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1654 Walnut Lane YILUQE OF EAGAM WATER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: --~~1508 Eogan, MN 55122 DATE: Zoning: pUD - No. of Units: _ Owner: New Harizon Homes - r Address; ~ Site Address: -16 Plumber: _ThOmpBQll_F1„ml,inlj Meter No.: ~~p'~•3'70 '7 Connection Charge: 213.0.00 pd. Size: Account Deposit: Reader No.: 7~ a 74"4* Permit Fee: I og?ee to eanslY vrith Hw Villoye of Eagan Surcharge: Ordinoness. Misc. Charges Total: By Date Paid: Date of lnsp.: Inap.: YILLAOE OF EAOAN SEWER SERVICE PERMIT 3795 ?ibt ICnoo Rood PERMIT NO.: 2267 Eoyan, MN 55122 DATE: 7/3/74 Zoning: PUD No. of Units: ' Owner: 212~NXX$ffi14)61XY New Ftorizon Homes Address: Site Address: 1654 w'alnut Ln. Plumber: Thompson Plumbing I oyne to canplr with the Villoyo of Eagan Connection Charge: $400.00 pd. Ordieonces. Account Deposit: Permit Fee: 10.00 Surchazge: .50 gy; Miac. Chazges: Date of Insp.: Total: Insp.: Date Paid: ~III IN5PECTION RECORD CITY OF EAGAN PERitA1T TYPE: r:41 i! U! N 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: ! ' ' • ' ~ (612) 681-4675 SiTE ADDRESS: 1: 1 t' 4 QPPLICANT: t? I : IIA1 N11( 1 ANF Idl A1 PERMIT SUBTYPE: TYPE OF WORK: • ~ i l~~ r~. i i r, l t~!, 1 1, INSPECTION ON TYPE DA C I ~ . . ~ . ~ . . . . . . . . . . . . . ~ . ~ ~ ~ ~ I Pertnft No. PePmit Holder Date Telephone # I ELECTRIC I I PLUMBING I HYAC Inspection Data Insp. Comments FOOTINGS FOUNO FRAMING ROOFING AOUGH PLUMBING PLBG AIR TEST I ROUGH HEATING GAS SVC TEST I INSUL I ~ GYPBOARD FIREPLACE I I FIREPLACE AIR TEST ~ FINAL PLBG I I I FINAL HTG I ORSAT TEST BLDG FINAL I ~ I BSMT R.I. I 3SMT FINAL ~ DECK FTG I i DF_CK FINAL i I ~INSPECTION RECORDT CITY QF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: ~ Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS• APPLICANT: ' t~~1. s ?:l<,rr trlt Nil T I AFIF" !~~i if r:~ c t f41 ~ PERMIT SUBTYPE: TYPE OF WORK: 1,1;~f j . , ~ • , ; , ~tK , ~ INSPECTION D. D. i I h I ~ f 71 ~ ~ Permk No. Permit Holder Date TNephona # ELECTRIC PLUMBING HVAC Inipectlon Dab insp. Commlmb FOOTINGS FOUND FRAMING ~ ROOFING ROUGH I PLUMBING i ~ PLBG I AIR TEST I I ROUGH I I HEATIN(i I GAS SVC j i TEST i I INSUL I GYP BOARD i FiREPLACE I A) I FIREPLACE I AIRTEST N16 ~ FINAL PLBG I , FINAL HTG I ORSAT I TEST I BLOG FINAL I ~ BSMT R.I. BSMT FINAL I ~ DECK FTG ~ DECK FINAL ~ ~ ~ i J . . _ . . , . . ~ . GAS WORK ORDER p JAN 2 1 2003 1082 Payne Ave. STANDARD 410 W. Lake St. St 651 /772-2449101 b~.. E AT I N GO 9 OR 612/824-2656 08 & AIR CONDITIONING A Blue Dor Service Co. EQUIPMENT INFORMATION LAST FIRST ~ TYPE ADDRESS 4 MAKE ~~v f CITY ZIP /Z Z.. MODEL 5--4744Jp4/Zo~ 6-Ka- HM PH WK PH SERIAL TECH DATE - o INPUT ORSAT TEST RECORD C02 -D °16 METERED INPUTIS <7iCfh CHIMNEY TYPE 02 % LIMIT SETTING 4~6 ° FLUE SIZE ~j in. CO e9'o % PILOT OUTAGE sec CONNECTOR SIZE in. NET STACK TEMP Zn' 0 tl' TOTAL CHIMNEY INPUT btuh CITY OF EAGAN Remarks Addition Wood ate lst Addition Lot 3 Rik 8 Parcel 10 84600 030 08 ' Owner ,Oh:`'t7 ~ Aai`,~/'127J Street 1654 Walnut I,n. 5tate Eagan. MN 55122 (mprovement Date Amount Annual Years Payment Receipt Date STREET SUR F. STREET RESTOR. pAVING 1976 $992.92 $330.97 3 PAID GRADING PAVING Z~ 1974 $115.45 $23.09 5 PAID SAN SEW TRUNK 1974 $93.54 $6.24 15 PAID * SEWERLATERAL 1975 15 WATERMAIN * WATER LATERAL 1975 15 * WATER AREA 1975 15 * STORM SEW TRK * q STORM SEW LAT 1975 $2036. 55 $135. 77 115 PA2D CURB & GUTTER SIDEWALK STREET LIGNT WATER CONN. $130.00 107$9 6-4-74 6UtLDING PER. s,ac 400.00 10759 6-4-74 PARK OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex O 20 Pool 0 30 Accessory Bidg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi ? 03 01 of _ ptex ? 09 07-plex ? 17 Garage O 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-piex O 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 MuRi ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Yor_ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move 81dg. ? 42 Demolish (Foundation) ? 45 Fire Repair O 33 Alteration O 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code _ Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bidgs Length Fire Sprinkiered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaVC.O. _ Footings (deck) _ FinallNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Roof Ice & Watex Final Other _ Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Fireplace _ R.I. _ Air Test _ Final _ Siding Stucco Stone _ Insulation _ Windows (new/replacement) Approved By , Building Inspector - - - - - Base Fee Surcharge _ Plan Review MCtES SAC City SAC W ater Supply & Storage S&W Permit & Surcharge Trealment Plant Plumbing Permit Mechanical Permii License Search Copies Other Total RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 Now Comtniction Roauiranmb RwmodWRswir Rwuinmeft • 3 ragstered sAe saveys showiig sq. Il M M. sq. R of hauae; and aM rooted areas . 2 oopies of pan (20% manimun Id cwmage aAaried) . 1 sel of Eneigy Caktdalbns for Mated addabrc • 2 copies of plan sfawing beam 3 wiridwv s¢es; poured fand design, elc.) • 1 site survey forezlerior addAom 8 Aecks . 1 set oF Enaryy Cakulatlon.s . IMicale if hane saved 6y sept(c syslem far additlaro • 3 copies of Tree Preservalion Plan if Id platleA after 711193 . Rim Jdsl Defai OptiaS sNection sheet (bldps Wdh 3 or less urMS) D o~ DATE v ( VALUAiION JOB SITE ADDRESS I I/S PtLNJT ~ IF MULTI-fAMILY BUILDING, HQW MANY UNITS? PROPERTY OWNER V EE Pc Y_-FtPcPrM rl 1° TYPE OF WORK ~2~IG. C,(_fVI.WL"r W I ni O°'~~5 PlREPlACE(S) _ 0_ 1_ 2 APPLICANT C~ 5 i N d S~ D i eD PHONE# 91 2-,s `I/' 3L(DO ADDRESSJ L4.2 LLLdl- D21?Q~ ZIPCODESS/Z PAGER # CELL PHONE # FAX # 9St -b'9/ - y~ Sd NEW RESIDENTIAL BUILDING ONLY - FILL OUT GOMPLETELY Energy Code Category _ MINNFSOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 7 Worksheet Submitted - Energy Envelope Calculadons Submitfed _ MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contrcctor: Phone Plumbing System Includes: ^ Water Softener _ Lawn Sprinkler Fee: $90.00 _ Water Heater _ No. of R.I. Baths _ No. of Baths Mechanical Conlractor: Phone # Mechanical System Includes: _ Air Conditioning Fee: $70.00 _ Hea[ Recovery System Sewer/Water Contractor: Phone # All above information must be submitted prior to processing of application. ` I hereby acknowledge that I have read this application, state that ihe informalion is co c, and agre mpl with aIl applicable State oF Minnesota Statutes and City of Eagan Ordinances. g Slgnature of Appllcant v ` ` Certificates of Survey Received _ Tree Preservation Plan Receiv _ Not Required _ Updaled 1101 y~ ~91v~ j-V_P17 .C.3 a8l /8_~ 119~0 °nD Repuest Date Fne No RougRinln5pec0on j G ReOwretl~ , eaEy Now ? Wdl Notity Inspector Yes o when aeeay, I icensed contractor ? owner hereby request inspection of above elecirical work at. Job Adaress IStreet. Bor or Roule No Gty ( \fA a n Secuon No TownsM1up Name a No Ranga N. Cou Oc<upant(PRWT) P~one No Power Suppli • Mtlress ~ Elaclnwl Comracmr (GOmoany Namel l ConVactor5 Lcense No - M Mng AOGress lCOnimdo, or Orvner Making Inslallation, 6 n" l 1\~ ~ n Au o zec S~gnamre (COnlr ctor/Own Making In von) Phone Number ~a MINNESOT STATE BOARD OF ELECTRICITY THIS INSPECTION REOUEST WIIL NOT Gdggs-Mitlway Bltlq - Room 5913 BE ACCEPiED BV THE STAtE BOARD 1811 llnlver6lty Ave.. St Paul. MN 55104 UNLE55 PROPEF INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED 9~9 9 REOUEST FOR ELECTRICAL INSPECTION ~°,r EB-00001-0HB ? See inslmcuons lor completing Ihis lorm on back ol yeliow copy . p,; - "X" Below Work Covered by This Request ew Adtl Fep TypeolBwltlfng AppliancesWired EquipmeniWired Temporary 44A)pt. ome qange Service uplex Water Heater Electric Heahng Butlding Dryer Other (Specity) Comm./Intlusinal Fumace Farm Av Conditioner Other (syecdy) Canllector5 Pemerks " „ga, a~rt R~-1- Iona••,p Compufe Inspecfion Fee Below # Other Fee # ServiceEnlranceSrze Fee # GrcmtsiFeaders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps Above 100 _ Amps Stgns Inspector5 Use ONy TOTAI Irnganon Booms ' aQ Special Inspecuon AlarmiCommunicauon THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I. the Elecirical Inspecror, hereby Rougn-in oece certify that the above inspecnon has Firi81 oa~ been made - 3,; -9 OFFICE USE ONLV ~ wvf This reQUest voro t8 months trom CITY OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55122 PERMIT NO.: 492 The City of Eagan hereby grants to Geo. SedgwicY. Heating & B/C Co. of 1001 Xenia Ave. So., Mpls. 5541E a HEATING permit for: (O,emer) New Horizon Homes at 65 1674 Walnut Lane ~ pursuant to application dated 3/28/74 Fee Paid: $40.00 dated this 24th day of APril ~ 19 74 I. a c Building Inspector Mechanical Permits: Bid Total: j iG ~/loDO a3o o y CIi'Y OF F.,1GaN 3795 Pilot ICneb P,oad Eaga,, 1-'iinnesota 55122 PLRhST DIO e: 4,72 The City of Ea,,an hereby grants to Thompson PlUPYfi11^ ro. Of 12201 M1nIIPYOilYA A1V(j. a ?TT7mPTw1C, Permit for: (Oimer) ~iPw Nozizon c*»^. - 'r%oooate Addn. 1 at _ sFr_ arrached list pursuant to anplication datnd 4/19,"~ ree Fail: $1r"60.00 dated this 24"1,, da.y of *.rri.l ~ 19 7,1 aQ.o0 s/c Buildi.ig Inspecto: i°:echanical Yermits: Bid Total: "EAGAN TOWNSHIP DALES.PETEFSON Buildrng & UrJity 1n5pector PUBLIC WORKS DEPT. wiwnnn H. saaNCH 3795 PILOT KNOB ROAD SupenntendentofPublicWOrks EAGAN, MINNESOTA 55122 PHONE 454-8100 P„r:nit ';o. 441 - 4124174 Covers `ollocaing uni.ts and homcs: 1 r2o,1532, 1536, 1640, 1644 , 1G5n, E4 1r58, 1662, lEF,F., 1(:7(1, 167,1, ].F79, 1rP2, 1F~96, 1F?n, irn~, lr.nn. 1695, 1E08, 17np U'alnut Larc and Yt35, 1655, ](,r7, 1F~5, 15(9. 1673. 1677. 1Fp]. 1r'R5, 16,39. 1693, 15c)7. 17n.1 Fialnut Lane 1(,31-2c)-27-25 Hi.ckory Hill, JG~f-f,P.II?ic}:or.y Hill & 16E7-r.5 Hickory Lane, 16(5.r,7-«-77 Hir_kor.y f'ill, 16F3;r.L-5t)-57 !iickory Ilill, lfRl=£33=R5=f:7 Hickorv Ilili plus 7_ast eleven (11) townhouse }uildinqs -do not have cor.rACt house nur.ibers as vet. ? CITY of EAGAN N°- 3304 BUILDING PERMIT Owne= 3795 Piloi Knob Road . ........................::5- Eagan. Minneeola 55122 Addreu (Drosen!) ..:Z/:z"`_: 454•8100 Huilder Dafe 6- u--~y Addreu DESCAIPTION Siorisc To Se Uced For Fron1 Deplh Hstghf Est. Cw! ~Ip'rmi! Fse Aemuks /o.: o . LOCATION Slreef, Aoed or other Description ot Loaelion I Lot Block Addltion or TsaM Il- 7 7 , i- 9 1'hia permit daes not aufhorize the use of streate, roads, alleya or cidewelks nor does it give the ownos ot his nqent the righf fo ereete eny situation which is a nuisencs or which prasanic a hazard !o the heelth, eefafy, conven{enee and ~ general weltere fa aapoae in the community. THIS PERMIT MUST BE KEPT ON THE PAEMISE WHILE THE WOAK IS IN PROGAESS. ShL b !o ee:tifp. lhai:.7?f-..~ .......has permissioe !o arect a...... LG........ ~ the above described premise subject ib~She proviaions of all applicable Ordinances foc the Cifp o4 £'~gen V.~:C~- . Per ~k ..-c.. : ~ ....._P................................. Mayor Suildin IweetorA HOUSE HEATING TEST RECORD D.11064 ADDRESS 1654 Walnut Lane APL _ FLOOR CITY 5usuesEaean OCCUPANT Dan H. Bjokne OWNER YQa HEAT LOSS DATE HTG. INST. GAS C0. METER BADGE iY SOLD BY ).4~ -7 - INSTALLED BY 82dgwlCk Htg_ Elechical Work 8y Gas Line 8y TYPE OF HEAT GA FAA HW STEAM_SPACE HTR. UNIT HTR. OTHER GAS DESIGN CONVERSION MAKE Williamaon MAKE OF BURNER Model 1117-10-5 Model Serial 7412143 Maz. BTU Roting INPUT 1000000 B~AT, MAKE OF FURNACE Model CONTROLS THERMOSTAT CID `ZBO Heot Plug Vant Size 5" Valve M-A- VHOOC KIND OF LINER Alum, SIZE R„ NONE Limit Rnbshaw RFL 7rJ0ri Dwft Hood VpP1t1Rfl1 Regularor LimitSeffing 200of Filters Size 16 X 25 umber Fon Setting 90'f & 120'Df Chimney Lototion Insida ~ S'PR Outside Pilot Type Cengle Chimney Construction MP'I'AlUP$'F.OA Pilot Make Pilot Model Smoke Bomb Wiring Pilot Timing 67 Seconds Droft Ox Test Tag YP8 L.W. Cut Off Door Pressure Lightiny Inst. 1'PA /g~ Data Tested 11.~27~74 Pressure 4 • •3°H' • PercentCO 7•.0 Input CFH 100 Percent OZ 8--4y Company 7esting Smck Temp. 550of percent CO 0+00~ Name oF TesTer LForm 235 - ~ _ . . PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMITTYPE: BuiLozNs Eagan, Minnesota 55122-1897 Permit Number: 0 2 8 5 6 4 (612) 681-4675 Date Issued: 0 8/ 15 / 9 6 SITE ADDRESS: 1654 WALNUT LANE LOT: 3 BLOCK: 8 WOODGATE 1ST P.I.N.: 10-84600-030-08 DESCRIPTION: (ROOFING) Buildin ,.Permit Type SF (MISC.) ,Building Wb,r.k Type REPAIR Census Code 434 ALT. RESIDENTIAL . n V a _ REMARKS: FEE SUMMARY: VALUATION $1,500 Base Fee $48.50 Surcharge $.75 Total Fee $49.25 CONTRACTOR: OWNER: - Applicant - AKHAPHONG SOMPAT 1654 WALNUT LN EAGAN MN 55122 (612)454-6166 „ I hereby acknowled9e that I have read this application and state that the ~ information is correct and agree to comply with ell applicable State of Mn. Statutes and City of Eagan Ordinances. -j .~~wn R~,~,(.111?,~- APPLICANT/PERMITEE SIGNATURE ISSUED B SIG TURE ~ isIL CITY OF EAGAN 3830 PILOT KNOB RD - 55122 4996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 New Construtlion Reauirements RemodeVReoair Reauirements ? 3 registered site surveys ? 2 copies of plan ? 2 copies ot plans (include beam 8 window sizes; poured fnd. design; etc.) ? 2 site surveys (exterior add'Aions 8 decks) ? 1 energy calculalions ? 1 energy calculations for heated additions ? 3 copies oi tree preservation plan if lot platted after 7!1193 reqvired: _ Yes _ No DATE: ~ - 1 3 - ':I G CONSTRUCTION COS~ DE6CRIPTION OF WORK: RpRoa~,% h~ STREET ADDRESS: MN ~S 1--Z- LOT ~ BLOCK SUBD./P.I.D. f~l~T'pv f~ I~L~tI PROPER7Y Name: ~k-K4~PNOC, c ~^MPNT Phone OWNER ""'T Street Address: 1~54 W,~`h"~ L-Gu^e- City: Eeto;e'n State: \N Zip: C; `3 4 CONTRACTOR Company: Phone Street Address: License City: State: Zip: ARCHITECT! Company: Phone ENGINEER Name: Registration Street Address: City: State: Zip: Sewer & water licensed plumber: Penalty applies when address change and lot change are requested once permit is issued. 1 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: I OFFICE USE ONLY Certificates of Survey Received _ Yes No Tree Preservation Plan Received Yes No lllh~ PERMIT •CITX OF EAGAN 3830 Pilot Knob Road PERMITTYPE: auzLorNc Eagan, MinnesOta 55122-1897 Permit Number: 0 3 0 8 9 9 (612) 681-4675 Date Issued: 10 / 0 Z/ 9 7 SITE ADDRESS: 1654 WALNUT LANE LOT: 3 BLOCK: 8 WOODGATE 1ST P.I.N.: 10-84600-030-08 DESCRIPTION: ~ (GAS) Building-,Permit Type FIREPLACE Building Wo.r_k Type NEW ~(Census Code 434 ALT. RESIDENTIAL i 00~ REMARKS: FEE SUMMARY: Base Fee $50.00 Surcharge $.50 Total Fee $50.50 r ~ CONTRACTOR: - Applicant - sT. LIC OWNER: FZRESZDE CORNER'INC 16332561 2009091 AKHAPHONG SOMPAT 2700 N FAIRVIEW AVE 1654 WALNUT LN ROSEVILLE MN 55113-0847 EAGAN MN 55122 (612) 633-2561 (612)454-6166 I hereGy acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Mn. Statutes and C3ty of Eagan Ordinance5. _ _ - - - - - - - - - ' J APPLICANT/PERMITEE SIGNATURE ISSUED~ SI AT~~ I ~ CI'I'Y OF EAGAN 5 0SQ9 . 3830 PILOT KNOB RD - 55122 1997 FIREPLACE PERMIT APPLICATION 681-4675 DA7'E: /,q //z ;7 PERMIT FEE: $50.50 G- DESCRIPTION OF WORK: 4- CONSTRU NEMe FIREPLAC _ ALTERATIONS TO EXISTING _ INSTALL GAS INSERT ONLY _ INSTALL GAS LINE ONLY OTHER: STREETADDRESS: ~4 L M 0 7 L/4 LOT BLOCK SUBD.IP.I.D.#: APPLICANT: (circle one only) OWNER CONTRACTOR 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 Ciry of Eagan Ordinances. PROPERTY Name: AICl~ kP l~O tJ Gj SDMP ~ Phone OWNER Signature: Sueet Address: 16 City: RZ~~ State: 1'/ LN Zip: 2 Z FIREPLACE Company: Phone#: INSTALLER Signature: Sveet dress:~975n- W-/V y~ i~3 License #?a' 9~ Ci ~~`n~ VI CUE~ State: A~Vl Zip: s~~-3 7 GAS LINE Company: Phone INSTALLER Name: Signature: SVeet Addre . Ciry: State: Zip: RESIDENTIAL c~S ' • • BUILDINC PERMIT APPLICATION CITY OP EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651•681-4675 New Construcuon Reouiremants RemodellRenair Reouiremenh • 7 registere0 site surveys showing sq, ft, ol'ol, sq. k. or house: ana all roo(ea areas • 2:cpies of plan (200o maximum lot coveraqe allow?a) . 1 set of Energy Calculalions for heateA atlddions ~ • 2 coDies of clan showirg ceam 3«indow ;izes; pourea fcund aesgn, etc.) . 1 sde survey for zxtenor additions 8 decks ~ . 1 set ul Eneyy Calalanons . Indicate d home serven by sepuc system for adddiont . 7 co0ies of 7;ee Preservalion?lan dlot Flatted after 7i7l93 . Rim Joist Oetail Optrons seledion sheel (hldgs wah 3 or less umLS) DATE GT- S- I7o2 . VALUATION P.2 Sa:3-D SITE ADDRESS 5 I j L eG MULTI-FAMILY BLDG _Y _N TYPE OF WORK F-Y-A0A:Lo;.j FIREPIACE(S) _ 0 jL/1 _ 2 APPLICANT MpR i kk-1~ tj LT STREET ADDRESS t COS l.~ W qA Yu& L-4.,i CITYSTATEMk ZIP TELEPHONE #6S14CRID01 CELL PHONE #ASI.rLq 0 LVIS1 FAX # PROPERTY OWNER SO M PA 1I kIf-H N-P" tJ CT TELEPHONE # C7S I 1-1-~-I- I OkLt , COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Enerqy Code Category MIA'V[SO'I'.A RUL1;5 7670 GVTIEGOHl' I ~([A\ES(-~3^1-t2l=:CLS~iti7? ~ ~ - II„11G iN I~ I ~ Submitled, (d suomission type) • Resitlenhal Ventilation Category 1 Workshe=[ Submitted • New En~e rgy Code'Worksheet~ ~~~Il~ . Energy Envelope Calculations Submitted I n~ SGP 2 5 2002 ~ ~ lL1 Plumbing Contractor: Ptionc # ~ Plii1i1t~i~ig systcIIi i11cliiclcs: ~ti`atcr Soltcncr _ L•ia~rt Sprinl:lcr Ly=F'ec: 'S90"00 Watcr Heatcr No. oF R.I. Baths No. oF 13atlis Mechanical Contractor: Phone # Mcclcuiic:d sc;tcm includc,: .\ir CondiUuuing Pcc: 570.00 - Flcat Rccovcn Syslcm Sewer/Water Contractor: Phone # I hereby acknowledge that I have read this application, state fhat the information is correct, and agree to comply with all applicobie State of Minnesota Statutes and City of Eagan Ordinances. Signafure of Applican OFFICE USE OVLY Certificates of Survey Received Tree Preservation Plan Received _ Not Required _ Updaled 4102 OFFICE USE ONLY ? 01 Foundation ? 07 OS-ptex 0 73 16-plex ? 20 Pool O 30 Accessory Bldg, ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3•sea.) ? 31 EM. Alt - MuIG 0 03 Ot of _ plex ? 09 07-plex ? 17 Garage '1~17 22 PorchlAddn. (4-sea.) ? 33 E#. Alt - SF ? pa 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ~ 32 Addition O 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolitian (Entire Bldg only) - Give PCA handout to applicant Valuation '29-1190 D Occupancy MC/ES System Census Code L-/Zoning Ciry Water , SAC Units ~ Stories Booster Pump Nbr, of Units Sq. Ft. ~ PRV Nbr. of Btdgs I Length Fire Sprinklered Type of Const bj Width v REQUIRED INSPECTIONS Footings(new bldg) _ FinaVC.O. -K Footings (deck) -Y FinalNo C.O. ~ Footings (addition) _ Plumbing y{ Foundarion _ HVAC Drain Tile Other Roof _ Ice & Warer _ Final _ Pool _ Ftgs _ A'u/Gas Tests _ Final ~ Framing _ Siding Stucco Stone Fireplace _ R.I. _ Air Test _ Final _ Wmdows (new/replacement) ~ Insulation _ Retaining Wall Approved By 'r 7 , Building inspector Suchae9e k ~W Plan Review ~ ry sA~AC Water Supply 8 Storage ~~'~bl Tf,Cf~v S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit C rJ License Search Copies Other Total Permit Number MECcheck Compliance Report cneckW aY/Ddce 2000 Minnesota Energy Code MECcheck Software Version 33 Release Ic Data filename: C:1Program Files\Check\MECcheck\Walnut Lane.cck TITLE: Proposed Addition 24 x 14 COUNTY: Dakota STATE: Minnesota ZONE: 2 C(?NSTRLJCTiON TYPF.: Single Family DATE: 09/24/02 DATF. QP PI.ANS: 9-24-02 PROJECT INFORMATION: 1654 Walnut Lane Eagan, MN CONfPANY TNFORMATinN: J & K Design 231 Nile Place Elk River, NIN 55330 CCiMPLtANCI?: Passes Maximum UA = 159 Your I-lome = 130 182% Better Than Code Gross Gtazing Area or Cavity Cont. or poor Perimeter R-Value R-Value U-Factor UA Ceiling 1: Plat Ceiling or Scissor Truss 336 44.0 0.0 9 Wall l: Wood Frame, 16" o.c. 836 19.0 0.0 41 Window I: Above Grade, Vinyl Frame, Double Pane 16 0330 5 Window 2: Above Crade, Vinyl Prame, Double Pane lb 0330 5 Window 3: Above Grade, Vinyl Frame, Double Pane 16 0330 5 Window 4: Above Grade, Vinyl Frame, Double Pane 20 0330 7 Door I: Glass 34 0330 11 Door 2: Glass 34 0330 11 Floor I: Unheated Slab-On-Grade, 3.0' insul. 52 14.0 36 Furnace I: Forced Hot Air, 88 AFUE Air Conditioner L Electric Cenval A'v, 10 SEER Proposed and Maximuro U-Factor Avereges , . pcaposed Maximum pverage U-Factor Allowed U-Factor 0330 0370 Above-Grade Windows and Glass Doors Includes Foundation Windows> 5.6 ft2 CONIPLIANCB STAT'LMCNT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted wich tlie Permit application. 1'he proposed building has been designed to meet the 2000 Minnesota Energy Code requirements in MECcheck Version 33 Release 1 c and to comply with the mandatory requirements listecl in ihe MECcheclr Inspection Checklist. Date BuildedDesigner__ ~ ~ \4-, 'Zys `qN~ i. . . , Wcrrantia i ~ rnlshed I pre- ~ equest i and ~ 7,7 n¢;lon¢l I P purposes only, ~ i J L K Deslen nakes ~r na Vorrontles whnt- \ 0 ~ soever, elthtr ex- \ pressed or Inplled. ~ _ Use of these plans Shnll be at the sole rlsk of the user(s). 1 -?4- ~ 1 1 The salectlon of correct structurnl PRvflo560 ~ i noterlols, appllcatlan I ? povmoN ~ ~ of thest naterlols, ¢nd bullding nethnds shall be the respon- smultY of the uSercs), 7 and/or the bu0.der. ~ N EktsnNei lko~~ t~i U' 'p ~ Kli w5`k WALNVT tYWe - ~ z o \ q~ • . 2 \ I I z3. z 9 q,: Lo.L'i 7Ga=Z3.15 StM PtAiJ '6v° 36" A' 22°l~4'32 o.. ~ J & K Deslgn ' 231 Nile Plnce ' Elk River, MN ~ 55330 ~ ProPosed Addltlon for 1654 Wnlnut Ln Engan, MN ~ CanbroctordsWcaniroct~ dqLL rKNy dl dMrdms uq Iret or eyecwd locel WIdinp catles. 8 J? KMsbn dowa ript aesurr IN6AMy for er*vre v o' orhalvs a arry Mmwhps provMM ~ . - ~ n-18-02 ~ , RESIDENTIAL ` BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 S~ Q Q~ 651-681-4675 New Construction Reauirementa RemodellReoair Reauirementa • 3 registered site surveys showing sq h. of lot, sq. fl. of house; and all roofed areas • 2 copies of plan Q, (20Yo maximum lot coverage allowed) . i set of Energy CalcNations for heated additlons • 2 copies of plan showirg beam 8 window s¢es; poured found desgn, elc ) . 1 site survey for extenor additions & decks • 1 set of Energy Caiculations . Indicate if home served by sep6c system for additions • 3 copies of Tree Preservation Plan if bt platted aRer 711193 • Rim Joist DeWil Options seledion sheel (bidgs wilh 3 or less units) DATE I f , r VALUATION 00, SITE ADDRESS 1V~~ Wc-"9v'~v"\ MULTI-FAMILY BLDG _Y _N TYPE OF WORK D eC~Pf--- FIREPLACE(S) _ 0/1_ 2 APPLICANT S~ MFAT A'Y--N Pti'P H'a N G STREET ADDRESS tbS 4 WCA\U:-CITY~STATE .L/ ZIP n 2z TELEPHONE #Gc I U zTU Iar4_ CELL PHONE # G51-2~ 4'~Rl FAX PROPERTYOWNER S nMPA1 A-Itef-Nt!~ lc-~ N CT TELEPHONE# 6lf4 YF-(OA'_Lj COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ M[NNLS01'A RULES 7670 CA7I"L:G012Y 1 MINNF,SOTA RULES 7672 (J submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor. Ptionc PlmnUing systein includcs: _ Watcr Soltciier Limqi Sprinl:lcr rc$901. 0 Water Hcatcr No. of R.I. Bailis _ No. oCl3atlis o~c 1 r. 2002 ~ Mechanical Contractor: Phone Mechanical syslem includes: _ Air Conditioning LV / 'ec: $70.0 _ Heat Recovery Syslem By Sewer/Water Contractor: Phone # 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 City of Eagan Ordinances. n Signature of Applicant-~"!' n 7 - OFFICE USE ONI:Y Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 OFFICE USE ONLY , ? 01 Foundation ? 07 05-ptex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OB 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex 18 Deck ? 23 Parch (screened) ? 36 Multi ? OS 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding x 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy ~-3 MC/ES System - Census Code ~13~( Zoning City Water - SAC Units Stories ~ Baoster Pump Nbr. of Units Sq. Ft. PRV - Nbr, of Bldgs T Length Fire Sprinklered " Type of Const ~ W idth - REQUIRED INSPECTIONS Foo[ings (new bldg) FinaVC.O. ~ Footings (deck) - P~ s~ -0~'~ TZ - ~ FinaVNo C.O. P<n,~, r ti _ Footings (addition) (j'G 0~I _ Plumbing Founda[ion H V AC Drain Tile O[her Roof _ Ice & Wa[er _ Final _ Pool _ Ftgs _ AidGas Tests _ Final ~ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By , Building Inspector - Base Fee -7D ~ Surcharge Plan Review MGES SAC City SAC Water Supply & Storage S&W Permit 8 Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total - • - I,1 t isclaimer of Worrantie ~ b ( V The Plnns furnished heredth were pre- q pered upon request . ~0 3 p~ a 'by draftanen nnd are for Inforrrotlonal / purposta only. r Vypqp WITH AN AIR INTRUSION BARRIER,ALL DCTERIOR J L K Deslpn nakes ~ CORNERS, CAM1lEVERS, BAYAREAS,AND UNBACKEQ j no Varronties whot- ~ SMS. MUST BE IWECiED VYITH FfiAMINC. soever, elther ex- pressed or Inplled. ~ Uze of these plans " `t shcll be at the sole a 3~, _ - rlsk oF the user(s). The selectbn of i v correct stru[tural naterlals, cpplic¢tbn U Z x P~~~7F~N ~ of these naierlals, pnd bulldlnp nethods shnll he the respon- 1/~/~ ~ s6llliy of die user(s), P-'M' nnd/or the bu0.der. ~ ~ {/I ~ ~ S ~y G'~ISTl~1C~ 1iM1SE ~t'~a ~ / ~0V1z/t, "Z ~jz i I I z3.z S,M P'AfJ N , , J & K Deslgn ' 231 Nile Place . ` Elk River, MN P. - ~ - 55330 - Proposed ~Y Additlon for 1654 Wnlnut Ln ~ ~~ULDING INS E~'+ Engan. MN c.~.~~ ~ L All CantrvctvUsu6cmtractors aheLL vwriiY nll ~ dMrtsb n eM roet or rxeceaE lacnl bWdYp codes. ~F'C L UT E. J L K 4abn does iot naune Uehllky fer rmora 'i ar oMSSlans M cnry tlrnWhps prvvtlM - 7-18-02 . • ~ ~ i I ' ~ PLUMBING(RESIDENTIAL) ~ Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 Please comple[e for: Single Family Dwellings Townhomes and Condos when permits aze required for each unit Date / -bI / _ 01~, Si[e Address AKHAPHONG, PAT UIII[ # 1654 WALNUT LANE . , - EAGAN, MN 55122 PropertyOwner (651)454-1084 Telephone # ( ) Conirac[or Address (612) 827•4033 • City State 2905 GARFIELD AVE. SQo Telephone # The Applican[ is _ Owner X Connactor _ Other Septic System New _ Refurbished Submit 2 sefs of plans and MPC license $ 100.00 Includes County fee. Additional consultant fees may apply. Alterations To Existiug Dwelling Uniy Including $ 50.00 _ Adding fiMures to lower levels or room additions, excluding water softener and water heater _ Abandonment of septic system _ Water turnaround 5!8" meter if needed -$121.00) Other: - ~ _ RPZ _ new installaGOn _ repair _ rebuild r'? n~`) 1 ~ W 30.00 _ Lawn irrigation system Water softener X Water heater $ 15.00 x replacement _ additional ~y State Surcharge $ .50 Total $ 50 I hereby apply for a Residential Plumbing Pemilt and acknowledge that the infonnation is complete and acwrate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is not a permit, but only an application for a permit, and work is not ro start without a pemtit that [he work will be in accordance with the approved plan in the case of work wMch requires a review and approval of plans. J24~F Norbtorn. (J~ ' ApplicanYs Printed Name App 'c t's Signature CITY USE ONLY PERMIT ix C RECEIPT DATE: 20(}2 RESIDEPTIAL MEC#IANkCihL #'EftM1T APFIl.IlCATION CI7']' OF EAfiAN S$SO PILOT KNOB RD £AfiAN MN 55122 651-6$1-4675 Please complete for ? single family dwellings townhomes and condos when permits are required for each unit Date: ~ ~S ~ SITE ADDRESS: OWNERNAME: ~Gr~~~ G' I C~J3~IG~ TELEPHONE#: INSTALLER NAME: TELEPHONE 410 WEST LAKE STREE'f STREET ADDRESS. MINNEAPOLiS MN 55408•2998 612-824-2656 CITY. STATE: ZI P: Place a check mark next to the permit work type x Add-on, modification or alteration to existinq dwelling unit $ 30 00 • furnace replacement • air exchanger • air conditioner • other Nature of work: cc, 064 T~I .Gt ~ JAN 1 p 003 D BY State Surchar e $ 50 rotal $ ~ SIGNATU PERMITTEE i/ic l5.sz~ 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date,,o l~V~l io -9~ Site Street Address Unit # Property Owner Telephone # Contractor ( ~/~J~/~,~/A~() Telephone # Address City 4//llO State4w Zip, The Applicant is: _ Owner KContractor _Other Alterations to existing dwelling $ 50.00 Add plumbing fixtures. If you are only installing a water softener andlor water heater, t ~y3 U5!UU 00'plus~thel state surcharge - see next section. D ~ _SepticSystemAbandonment OCT p¢ L004 U _ Water Turnaround (add $121.00 if a 5/8" meter is required) Other: B Water Softener _ Water Heater $ 15.00 replacement _ additional Lawn Irrigation System _RPZ _PVB _new _repair _rebuild $ 30.00 [state Surcharge $ 50 Total I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is require to be reviewed and approved. Appli ants rinted Name • ApplicanYs Signature : ~5~1 2005 RESIDENTIAL BUII,DING PERNIIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construdion Reauirements RemodellReoair Reaulrements Off~ce Use Onlv 3 registered sde surveys showing sq. ll of lot, sq. ft. of house; and all roafed areas 2 copies of plan CeA of Survey Recd _ Y_ N (20% mazimum lot coverage allowed) 1 set of Energy Calwlations for heated additions Tree P2s Plan Recd _ Y_ N. 2 copies of plan showing beam 6 window s¢es; poured lound design, elc. 1 s@e survey lor addttions 8 decks Tree Pres Required _Y _N 1 set ol Energy Calculafions AddMon - indicate Har-sRe septic sysfem On-stte Septic System _Y _ N 3 copies of Tree P2servalion Plan Nlot platted after 7/1/93 Rhn Joist DetaB Options seledion sheet (bu0dmgs with 3 or less un'ds) Date-2 / ConstructionCost Site Address / C-~ 5 l.U G~f Y) cd L-6-,'YI C - Unit/Ste # Description of Work Vin , ` Multi-Family Bldg _ Y_ N Firep ace(s) _ 0 ? 1 _ 2 Property Owner QR 1 A'k-l-~f}'QffpN C-r Telephone#(6)71 L~ Contractor Address City State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 submissiontype) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan2 _ Y _ N If so, 25% plan review fee applies. 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 MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. ~-y~M PR 1 P~V-\-} p-Q (~n (`I Cr ApplicanYs Printed Name Applicant's 'gnature ~-------L1~-----, I For Offce Use ~ ~ ~ ~ Permit City of Ea~aIl j # I Permit Fee* 3830 Pilot Knob Road Eagan MN 55122 ~ Date Received: Phone: (651) 675-5675 Fax: (651) 675-5694 I Stafr: I I 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Tenant: Suite RESIDENT I OWNER Name: JO M PRT Ft1--thWlifi0N C7 Phone:GJk -L_kSLF-(oRL+ Address / City ! Zip: I(~ S~ cz I h u-f Lc hE- Applicant is: 41" Owner _ Contractor TYPE OF WORK Description ofwork: ~ 1ve-W~D O-C Construction Cost: 3 on-o . Multi-Famity Building: (Yes No ~ CONTRACTOR Name: SQ License Address: Ciry: State: Zip: Phone. Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateoorv 1 Minnesota Rules 7672 Enefgy COdO . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted submission type) • Energy Envelope Calculations Submitted In the last 72 months, has the City of Eagan issued a permit for a similar plan based on a master plan7 _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer 8 Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered fo be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the Cify to conclude that the are trade secreis. I hereby acknowledge thal this information is complete and accurate; that the work will be in conformance mth the ordinances and codes of the City of Eagan; that I understand this is not a permit, but oNy an application tor a permR, and work is not to start without a permil; 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 S~-~ M PRT PvV-tia0 ApplicanYs Printed Name ApplicanPs Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA110174 Date Issued:04/25/2013 Permit Category:ePermit Site Address: 1654 Walnut Lane Lot:003 Block: 008 Addition: Woodgate 1st PID:10-84600-08-030 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater 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. Renae Frienwald 2200 Hwy 13 W Burnsville, MN 55337 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 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 - Sompat Akhaphong 1654 Walnut Lane Eagan MN 55122 Genz Ryan Plumbing & Heating 2200 West Highway 13 Burnsville MN 55337 (952) 767-1000 Applicant/Permitee: Signature Issued By: Signature