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2841 Vilas Lane CITY OF EAGAN Remarks Addition Country Home Heights Lot 6 elk 9 Parcel 10 18300 060 09 Owner street 2841 Vilas Lane state Eagan, MN 55121 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR, GRADING IQWSAN SEW TRUNK 1968 $100.00 . 3 30 PAID * SEWER LATERAL PAID WATERMAIN * WATER LATERAL 20 WATER AREA J STORM SEW TRK 1984 495.00 33.00 15 STQRM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 00 5725 5-16-72 BUILDING PER. 2 .50 2706 -1 -J so,c $260.00 5725 5-16-72 PARK INSPECTIDN RECORD~^~ CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: t APPLICANT: ' I , I i ~ riiltl I t . 1:"Iii 1;{ ~~I; ~ ( i. y ~~?t< f PERMIT SUBTYPE: TYPE OF WORK: , . , INSPECTION . i r•~~ ~:~i~, , i;i ~ . Id II 1~, i~f F1/11.} ~ ,I I r,l ;i f 1 i I I Pt i i 1 1#+!+' I I t I~ i~~~ nl~' ~ I t t~ I 1~ t~ rll ~~fr ~~t ii~q1+1 rJ~~ f.lii+.1 ~ ~ PermR No. Permit Holder Date Telephona # S/W PLUMBING HVAC ELECTRIC ELECTRIC Inspectbn Date Insp. Comments Footings I Foundation Framing Roofing Rough Pibg. Rough Htg. 7 a4 df-- Isul. Flreplace Final Htg. Orsat Test Final Plbg. Plbg. Inspector - Notlfy Plumber Gonst. Meter EngrJPlan Bldg. Final 7 Deck Ftg. Deck Final Well Pr. Oisp. INSPECTION RECORD I C°ntr°' CITY OF EAGAN PERMIT TYPE: "t'Ttoiwo 3830 Pilot Knob Road Permit Number: •e i HF14 Eagan, Minnesota 55123 Date Issued: 12 Ji9 /92 (612) 681-4675 SITE ADDRESS: L07 : s "i Q c r: 9 APPLICANT: 2841 VIlA5 LANf: COTY CONS7 c.p11MfTRY HtIMF HEYBHTS (612) 934-7988 RERMIT S1413TYPE: TYPE OF WQRK: R IE 1' A 1I R Df" rCR i p1 1 t)N ItE-°ltAqFTNO INSPECTION D• O r• r xr~~t ~~~rAw~ ~ ~ R~CF~hT # . . - . . ~~f-• px ~-~-'Y~. r s - f- _ 1 • . . . . - . - - - r r r~'~^ . ~ 7 . Permit No. Permlt Moldsr Date Tslephone # S/YY PLUMBING HVAC ELECTRIC ELECTRIC Inspectlon DaLe Mip. Comments Faotings I Foundation Framing Roofing o ~i•v/~i~-~ Rouyn Flpg. Aoa Rough Htg. Isul. Fireplace Flnsl Ht9. Orsat Test Final Plbg. Plbg. Irspector- Notify Piumber Gonat Meter EngrJPlan Bldg. Fina! Deck Ftg. Deck Finel Well Pr. Disp. ~ ~ ~ z~~~ ~ la s ~ ~ ~ 310,0 ~ r - A rrZnc 30 ~ w '70 ~ 600 EAGAN TOWNSHIP Na 537 BUILDING PERMIT . Ownex Eagan Township Addre (p seni) e~ Town Hall Builder - Dafe ~ ..............._,.r, . Addsess ~ DESCRIPTION 5YOries To Be Used For Froni Deplh HeighY EsY. Cos! Permi! Fee Remarks - ~ - LOCATION • SSxee1, 14ad ox other Descripiion of Location I Lo! Elack Addiiion or Trac! X This permii does noi aulhorise Le use of slreeis, roads, alleys or sidewalks nor does it gi Yhe owxer or ageni the sighi !o creale any sifualion which is a nuisance or which presenis a haaard io the healf safefy, convenience and general weltare to anpone in the communiSy. Th'sssis Eo M==ifMUS~Ti. E~KEPT ~N... THA '.~PR ~SE WHIh E PHEmWO nK=I~Se1N P80G S. 1 _ cc.C~'u . ............___._._'._.....upon 7 e fp op ied Apsil 11. the above descri6ed ps ise subjecY io the provisions of the Buil7"'6`~7- 1955 _ _ . _ ....._...._._._.._.._._..'.___-_____._._..___..P~l_ Widlikfig-~lnspector ..."__"......_._._.._.__......Chairman of Town Soard w n e CITY of EAGAN N4 3896 ~UILDING PERMIT 3795 PiloY Knob Road . . . . Own.r '_p"~""" Eagan, Minneaola 55122 Address (Dse4en2) .~,p.-•.~.I.........K......Ql-z~ 454•8100 Haildee . /G ~~1.6 Dale . ~ . . Addreu ........~..~.'".t.h............