatly? I hcen ed comracror ? owner hereby request inspection of above electrical work at: Job HOtlre15 (SVeet. Bax or ftoule No.I Qry 30 ,3 / Section No TavnsM1ip Name or No Ranqe No Coun 1 Occupam (PRINT) Ppona No. 3144B 171•G~O Power SuvoLer pdaress Elecmc Convaclor ILOmpany Name~G- ~ ConVatirns lKense No Lx o/75 Matling Atlaress iGomractor or Owner Making Installalion) 355'O j~~,•+~iLC.-~a,~l 4s57/y~S ~2, Hmno e S Wre 1 n c,ouOwner M kin n la nl Ppone Number - 37 -s~53 MINNESOTA STATE BOAPD OF ELECTRICITY THIS INSPECTION PEOUEST WILL NOT Grlqqs-MlCwey Blpg - Room Sl]] BE RCCEPTED BV THE STATE BOARD 1811 University Ave., St Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone(612) 642-0800 ENCLOSED. RE c ~UEST FOR ELECTRICAL INSPECTION ;°~="~~'~q,, eaooomoa e: instmdions tor complenng this lorm on back ol yellow copY A8303~ S "k " Belaw Work Covered by This Request ew Add I Rep Typeol6uilding AppliancesWired EqmpmeniWued Home Range Temporary Service Duplez Water Heater EleCtnC Heating Apt Bwiding Dryer Other (Specify) Comm.llndustnal Furnace Farm Air GondiLOner OIDer (suKitY) ConVaclor's Remarks t Compute Inspechan Fee 8elow n ' Other Fee # ServiceEmranceSize Fee # Qrcwis/Feeders Fee Swimminq Pool 0 ta 200 Amps to 100 Amps Translormers AboVe 200 Amps Abo o_ Amps SIynS Inspeclar5 Use Only TDTAL Irriganon Booms Special Inspechon / Alarm/Communicauon THIS INSTALLATION MAY 8E OR ERED DISCONNECTED IF NOT Other Fee COMPLETED WIT 8 M . f I, the Elecirical Inspector, hereby Rough-in certify that ihe above mspection has Finai been made OFFICE USE ONLY This requesl witl 18 manths irom ' r-----------------~ I For Office Use ~ City of Ea~aIl ~ Permit# 73~1~(p I Permit Fee: ~ ~ I 3830 Pilot Knob Road I I Eagan MN 55122 ~ oaze Fteceived: Phone: (651) 675-5675 i sran: j Fax: (651) 675-5694 L________'_-_____._ 2008 RESIDENTIAL PLUM~INC I! PERMIT APPLICATION Date:c SlteAddress: ~5 , w0~ 1c~f Y\ ~ Tenant: 1n'kO" 6Vy"'`"'' Sulte RESIDENT/OWNER Name:~e-~'e~ Phone: Address ! City / Zip: 305 W00~ H~v CONTRACTOR Name: Va,l (oe Y\, License Address: ~w , ciry: State: M~ Zip: 5% a 7/ Phone: I5 a Contact Person: ~C oe- TYPE OF WORK _ New _ Replacement _ Repair _ Rebuild kModiy Space `Work in R.O.W. Descrl tlon af work: PERMIT TYPE AESIDENTlAL Water Heater _ Water Softener _Lawn Irrigation 4A Plumbing Fixtures ~ RPZ PVB) Main _ Lower Level) Septic System _ W ater Turnaround New ~ Abandonment RESlDENTIAL FEES: $50.50 Minfmum 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) 'Wa[er Tumaround (add $136.00 if a 5/8" meter is required) $100.50 SeptiC System New ($70.00 per as built) (includes County fee and $50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ I hereby acknowledge that this information is complete and accurate; that ihe woAc 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 pertnit, and rk is not to ta 'thoW a pertnit; ihat ~he work wfll be in accordance with the approved plan 'n thy case of work which requires a review and approv p! s. x ~.~!~h ~ S. C 7z z( , ' Appll\- s PrlMed Name ApPll M's SI a re FOR OFFICE USE Reviewed By: Date: Requlred Inspections: _Under Ground _Rough-In _Air Test iGas Test _Finai ~~-f.