1628 Walnut LaneCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675-5675
www.ci.eagan.mn.us
PERMIT
City of En
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Building
EA075613
10/24/2006
ePermit
Site Address: 1628 Walnut Lane
Lot: 009 Block: 008 Addition:
PID:10-84600-090-08
Use:
Woodgate 1st
Description:
Sub Type: e -Siding & Windows/Doors
Work Type: Siding & Windows/doors
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Construction Type:
Occupancy:
Comments:
Smoke detectors are required in all sleeping rooms prior to final inspection . When wall studs or ceiling joists are exposed,
hard -wired detectors are re quired. Battery operated types are acceptable if the wall/ceiling finish(i.e . sheetrock) has to be
removed to install a smoke detector. Siding: When installing ventilated soffit material, remove existing soffit material (i.e.
debris that could block vent openings) and take steps to ensure maximum ven tilation into attic space. Windows/Doors: If
Fee Summary:
Valuation: 4,000.00
BL - Base Fee $4K
Surcharge - Based on Valuation $4K
$97.25 0801.4085
$2.00 9001.2195
Total: $99.25
Contractor:
Petersen, Rodney
20998 291stAve
Belle Plaine MN 56011
(952) 873-2351
- Applicant -
Owner:
Comprehensive Services Inc
1210 South Concord St
South St Paul MN 55075
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply
of Minnesota Statutes and City of Eagan Ordinances.
h all applicable State
Applicant/Permitee: Signature
Issued By: Signature
CITY OF EAGAN Remarlu
Addition Woodgate lst P,ddition Loc 9 aik 8 Parcel 10 84600 090 08
ownerv~@~•%'ti a-kI:tJ_lt screet lka Walnut Lane 5nce Eagan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
Q~qSTREET RESTOR. 3
GRADING
SAN SEW TRUNK Zy
* SEWER LATERAL
WATERMAIN
* WATER LATERAL
WATER AREA
* STORM SEW TRK
* STORM SEW LAT 1975 20 6. 55 1$. 77 15 PAID
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN, 1 0 00 10759 6-4-74
BUILDING PER.
s,ac 10759 6-4-74
PARK
~
INSPECTION RECORD
CITY OF EAGAN PERIIAIT TYPE:
3830 Pilot Knob Road Permit Number.
Eagan, Minnesota 55123 Date Issued: +o!o 4 I
(612) 681-4675 • ~
SITE ADDRESS: APPLICANT: !
~ PERNIIT SUBTYPE: TYPE OF WORK:
rit i,
INSPECTION .
~
` .
I
I'
i~ ~
Permft No. PermR Holder Date Telephons i
S!W
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Mspietion asts Insp. Comments
Foodngs I
Foundarion
I
Framfng I
Roofing I
Rough Plbg. I
Rou9h Ht9 I
I
tsul.
Fireplace
I
Final Htg.
Orsat Test ~I
Fnal Plbg. Plbg. Irupector - Notify Plumber I
Const. Meter I
EngrJPlan I
I
Bldg. Flnal
Deck Ftg. ~ I
%
Deck Final
Well
Pr. Disp.
7- INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number. .
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675 t
~ SITE ADDRESS: ' APPLICANT: ~
, I ,ol N+l t i nrai
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION DA .
,
F
L
~
,
Parmk No. Permft Noldw Wb Tslaphona #
ELECTRIC
PLUMBING
HVAC
Inspwdon Dab Insp. Commenb
FOOTiN(3S
FOUND
FRAMING
ROOFING
ROUGH I
PLUMBING I
PLBG I
AIR TEST
ROUGH I
HEATING I
GAS SVC
I
TEST
I
INSUL I
GYP BOARD I
FlREPLACE
FIREPLACE I
AIR TEST I
FINAL PLBG I
FINAL HTG
T
~S I
BLD(i FINAL I
I
BSMT R.I.