~.1 DESCRIPTIOtI Btosies To Be Usad For Fron} Depth Haigh! Eel. Coat ermi! Fsa Aamuks - ~ ~b 3~ dsoa ~4 r - LOCATION ~ Slreel, Aoad ar oih r Desaription of Localion I Lo! 8 oc Addifion os Trae! This perau! does not sulhorisa the use of sireeis, roads. alieya or sidewalks aor doea it give owner or L agea! !he zight fo eseate anp silua2ion which is a nuisance or which presenls e hezard !o !ha heallh, e ely, eonvealanee aad genexal welfare !o eapoae in the eommunitp. THIS PEAMIT MUS E EPT 01 ~g~p REMISE WHILE TIiE WORR IS IN PR06RES8. This is !o cerfifp, fha ............._S/•Hrr." hes permiesioa !o erecl a........ ...~_......................_npoa the above described premsubJ'~c! So the provisions of all applicable inance fos f e!p of Per " ' . . - -..-"-'.1~-._. May.o{ Buildinp Impeelor MASTER CARD LOCATION ~ OWNER //Q d'P LAND 5 D AS "9 ~ Issued To Permit No. Issued Contractor Owner BUILDING PLUMBING CESSPOOL - SEPTIC TANK WELL ELECTRICAL HEATING GAS INSTALLING SANITARY SEWER . OTHER OTHER Approved Items (Iniiial) Date Remarks Distance From WeII FOOTING SEPTIC FOUNDATION CESSPOOL FRAMING ~L-12'2 TIIE FIELD FT. FINAL ELECTRICAL DEPTH HEATING OP WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING WELL SANITARY SEWER Violations Noted on Back COMMENTS: COMPLIANCE INSPECTION REPORTS TO 8E USED ONIY IN EVENT OF OBSERVED VIOLATIONS PERMIT NO. DATE OF INSPECTION CONDITIONS OF CONSTRUCTION AT THIS INSPECTION NO EVIDENCE OF NON-COMPLIANCE NON-COMPLIANCE. BUILDER DOES NOT OBSERVED. ~ INTEND TO COMPLY. a ACCEPTABLE SUBSTITUTIONS OR DEVIATIONS. ? COMPLETION OF CERTAIN IMPROVEMENTS WILL BE DELAYED BY CONDITIONS BEYOND CONTROL. ? NON-COMPIIANCE. BUILDER WILL COMPLY WITHOUT DELAY. ITEMIZFD AND DESCRIBED AS FOLLOWS: ? REIrlSPECTION REQUIRED DATE OF REINSPECTION REINSPECTION REVEALED CERTIfICATION - I certify that I have carefully inspected the above in which I have no interest presant or prospective, and that I have reported herein all significant conditions observed to be at variance with ordinances of the Town of Ea9an, approved plans and specifications, and any specific require- ments for off-site improvements relating to the proper[y inspected. ? ALL IMPROVEMENTS ACCEPTABLY COMPLETED BIJILDING INSPECTOR OATE COMMENTS: aa I A PERMIT C,~3 73 CITY OF EAGAN 3830 Pilot Knob Road PERMITTYPE: suxLpzNG Eagan, Min nesota 55123 Permit Numher: 9 2 5 0 4 2 (612) 681-4675 Date Issued: 0 2/ 0 6 J 9 5 SITE ADDRESS: 2841 VILAS LANE L07: 6 BLOGK: 9 COUNTRY HOME NEIGHT5 P.I.N.: 10-18300-060-09 DESCRIPTION: (MAC SOUND PROGRAM) B~kt"~ld~rtg Permit Type SF (MI5C. ) auilding~a~rk Type ALTERA7IpN l ` ~ I- (E75~~~~~'~1 ; REMARKS: A SEPARA7E PERMIT Z5 REQUIRED FOR ANY ELECTRICAL OR PLUMBING WtlRK FEE SUMMARI! VflLUATION $11,000 Base Fee $126.00 Plan Review $81.90 Surcharge $5.50 Total Fee $213.40 CONTRACTOR: - Applicant - sT. LIC. OWNER: JOMNStlN CONST, LYNNE MARIE 15531983 20012133 NEL50N WILLIAM 6272 YUCCA LN N 2841 VILAS LN MAPLE GRqVE MN 55311 EAGAN MN 55121 (612) 553-1983 (612)673-9732 I hereby aclcrcowJ.edge that I have read this application and &tate that tFie informatiqn is carrect and agree to comply with all appl,icable State of Mn. Statutes and City of Eagan Ordinances. / J ~ APPLICANT/P RMIT SIGNATURE ISSUED : SI A~E 16wi CITY OF EAGAN Eoosi 1995 BU:LDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 4 11j. New Construetion Reauirements RemodeVRenair Reauirements ? 