~i RESIDENTIAL BUILDING 7D a Permit Application ~ City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 New Consiruc6on Reouirements RemodellReoair Reouirements Office Use Onlv 3 registe2d site surveys showirg sq. ft of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cert of SurveyRecd (20% maximum lot croverage aliowed) 1 sel of Eneyy Calculatlons for heated additlons Tree Pres Plan Recd 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for addNOns 8 decks Tree Pres Not Reqd 1 sef of Eneigy Calculafions Addi6on - irMicate Aonsife sep6c system _ On-site Septic System 3 copies of Tree Presenation Plan if lot platted after 711/93 Rim Joist Dehail Options selection sheet (bldgs wiN 3 or less uniLS „ n n ! 1-7 -I6~ Date :~7 / q Construction Cost / •J,. SiteAddress (,(Jy-~ ict?k L6 4tc' . Unit/Ste # DescriptionofWork ~+LI1`~ aA- X Sf6n?N.:'~•n ,w ~nGo~flv.~ Multi-Family Bldg _ Y~ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner o iti,~ Telephone#(~~) Contractor ~C.. e ~ ` • 'JGY+ti Address 2~„Gv~ ~City State Zip S O Telephone # (E/L COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential VenWation Category 1 Worksheet • New Energy Code Worksheet (Jsubmissiontype) Submitted Submitted • Energy Envelope Calculatlons Submitted Licensed Plumber Telephone J Mechanical Contractor Telephone ) Sewer/Water Contractar Telephone ) P 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 of plans. Applicant's Printed Name Applicant's Signature , ..-,.a.:...,.. . . . 4.•.a• ":..'.L!, . rr. .....t....,x~_~ ,....,:.4_ ' ~,_....w..~,ttp:cY:,:v^,,.`:il'.k.JY..v.~.~..r_.uhw?~J'.s OFFICE USE ONLY Sub Types ~ ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg f~ 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Ait - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Mulli Misc. ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement 13 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bidg. ? 42 Demolish (Foundafion) ? 45 Fire Repair 14) 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDoors ? 31 ReplaCemenl 'Demolition (Entire Bldg) - Give PCA handout to applicant Valuation vzo . ^ Occupancy I MC/ES System Census Code Zoning ~-1 City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings(new bldg) FinaUC.O. Footings (deck) ~a FinaUNo C.O. 29 Footings (addition) Plumbing Foundarion ~ HVAC . Drain Tile Other Roof Ice & Wacer Final _ Pool Ftgs Air/Gas Tests Final ~ Framing _ Siding Stucw Stone Fireplace _ R.I. _ A'u Test _ Final _ Windows (new/replacemen[) ~ Insularion _ Retaining Wall Approved By Building Inspector - Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other • . Total ~.(f Date : BUILDIC?G PMMIi P..PPLIGATIO_I LOTBIACK. A7DITZON ~.~•-~~~«c/- . T ~ PARCGL & SECTIOi•I HNi1IIER IF U11PLATTED ADDRESS OF PARCEL 3 0i- 3 ZOiv'IJTG_ OCCUPANCY USE ~ ESTIhIAi'ED COS^ OS'RIER TELErxot~E NIo. ADDREESS orJv or'>Zi7,eK ,<1-kl COIdTRF.CTOR 6J/~ TE1.7 .b! V,M71 /-/ED Qt~A (Z~ a41%1~~HOLIEI r7o. ~ 9a i.~ 1~ avDREss %T~/l~~ GcJ ,(~~,E'i?e5'vl~.~~ 6ARICd.4si tdote: Include site plan, building plans, and ener9y calculations c,rith this application Signed OFFICE USE y ~ VALUIVII010 S'r1C rTATEz co:rTEc^ao.1 tTA~*.:k Ar:TER BUZLDIPIG PERGlIi FEE ~ Si7RCHARGE FL'E PLie?i CF.F:CK FEE PARIC DEDICl1TIOb1 FEE OTI.~c.R TOTAL* i APPROVALS: ASSESS,'vIE:~'T CLERK BDILDING DEWZ-POLICE DEPT. `.IA''ER & SL•'F:ER DEPT. FItiE DLPT. PARFC Dr,PT. PERMIT Control No. 0299 CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: BuiLoiNG Eagan, Minnesota 55123 Permit Number: 000369 (612) 681-4675 Date Issued: 0 4/ 2 8/ 9 2 SITE ADDRESS: 3053 WOODLARK LANE LOT: 6 BIOCK: 2 OSLUND TIMBERLINE . DESCRIPTION: Buildi`ng_Permit Type RES. ADD/PORCH Building Work Type ADDITION Building Length 16 Building Width 14 . r REMARKS: RECEIPT SEPARATE PERMIT3 REqUIRED FOR ELECTRICAL FEE SUMMARY: VALUATION $15,000 Base Fee $162.00 Plan Review ;105.30 ` Surcharge $7.50 Total Fee $274.80 CONTRACTOR; - Applicant - ST. LIC. OWNER: DAHLSTROM DESIGNER HOMES 14552245 0003506 MALAMEN PETE 10525 AKRON AVE 3053 WOOOLARK LANE INVER GROVE HTS MN 55077 EAGAN MN (612) 455-2245 (612)454-1858 I hereby ecknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State oP Mn. Statutes and City.of Eagan Ordinances. ~ L y c APPLICANT/PERMITEE SIGNATURE ISSIJED BY; SIGNATURE INSPECTION RECORD ~ C°n 0299 CITY OF EAGAN PERMITTYPE: BuiLDING 3830 Pilot Knob Road Permit Number: 000369 Eagan, M innesota 55123 Date Issued: 0 4/ 2 8/ 9 2 (612) 681-4675 SITEADDRESS: Lor: e eLocK: z APPLICANT: 3053 WOODIARK LANE DAHLSTROp DESIGNER HOMES OSLUND TIP9BERLINE (612) 456-2245 PERMIT SUBTYPE: TYPE OF WORK: RES. ADD/PORCH ADDITION INSPECTION . D. FOOTING FRAMING INSULATION FZNAL REPIARKS: RECEIPT N SEPARATE PERPiITS REQUIRED FOR ELECTRICAL F L ~ . ° CITY OF EAGAN Lt~z / / 1992 BUILDING PERMIT APPLICATION ~ -3/ ? 681-4675 y~ V/~% U< SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy, :calcs. r COMMERCIAL 2 sets of architectural & structural plans, 1 set of •,i specifications, 1 copy of energy calcs. ' Penalty applies when typing of permit is requested, but not picked up by last working da4y , of month in which re uest is made o lot chan e is re uested once ermit is issued. Date / ~L Valuation of work zO~~-~ , y Site Location: 30-s.3 ~o~Du}KK- /ys.tc-~~ STREET STE 9 i Tenant Name: PI'~~, ?f 6APr3 11'7-Qt-Jr+Asr,~ LOT 9_ 1 1 BLOCK 2 SUBD. O 5 Lu Nb P.I.D. # ' 1 L M D~N , Descri tion of work: 1164 Po2c4 / 1-2Gk ,9•v4 The applicant is: ? Owner Ei'Contracto'r ? Other coeecrine> Name iMA~k;^tAP,) t~"F_- -K t3'41W Phone ~~y '/BS5 Property uST FIRST OW1181' pddress 305".3 W°cyJ/~'2!~ I-A-nlE LTREBT iTE Y • ' City c5_~ 4G4.J ' State A'J Z;P S<5'!z/ Company /AkPhone 41~~rr' ZLy~ Contractor Address 16>5~2-y ,4XA0,Q /d U& License N.3SoS City /~?~,~C~J~~,c;J~ State Alllc~ Zip Company Phone ' ArchltecU Engineer Name Registration Y Address City State Zip. Sewer & water licensed plumber . Processing timq,for, sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this a plication and state that the information i; correct and agree to comply th all applic le,State of Minneso Statutes and.City of:,., Eagan Ordinances. Signature of Appl icant: OFFICE USE ONLY ' • BUILDING PERMIT TYPE ? 01 Foundation ? 06 Garage/Accessory ~ 11 Res. Ad ./Porch ? 16 Agricultural ? 02 Single Family ? 07 Fireplace ? 12 Comm./Ind. New O 17 Building Move ? 03 Two-family ? 08 Deck ? 13 Camm./Ind. Add O 18 Demolition O 04 Multi-fam. T.H. ? 09 Basement finish 0 14 Comm./Ind. Rem. O 20 Miscellaneous ? 05 Apt. Bldg. O 10 Swim Pool ? 15 Public Fac. WORK TYPE ~ 90 New ? 93 Remodel ? 96 Move El, 91 Addition ? 94 Repair ? 97 Demolish 0 92 Alterations ? 95 Tenant Finish ? 99 Undefined GENERAL INFORMATION Occupancy Basement sq. ft. MWCC System Zoning lst F1. sq. ft. . City Water Const. (Actual) 2nd F1. sq. ft. PRY Required (Alrowable) Sq. Ft. total Booster Pump of Stories Footprint Sq. ft. Fire Sprinkler Length ~ On-site well Census Code 4.~ Depth On-site sewage SAC Code APPROVALS Planning Building tf.z9yz Assessments Engineering Variance REQUIRED INSPECTIONS AISo Il~x~o~ 'DZ~i A (-Sc frs~-IiNCTL C- ? Site ? Footing P:~Framin9 P-1:Insulation ? Wallboard /111- Final O Draintile ? Fireplace Permi t Fee 00 v.tu.ttm: Surcharge '1 , IM5 2Z`-i X Plan Review In~.~o / License J p MWCC SAC City SAC Water Conn. 5~-1/N(j.(,~ Water Meter ' Road Unit Treatment P1. f y v ~J D Road Unit Park Ded. Trails Ded. Copies Other • Total : SAC % • SAC Units Cities Di ig ta1 Qualitv Control The following image represents the best available image from the original page. 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FJ,~]~^.~ 2:~;V~~ x~.• +=~j, i~~ i• ~-~t..tii.r,~jY~%~:4t'T,~~"qi.t~rl iS ~"t 'i~ t e o'Ti..t~s V S'u"r~^r•~4~' J i~' ; i~~~~r~l r: n • x •9'~q ~ ~'~K , y, ~p'' 1 af.~ Y ' } i ~ .R .~d~ S~. , ~ _ ~ ~ , I ~ g p i y . ' ~~1 F~ J Rs'~~ f~ . ~ ~ yyy 4 ..t. ~~`y'{~,'k'_ ^ z . • . 1 : ^Y`i~~ 1' ~ <»+`4~' I . , . 1 'b~?w~ ~1 ~ rrarn~ w,,. . a. ~ . i3r. . . ~ Z CITY USE ONLY L ~ BL - RECEIPT SUBD. 1/1.l RECEIPT DATE: PERMIT # 1999 PLUM$INra PEftMIT (ft£SII}EN1'IAL) crrY os F-nsAri 3$30 PILOT KN09 RD £AfiAN, MN 55122 (651) 6$7-4675 Please complete for: : single family dwellings > lownhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL Bath tub $ 3.00 x = $ Floor drain 3.00 x = $ Gas i in outlet " minimum - 7 100 x I= $ Hot tubls a 3.00 x = $ Kitchen sink 3.00 x = 5 Laundr tra 3.00 x' _ $ Lavato 3.00 x = $ Minimum fee alterations to existin dwellin 30.00 x = $ Private Dis osal S stem new/refurbished " re uires MPC iic. 75.00 x = $ Private Dis osal S stem abandonment 30.00 x = $ RPZ new installation/re air 30.00 x = $ Rou h o enin I 1.50 x = $ Shower 3.00 x = $ Under round s rinkler if dwellin is under construction 3.00 x = $ Under round s rinkler if existin dwellin 30.00 x = S Water closet 3.00 x = $ Water hpztdr 3.00 x = $ Water softener if dwelling untler construction 5.00 x = $ Water softener if existin dwellin 30.00 x = $ Water turnaround 30.00 x $ State Surchar e 50 $ 50 TOtal 30. sQ $ Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc. - t hereby acknowledge that I have read this app6catioq state that the information is cortect, and agree to comply with all apphcable City of Eagan ordinances. It is the applicanCs responsibility to nollfy the property owner that the City of Eagan assumes no liability for any damages wused by the City during its normal operational and maintenance activilies to the facilities constructed under this permit within City property/right-of-way/easement. SITE ADDRESS. /-~Q6,]G/~1! L.c/ OWNER NAME' :_~',~j~ TELEPHONE J99k 0f` (AREA CODE) INSTALLER NAME: IVII ~Dr7Tc''72 7/tu,..~i,?G TELEPHONE G~ 2 J~-f / lSJr STREETADDRESS: ;?~"Dl G~9osa~~is O~ /a (AREA CODE) CITY: (/</,~/r~sCsr~/ STATE: ZIP: . L~--- .1001, SI F RMITTEE EAGAN TOSJNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR SLY7ER SERVICE CONNECTION DATE: November 21, 1969 NUMBER 532 OWNER: Gary L. Humfelt Address 3053 4Toodlark Lane PLUMBER A]_l-State TYPE OF PIPE cast iron DESCRIPTION OF BUIID ING Industrial Commercial Residential Multiple Dwelling No, of units xx Location of Connections: Connection Charge 200.00 d. 11 21/69 Account Deposit 1. p. 11 1/69 Permit Fee / Street Repairs Tota 1 Inspected by: Date Remarks• By Chief Inspector In consideration of the issue and delivery to me of the above pexmit, I hereby agree to do the proposed work in accordance with the rules aad regulations of Eagan Towaship, Dakota Co ty Minnesota All-State Plumbing Co. Cedar Avenue, Minneapolis Please notify when ready for inspection and connection and before any pozCion of the work is covered. • tW~38~. ~ 70 - od 2004 RESIDENTLAL BTJII,DING PERAaT APPLICATION ~ City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 -Telephone # 651-675-5675-- --FAX #-651-675-5694-- - - - - NewConstructionR mrements RemodellRepairfteouiremenGs pffie~'v"~f-Js`epn& 3 registered site surveys showing sq. ft. of lot, sq R of house; and all rwfed areas 2 copies of plan 5eftaE3urie_ y,,R16 '-.Y (20%maeimum lot o~verage allowed) 1 set of Energy Calculations for heated additions (T_~ e~ AIari.^-t'~ 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey foraddifions 8 decks `iiesRequged lsetofEne Calculations ' ~9Y Add'dion - indicateilon-sitesepticsystem Dn-s~t~e~epticSvste=~" 3 copies of Tree Preservatlon Plan ii lot platted after711/93 Rim Joist Defail Options seledion sheet (6ldgs with 3 or less unifs Date 1 / 3 / Oy Constrnction Cost e) ~ Site Address ~3 iC~53 ~,~_~eil 4 can,(G Lfo-r'~ uotvsee # Description of Work kQ.L Multi-Family Bldg _ Y)~_ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner -Q~Q,.._, 1 U 11X-1L0._~ Telephane #(,aS l42 1~0 `Pella Windows & Doors Contractor _ 15300-25th Ave. N. Ste. 4100 Address _ Plymouth, MN 55447 ' Ciry State 763-745-1400 - License 420165884 i Telephone it ( ) ~ _ . - ~j 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 (~submissiontype) ' S4bmitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed q building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. D~ 2 ~ ~ Licensed Plumber Telephone # 1- N D ' , s zoo4 Mechanical Contractor Telephone # ) Sewer/Water Contractor Telephone # y-~-.-- I hereby apply, for a Residential Building Pernut and aclrnowledge 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 requues a review and app7al ofplans. EjY0 IAtjzc:,L~Crl~ Applicant's Printed Name Ap cant's Signature OFrICE USE ONLY Sub Types ? Ot Foundation O- 07 05-plex---- D- 13- 16>plex----------0-20 Pool- CI- 30 Accessory Bidg - ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Eut. Alt - Multi ? 03 01 of _ plex ? 09 07-plex O 17 Garage ? 22 Porch/Addn. (4-sea.) ?33 EM. Alt - SF 04. 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32Addition ? 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 applicant ,r Valuation Occupancy MCES System 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 bidg) _ FinaVC.O. _ Footings(deck) _ FinaUNo C.O. _ Footings (addition) , _ _ Plumbing , Foundation HVAC` ' Drain Tile Other Roof _ Ice & Water Final _ Pool _ Ftgs _ Air/Gas Tesu Final _ Framing Siding _ Stucco _ Stone _ Brickc'. _ Fireplace _ R.I. _ Air Tes[ _ Final _ Windows _ Insulation _ Retaining Wall' Approved By: , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge , S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Wd9E:1 g •uop amil paniaaaa , PelIa W'mdows Sc Doaas - Twin Cities, Inc. 15300 25THAVE. N. STE. #100 PLYMOi.I`CA, bIN 55447 763l745-1400 WATS 1-800-462-5359 ~ FAX7631745-1401 7une 8, 2Q01 City of Eagan 3836 Pilot Kno6 Road Eagan, MN 55122 Dear Jan: Elder Jones Corporation is authorized to pull bui]ding permits for Pella Windows & Doors - T-kvin Ciries, Inc. Please allow their representative to provide that service for us in Eagan. 'Fhis authorization sha}I be valid until such time as the division manager expressty revokes it, in writing to the City. I request that this authorizadon be accepted expe litiously, so as to not de3ay the processing ofi our building permits any further. Please cal] me if there are any questions, I canbe contacted at 763-745-1432. Your iriunediate attenfion to this matter is appreciated. ' cerely, ~ JEAt~FfE W. SIW Hryan . May ~ypup~ Replacement Sales Manager M~ y~o~m~o~.s~.toos c.c: Kaza - Eldcr Sones Denna Krafly- Replacement Sales Process Coordinator Windows, Doors, & SkyLghcs 7nn[791 CATTT~ AiT4T T(AS 5/T,T Cbf 7TO pW,I IT:CT TVS T6ionion Elder-Jones • Building Permit Service, Inc. 1120 East 80th Street Bloomington, MN 55420 Phone: (952) 345-6047 Fax: (952) 854-4909 To whom it may concem: We at Elder-Jones Building Permit Service, Inc. aze acting as an agent for Pella Wiadows & Doors, Inc. IF there are any questions, or if the permit has to be picked up in person, please give us a call at the number above. If the permit can be mailed back to us, we have enclosed a self-addressed envelope for your convenience. Thank you, ~ , . « Kara Benson ext. 147 . . Elder-Jones Building Permit Service, Inc. 7720 East SOth Street • Bloomington, Minnesota 55420-1498 952-854-2854 0 FAX:952-854-4909 03/16/2004 16:59 FAX 763 745 1400 PELiW DOORS Q002 - - , - . - • - ~ . State of Minnesota D'epaitmenfof`Commerce'Licensing Division. DepartmenlofCommerce -,Selephone:•(651),296'~(i319 ° ' 4 ~ 85 -7th Plece East, Suii@ 600 ~ -~E-mail'addre'ss; ?cEnsing.bommerce@state.mn.us . - ~`,,;T'' St. Paul, MN 55101-3165 : . ~ . -.'Web3Ro addreu: cbrnmerca.stete.mn.us . z., . . . . , T c u r . . . . . , . . ~.~y ' tpr~L~~ nse;~ .~^~v r:a>;;.` ~2 - z;$•.' v: . LegatNani~* PPEtLAV1~11,[)`!~VIIS'I7(30RS 7`WIN:CITIE° 111~C osr{: PELLAINI,NDOy1~5 DQWE~S~URNKEY'-SALES QQF2P4FYAfilOfi , ~V Addreu: 153C1A,2,9'`# H AV E PLYMOUTH, MN 55447 . . . LlcenseldentificationNumber: BC= -20165$84 D6hiitying;eeFson:,7ERRANCEEOCZ7NNOR~ . License ezpiretion oate: ' 3/31%2UIJ5' ~`Cd'etinuih~ EAucation:L HFs CE'tJUo by 3I31/2005 City of Eaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink For Office Use Permit#: 5e 7 /- 7 Permit Fee: 63.- CCJ Date Received: Staff: L 2012 MECHANICAL PERMIT APPLICATION Date: Site 2 Site Address: 30 S'3 W47cf/a v-�C L,✓ Tenant: Suite #: Name: /4' ,h20-2. ',1 Address / City / Zip: 3 t. 1..."6-0,19 ,2, Name:tiJ2-7r>, A/Pd,i1 License #: Address: 5aZ) 4-4C k -ADW ,%r. City: f.,�741 State: /A/ Ad $S7 3 Phone: gJ7-- t 3 93 4r' Contact: fh/iyir Email: %/m.i, hc.L)i _ Ga New Replacement Additional Alteration Demolition Description of work: RESIDENTIAL (` Furnace Air Conditioner Air Exchanger Heat Pump Other COMMERCIAL New Construction Interior Improvement Install Piping Processed Gas Exterior HVAC Unit Under / Above ground Tank ( Install / Remove) RESIDENTIAL FEES: $60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $100.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) _ TOTAL FEE COMMERCIAL FEES: $75.00 Underground tank installation/removal (includes $5.00 State Surcharge) OR Contract Value $ x 1% $60.00 Minimum (includes State Surcharge) = $ Permit Fee - If the Permit Fee is less than $10,010, surcharge is $ 5.00 = $ Surcharge - If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee (i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge) = $ TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. CaII 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. / 14/10.7,47 Applicant's Printed Name x Applidant's Signature Use BLUE or BLACK Ink �____�____________ I For Office Use � I . I � Permit#: �� I City of Ea �� ; � � Permit Fee: � I � 3830 Pilot Knob Road � Eagan MN 55122 � Date Received: � Phone: (651) 675-5675 i � Fax: (651) 675-5694 I Staff: � �-----------------� 2014 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: R��`�� // Site Address: ��-�� "� �� ✓`� ��,� � ��t�-� Tenant: �G�-"^ d'�G� �G'( ��11� � Suite#: �� R�sidentJUwner `� Name: �C� �lk Q ��e/J Phone: 1,0.��- � ��`� �� Address/City/Zip: c�� 3 W�'��--��( �'� ha--�-�-�_.. : Name: �•z l T�/ !� ' (f1 C% �� -✓!�— License#: V7 ��6.� �/ ��" I ,. - � Address:�� '��:1-�� ``�-- City: �e-r-� l �f Q L�.-� ��.`Ori�T�1C��?t"�I�� State:�Zip: �L'�� j Phone: �f,� � �' �'7� l Contact: ��'- �`� ��-`z-� Email: ��it�--i„ °!'i ��--� �Gt-��C'-.-�� Ty�@ 4f WOFk —New �Replacement _Repair _Rebuild _Modify Space _Work in R.O.W. Description of work: �� '�t1v�.d- � I� �s wl�� e.'I-+'� ��-ti`1�'�'"` ; � y . . RESIDENTIAL �` Water Heater . Water Softener � Lawn Irrigation �RPZ/_PVB) F��C17t�fi T�/p,� Add Plumbing Fixtures(_Main/_Lower Level) Septic System ;; New Water Turnaround Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes$5.00 State Surcharge) $60.00 Lawn Irrigation (includes$5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Septic Svstem Abandonment, Water Turnaround*(includes$5.00 State Surcharge) 'Water Turnaround (add$200.00 if a 5/8"meter is required) $115.00 Septic SYStem New($10.00 per as built) (includes County fee and$5.00 State Surcharge) TOTAL FEES$ 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.or,g 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 wo 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 approva f plan . x �� ' VI °v'� �.J ` �L- ��C-�' X Applican s Printed Name Appli ant's S' na e `,:��C3F�Q�FICE U�E��"' ` '�' F�€�Yle4ved E#�� C��fe: Requir�d Inspections L�nder Grt�und°:' F�ouc��r-In , Air�'est ��s ��t ° �inal Meter Retated lt"erns. Me#e�':Si�� ,�;Rad�c�-R�;�d� 111[�rit�metec. ': Sfaff�.. PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA178662 Date Issued:08/29/2022 Permit Category:ePermit Site Address: 3053 Woodlark Lane Lot:8 Block: 2 Addition: Oslund Timberline PID:10-55300-02-080 Use: Description: Sub Type:Water Heater Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after started. 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 - Paul G Jr & Barbara Malamen 3053 Woodlark Ln S Saint Paul MN 55121--191 Champion Plumbing Llc 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature