3058 Woodlark Lane
CITY OF EAGAN : -
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ? PHON E: 454-8100 ~
BUILDING PERMIT Receipt
To be used for "080 ,i ')i i:}. Est. Value Date APR1L f, ,19
Site Address i,°' OFFICE USE ONLY
LOt PIOCk ~ S@C/SUb.`~5~"V~ 'i 1: ~bF.kl_ 1'ri; On SRe Sewaye OCCUpenCy
~
Parcel No. MWCC System Zoniny
On Site Well (Actual) Conat
a Neme ~~A?Y 4:1iP?' CityWater (Allowable)
W PRV Required 7k of Stories
= Address 3G Sf3 wCN :~1.~,!' K 1.'~
a Booster Pump Length
City E.AGA14 Phone 452-3961
Depth
, o Name %ZK%:N-Ft-o 114C S.F.Total
~ ~ Address I 3~ 3 ~ :1 V f, Footprint S.F.
~ City ~%'Ai.Lt `vphone 1-31- 5~,OP APPROVALS FEES
TJame Engr./Assess. Permit '
W
~Z Planner Surcharge • 7= n Address
City PhOne Council Plan Review
4W
Bldg. Off. SAC, City
I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC
information is cnrrect and agree to comply with all applicable State of Water Conn.
Minnesota Statutes and City of Eagan Ordinances.
Water Meter
Signature of Permittee
Road Unit
A Building Permit is issued to: 'L ^ERSCtN, 138C
Treatment P1
on the express condltion that al I work shal I be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances. Parks
Building Official TOTAL
~ I PsrmR No. Permlt Holder Date TelePhone ~
Plumbing
H.V.A.C.
Electric
Softener
Inspection Date Insp. COmments
Footings I
Footings II
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isui.
Fireplace
Final Htg.
Final Plbg.
Bidg. Final
Cert. Occ.
Temp. LP
Deck Ftg.
Deck Final
wen
Pr. Disp.
CITY OF EAGAN Remarks
Addition Oslund Timberline Loc 9 Rik 1 Percei
Owner J+r-_ r', a N. Street 3058 Woodlark Ln. 5tate Eagan, MN 55121
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK .40 1968 100. 00 3.33 30 PAID
*SEWERLATERAL $1210.00 60.50 ZO
WATERMAIN
WATER LATERAL
WATER AREA
*STORM SEW TRK 1970 20
STORM SEW LAT
CURB & GUTTER
SIDEWAIK
STREET LIGHT
WATER CONN.
BUILDING PER,
sac 200.00 1751 9-29-69
PARK
CITY OF EAGAN
3795 Pilot Kwob ReW
Eagew, Miesnota 35122 INSPECTOR NOTIFICATION
No. p1'°"': 454-8100 REQUIRED BY LAW
IPERMIT FOR ALL INSPECTIONS
~
Dote: JL:.t12 Receipt No.:
Single I
Slte Addrcss: Residentiol
Lot ~ Block ~ Sub/Sec. n1'r~ Nd Z M066"/'l'-4 Multi Res., Gomm./Ind. I
N°me New/Alter./Repcir .
~ Address Cost of Instollotion
City Phone: Permit Fee
Name Surchorpe
~ Addrcss 1
3
City Phone: Total
This Permit is issued on the express condition that all work shall be done in occordanee with all applicoble Stote of
Minnesota Stotutes ond City of Eagan Ordinonces.
Buildlrg Offlcial
/d~a~Ara
,
5
EAGAN TOWNSHIP
N° 1390
BUILDING PERMIT
Ownex y'----.L.L.:......C..~.`-'------....8g Eagan Township
~3~ 1 °
Address (Preseni) .....P V.~B ~...---._......_........,...~9-~-'-...... Town Hall
Builder ....----•ff~'-.:`9,Y----'----.--------------
~
~ Dale
Address
DESCAIPTION
Stories To BeU,~e,~d F~o~r Froni DepSh Heighf Esi. Cosi Permi! Fee Remazks
~ ~+~y " ! " ~ g,tQ • eZ~.~ ~ /~O ~,dC..~.C~ . q .
LOCATION
Sireef, Road or ofher Descriplion of Locafion I Lo! Block Addition or Traci
This permii does nof aufhori:e the use of slreels, roads, alleys or sidewalks nor does if give !he owner or his agen!
the right io ereafe any sifuation which is a nuisance or which presenls a hazard io the health, safefp, eonvenienee and
general welfare !o anyone in the community.
THIS PEAMIT MUST B,E~l KEPT ON eT~HE IZREMIS)E~ILE THE WORK IS IN PAOGAESS.
This is fo cerlify. haspermission !o erect a...._..F~_~..... upon
the above deseribed premise subjecf !o the provisions of the Suilding Ordinance for Eage Towns p a pted April 11,
1 . 955 .
. .
'
.
.
.6... Per u......., - . 9 P
r._..~~/ --'~~.n--~
Chairman of Tnwn Board Buildin Ins ector
. CITY OF EAGAN No 14 7 8 2
' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PHONE:454-8100 Receipt u&4C,(0-13
To be used for PORCH & DECK Est. Value $9, 000 Date APRIL 6 ,19$8_
Site Address 3058 WOODLARK LN OFFICE USE ONLY
Lot 9 plock - 1 Sec/Sub.OSLUND TIMBERLINE onsitesewage _ occupancy
MWCC System _ Zoning
ParCelNO.' OnSiteWell _ (ACtuapConst
z Name GARY MEYER Ciry Water _ (Aliowabie)
W PRV Required k ot Stories
zAddress 3059 WOODLARK LN -
; Booster Pump Length
° City FAGAN Phone~57-R963 -
Depth
, o Name OZMUN-PEDERSON INC s.F.TOtal
~a Address 15136 GALAXIE AVE FootprintS.F
m
i- City APPi.R VAI.T.F.]Phone 431-5000 pppROVALS FEES
~w Name Engr./ASSess. Permit 98.00
rw Planner Surcharge 4.50
W
i~ Address
aw City Phone Council PlanReview
Bidg. OfL SAC, City
I hereby acknowletlge that I have reatl ihis application and state that the Vanance SAC, MWCC
intormation is correct and agree to complY with all applicable State of Water Conn.
Minnesota Statutes and y of Eagan Ordi nces.
n Water Meter
Signature ol Permittee~J~~?~! Roatl Unit
A Buildmg Permn is issued to _OZMIiN_PEDERSON ,-INC_ Treatment P1
on the express cond iLOn that all work shal I be done i n accordance with all
applicable State of Mmnesota Statutes and City of Eagan Ordinances. Paiks
TOTAL lO2.SO
Bwlding Official_~(l1AG~I_~U
_~_t
i
czTY oF eac.ta
3795 Pilot Iinob Road
Ea-y~~ , M_r,n23ota 55122
Pr^.RD'IIT NO.: 59
The City of Eagan hereby grants to Milbert Co CUl'livan
of 1001 Marie Ave.
J. Myear, H. W. Sumnlee, and
a Wa e~e:mit for:' (Owner) L. Matuzak
058 Woodlark Ln.,
at3Q-2S-"='-J-rJ-d- , pursuant to application dated 7114/76 s
7/19/76
Fee Paid: $15.00 dated this 10 day of Auaust r~~ 76
1.50 s/c
Building Inspectoe
Mechanical Pern:its:
Bid Total:
~
oo 2 A,990 al
Requesl ata Fv N. Rough-ln Inspeclion Reqmratl Ins ctio erTnan Roughln
(VOU musl wll inspeclar, ~w,h3V rmtly) eatly Noy{~~N1AI Npl~ylRSpscbr
Q ~ Yos ~No Dale Reatl
I icensed contractor ?owner hereby request inspeclion of above electrical work at
Job Aatlress (SVeel, Box or Foula No.) Clty~ G A(
$acllon No. Tamship Nama or No. Range No County
Occupant(PRINT) Phone Na,
Pa,er Supplier Atltlress
/~AL• ~
Eleclr4al Contractor (COmpany Name) ConVacbrs L¢ensa No.
V tit C. C..° 77 6- ~
Maibng Atltlress (Contmctor w Owner aking Installation)
~ s OA9C Af C~33 7
Authoraetl Wro (COnVaclor er Makinp Insta lo Phone umber
~ er'l`f_ 0
2 9d~
MI SOTA STATE OARO OF ELE HICITV THIS INSPECTION FEQUEST WILL NOT
Iggn-MlEway Bltl floom S128 BE ACCEPTED BY THE STATE BOARD
1821 Univarelly Ava., St. Paul, MN 5510A UNLESS PROPER INSPECTION FEE IS
Phona161218i2-0800 ENCLOSED.
- V3~9 REQUEST FOR ELECTRICAL INSPECTION 6'~""'
Yr`;~ r ~ EB-0000 09
0 0 2 2. 6 9? See insVUCtlons lor wmpleling tpis lorm on back oi yellow copy Ej J~~J//
",Y" Be/ow Work Covered by This Request
Ne Add Rep. Type of Building Appliances Wired Equipment Wiretl
Home Range Temporary Service
Duplex Water Heater Electric Heatin
Apt. Bwlding Dryer Load Management
Comm./Industrial urnace Other S ecif
411,
Farm ir Conditioner
Othar (speary) Conlrodar's Remarkg.
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # CircuitsJFeeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Am s
Trans(ormers Above 200_Amps Above 100-Am s
Si ns insPecmrs use oniy. ~ J TOTAL
Irrigation Booms
S ecial Ins ection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, herehy RO1qn"" oa~e
certty that the above inspeclion has Fmai ~ oa~a
been made. i
OFFlCE USE ONLY
Tti-equBSl vwtl 1 B months Irom
This request void'~f d~ C%~ 18 rnonts
h f~om
D 95999
Reques Ua~e ire No. Rouph-i InsVer.UOn
fle eA~ ~ReaAV Nuw ~Wili Noufv InsPCo
~es ?No ~or Wh•n
~ Neatly
Licenxed ElecVical ConVactor
~ Ownei I herehy ropues, inspoction ol abova
electncnl work mstallad et:
Sveet AdAress. BoK or Route No. City
• o rp &,roo,/At,f
ecumn o. Township Name ur No. Rnnpe No. Cowny
OccoUanl IPqINTI
Phone No.
Power SupV ier
Atltlress
f l. Al
Electncal CnnVactor IComuany Namel
/ C-D,~'~ Lle,:,,u No.
~-~?/J2vr~y~A 1~Ct~fh,~ ca / 2-
Ma riag7Awress 1(,onVacior or Ow~~ne/r Making Instaila.ioni
~V ~-~-vY ~i 0 4J4
-SGh.o~~ S", J O bG'
AuNonzed ignature (Convaclor/p,~er M.~bng Installationl Phone Nmriber
MINNESOTq STATE 60APp OF ELECTflICITY THIS INSPECTION NEpUEST WILL NOT
G,riges-Midwey Blde. - Noam N•191 BE ACCEPTED BY THE STqTE BOAND
1821 Universitv Ave.. St. Paul, MN 55104 UNLESS PqOPEF INSPECTION FEE IS
Phone (6121 642-0800 ENCLOSEO.
M'M11MPMP"`- REQUEST FOR ELECTRICAL INSPECTION ^EB-00001-06
8(~' j} 1 Sea instructions lor comoleting this form on beck ol vollow coFV.
"X" Below Work Covered by 7his Request
~~~9 5 9 9 9 GJ
FGJ R.P. Type ol Omleine Aoolioncea wirea Equiunien, wved
Home Ranye T¢mporary Service
Duplex Wate. Heater LighUny Fixiures
ApL Bwlding Dryei Eleclnc HeaUn
Commercial Bldy. Fumace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk THnk
Farm mrr ae1;1 v _me, i5u,uN1
~ ucci y Ihor Othi,
ompute lnspection fee Below
b Fee SarvmeEnVenceSize n Fea Fexders/Subieaders b Foe Circuits
U 1o 200 qm 5 0 to 30 qm s 0 tn 30 Amps
Above 200 Amps 31 ro 700 Amps 31 to 100 Am s
$wimming Pool Above 100_Amps Above 100_Amps
Transtormers Irtigation Booms Pdrtial'Other Fee 'JU Signs SUeciailnspection
He„ks SaD•J-0 T FE
3 S~, ~or G •cC~
NooOh-in Date ~ e Elec '
` ~ry Inspec aq horoby
CB~111y lhq[ IhB TbpVB
Final insuection hes been
J ~ maea.
Thia rapuest vaiE 18 monihs Imm
860 616 0217
Aug.28. 2048~ 9:21AMfY-Schuco USA Production Planning ChtJ('D No. 2310 loP. 1- J&'Y
OPT10NA1- ROOF K!T INSTALI.AT70N 1NS7RUCT10NS ,
CAUTION: Be sure to check that window frame is not N07E: Do not use screws longer than 1 1/4" as they
sagging prior to roof Instatlation. Level seat board and may protrude through the head board causing damage
temporarily support If necassary. Failure to do so may to the interior of the bay or bow frame.
make it impossible to adjust once roof is instelled
caustng misalignment of operating windows. If necessary, shim between back of roof and struCture
wall to maintain proper dearance. Attach roof to
Remove stretch wrap from unit. Remove screws from structure wall using adequate sized fasteners. Attach
angled roof panels and remove paneis. 7his will make turnbuckle system if required.
unit lighter and allow for atlachment to structure wall
and head board of bay or bow frame. eottom panel of NOTE: Roof ]s not designed to be a frame support. A
roof has been pre-drilled to allow all-thread rods to iurnbuckle kit or knee brackets must be used for
pass through. Place the roof unit on top of the frame. proper support.
Roof should fit flat on frame with 1!8" clearance at Install fberglass insulation in roof cavity. Re-install
frame vinyl drip cap to allow far retum of sofft melal, angted roof panels and fasten securely in place.
Secure roof to frame with 1 1/4° screws (supplied). install soffit and fascla metal, drlp edge, and shingiea
per rttanufacturer's recommendations.
OP710NA1- KNEE BRACKET INSTAlLATION /NSTRUCT/ONS
Knee braekets may be substituted for tumbuckles. Counter sink below surface and fill all holes with
however substantial lateral support must be provided. glazing putty. Apply two (2) coats of exterior grade
(IE: Brick wall or wood siding). If exterior wall is vinyl paint. (Brackets are prlmed only).
siding, siding must be cut back. If applicable, fosm
insuletion should ba removed so knee brackata can be NOTE: Be sure that fastenera used to ettach the
attached directly to wood sheathing. lf wood support brackets to the name are of the corced length and do
is not adequate, a double stud should be Inserted In not prOUude through the hame seat board damaging
wall under sill at eaGh knee bracket IocaUon. Attach the interior.
knee brackets to wall using Tnish head nalis or screws.
- ~
OPTlONAl. - TURNBUCICLE K17I NSTALLA TlON JNSTRUCTIONS
Install freme into opening. Level seat board and I~istall Install wall hooks into wall or roof truss. NOTE: Wall
shims as required. Ptumb jambs and install shims as hooks must be installad into 2x for proper atrength.
required. Using 3° drywall screws, fasten frame lnto Pre-drill pilot hole with 9/64' dritl bit to eliminate
place. Inatali double screws at top and bottom of splltting of 2x.
Jambs to eliminate frame from pulling inward caused
by tensloning of tumbuckles. Attech eyehooks on turnbuckles fo chain on frame.
Attach opposite end of eyehooks on htmbucklea to
Cut chain into two even pieces. The two outermost all wa11 hooks that are screwed Into 2u.
thread steel rods wiil be extended on frame
approxlmately 2". Install end of chain over these two ~yel seat board by adjusting tumbuckles.
rods and install ane washer over these two rods. NOTE: Excessive torque on turnbuckles may caus
lnstall 114° nuts on rotla to lock down chain: top of frame to project in past house wall.
7- 7791!
30.58 Waod 1-441t LN
27
~
/oo ~
14 Ib~
4
ypRAC6
/0 P~PoPoS60 rzxez
f/o u s ,c
O.cAe KTo P
~ Ariv[
~ - - -
~
---_~,~r1/.3,~.~i~~' ~?.U~D • - - _ ~
/C O.T--
,
1988 HUILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COtRMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
o~
To Be Used For:~n aluation-`-~ ~ nate:
Site Address OFFICE USE ONLY
~ ODO ~
Lot Block I On site sewage_ Dccupaney
MWCC system 2oning
Parcel/Sub On site well Actual Const
City water Allowable
Ownerlk2^F}q.t~ PRV required _ 4l of stories
zr Booster Pump _ Length
Address 3059- Depth
n S.F. Total
City/Zip Code ,S-riz 3 Footprint S.F.
~
Phone APPROVALS FEES
Contractor Engr/Assess Permit 8,00
~p-'C7 Planner Surcharge y,yo
Address IS/3 G.~Ym4j~& Qyq• Council Plan Review
'n SSi Bldg. Off. SAC, City
City/Zip Code Variance SAC, MWCC
Water Conn
Phone ~ 3/-~ p O d Water Meter -
Road Unit
Arch./Engr. Treatment Pl
Parks
Address Copies
TOTAL
City/Zip Code
Phone #
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
3 ~ ~ ~ CITY OF EAGAN
~
3830 PILOT KNOB RD - 55122
651-681-4675 ( ~ t
Y'
New Construction Requirements RemodeURepair Requnements
? 3 registered site surveys showing sq. ft. o/lot, sq. k. o/house ? 2 copies of plan ( f
end all roofed areas (20 % maximum iot coverane allowed) ? 1 set of energy calculations tor heatetl additions
? 2 wpies of plans (show beam 8 window sizes; poured fnd. design; etc.) ? 1 site survey for exterior additions 8 decks
0 1 set ot energy calculations
? 3 copies of tree preservation plan if lot platted aker 7l7/93 ~
DATE: Is-/I C/09 CONSTRUCTION COST:
i
DESCRIPTION OF WORK: l~ v~p
STREET ADDRESS: ~
LOT: ~ BLOCK: SUBD./P.I.D.
Name:_~MI 5 1'~I Photietl:
PROPERTY L.S E«L
OLT'NER Street Address: -:~-~_.d..L I[~L~/~
. _
C .
Cin' State: - ri _ ZiP: ';>1
Canpan}7 Phone
CO\Tf2ACTOR "I IJJ Lf/ p
Strcct Address:-- ~l I I I(,C-m~~ Irccnse Ex P.
Cit}' 0~ I------------ State: ~i~~----- Zip' ~
ARCHITECT/
ENGINEER Compan}: Phonc k:
Naine:----- Registration
StrcetAddress:---------
Cit}State: Zip:
Sewer & water licensed plumber (repuired for new construction onlv):
Penalty applies when address change and lot change is requested once permit is issued.
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable
State of Minnesota Statutes and Ciry of Eagan Ordinances. 4
Signature of Applicant: i ~ W.
OFFICE USE ONLY
RECEIVED
Certificates of Survey Received _ Yes _ No MAY 19 1999
Tree Preservation Plan Received _ Yes _ No _ Not Required
BY:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace O 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage O 22 Porch/Addn. (4sea)
? 03 1 of _ plex ? OS 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex O 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex O 10 8-plex ? 15 Lodging ? 20 Pool 13 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
0 33 Alteration ? 37 Demolish Bldg. ?41 Wood Stove 11 45 Fire Repair
34 Repair Ll oo uemoiish (interior) ? 42 Reroof
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. Census Code
(Aliowable) Main level sq. ft. SAC Code
UBC Occupancy sq. ft. No. of Units
Zoning sq. ft. No. of Bidgs
# of Stories sq. ft. MC/ES System
Length sq. ft. City Water
Width Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Pl9l1 Rgvioiu
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
SIVV Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
ToWI:
SAC Units
~ . , , ~+c~
SLTBD ~ '
~~i~~._ .,..~~.~a~~~,..~..;~ „ ....,IYYA't`~...~~'~~~~i,
1994 MECHANICAL PERMIT (RESIDEIVTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. AISO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTT.
NEW CONSTRUCTION
ADD-ON A/C ' R~PL~C'/AlG' d~Ur~
~ ADD-ON FURNACE ~
FIREPLACE INSERT
DATE / V
FEES
HVAC: 0-100 M BTU $ 24.00
ADDTTIONAL 50 M BTU 6.00
GAS OUTLETS (MINIMUM 1 @ $3.00 EACH)
ADD-ON/REMODEL (ExIsTING Coxs'raUC1'ION) $ 20.00
STATE SURCHARGE .50~l
TOTAL bv
SITE ADDRESS: Le41 '
OWNER NAME: ~4wx TELEPHONE O~l0'
INSTALLER: ` '
ADDRESS: 1
CTI'Y: STATE: \W(l • ZIP CODE: C6_a2_e
TELEPHONE
SI IdATURE O ERMITTEE
CTW.U5E<4NT:Y
.
: w,...~,..~..::.....,._,.~.„:, .f:.,...::.<.. . . .
L ; $L ~ h ~CEIPT,# -
' ' - a - - c~ b _ ~ H _ ~ - •y - _ s s x: a z x a E,,s~.. ~3,E - ~j~' , -3
SUBD
..............>.xi..».,a..,,.>...,...,,.,.c~ :.x..,._.,.,.,.::,s.:s;.;m::::c~.,.,.aa..:..w.w.>.....;w::;.s;~.,.,....:m,W..,..,.s,.s •
1994 MECHANICAL PERMTT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO COMPLETE
FOR APARTMEN"I' BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE
PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNTI'.
- - - - -
DATE: CONTRACT PRICE: $
NEVJ BUILDING
INTERIOR IMPROVEMENT
WORK DESCRIPTION:
FEES
1% OF ~ONTRACT FEE $
PROCESSED PIPING: $25.00
MINIMUM FEE: $25.00
STATE SURCHARGE $.50 FOR EACH $1,000 OF PERIVI,TL FEE.
a.~. ~M:.,..<.......
TOTAL $
SITE ADDRESS:
OWNER NAME: TELEPHONE
TENANT NAME: (IMPROVEMENTS ONL1)
INSTALLER:
ADDRESS:
CITY: STATE: ZIP CODE:
TELEPHONE
SIGNATURE OF PERMITTEE CITY INSPECTOR
EAGEiIV TOWNSHIP
:795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR SEWER SERVICE CONNECTION
DATE• September 29, 1969 NUMggg 467
i
OWNER: John M.yser Addresa 3058 Woodlark Lane J,rnafz rn&
Weierke
PLUMBER-@SMX1Xx90M Trenchina TYPE OF PIPE Heaw cast iron
DESCRIPTION OF BUIIDING
Industrial Commercial Residential Multiple Dwelling No, of units
Location of Connectiona; Connection Charge 200.60 paid 9/29/69
Account Deposit 15.00 paid 9/29/69
Permit Fee 7.50 paid 9/29I69
Street Repairs
Tota 1
Inspected by:
Date
Remerks•
By
Chief Inspector
Iu consideration of the issue aad delivery to me of the above pezwit, I
hereby agree to do the proposed work in accordance with the rules and
regulations of Eagan Township, Dakota County, Minnesota
BYGt~~JZ~~~~ ~ ~ ~
eKe e=er e
Roger , - cgff~g§g TrenchinR
Rosemount. Nlinn. 55068
Pleaee notify when ready for inspection aad connection aad before any portion
of the work is covered.
l7q-lI _ 4~6
RESIDENTIAL BUILDING
Permit Application aCt~-LCi6S
City Of Eagaa
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
New Construction Reauirements RemodeVRepairReaviremenLS Offce Use Onlv
3 registered sile surveys showing sq. ft. otbt, sq. fl. of house; and all roofed areas 2 copies of plan CeR of Survey Recd .
(20% maximum lot coverage allowed) t set of Energy Caiculations for heated addifions Tree Pres Plan Recd
2 copies ot plan showing beam 8 window sizes; poured found desgn, etc. i site survey for add'N'ons & dedcs iree P2s Mot Reqd
lsetofEnergyCalculaLOns Addifion - mdrcafedon-sdesepficsysfem _ On-siteSeptlcSystem
3 copies ol Tree Preservation Plan if lot platted after 711l93
, Rim Joist Oetail OpUOns selectlon sheet (bldgs with 3 or less umis
Date J / / / / / Construction Cost c~~ (LOC.~~W
Si[eAddress i;:~~ (/UUv(X,~IG~•`/C~ UniUSte #
Description of Work
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner, °Y Telephone #~1 ~f
ConUactor G
Address . 6 Cit
State Zip Tetephone #
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minneso[a Rales 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissionrype) Submitted Submitted
• Energy Envelope Calculatlons Submitted
Licensed Plumber Telephone ~
Mechanical Contractor Telephone ~
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 State of IvIN
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 wi11 be in accordance with the approved plan in the case of work which requires a review and
approval of plans. 1 ~~~y
1E D
-9ee7
Applicant's Printed Name . pplicant's Sign'tur
• OFFICE USE ONLY ,
Sub Types
? Ot Foundation ? 07 05-plex O 13 16-plex ? 20 Pool ? 30 Accessory Bldg
0 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck 23 Porch (screenlgazebo) ? 36 Multi Misc.
? 05 03-plex 0 11 10-plex ? 19 LowerLevel ? 24 Storm Damage
? 06 04-plex ? 12 12-plex PIhg_Y or_ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FoundaGon) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof *.46 WindowslDoors
? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout [o appliwnt \
Valuation Occupancy MC/ES System
Census Code Zoning 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) _ FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Tes[ _ Final _ Windows (new/replacement)
_ Insula[ioo _ 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
, I For_OmceU's_"e' -
t 4
~~a,. '
Of Pn n
LLL~ ~UD i PermitN: ~ I
Permit Fee: J ~
3830 Ailo! Knob Road
Edgatt MN 55122 ~ Date Recelved: I-/ I
Phone: (651) 675-5675 ' I ~
Fax: (651; 675-5694 ~ S~a~' __I
LL
p L~C~C~~
2008 RESIDENTIAL PLUMBING PERMIT APPLICATIO ~
51~ WDO l NOV 1 7 2008
Site Address:
inant Suite
cSIDENT / OWNER IJame: 2nW ~l /"'-&~c Phone: V~ ?I ~?~-~N3 m,
Address 1 City ! Zip:
CONTRACTOR Name: License#:
Champion
Address: 661 366 1340
City: 3670 Dodd Rd. #100 Sfa~/ .'Zip:
Phone: Contact Ferson: ~7'. 1 1 S v~ah
TYPE OF WORK _ New V Replac ent _ Repair Rqbuild _ M dify Space _ Work in R.O.W.
Description of work: -Q--_-W~(dd1 ^ -
PERMITTYPE RESIDENTIAL /
Wa[er Ffeater _ wa[er Softene,r _ Lawn Irrigalion Hdd Plumbing Fixtures
~ RPZ PV6) Main _ Lower Level)
Sephc Sysiem _ Waler Turnaround
Netv
Abandonment
ESIDENTIAL FcCS:
i0.50 Minimum Waler Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
10.50 Lawn Irriga[ion (includes $.50 Slate Surcharge) i0.50 Add Plumbing Fixiures, Septic System Abandonment, Water Tumaround" (indudes $.50 State Surcharge) (f
'Water?umaround (add $136A0 if a 5/8" meter is required) ' i
00.50 Septic System New ($10.00 per as builq (indudes County fee and $.50 State Surcharge) ~
)0.50 Fire Repaii (replace burned oul appiiances, ductwork, etc.) (includes $.50 State Surcharge)
TOTAL FEES $ Vv I
ereby acknowleage tho[ Ihis informaiion is complete and accurete; that the work wiil be in conformance wrth the ordmances and codes of the City of
gan; fhal I unders;:wnd Ihis is not a permit, buf only an applica(ion for a permil, and work is nol to statt wifhout a permit; thal lhe work will be in
:orderce wdh the o ro ed plan in the case o( vaork which requires a review and approval oF plans.
•
x
~mes -
rplicanCs Printed Name i_j ApplicanPs nature
;
_ '%rr.'a~ '~Date•:.. 4i~:'_
; _ _ . : -
)R OrF.ICE USE Revievi'e'd~B :i~' - ;r=s~'.i - •
: - -
, .
. . . . . :
_.a::=`',y'~;```'-~
:quiied lnspecfipns`.'7 Uhde~:G .round;-;:;,-:-"~Rough=ln.-a,.:_=^Hir„Tesas,
'i•
7637850099
05/04/2009 23:00 7637850099 SEAL GUARD SYSTEMS PAGE 01/02
~ rAL GJAT~
S Y S 711 M S, 1 11 C,
To: City of Eagan Inspections
From: Seal Guazd Systems, Inc.
RE: Gary& Sandra Meyer
3058 Woodlazk Lane
Eagan, MN 55121
Permit# EA077911
7'he ruanufacturer o£the Schuco windows and Bay World, the nanufacturer o£the bay
shell, do warranty the method of support using turnbuckle and :hain attached to the
threaded rods through the mull covers. Seal Guard will warran ty thc installation of the
chain aod tumbuckle From the top of the bay up througlt the ste el siding, fastened
securely into solid wood above the rough opening.
Seal Guard wi11 wananry and service any issues regazding pr& uct and installation. The
installer, Gary Penriing guaranties his workmanship, Seal Gua d will guaranty service
past the one year worlananship wananty deadline.
~
L1025 RAI)LSSON RDAlJ M.
BLAINF,. MNS5449
P14ONZ' 763 -784-9999 FnX: 763 785-0099
IYW 4L'.SL;4 LGUAR DS_Y_,ST,EMS. CUM
7NS7JRFD. LIC/f2On93G88
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 3058 Woodlark Lane
Lot: 9 Block: 1 Addition: Oslund Timberline
PID:10- 55300- 090 -01
Use:
Description:
Sub Type: e- Windows/Doors
Work Type: Windows/Doors - New/Replacement
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Seal Guard Systems Inc
11025 Radisson Rd
Blaine MN 55449
(763) 784 -9999
Applicant/Permitee: Signature
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
- Applicant -
Construction Type:
Occupancy:
Permit Type:
Permit Number:
Date Issued:
Permit Category:
A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are
required in all sleeping rooms prior to final
inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are
acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector.
Total: $90.00
Owner:
Gary W Meyer
3058 Woodlark Lane
Eagan MN 55121
$88.50 0801.4085
$1.50 9001.2195
Issued By: Signature
Building
EA078716
07/09/2007
ePermit
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.
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA107758
Date Issued:10/25/2012
Permit Category:ePermit
Site Address: 3058 Woodlark Lane
Lot:9 Block: 1 Addition: Oslund Timberline
PID:10-55300-01-090
Use:
Description:
Sub Type:e-Windows/Doors
Work Type:Windows/Doors
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Perry Firkus
2650 Minnehaha Avenue
Minneapolis, MN 55406
612-276-1680
Valuation: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Gary W Meyer
3058 Woodlark Lane
Eagan MN 55121
Crew2 Inc
2650 Minnehaha Ave
Suite 100
Minneapolis MN 55406
(612) 276-1680
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA131738
Date Issued:07/06/2015
Permit Category:ePermit
Site Address: 3058 Woodlark Lane
Lot:9 Block: 1 Addition: Oslund Timberline
PID:10-55300-01-090
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater & Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Gary W Meyer
3058 Woodlark Lane
Eagan MN 55121
The Plumbing Guys
P.O. Box 2066
Burnsville MN 55337
(612) 746-5545
Applicant/Permitee: Signature Issued By: Signature
From:Sandra Beryt Fax:(888)445-5945 To: Fax.: (651)675-5694 Page 2 of 9 07/27/2017 9:34 AM
. • •
' .
. •
.. •
Use BLUE or BLACK Ink
. . • •
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RECEIV1) ' -. - •• Permit#:
.....'. '''''....:.CRT ofEalall --- " i ,.. - - ---- - • " .. .
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Permit Fee: /DS'al:CI.•'.. 'I .
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3830 Pilot Knob Road .. • --. • 'Jill- -2 7 2017- • ; - ••1 •
Eaga.n.111114 5E122 di 7—/ 1 '
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Phone:(651)675-5675 • • -. ' .... I
1
Fax:(651)6754694 • . .. • '. Staff: I . ••
.....
2014 RESIDENTIAL.a.V.il...DING...PgR...PMTHAPPL1P.41.110N . - . . . . .
•
Date: 7/27/1/7 Site Address: .. 1)5-- IVelodi(n4,•14,1 . .. . . ... . . .L Unit#:.. •
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m•l::g.o`10gr111,1900io110.! ...Name: ..'...i.. .. .- . „n....,' •:.,-,,--,. ,-.. . . .. :i .. .....:.. . . ... .... .. Phone: &_1.5--r.
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u,g_gmommomFoidr.4. 0., • rt• krinattfra.4#4 .1;/).'e.eq.deaf: ..'iune,:stre ...
111L1EnitLVEmiik of work:Re:/770 Or-46009C1-4,6t '-••°1 -ift
kremlittarkia. Description - . • ••••••• •//0•4774,.,avezt. airf›,
1111111101" Construction Cost: OA...741 77 : Mult-Family Building:(Yes /No
Oionglielq.0113:60:04:g: /AMU f.X71-61 ,4- .•• ;e.fekalhniefri
atillinal:00.Company: •• - • - ' Contact: .
.... ....., ..:..... •
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1.,,:impoommonv A, ,,,,„5s. •.,24/.‘75.- At'--i4.5.P....4f, At city: •Al il;aiTiV • . .contractor -- • •-:- •••••• • .-- • ... -•- •.•:.,, •••• --.
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lanoseloasom, State- 94,Zi • .- 03'• ? phcme:•'Sr..b.o•-•15.R.-51 ltmail: ..sopfdayina/beiopeonits• - '
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•:fttetsmossm,,,:o.• License#: ... e/it 7A(e . Lead Certificate#:, NAT.- .,w A 62.4.—z....... •
• ..,„..,_,-,....._ . .
.................
: •••-• ..-
;, if the project is exempt from lead certification,please explain why:(see Page 3 for additional information) -1 ......, ., • •
•
, . . .
•
• • COMPLETE-THIS,AReAPN0(11F.CONSTRUCTING.A NEW BUILDING
••• • •
. ,
..., .. ...,,... .•.•-..:...,::. . • .
In the last 12 months,has.the.City•of Eagan issued.e.perrnitfor.a similar plan based on a master plan?
_Yes Nc. if yea,date and address of master plan:
.„... .. . ..
Licensed Plumber: Phone: : ..
• . • ... •
Mechanical Contractor: Phone:
. : .
Sewer A.Water Contractor: ,. Phone:, . ..., .
.: . . ..: •
!,k:dVO:IV.cfpllotg:ndt#tfppefi*tifg**o(xeiits.Lthat0.0*4tybmttwt*koo:SWtoc(:tAib;gipyAfiotpf:Wps:ITia*Vt4„/fpe ., ...
Millert010Atargo#*114#0#041041Pik#41PligiffWVIMMAiopegfiolzeasooilfi 4,4r040010ft044:titetW •
,Isla:!:onageasseinommeminmearn.4166#61401104fir::41mtwar":!•litsomitimoOmwloplsomuoloso'.1
CALL BEFORE YOU DIG.tall Gopher:M*0.00e Call at(651) for protectionagainst-ondergroundotilitY-dsmage. Call 48 hours _. •.. .
before you intend to dig to receive locates of underground utilities..wWw.ctoobeistateonepalf oar
. -
I hereby acknowledge that thls 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.startwithout a.permit.that the work'wit!be.in.
accordance with the approved plan in the caee of work which requires'a.review and approval of plans. •••••• . •:.
Exterior work authorized hya•building permit issued in accordance with the Minnesota State Building„code must be completed within MP. -••.
days of permit issuance. •
6e.e11--bo:uf k inam It •
"X ..4,' Oaf ...40
Applicant's Printed Name . ' • .•• - • : : • .• •Ap.,,i,'„ .nt...,Sig ,, re .. -•• •• '
. .
Page 1.0.3
. .. . . .
...
-... •,.„ . . . ... 1:. ,.
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•
- [(11 1 CI
r For Office Use O
�„tta +. � �,0 Permit#: /--5-%�a
`"`'.. ..`` Permit Fee:
CEIVED
Date Received: /1_a 3 --/
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 NOV 2 2 2019
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff:
buildinginspectionsc cityofeagan.com e7
2019 RESIDENTIAL BUILDING PEFMIT APPLICATION
Date: 11/22/2019 Site Address: 3058 WoodLark Lane Unit#:
Name: Dillon Whitmire Phone: 651-253-1117
Resident 3058 Wood Lark Lane
Wei Address/City/Zip:
r
Applicant is: V Owner Contractor
Type of Work
Description of work: Master Bedroom and Master Bath Remodel
$3000
Construction Cost: Multi-Family Building: (Yes /No i )
Company: Owner
1Contact:
1
Address: City:
Contractor
State: Zip: Phone: Email: 1
; F
I License#: Lead Certificate#:
If the project is exempt from lead certification, please explain why:
l
I
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? I
Yes No If yes,date and address of master plan: 1
Licensed Plumber: Phone: 1
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTE:Plans and supporting documents that,you subm itara considered to be public Information. Portions of the information maybe
classified es non-. biic if u. , ilk ..ns that would•errnit the C to conclude tat ' - are trade secrets. ,
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeanan.com/subscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you I
intend to dig to receive locates of underground utilities. www.00pherstateonecall.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.
x Dillon Whitmire x`
Applicant's Printed Name Applicant's na ure
DO NOT WRITE BELOW THIS LINE D J� W D D d` � /_.C.g C
SUB TYPES
Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
Single Family _ Garage e Porch(4-Season) _ Exterior Alteration(Multi)
_ Multi _ Deck _ Porch(Screen/Gazebo/Pergola) Miscellaneous
01 of_Plex _ Lower Level _ Pool _ Accessory Building
WORK TYPES
New _ Interior Improvement _ Siding _ Demolish Building*
_ Addition _ Move Building _ Reroof _ Demolish Interior '
Alteration _ Fire Repair _ Windows _ Demolish Foundation
Replace Repair Egress Window Water Damage
Retaining Wall *Demolition of entire building—give PCA handout to applicant
DESCRIPTION
Valuation qi
Y \0 Occupancy %A MCES System
Plan Review Code Edition 4.." it $ 5 SAC Units
(25% 100% )(,) Zoning City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings(Deck) __ Final/C.O. Required
Footings(Addition) y Final/No C.O. Required
Foundation Foundation Before Backfill /` HVAC_Service Test Gas Line Air Test_Hood
Roof:_Ice&Water _Final Pool:_Footings Air/Gas Tests _Final
)( Framing 430 Minutes 1 Hour Drain Tile
J - Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath Brick EFIS
__ Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
--
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By:
IL- , Building Inspector
RESIDENTIAL FEES
Base Fee /' (114:w/A
/ � rJSurcharge
Plan Review01 / OX,2o - 0 0 0
MCES SAC I
City SAC 114 i
Utility Connection Charge r 0 /
' //
ffillf 5°S&W Permit&Surcharge /
C 2 Treatment Plant g 67 0 0
Radio Meter Read /
Copies Ce, :�."� 1_S0
TOTAL
Page 2 cf
r For Office Use
•
‘,%° e i °os Permit#:
EAGAN
::... ......:„
Permit Fee: /'(
Date Received: )/'22 -/2 r 9
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 NOV 22 2019 Staff:
buildinginspectionsacityofeagan.com
2019 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date:
11/22/2019 Site Address: 3058 WoodLark Lane
Tenant: owners Suite#:
Resident/Owner
Name: Dillon Whitmire Phone: 651-253-1117 p
3058 Wood Lark Lane/Eagan/55121
a Address/City/Zip:
Name: Owner License#:
I
Contractor Address: City:
State: Zip: Phone:
Contact: Email:
Type pr wprk _New Replacement _Repair _Rebuild I_Modify Space Work in R.O.W.
Description of work: Remodel of Master Bath, moving supply and drain plumbing
Tankless Water Heater
Lawn Irrigation( RPZ/_PVB)
Standard Water Heater
Deacri #ian ✓ Add Plumbing Fixtures(✓ Main/_Lower Level)
P Water Softener
Description: double vanity,shower,toilet, new fixtures s
Septic System (
New Abandonment Connection to City Water from Well
1 RESIDENTIAL FEES
$60.00 Water Heater,Water Softener, or Water Heater and Softener(includes State Surcharge) s
$60.00 Lawn Irrigation (includes State Surcharge)
$60.00 New fixtures, adding or removing piping (includes State Surcharge) I
$60.00 Septic System Abandonment I
$100.00 New Residential (fee collected with Building Permit)
$115.00 New Septic System (includes County fee and State Surcharge)
$60.00 Connecting to City Water from Well*+$290 for Meter and $190 for Radio Read =$540
*Sewer&Water Permit also required for connection charges
TOTAL FEES$
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.goaherstateonecall.orq
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeartan.com/subscribe.
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.
x Dillon Whitmire x`Di-,
Applicant's Printed Name Applicant's Signature
Page 1 of 2