3 registered ske surveys ? 2 copies of plan ? 2 copies of plans (include beam 8 window sizes; poured fid. design; etc.) ? 2 ske surveys (exterior atld'Rions 8 dacks) ? 1 eirergy calculations ? 1 energy calculations for heated edddions ? 1 tree preservation plan if lot platted aRer 7/7/93 required: _ Yes _ No DATE: .Tanuarv 15. 1995 CONSTRUCTION COST: sin,9t3.no DESCRIPTION OF WORK: Misc. Alterations - MAC Sound Program STREET ADDRESS: 2841 vilas Lane LOT . (1) BLOCK ~ SUBD. I~j P.I.D. # PROPERTY Name: Phone OWNER ' ""°T Street Address- City: State: Zip: CONTRACTOR Company:i.vraNF PIARIF JOHNSON CONRTRIICTTON Trr(Rhone#: Street Address: 6272 Y a Lane North LIC@I1S@ 20012133 CIty: Maple Grove, MN 55311 ARCHITECT/ Company: Phone #ENGINEER Name: Registration #Street Address- City: State: Zip: Sewer & water licensed plumber: . Penalty appiies 'rf address change or lot change are requested once permit is issued. I hereby acknowledge that I have read this application and state that the infortnaHo is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Appiicant: L e Lerberg OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MN 55122 • OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation o 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish 0 02 SF Dwelling ? 07 4-plex ? 12 Multi (Misc.) ? 17 Swim Pool ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch o 09 12-plex ? 14 Fireplace o 21 Miscellaneous ? 05 SF Misc. ? 10 Multi (additionai) ? 15 Deck WORK TYPE ? 31 New ? 33 Aiterations ? 36 Move ? 32 Addition ? 34 Repair o 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS 5ystem (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. Census Code # of Stories sq. ft. SAC Code Length sq. ft. Census Bldg. Depth Footprint sq. ft. Census Unit APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ 5urcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit 5/W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies ToWI: % SAC 5AC Units PERMIT Control No. 1360 ~4`CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: N u:r Lo:[ iv e Eagan, Minnesota 55123 Permit Number: 00188q (612) 681-4675 Date Issued: 12 / P. 3/ 9 2 SITE ADDRESS: 2841 ;/II_As LANE LpT: 6 BLOCI<: 9 l:OUNTRY HOME HEI6NTS DESCRIPTION: RE--ROf1FING BuI ld~tqag Fwrmii 1"'Jp E 5F (MI5C.) jB.uildinq`i.Wnrk 7Ype REPAIR ~ + r REMARKS: ~E c E I PT # FEE SUMMARY: vALuA-rroN Base Fee $72.0e Sui-cnarge $2.50 Lic. Search Fee ;t 5 .68 Tcital Fee ~ $79.S0 CONTRACTOR: - app.licant - S7, L10QWNER: C01"Y CONST 59347988 00039 8 NEl_SpN SAIVCJV 5716 GLEiV AVE 2811 VZLAS LN MINNE70NKA MN 55345 EAGRN MN 55121 (512) 934-7988 (612)583-9502 I hereby ackriowl; ge that S havs read this application and State tMat the inform 3s~rreot and a4ree to ecrmply with al_1 applirabic State of Mn. StaT:u e5 n y aqan prdinancet. ~ IIkIfl Uj I APPLI ANUPER TEESIGNATURE i5 - SUE0 V: IGNATURE't PERMIT # CITY OF EAGAN aEacTivaTE _ 1992 BUILDING PERMIT APPLICATION 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies xhen 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. Date 1.2 / ~ Valuation of work Site Address:~~// STREET SUI1E # Tenant Name: (commercial only) iAT ~ BIACR 2 J'; . P.I.D. * Descri tion of work: r T he applicant is: ? Owner Contractor Other (Describe) Name o") Phaite, g~ Property LAST F1RST Owner pddress C'~f~// STREE7 S7E M • City 5tate ~7 Zip Company -D- Phone Contractor Address ~~i- ~c-- License # Exp. 3 9 City State Zip .SI'.Zr/5' Architect/ Company Phone - Engineer Name Registration i Address C City State Zip Sewer 8 water licensed plumber Processing time for sewer & water permits is two days once area as been approved. I hereby acknowledge that I have re t' pplication and state that the information is correct and agree to comply wi all p cable 5tate of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex 0 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 5wim Pool ? 03 SF Addition ? 08 8-Plex O 13 Garage/Accessory O 18 Comm./Ind. ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc. ? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility ? 21 Miscellaneous WORK TYPE ? 31 New ? 33 Alterations O 35 Tenant Finish ? 37 Demollsh ? 32 Addition ? 34 Repair ? 36 Move 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 # 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 ? Site ? Foating O Framing ? Insulation ? Wallboard O Final ? Draintile O Fireplace Permit Fee vBi,,,t;,,,: g Surcharge Plan Review License MWCC SAC . City SAC Water Conn. Nater Meter . Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Cop ies Other Total: SAC % SAC Units I CITY USE ONLY L ~o BL ~ RECEIPT SUBD. `Uv" ~ t-C)6~-E -1 1'"~ I Ciri.J~" RECEIPT DATE: PERMIT # 2000 PLUMIDING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, LA7 55122 651-661-4675 Please complete for: ? single family dweilings ? townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system FIXTURES EACH N TOTAL Alterations to existiny dwelling - minimum fee ~ $ 30.00 Describe: Qi~e~l ~-c.~~ ~A~~-H ~~-e.cxilC-A Bath tub $ 3.00 x = $ Floor drain 3.00 x = $ Gas piping outlet ' minimum - i 3.00 x = $ Hot tub/spa 3.00 x = $ Kitchen sink 3.00 x = $ Laundry tray 3.00 x = $ Lavato 3.00 x = $ Septic System newlrefurbished ' requirea MPC lic. 75.00 X = $ Septic System abandonment 30.00 x = $ RpZ new installation/repaidrebuild 30.00 X = $ Rough opening 1.50 x = $ Shower 3.00 x = $ Under round sprinkler if dwelling is under construction 3.00 x = $ Underground sprinkler if existing dwelling 30.00 x = $ Water closet 3.00 x = $ Water heater 3.00 x = $ ° Water softener If dweiling under consVuctlon 5.00 x = $ Water softener if existlng dwelling 30.00 x = $ Water turnaround 30.00 x = $ State Surcharge •5~ $ 'S~ Total Reminder. Call for inspections of alterations, i.e, water heaters, water softeners, etc. I Aereby aGcnowledge that I have read this applicalion, state that the infortnation is corteG, and agree to comply with all applicabte Cityof Eagan ord'mances. It is the applicant's respoasibility to notify the property owner that the City of Eagan assumes no liahility for any damages caused by the City during its normal operational and maintenance adivdies to the facilities construded under this pertnit wdhin City property/right-of•way/easement. SITE ADDRESS: OWNER NAME: TELEPHONE (AREA CODE) INSTAILER NAME: TELEPHONE # ~AoE) ~ STREETADDRESS: ~ FzrP >~,-a:~.;•~ I cirv: re: , SIGNA F PERMITTEE BY. I EAGFN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minaesota 55111 Telephone 454-5242 PERMIT FOR WATER SBRVICE CONNECTTON Date: May 16, 1972 Number• $39 Billing Name:John Brennan Site Address: 2$41 Oilas Lane, Eagan 5512$ Owner: same Billing Address Plumber Wlhierke Trenching Location of Connection Meter Size Connection Chg. JUU;Uv 5/16/72 s311233 Meter No.21970209 Permit Fee 10.00 pa 5/16/72 TSy72 s.c Meter Reading0000 Meter De . Acct. De~.--11- t6/72 Meter Sealed: Yes_ Add'1 Chg. NO Total Chg. Inspected by Date Building is a: Remarks: Residence Xy mnr'11 D/:i.,.V Multiple tio. Units r:"Pi?QP'r_RL`i IPIST,"1LLLD f';iLltPj, Commercial Industrial Bq: Other Chief Inspector Ia consideration of the issue and delivery to me of the above permit, I herehy agree to do the proposed work in accordance with the rules aad regulations of 8agan Township, Dakota Couaty, Mianesota. By: Weierke Trenchislg & FSccavating Please notify the above office when ready for inspection aud connection. EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR SE47ER SERVICE CONNECTION DATS; May 16, 1972 pUMggg 1006 OWNER•John Brennan, Address 28l~1 Vilas Lan~ Eagan 55121~ PLUMBER Weierke Trenching TYPS OF PIPE Heavy Cast Iron_ DESCRIPTION OF BUIID ING Industrial Commercial Reaidential Multiple Dwelling No, of units xc Location of Connections: Connection Charge 260.00 pd 5/76/72 Permit Fee 70.00 pd 5/16/72 Street Repairs Acct. Dep. P 2 Total Inspected by: Date Remarks• By. Chief Inspector In consideratioa of the issue and deliverq to me of the above petmit, I hereby agree to do the proposed worlc in accordance with the rules and regulations of Eagan Toxmship, Dakota County, Minnesota By Weierke Trenchine & Eccavatin¢ Eagan, MN 55123 Please notify when ready for.inspection and cosu?ection and before any portion ot the work is covered. ~ ~ ~01- ,tdA Municipal Notice of Well Permit Application Dakota County Environmental Management Department Water and Land Management Section 14955 Galaxie Avenue West Apple Valley, MN 55124 Tel (952) 891-7011 Fax (952) 891-7031 DATE: March 14, 2003 TO: Tom Colbert/Wayne Schwanz - EM Fax (651) 675-5694 FROM: Water and Land Management RE: Well Permit 03-H205515 Well Type: Sealed Municipality: Eagan Environmental Specialist: Olsen The Water and Land Management Section of the Dakota County Environmental Management Depaztment has received the following permit application for the well described. If you require further review of the application or if you have any questions ar concerns about it, contact the Environmental Specialist listed above or our office at (952) 891-7011. If there is no response from your office within 24 HOURS (excluding weekends and holidays), we will assume that you tiave no objections to the issuance of the permit. Please note that permit issuance is always conditioned on the permit applicanYs observance of and compliance with all applicable state, county, and municipal laws and codes. Well Contractor: B& D We115ealing Date application received: March 13, 2003 Anticipated Drilling Date: Time: Anticipated Grouring Date: Time: Property Owner: Sandra K Nelson Well Owner: Sandra K Nelson WELL LOCATION: PLS Coordinates: se 1/4, nw 1/4, nw 1/4, sw 1/4, Sec 03, Town 027, Range 23 Street address: 2841 Vilas Ln PIN Number: 10-18300-060-09 WELL INFORMATION: Diameter: 4 Casing depth: 220 Total depth: 224 Static Water Level: Aquifer: COMMENTS: _ - ~ + = d AVAL4N,AVE kV.4Li7H,AVE a F s = 1018300060)9 0 0 2841 VILAS LAME NELSON WILLIAM C 2841 VILAS LN EAGAN MN 55121 . ~ X + X K NELSON SANDRA K < V : ^I ~ x ~ 2841 VILAS LN EAGAh! MN 55121 :2 $ ~ _ : . : • . .s`~' E. U"LH m ~ 2841 VILAS LANE 11,11 City of Eaall Date: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: X /0573 10 C'3.3 Date Received: Staff: 5-17-0 2 2013 RESIDENTIAL BUILDING PERMIT APPLICATION "7- 13 Site Address: as -u\ IR' Lf\ ' Unit #: CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the MingeSotjt State Buil • ' • Code must be completed within 180 days of permit issuance. j(i..0(\.?:.)eP(7/Applicant's Printed Nam 619 Applicant's Signature Page 1 of 3 Name: 1--°Na.v Phone: (0SI-LH? -773 j ��n, Address / City / Zip: ��L1' t,'\'a5 /, t'1- j — ' ° / ff ) Resident/ OWnelr Applicant is: Owner t/ Contractor Y • e of Wor ,,. Description of work: ee st(D.tt�i kouc? J Construction Cost: 7/ � l / QMulti-Family Building: (Yes / No ) .' COntraCtQt Company: ‘00c'lmArk (,SC. XIbYS w }IA( Contact: jasc;^ rit=,-f Address: (9i(?77 �I�J X �� `'L' �- S. H J City: Co a -e ww�e State: t\k Zip: `5(-)I. (a Phone: lob l -:-,3.c) -S )03 License #: V ' LA 7O ct Lead Certificate #: PO -- \ t Co 13 6 " If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) In the last 12 months, Yes If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? yes, date and address of master plan: _No Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NATE Plans and supporting documents thafyou submit are° ons de ed Loma®e'publicinform ion 3, o ion of fhe information maybe classified as non -pix lic if you rovide,specificeason a would pn r ntt `he Ci oto *W,.conclude th t he rerade=secrets, . -.. .. .-'i=rte. .`� �,� CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the MingeSotjt State Buil • ' • Code must be completed within 180 days of permit issuance. j(i..0(\.?:.)eP(7/Applicant's Printed Nam 619 Applicant's Signature Page 1 of 3 Date: City of bp 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink Permit #: Permit Fee: Date Received: Staff: )qci 2011 MECHANICAL PERMIT APPLICATION Site Address: LP 3 O P -Ale% \ Rd # /2-3 Tenant: Suite #: RESIDENT / OWNER Name: Phone: (0/z g6 a - 62,9 9 Address / City / Zip: y13 0 e- 12'3 CONTRACTOR Name: Practical Systems License #: 4342B Shady Oak Rd. Address: Hopkins, MN 55343 City: State: Zip: Phone: Contact: '-w,11"✓ Nci -1-kl v`'S Email: TMA 4-ivrA JS ,Z ?vct ca,,QS%S - t'i.+ TYPE OF WORK New Replacement Alteration Demolition rAdditional Description of work: f2 2, +- A S'}Tk , Jr - 4,,,„1. W - NOTE Roof mounted. and ground mounte�d'imechanical equipment is required to, be screened by City Code. Please contact the Mechanical Inspector for information on : erm tted sc zni methods. PERMIT TYPE RESIDENTIAL Furnace COMMERCIAL New Construction Interior Improvement Air Conditioner Install Piping Processed Air Exchanger Gas Exterior HVAC Unit Heat Pump Under / Above ground Tank ( Install / Remove) ll a �. Other Fir i'.: FAR r * **When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: $55.00 Minimum Add-on or alteration to an existing unit (includes burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) $5.00 State Surcharge) $ 5O3 dJ TOTAL FEE $95.00 Fire repair (replace COMMERCIAL FEES: $75.00 Underground tank $55.00 Minimum (includes installation/removal OR State Surcharge) $10,010, surcharge is $ 5.00 surcharge increases by $.50 for each $1,000 Permit Fee requires a $ 5.50 surcharge) Contract Value $ x 1% = $ Permit Fee - If the Permit Fee is less than Fee = $ Surcharge - If the Permit Fee is > $10,010, (i.e. a $10,010-$11,010 Permit = $ TOTAL FEE 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.aopherstateonecall.