I
BSMT FINAL I
DECK FTG
DECK FlNAL
~
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-6814675
tMwCom6uctioaRwuirNnnis RemodWRewirRwulnmenb
• 3 reg'stered ske aurveys stnwirg sq. fl. M Id, sq. k. M lause; end all mafed areas • 2 copies of plan
(20%mmunum bt cowerape alowad) . 1 sef d Enwgy CalcJatbns tor healed additlons
• 2 wpies d qan Mhowing beam & window skes; poured found design, elc.j . 1 site survey for ezteriw addkbns 8 decks
• 7 sef d Energy CalcWetians . Indicate H hane served by septic system for additiom
• 3 capks of Tree Preswvatlm Plari N IM plettod after 711193
• Rin Jaist Defai OpNons saleclbn sheet (Wdgs wAh 3 a less unfis)
DATE b/tLCsr- ~,ZG2'~/ VALUATION ~ :41
JOB SITE ADDRESS /G 29 /.UC(.lin, i,l~ CGti'1G FeO,~'-ln
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER a2C. -
--r
TYPE OF WORK G- FIREPLACE(S) _ 0 ?1 _ 2
APPLICANT kjY r dS PHONE# !a5/ ZS/S"$5,3
ADDRESS 697 ,11 1hK Os- L ZIP CODE SS67lP
PAGER # CELL PHONE # FAX # /o.!V Z/Vs7~53
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNFSOTA RUI.ES 7670 CATEGORY 1
(check one) - Residenlial Ventilation Calegory 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNFSOTA RTJLES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor: Phone lF:
Plumbing System Includes: _ Water Softener _ Lawn Sprinkler Tee: $90.00
~ Water Heater _ No. of R.I. Baths
No. of Baths
Mechanical Contractor: Phone N
Mechanical System Includes: _ Air Condi6ioning Fee: $70.00
Heat Recovery System
Sewer/Wafer Contractor. Phone # `
All above information must be submitted prior to processing of application. S
I hereby acknowledge ihat I have read this application, state that the information is c BQ nd a ree to com ty
with all applicable State of Minnesota Statutes and City of Eagan Ordinances. -
Slynature of ApplicaM _a iA.! ' 4~~2~" l
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updaled 1/01
r---
VILLAGE OF EAGAN WATER SERVICE PERMIT
379: Pi1ot knob Road PERMIT.NO.:1548
Eagon, MN 55122 DA7'E: 7119/74
'Loning: PUD No. al' Units: 1
Owner: Ti1 cen onstr
Address: y ~ [1~ igDC~ncn'2!ji J S~
Site Addres. 'OeA '.:~„st Ln ~
Vlumber Thompson Plumbing Co.
Me[er No.a-4Zrr4l Connection Charge: $130.00 Pd.
Size:
Accounl lleposih
Reader No.:
Pennit Fee:
~ 09'ee to comply with fhe Villoge of Eogon Surcharge:
Ordinonces. ~
Misc Charges:
Total.
By Uate Pvd:
Date of Insp.:
Insp.:
VILLAOE OF EAOAN SEWER SERVICE PERMIT
3795 n`iur Knoo Road 11 PERMfT NO : 2307
Eagan. MN 55112
Zoning: PUD . DATE: 7/19/74
owner. Tilsen Constr, No. oF On;ts:
Address:
Si[e Address: 1 28 Walnut n.
Plumber: o.
I ap.N ro comply wifA th. Vi11ops ef Eo9an Connec[ion Chazge; i40.00 pd,
Ordlnonces. Account De
poeit:
Permit Fee: /c
Surchazge: _ ~b-t/
By~
Date of Insp.: Misc. Charges:
Total:
Insp.: Date Paid:
lla gl
Pepu l Date Flre No. ougRln InspecLOn Fillquirec! I pe uon Dcner Than RouqRln
G+/ / (YOU musl call mspeq n reatly) Reatly Now ~ Will Nolily ol
Yes No ale eatl
I licensed contractor ?owner hereby request inspection of above electrical work at
Job Ftltlress (SVeet, Box or Route No ) City
Sedion Na Township Name or No Fange No, Counl
ff0 j~F
Occ pant(PRIN'1) / Phone o
Power Supplier AtlCress
Electncal ConVactor (COmpany Name) Comraclor's L¢ense No.
112
nv s
MaLng Adtlress (Contraclw or Owner Making Ins/ta/,l1~Iw~n)
VIOS O /
FSigtt nVectol0 aking Installalion) Ptrone Number
fl0 0F ELECT ICR THI$ INSPECTION REOUES7 WILL NOT
oom 5/28 BE ACCEPTED BV THE STATE BOARO
Paul, MN 10 I II I I I I I I II II UNLESS PROPER INSPECTION FEE IS
ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION poo~ See instrvcnons for completing Nis torm on back oi yellow copy. (0211-41
"X" Below Work Covered by This Request
Nee Add Rep. Type of Building Appli2hces Wired Equipment Wired
Home Range Temporary Service
Duplez Water Heater Electric Heating
Apt Bmlding Dryer Load Management
tComm./Industrial Furnace Other (Specity)
Farm Air CondRioner
Other (specily) Contmctors Remarks
~-!JS%!f't c. S /h S/~~0~~ ~T ~GTon
Compute Inspechon Fee Below:
# Other Fee # Service Entrance Srze Fee # Circurts/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers A6ove 200 Amps Above 100 -Am s
Signs iosarcmrs use, oniy TOTAL
Irrigation Booms
S ecial Inspection
Alarm/CommuniCation THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTIiS.
I, 1he Elecincal Inspector, herehy R°ugh-in Date
certity that the above inspection has F~ o~ye ,
been made ~
OFFlCE USE ONLY
TMS repuest voitl 18 mon[bs fmm
?
? J CITY of EAGAN N~2 3304
. BUILDING PERMIT
Ownee 3795 Piloi Knob Road
' Eagan. Minaeeota 55124
~:1:~~_......~~~:r.r...'. 454-6100
Addreu (prosenS)
~S~ S~ 3
Suf Ids:
Date ...`f ~~y
Addrau
DESCRIPTION
Ssoria To Ba Used For Froni Deplh Hsiphi P~rmi! Fea Remssks
3q r/ Ko
/77. s-c• ~a~ ,ci~-e,Y~
LOCATION
Stzeel, Roed or ofhar Dasar[ption ot Localion I Lo! Bloek Addiilon or Trae!
/ - 7 '7
~
9 k' •ti; ~r-.~~,,,z._ u~_<.
Thic permii doea not auihori:e !he uae ot slreale, roads, alleys or sidewalks nor doee It give !ho ownor os 6L ayent
!he sight !o creafe enp situaiion whtch is a nuisence or which presenis a hezerd to !he heelih, sefslp, eonveaienee and
ganeral walfare !o enyone in the tommunilp.
THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PROGAESB.
This ia So eerfifY. I_. hes permiaeion fo araet a...... Lfv...._.:d`.... •4°-e~: ppa
~j .._u
ihe above described premise subjecl i She provisions of all applicable Ordinances tor She CiSp of Edgen
~
a~-~ ,~J7~--G<
. <...:.....~l Par C/~.~.-,
Ma or ~ SuUdin.Q
I..m_~ior......--'---............
oa
VILLAGE QF F,kGA1V
3195 Pilot Knob Noad
Eagan, Iqinnesota 55122
PERPIIT N0. 506
The Village of Eagan hereby grants to Geo. Sedqwick Heating &
A/r rn_ of . 1001 Xenia Ave. So
anr?nTiNa Permit for: ((wner) New Horizon Homes
a`f ~ 1632 Walnut Lane , pursuant to application dated 9/29/74
Fee Paid: S40.00 dated this 21st day of taay , 19 74 ,
1.00 s/c
Building Inspector
Niechanical Permits:
Bid Total: (
CITY OF EAG.AN
3795 Pilot Knob Road
Eagan, b7innesota 55122
PBRMIIT N0. • 442
; The City of Eagan hereby grants to Thompson P]unhin- Co.
of 11201 hLtneetonka p1vA.
a PL[TMPI*!G Permit for:
(Oumer) *Iew Hor.izon Yo:nes y;~odgate Addn, 1
at see attached list s pursuant to application dated 4/19/7,*
Fee Paid: S1,Q60.00 dated this 211-11 daY of AFril
4?.0o s/c , 19 74
Building Inspector
Mechanical Permita:
Bid Total:
EAGAN TOWNSHIP DALE S. PETERSON
Buildmg & Utihty lnspector
PUBLIC WORKS DEPT. WILLIAM H. BRANCH
3795 PILOT KNOB ROAD SuperintendentolPublmWOrks
EAGAN, MINNESOTA 55722
PHONE 454-8100
Permit No. 442 - 4/24/74
Covers following units and homes:
162 ,1632, 1636, 1640, 1644, 1650, 1654, 1658, 1662, 1666, 1670, 1674, 1678, 1682, 1686, 1690,
1692, 1694, 1696, 1698, 17q0 walnut Lane and 1635, 1655, 1661, 16E5, 1669, 1673, 1677, 1681,
1685, 1689, 1693, 1597, 1701 Walnut Lane
1631-29-27-25 Hickory Hill, 1666-68)Hickory Hill & 1667-55 Hickory Lane, 1665,67-69-71
Hickory Hill, 1663761-59-57 Hickory Hill, 1681=83=85=£37 Hickory Hill plus last eleven
(11) townhouse buildings - do not have correct house numbers as yet.
HOUSE HEATING TEST RECORD D-21107 `Z6~1/~~
ADDRESS 1628 WelIIUt Lene APT. -FLOOR CITY SUBURB Eegen
OCCUPANT JBSOn B. White OWNER 1'QH
HEAT LO55 DATE HTG. INST. GAS CO. METER BADGE 7V
SOLD BY INSTALLED BY Sedgwick HtLr.
Elechical Work By Gos Line By it it
TYPE OF HEAT GA _FA _X HW _STEAM SPACE HTR. -UNIT HTR. OTHER
GAS DESIGN CONVERSION
MAKE WilliamBOR MAKE OF BURNER
Model 1117-10-5 Model
Sxial 7411949 Maz. BTU Rating
INPUT 100,000 Btu HT, MAKE OF FURNACE
Model
CONTROLS
THERMOSTAT m 26 Heat Ptu~g Vent Size 5u
Valve M.H. V$OOC KIND OF LINER A1um• SIZE 611 NONE
Limir Robshaw RFI, 750n Drah Hood Vertical R,9ulare.
LimilSeHing 200 f Filfers $ize 16" x 25" Number 1
Fan Settin9 90°f & 120°f Chimney Location Insids Ye8 Outeide
Pilot Type C+Ollp1C Chimnay Consirucfion r4etalbestos
Pilot Make
Pilot Model Smoke Bomb Wiring
Pilot 7iming 59 Seconde Drarr DA Test Tag Ye8
L.W. Cut Off Door Pressure Lighting Insf. Ye8
Pressure 4.3"W.C. p„cenrCOZ RM Date Tested 10123/74
InputCFH 99 Percent O?-0~ Company Testing ~e_OI~1L 9
$tack Temp. 510of percent CO 7 0•00 Name oF Tester
Form 235
F PERMIT
CIT.Y OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road B U I L D I N G
Eagan, MinneSOtB 55123 Permit Number: 0 2 4 6 4 5
(612) 681-4675 Date Issued: 10 / 8 7/ 9 4
SITE ADDRESS:
1628 WALNUT LANE
LOT: 9 BLOCK: 8
WOODGATE
P.I.N.: 10-84600-090-08
DESCRIPTION:
~
BulldingLPermit Type DECK
uilding Wwrk Type NEW
~Q e
_ d2w o0 C~?agCNn
REMARKS:
FEE SUMMARY
Base Fee $30.00
Surcharge $,50
Total Fee $30.50
CONTRACTOR: - Applicant - ST. LIC. OWNER:
ARCHADECK 17227290 0008594 WRIGHT JOHN
2236 43R0 ST E 1628 WALNUT LN
MINNEAPOLIS MN 55407 EAGAN MN 55122
(612) 722-7290 (612)688-8852
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicable State ofi Mn.
Statutes and City ofi Eagan Ordinances.
APPLICANTlPERMITEE SIGNATURE I~' UEO B SIG TURE
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: e u z Lo rn G
3830 Pilot Knob Road Permit Number: 0 2 4 6 4 5
Eagan, Minnesota 55123 Date Issued: 10 / 0 7/ 9 4
(612) 681-4675
SITE ADDRESS: Lo T: 9 B L 0 C K: g APPLICANT:
1628 WALNUT LANE ARCHADECK
WOODGATE (612) 722-7290
PERMIT SUBTYPE: TYPE OF WORK:
DECK NEW
INSPECTION . .A
FOOTINGS FINAL
F - ~
L
- - - - - - - - - - - ~
CITY OF EAGAN
1994 BUILDING PERMIT APPLICATION 4_3 0 - -5 0
14L4.6 681-4675
ca.Pw
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site s ys, 1 copy of en rgy
calcs.
COMMERCIAL 2 sets of architectural & structural -1-sef..Df
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date q -2-9 Val uati on of work
Site Address:~ o1G-Qhu--f' ~Q-r~--
STREET SUfTE #
Tenant Name: (commercial only) ~W/k U3 -(Z4 6 M'T
LOT BLOCK SUBD. P.I.D. #
Descri tion of work:
I
The applicant is: ? Owner Contractor ? Other (Describe)
Name ~ ~2lCoN~~ ~a (~-v~ Phone ~g8- B~SZ
Property LAST FIRST
Owner Address ((,p 2-S' WcJN-wrL-tA ~
STREET STE N
C 7 5 1ZZ-
City G State Zip
Company R-~- ez~ Phone
Contractor Address ~DL 31. q3r* S%• License-# 25-I`f Exp 33i ~I~
City ~fi-QA State Vl~- Zip 5~~7
Architect/ Company Phone
Engineer Name Registration #
Address '
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant: 't
OFFICE USE ONLY BUILDING PERMIT TYPE
_ ~ .
? 01 Foundation 0 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
? 03 SF Addition 0 08 8-Plex 013 Garage/Accessory ? 18 Comm./Ind.
? 04 SF Porch O 09 12-Plex ? 14 Fireplace O 19 Comm./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Add'1. ~05 Deck O 20 Public Facility
? 21 Miscellaneous
WORK TYPE
9 31 New 4#a.c.f_4~ O 33 Alterations ? 35 Tenant Finish ' r
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 F1. sq. ft. PRV Required
Zoning Sq. Ft. total Booster Pump
0 of Stories Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code 0 ?
Depth On-site sewage SAC Code ~L
Census Bldg
APPROVALS Census Unit o
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
? .Site Footing ? Framing ? Insulation
? Wallboard Final ? Draintile ? fireplace
Permit Fee veimc;m= g
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
CoPies
Other
Total:
SAC %
SAC Units
' . ~ I I
~ o .
~w
~
~
X
Z478.?Z LSSG..37 _4tS60 30 . ~
4= ~60¢'' ~ ^
A3
~
• ~ ~c-3cDencE ~ ~
_ 1
0
!
- - - 9~ 44- b
Y0.23
I
PERMIT ~~~3fl
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 0 2 5 6 7 7
(612) 681-4675 Date Issued: 0 5/ 2 5/ 9 5
SITE ADDRESS:
1628 WALNUT LANE
LOT: 9 BLOCK: 8
WOODGATE
P.I.N.: 10-84600-090-08
DESCRIPTION:
(ROOFING)
Building-P,ermit 7ype SF (MISC.)
% Building Wo'r-k\Type REPRIR
[If~
, r" 1 r
REMARKS:
FEE SUMMARY:
VALUATION $3,000
8ase Fee $54.00
Surcharge $1.50
Total Fee $55.50
CONTRACTOR: - Applicant - sT. LIC. OWNER:
KEN'S ROOFING CO 17216705 0005035 WRZGHT JOHN
3600 MINNEHAHA AVE 1628 WALNUT LN
MINNEAPOLIS MN 55406 EAGAN MN
(612) 721-6705 (612)952-2856
I hereby acknowledge that T have read this application and state that the
information is correct and agree to comply with all applicable State of Mn.
~ Statutes and City of Eagan Ordinances. J
APPLICANT/PERMITEE SIGNATURE ISSUED B SIG TUFE
INSPECTION RECORD
CITYOF EAGAN PERMITTYPE: BuzLozNG
3830 Pilot Knob Road Permit Number: 0 2 5 6 7 7
Eagan, Minnesota 55122-1897 Date Issued: 0 5/ 2 5/ 9 5
(612) 681-4675
SITEADDRESS:P•I•N.: 10-e45ee-e9e-e8 qppLICANT:
LOT: 9 BLOCK: 8
1628 WALNUT LANE KEN'S ROOFING CO
WOODGATE (612) 721-6705
PERMIT SUBTYPE: TYPE OF WORK:
SF (MISC.) REPAIR
DESCRIPTION (ROOFING)
INSPECTION D. .
FINAL
F ~
:
L
- - -
' CITY OF EAGAN l
)4L11 3830 PILOT KNOB RD - 55122
1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681 -4675
Now Construdion Reqylrements Bemodel/Reoair Reauirements
? 3 registercd sRe surveys ? 2 copies W ptan
? 2 eopies of plana (inWude beam & window sizes; poured tnd. design; etc.) ? 2 ske surveys (exterior additiona 8 dedcs)
? 1 energy calwlations ? 1 energy calcufations (or heated additions
? 3 copies of tree preservation plan N lot plattad after 711193
required: _ Yes _ No
DATE: CONSTRUCTION C05T: Q1 n Q' 0-6
DESCRIPTION OF WORK:
STREET ADDRESS: ' g ~ « ~
LOT ~ BLOCK ~ SUBD./P.I.D.#:
PROPERTY Name: Phone
OWNER
Street ddress- z4,1,,o:21 pJ
City: State: Zip:
i ~A ~
CONTRACTOR Company: o~~ ~fJ Phone
3.SJ 33'S
Street Address: 01~ License
Cit/ Ir~A State:l~ Zip..5742
ARCHITECT! Company: Phone
ENGINEER
Name: Registration #Street Address-
City: State: Zip:
Sewer 8 water licensed plumber: . Penalty applies when address change and lot
change are requested once permit is issued.
I hereby acknowledge that i have read this appliCation and state that the infortnation is correct and agree to Comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant: ~
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No
2006 RESIDENTIAL MECHANICAL rExMiT arrLicaTioN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete foc single family dwellings & townhomes/condos when permits are required for each unit
Date ~ / 2. / C)
SiteAddress t~Vb wC1~ Unit#
Property Owner E;y1c1t&..~ Telephone#((~,5~ )ysl-3
Contractor '~A_\\z1J S Street Address City
State (1'1{\ Zip ~_J'5 Telephone # ( bS1
Bond Expires:
The Applicant is _ Owner -4 Conhactor Other
Add-on or alteratlon to existing dweliing unit $ 30.00
4- furnace _Additional _Replacement _ New
air exchanger ~ • ~
-
_ air conditioner I I
heat pump l'-'LC ' i
i ,
other
. ~
State Surcharge $ .50
Total
I hereby apply for a Residential Machanical Permit and acknowledge that the information is complete and accura[e; that the work will
be in conformance wi[h [he ordinances md codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a
permit, but only an applica[ion for a permi[, and work is not [o start without a permih, that [he work will be in accordance with [he
Tt oved plan in the case of work which requires a review and approval of plans.
.~t;(1'C11_P UL,~~ ICIV~'~ 1~l-fMa~ fVYL
Applicant's Printed Name ApphcanYs Signature
~19 3~H
2007 RESIDENTIAL MECHANICAL rExMiT ArrLic.aTioN
City OfEagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please comple[e for single family dwellings & lownhomes/condos when pertnits are required for each unit
Date
Site Address tU1g" W0l\ n~,A LC`v`"e' Unit N '
- :...:•Ll-L°151
Property Owner Telephone # ( U15\
Contractor "L»(-.
Stree[ Address `6l7C5 Q09Vu,P`V\ PkA- City S 1l~oi,j1
ZQ-DID1 l
State Mu1 Zip c,~)-, l0 Z Telephone #(~S 2-
Bond#: Expires:
The Applicant is _ Owner Contractor _ Other '
Fire repair (replace burned out appliances, ductwork, etc.) $ 90.00
This fee applies when extensive mechanical repairs are made to a building.
Add-on or alteration to exisiing dwelling unit $ 56.00
fumace _Additional _Replacement _ New
air exchanger
~ air conditioner
heat pump
other
S[ateSurcharge . AUG 1 7 2007 $ .50
Total $ ~ ~50
i
I hereby apply for a Residential Mechanical Pertnit and acknowledge that the information is complete and accurate; Ihat [he work will i
be in confortnance with the ordinances and codes of the Ciry of Eagan and with the Mechanical Codes, that 1 understand this is not a
pertni[, bu[ only an application for a pertnit, and work is no[ to start without a pertnit; that the work will be in accordance with the ~
approved plan in [he case of work which requires a review and approval of plans.
uoo~z ~2un\G^c~cQ- _ ~ m ~ o Q nu_
ApplicanPs Printed Name App icant's Signature
~
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1628 Walnut Lane
Lot: 9 Block: 8 Addition: Woodgate 1st
PID:10- 84600 - 090 -08
Use:
Description:
Sub Type: e- Reroof
Work Type: Replace
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Petersen, Rodney
20998 291stAve
Belle Plaine MN 56011
(952) 873-2351
If there is no ice protection inspec
acceptable in lieu of inspections.
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
Construction Type:
Occupancy:
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
- Applicant -
on prior to final, you must meet inspector with ladder and flat bar. Pictures are not
Permit closed without required inspection(s). Letter sent to applicant on 02/23/2009.
$88.50
$1.50
$90.00
Owner:
Comprehensive Services Inc
1210 South Concord St
South St Paul MN 55075
Permit Type:
Permit Number:
Date Issued:
Permit Category:
0801
9001
Building
EA083355
06/04/2008
ePermit
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply
of Minnesota Statutes and City of Eagan Ordinances.
h all applicable State
Issued By: Signature
Date:
City of Tadao
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Ussee
Permit #/0
Permit Fee:
Date Received:
Staff:
2011 RESIDENTIAL PLUMBING PERMIT APPLICATION
nits `r6 r//
Tenant:
Site Address: G ?.13 4--►,Mt1t r+
1
Suite #:
RESIDENT / OWNER
Name: C s r Phone ---14,16-7--- /5-02
Address / City / Zip:
CONTRACTOR
Na,ee Pr 4,44 r41.,i/44.)057-1eQ4.( License#: 5-1,,:‘,? p
Address: g6c- / (g --- 4f -A - City: g , 7—.))4.4.1,..
State: M Al Zip: 5d 75 Phone: Z, 5/ _ 38 61
Contact: Z,6,4)-11) ,,lit Email:
TYPE OF WORK
New /Replacement Repair Rebuild Modify Space Work in R.O.W.
_
Description of work:
PERMIT TYPE
RESIDENTIAL
Water Softener
}_ Water Heater
Lawn Irrigation (_ RPZ / PVB) Add Plumbing Fixtures ( Main / Lower Level)
Water Turnaround
Septic System
New
_
Abandonment
RESIDENTIAL FEES:
$55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$35.00 Lawn Irrigation
$55.00 Add Plumbing
`Water Turnaround
$105.00 Septic System
$95.00 Fire Repair (replace
(includes $5.00 State Surcharge)
Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
(add $166.00 if a 5/8" meter is required)
New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
burned out appliances, ductwork, etc.) (includes $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.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.
x
UtD tteLS1r-kabt
S` s
Applicant's Printed Name
x
Applicant's Signature
FOR OFFICE USE
Reviewed By: Date:
Required Inspections: Under Ground Rough -In Air Test Gas Test Final
. � µ ',�,� ' ', ' . . .
. . . rflb '� .��, t . �t'i •t' . . . ' .
• •r' � t', •:Y� �. . .. , ., � � � � �
.. � . . � .��� . ' .
� ' • ` ` t ' � • • Use BL.UE or BLACK Ink
• • . ' �.�.��..�....���....���.�,�..�.� '
. . . • . � For Offlcv Uso' :�
Cltof � � . . ; Pe����. ����� � �
� a�a� _ . , ;
3830 Pilot Knob Road i Pem'u�ee: /0�`�S i
Easan MN 6b122 . . . �
! �ate Receivea: 7 �/ � �
Phona: (6b1)676-6676 . � � �
Fax: (661)676�6694 � . � s�an: ,
� . ,. �----------------�
� 2011 RESIDENTIAI. 6UIL'`DIN.G�PERMIT APPLICATION
Oate: Y� !'L ' 3lte Addre�i: . , . ,• , • . • Unit�•
Name: !'. �� ��, .. '+�,. :��� �,r ,�, _ .. �
RESlDENT/ . , Phone: �� �%—�`/�� —�j%t°,
�
OWNER . Address/Ciry I Zlp:_ �' , �* j,,�,�,����,�': •� ����,� �
, �
APpUcant Is: .Ownor .Contrector• , .. � �
.;,,,
TYPEOFWORK �ascripUonofwo�t: •l�t�.�G�l:iv �'fY�.,A�ls� ����
Constructlon CosG � � ��"l`r. C`�(`>' MuIU-Famfly B fid(ng; (Yes,�i No,J
<
ComPany:'Tv/t n�����/ '(�-�q,P..�j#� �7� �o Contacr.�e��' S7`�?o l-1�.�4��2
�
,address:�a�/ �3���� ;�1/• � . . , ct /'� L� :
CONTRACTOR �— , b� – � !
� scats:�_ztp;� i�'S,�'�,e�„�i_.. �Pnonec'� 'qs�. �'9 �—�`�'C�8
. . �..,r : ,.
� � ucense�:--L'.�O�j'o0�'s'z�' • tA�d Csrtlncate#:_/1/'!¢,7= �',�.3 7 3—�
.�A�;,e.' .�h... � . .:,�1 y� .+ .... —_� .
It the project is exempt.from lead certlflcatlon,'please exp�ain 1�h�y;(89e Pa�e 3�for addit(onal information)
. f. ,•t��. ..,. • 3�'�" •,
�..a •,+. ::F�;.".S:i;:... .r.;;
� .. . , . � . _ � .�•!� � • '�?'i...�"5�7•'� . '�'' . , �
COMPLETE THIS AREAQN�IF_CON8TRUCT�t� A NEW BUILDING
. , .. . ,. -^—�—�--- --
!n the last 12 months,has tha City of Eagan(s�ued a permlt for,a slmilar.ptan basad•on a master plan7
_Yes _No If yas,date and address of mastar plan: ' • � • .
�,�
l,7censad Plumber: � � Phone:
Mechanlca!Contractor. � i
Phone•
Sawer b Water Contractor. ' • • � ' ' ' : Phone;
NOTE:Plans and supporting documert tha��yqq;subJr,ilt�$r;9 c,p.nsl�l�recl,to�be public Informado�. Portlons of
. the Intormatlon may be�c/as.g(f/�/as;�p�:p,u�//C;If yv.u. Yjd�;� 'ressons tha �
.�?{'0,, ��1,(1F t would pennit the Clty io
- � . � ' ��`cd�ic(�ttd6�Yh`a#:t�ie�:ar�:f�d�,sea�e�'�..;:. � .. . �
CALL BEFORE YOl1�Ip� CeA Oophor 8tiu�0�o CiUJp!(�b�)`K�4¢{.pppZ'�pt�p pi�ection.ifle.lrwt underyround utilRy demage. Csu 48 hours
oetora.you IntenO lo d!Q to recelve locstei ot underytotxad utUltl.e.s, ,
f hereby a fl ' �:F rtSi �it�•:,� �.1.�i1a�l��':C'•�ti�:I�t�k'i�Y �i i���� 1 ',�•, � ,
ckrwwled e that thls InfortnaUon Is�COmpi9(9 end eCCUrat9;�hat Uy9 yvptfc yy{p'pe'In Cpnfotmsnce with tha ordinances er�d coda$ o�tne Ciry oi
Eagan: that I understand thfa !s nol a pq'rmlt, bGt oNy an appUcsUo�t tor a portniG �rxl,wprk Is,not lo ateri wlthout e permit; lhal the work v.ill be in
aaordance with!he approved plan In!ha'casa of woric wt�lch req�lres a reNaw�and'epproval of,plaru,• • �
Exte�ior work autho�ixed by�bulldln . •. ,�� . . � , • .
days of Dermlt IssuanCe. ����<<��ed Ig acco�dance wlth.the Minne�ota 8tatv 8ullding Code muat be compieted withln t8o
X_ Sf��� S�Ro�/yi�-Y�-iz. . . ,. , \
Applicant s Printed Name —" Ap cant`a Signature
Pa9e t ol 3
dr
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 ECI?
(651) 675-5675 ( TDD: (651) 454-8535 i FAX: (651) 675-569�'a = JUL ii all
buiidinginsoectionst'gcityofeagan.com ®®yy
2020 RESIDENTIAL BUILDING T APPLICATION
Date: 07/14/2020 site Address: 1628 Walnut Lane Unit #:
For Office Use � Jet'
Permit* / ? ! 2 ;c---c_
Permit Fee:: (-'CO
Date Received: / /1/'
I
I
Staff:
Type Of
Na„: Comprehensive Services/Christine Tretter Phone: 651-269-4594
Address / City / Zip: 1210 Concord St. S. , South St. Paul, MN 55075
Applicant is: Owner VI Contractor
Description of work: Deck Rail Repair - Top rail replacement on stairs
Construction Cost: $200 Multi -Family Building: (Yes / No Y )
Company: Rodney Petersen Contact:
Address: 20998 291st Avenue
city: Belle Piaine
state: MN Zip: 56011 Phone: 612-716-54 Email: ppetersendesign@ frontiernet.net
License #: XM593648 Lead Certificate /#:
If the project is exempt from lead certification, please explain why.
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
fIn 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:
Fire Suppression Contractor: Phone:
NOTE: Plans and supporting docUrfleltts that you submit are considered to be public i`nfc rmation. Portions of
sleuthed as, non-pubttc If.you Rravide speclHc reasons that wo ld,, rmlt the tt to conc e thist their are rade se re tis..
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.citvofeaaan.cornisubscribe.
Exterior work authorized by a building pen it issued in accordance with the Minnesota State Building Code must be compieted within 180
days of permit issuance,
CALL BEFO EYOU DIG, Call Gopher State One Cali 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.00Dherstatepnll.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 withjut 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 /Ts.
x Rodney Petersen
Applicant's Printed Name
X
Applicant'
DO NOT WRITE BELOW THIS LINE
/�C /a597
Addition
Alteration
_ Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25%_ 100%
Census Code
# of Units
# of Buildings
Type of Construction
SUB TYPES
•Foundation
_ Single Family
Multi
01 of Plex
WORK TYPES
New _ Interior Improvement
_ Move Building
Fire Repair
Fireplace
Garage
Deck
Lower Level
_ Porch (3-Season)
Porch (4-Season)
Porch (Screen/Gazebo/Pergola)
Pool
Repair
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
REQUIRED INSPECTIONS
Footings (New Building)
_ Footings (Deck)
_ Footings (Addition)
Foundation Foundation Before Backfill
Roof: _Ice & Water _Final
_ Framing 30 Minutes 1 Hour
Fireplace: _Rough In Air Test
Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Shower Pan
Reviewed By:
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Radio Meter Read
Copies
TOTAL
Siding
Reroof
Windows
_ Egress Window
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Accessory Building
_ Demolish Building*
_ Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building - give PCA handout to applicant
MCES System
a SAC Units
City Water
Booster Pump
PRV
Fire Suppression Required
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC _ Service Test Gas Line Air Test _ Hood
Pool: _Footings Air/Gas Tests _Final
Drain Tile
Final Siding: _Stucco Lath _Stone Lath _Brick EFIS
Windows
Retaining Wall: _ Footings _ Backfill _ Final
Radon Control
Fire Suppression: _Rough In _Final
Erosion Control
Other:
Building Inspector
00-it
q o`
Page 2 of 3