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 Applicants Printed Name �� —r,� ).s,r MAi�ws FOR OFFICE USE Required inspections Air Test HVAC Screenir -01-11141aff Applicant's Signature ,.r Use BLUE or BLACK Ink r For Office Use ~j Permit#: City of Ea~~11 I Permit Fee: 3830 Pilot Knob Road 3 Eagan MN 55122 I Date Received: Phone: (651) 675-5675 I 1 Fax: (651) 675-5694 i Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION '~P Date: Z3 Site Address: g , 5 <RV~ Unit , 10) Name: ~f 77~ Phone: -7a 3$ Resident/ Lo Owner Address / City / Zip: l ~Q S ~ Applicant is: Owner Contractor Type of Work Description of work: Q _ CiKk e An~+_ rA 0VP~' I 0 tt V 1_/ Construction Cost: Multi-Family Building: (Yes /No ) f`Company: _Oy-~~ y'yl Contact: r~)V-14y~ 6er%1er5 _10 t/e Contractor Address: 1;&17 T [lca- 91-e Lei . City: (A 6y t' 6y State: p~ Jae M ~ Zip: ~nf& Phone: 3 - l S O q ~ License , ®E Lead Certificate N A T_ l (6-136' l 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 conclude that they are trade secrets. 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.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 wilding C de must be completed within 180 days of permit issuance. x Ja.snV\. -ef- f x Applicant's Printed Name Applilant's Signature Page 1 of 3 Ur/ ~ DO Q V, la~ L Ct ~ LINE NOT WRITE BELOW THIS SUB TYPES Foundation _ Fireplace _ Porch (3-Season) Exterior Alteration (Single Family) Single Family Garage 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 ° Occupancy 7? MCES System Plan Review Code Edition SAC Units (25%_ 100%) Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC Gas Service Test Gas Line Air Test Drain Tile Other: Roof: -Ice & Water -Final Pool: Footings -Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In -Air Test -Final Windows Insulation Retaining Wall: _ Footings _ Backfill _ Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge f , Plan Review MCES SAC i City SACa k Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA124218 Date Issued:06/25/2014 Permit Category:ePermit Site Address: 2841 Vilas Lane Lot:6 Block: 9 Addition: Country Home Heights PID:10-18300-09-060 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Diane Moyer Home Energy Center Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 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 - Lonny Albertson 2841 Vilas Lane Eagan MN 55121 (651) 497-7973 Home Energy Center 2415 Annapolis Lane N #170 Plymouth MN 55441 (651) 766-6763 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA169826 Date Issued:06/10/2021 Permit Category:ePermit Site Address: 2841 Vilas Lane Lot:6 Block: 9 Addition: Country Home Heights PID:10-18300-09-060 Use: Description: Sub Type:Residential 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: 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 - Lonny & Tamara L Albertson 2841 Vilas Ln Eagan MN 55121--132 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature