4699 Walden Dr
. t.; ~ . arr oF EAw?N g4~5
3795 Pile~ Knob Rood Eogon, MN Sl12~
?HONEs 454-8I00 _
BUILDING PERMIT Receipt #
Te b. wsd fe. ~i~~~'/G.A.R Esr. Vulue $68,000 ~e ~:entember ?_'D 19 53 I.
4699 Wa en Dr ve
Slte Address Erect
Occuponcy
Lot i? Blxk 3 5ec/Sub. Walden Iiei.Qi, t e /tlter ? Zoninfl ~
Porul # Repair ? Firc Zone
,.unsn ne .on8truct on o. En s p Type of Const.
Name
~ move ~ ,jk $torie
W 1466 Ricillyd s C ourt
Addreas OemoHsh p Length
Ci I:ap;an 55122 Phone 454-7435 Grode p Depth ~ Sq. Ft.
~ Nwm Ouln2r Approrals Fees
O
/Wd~ess Assessment Permit : , C7 Phone Woter E~ Sew. Surchorpe
Police Plon check~
IW Nume Firo SAC ~u
Address Eny. Water Conn. 450.00
~ W Ci p~~ Plonner Woter Meter ~'00
Council Road Unit 250. 00
I hereby ackrqwledge thot t have reud this opplication and stote that gldg. Off.
fhe inlormation is oorrect end ogree to tomply with oll opplicable •
State of Minnesnto Statutes and Ciry of Eagon Ordinonces. APC Totol
I. ;2~
Sipnoturc of Pertnittee
SUXIehtlt7 , _ ii Co.
A 8uildln9 Permit Is issued to: on tfie exprcss condition tFai
olf work sholl be done in accordance wlth oll opplicable State of MlnnesotarSEotutes ond City of Eagan Ordinoncea.
Buildlnq Official
Permit No. Permit Holdsr Misc. Permit No. Holder
ki 7V l~1(L 7j`
-ob4 b4 7o En ~ l tc .!0 3-S'3
Impection Date Insp. Other
Footings
Foundstion
Framinq
Rouyh Plbp.
Rouph HVAC
Inwlation
Final Plbg.
Final HVAC C y
Final
~ ,f J :w~
~
Water Deacribs Lo tion: •
w.ii
s.wer ~r
Pr. Disp.
Receipt MECHANICAL PERMIT Permit No. '
CITY OF EAGAN
Fee
Pill in numbered spaces S/C •
Type or Print legib/y Tot
1. Date 2. Installation Cost
,
3. Job Addre..oP1,/'-' ! • Lot Blk. - ' Tract 4. Owner
,
5. Contractor ~ • Phone ~ -
6. Address
7. City State Zip
8. Building Type: Residential El Commercial ? Institutional O
9. Work Description: New El Add ? Alter ? Repair ?
10. Describe Fuel Type '
11. No. Eauinment BTU - M. Ea. No. Equiament CFM
Forced Air Air Handling:
Mfg.
Boilers Mech. Exhaust
Mfg.
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for
Roueh Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Receipt ? PLUMBING PERMIT Permit No.
CITY OF EAGAN
Fee
Fill rn numbered spaces S/C -
Type or Print legibly
Tot.
1. Date 2. Installation Cost
n
/ i ' ~ ~ / . ,j
3. Job Address Lot Z`2- Blk. ~ Tract • ~ { ,
;
4. Owner "
5. Contractor Phone - - ' ~ •~7
6. Address ~ - . -
7. City - State 2ip
8. Building Type: Residential l~1 Commercial ? Institutional ?
9. Wark Description: New Q Add O Alter O Repair ?
10. Describe
11. No. Fixtures No. Fixtures
Water Closet Ces,pool/Drainfield
Bath tubs Septic Tank
Lavatory Softner
Shower Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the a6ove intormation is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : *
for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
CORRECTION NOTICE ~
,
~ • DATE: / A r~s7
Address Site Name
Owner/Agent Telephone
Owner/Agent Address
Ordinance Nos. and Corrections- Correct By
c-
` 1. ~ ~ \ /~..~i :f/2r'/ ~ •:r ^ ~ ! =-'~/y~ ~ L.'
~
~
For reinspection
Eagan Oept. of Inspection InSpeCtdf.
3795 Pilot Knob Rd.
Eagan, Minnesota 55122
4548100 Dept. -
~ ~
CITY OF EAGAN Remarks '
Addition WALDFN 1$IGHfS 1ST ADDN Lot 23 B1k 3 Parcel 10-$3300-230-03_°
Owner streec 4699 WALDEN DRIVE scace EAGAN IrQd 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK p 1976 153.31 10.22 15 61.33 A013280 12-9-83
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA ZZ 19$8 206.50 13.77 lrj 12-9-93
SEW TRK g 5 19$4 673.75 134.75 S
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 450.00 of
8UILDING PER. 8485
SAC 525.00 if to
PARK
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot Knob Road
P. O. Box 21198 PERMIT NO.:
Eagan, MN 55721 DATE:
Zoninp: No. of Units:
Owner ' :,^.s'.1 ~nC! ::0?1:; :
Address:
Site Address: Plumber. C-
,
Meter No.: Conr+ection Charpe:
SIu: Account Deposlt:
Reoder No.: Pertnit Fee: .50
1opm !o ooeplp wilb fke Clty of laaan Surchoe+pe:
Ordiwomen. Miac. CFarpes: . . . .
Total:
By Date Paid:
Date of Insp.: Irop.:
CITY OF EAGAN ~N SERV1CE PEWIT
3830 Pilot Knob Road
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55131 DATE: - '
Zanirq: No. of Units:
Oyyrwr. ;t1T1ShlIt9 C07i5L
Address:
5(te Address: 4699 waldan QP.1Vt.: I.23 ~'i:i l,;ts
plumber. !_akeville Plhg
Iagree fo oompy wilU !M Gh1 oi tegaa Connectlon Owrpa: 4.= . 00 OrdiNnar. Accowrt Deposit:
P•m,it Fee: 1 i~ . 0 0 j,d
Surcharpe: . 30 pu
BY Misc. Chorpex
date of Ir?sp.: Totol:
1 nsp.: ppb ppW:
~
C,ertificate for:
, Sunsnine Conatruction
?S?
DELMAR H. StHWANZ ~
LANaSVRVEVORS IaC. 1~
Reqesteretl UnOar Laws of The State of Minnasota 2878 - 145TH STREET W. - BOX M ROSEMOUNT, MINNESUTA 55068 PHONE 872 423•1789
SURVEYOR'S CERTIFICATE
' 1 _ '~,r~ .~~la rlu r ~
r-N
- - - - }I
~yFb~~
T\.
~ ' i~- ~ ~ ~ rf j7
~ / I J f , }I
,1;"
Drainage & utility ~
easecnent
-
N7 =3' ~ ft 17 ' TO P 4 .~e_
rp f3 ~ 5Y 6 i
'~yc7 %SCALE: 1 inch = 30 feet
Denotes existing elevation Proposed garage floor from
CD Denotes set wood hub development plan
r_ Denotes propoaed elevatior. - Denotes proposad drainage
I hereby certify that this is a true and corrsct representation of
Lot 23, Block 3, WALDEh1 HF.IGHTS FLRST ADDITION, according to the
recorded plat thereof, Dakata County, hllnnesota.
Aleo showing the ]ocation of a proposed houae as ataked thereon.
Datad: August 23, 1983
~
MINNESOfA REGISTRATION ND 8625
? 7/ 9~~ , , - - -7 - /DG~ ~6
Jg6
Reguest Da[e ire Na ~ ough-in Inspection ~
?
~ ~U~ qe Gyqulre0? ~ Aeatly Now p WiII Notiy lnspecAor
eg When Heatly?
I icensed contractor ? owner hereby request inspection of above electrical work at:
Job Aatlrea i5[reet. Bov or FoNe No.) Ciry
3g-~ G
Section No. TownsM1ip Name or No. Rarge No. Counry
OccupanilPRINT) Phone No.
Cg. TC013 O S I S
Power SupPirer AtlOress
E ncal Commctor (COmpany Name) Contreclor5 License No.
- C) SORv cC Cr C oo a
Mailing OOress IComracror or Owne.Making in tallalion)
s 3 C-s HVFei. Sci. sS o
uthorix 0 Sign ure onhact 11, ng Ins I ionl ~ Phone Number
92G-66oo
MIN SOTA STpTE BOAHD OF ELECTHIGITY THIS INSPECTION REOl1E5T WILL NOT
Grig -MiEwey Bltlg. - Hoom S113 BE ACCEPTED BY THE STATE BOAqO
1821 Univenity Ave., St. Paul. MN 55100 UNLESS PROPER INSPECTION FEE I$
Phone (612) 60241900 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION 4`..~JJ-- ~a
? EB-00001-0e
See instrudions for completing Nis lorm on Oack of yellow mpy
€ lI
"X" Below Work Covered by This Request
ew Adtl Fep. TypeofBuiiding Appliance'sWired EquipmeniWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apl. Building Dryer Other (Specity)
Comm.llndustrial Furnace
Farm - Air Condilioner
Other(syecAy) Coniractor's Remarks.~~1~IGtT~f1 Q(/) W ~ r
/!i /,l/&'~`
nr+v~r ~Y ~Y l__ { v w
~1 MkNlEA ~7m1~ 4',N~ 59ut~ 7Q4N3 AND
Compufe Inspection Fee Below: N P.
rWrmft-
# - Other Fee # ServiceEntrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps o to too Amps
TransFOrmers Above 200 _ Amps ve-11q) _ Amps
Signs Inspector5 Use Only: TOTA
' Irrigation Boams (V ~
Speciallnspection
Alarm/Communication THIS INSTALLATION MAY BE OR ISCONNECTED IF NOT
Other Pee COMPLETED WITHIN 18 MONTHS.
I, the Elecirical Inspector, hereby RO°qn-m oate
certify ihat the a6ove inspection has F;,,ei oa~a +7 f.y
been made. OFFICE USE ONIY ~ •
This re0uest witl 18 months irom
This request voiA L23 1 173~ VvOC~ CLE1~ t~~ o
18 nwnths fram ~
IQ? nFi9,7n
Hepues[ Date Fire No. Rough-in Inspection
^ 3 e wreA? DReady NowAWill ifv Inspec-
v~ Yes ?No torWhe Roady
?censetl Electrical ConVactof I hereby request inspec[ion oi above '
Owner electrical work installed et: ,
Sfr~et Address, Box or Route No. a City `
~ •
eclmn o. Township Name or No. flanpe No. County
/
Or,cupam ~P T) , Phone No.
~c, tuv~.4~
Power SupOluer Address
Electric Contractor ICompany Name) Contracior's License No.
Mailing Add s IContrac[or or Owner Makinp,j\ siailatiaN
~ (N k)ej
Aothorized Signature onol Qwner haking Ins Ilationl Ph e N ~ umber
!V a- 8~G1
MINNESOTA STqTE BOANO OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midwey Bldg. - floom Nd91 BE ACCEPTEO BY THE STAiE eOAHD
UNLESS PROPEP INSPECTIpN FEE IS
1827 Universitv A~e., St Paul, MN 55109
Phone 16121 297-2111 ENCLOSEO.
REQUEST FOR ELECTRICAL INSPECTION Ee-°°°°r°°
, See insVUCtions for comDletine Uis form on back of yellow copy.
~t~l*017n "X" Be/ow Work Covered by This Request 3$" L~ S g
AAd Reo. Typd of Buil0in9 Apoliancea Wiretl Equipment Wired
Home Range Temporary Service
~ Duplex Wa[er Heater Liyh[ing Fixtures
Ap[. Building Dryer Electric Heatin
Commercial Bldg. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tenk
Fdfm ther pecl y Other (SUer,ify)
[her Ueci y ther Othtr
ompute lnspection Fee Be1ow p Fae ServiceEntrBnceSize H Fee Feeders/SUbteetlers N Fee Circuits
0 to 200 qm s 0 to 30 qm s 0 ta 30 Am s
Abave 200 qm ps 37 to 100 qmps 31 to 100 Amps
Swimming Pool qbove 100-Am s Above 100_Am s
Transiormers Irrigation Booms 1. Partia6'Other Fee
Remarks Signs Speciallnspection
!5&Cb TOi E
~V
Bough-in ~ate
, /~H ,the cal
(Q nspector, hereby
certity that the above
Final ( ins0ection has been
4L ) maAe.
fU19 repuMt voitl 18 mon[lu fmm
~f
- CITY OF EAGAN N~ g48~J
- 9795 Pilet Knob Rwd Engon, MN 55122
' PHONEs 454-8100
BUILDING PERMIT Receipt #
To ba wed h. SF DWG/GAR Esr.Volue $68,000 pate September 20 lq 83
Site Address 4699 Walden Drive Erect ~ Occuponcy R-3
Lot?3 Blak_3_ Sec/Sub. Walden Heights Alter ? Zoning R1-
Parcel # Repnir ~ Fire Zone
Enlarpa ? Type of Const. V
W Name Sunshine Construction Co. µo„e ? # Stories
Z Address 1466 Richard's Court Demoiish ? Length 47
~ G Eagan 55122 phom 454-7485 Grade ? Depth 48 Sq. Ft._
°C Name OWri2T AODrovob Faea
0
o~' Addreu F~ssessment permit 337.00
~O4 Water & Sew. Surchar e 34.50
~ Clt Phone 9 168, 50
F Police Plon check
Fw Nome - Fire SAC 525.00
Addreas Enq. Warer Conn. 450.00
Ci phone Planner Water Meter 60 • 00
Councll Rood Unit 250.00
I hereby ocknowiedga that I hove read this opDlication and state thot gldg. Off.
fhe informalion is corre[t and ogree fo comply wllh otl opplicoble
State of Minnesoto Statutes ond City of Eagan Ordinonces. APC Toto~
t~ a
Signature of Permittee
A Building Permit Is issued to: Sunshine Canstruct Co. on the express condition thn,
oll work shall be done in accordonce with oll ap'e Stnro inneao u es ond City of Eogon Ordinonces.
Building Offtcial
ACITY OF EAGAN Include 2 sets of plans,
~ U 1 site plan w/eleuations &
6.-,,BUILDING PERNIIT APPI,ICATION 1 set of er.ergy cal culations.
To Be Used For Valuation $~p S~ UO o Date 2-1,Y3
site Aaaress: oFFzcE uss ornY
L.nt Block Sec./Sub.w~ Erect ~ OccupancY
Alter Zoning
Parcel gepair Fire Zone
Enlar9e _ 7Ype of Const.
Oaner: Move # Stories
Address: 642~~ %A Deirolish _ Front y7 ft.
City/ZiP Code' L.or~,wr ~5 i aS- Grade Depth ft.
Phone # : e"- Sy -2 4( ~ r APPROSIALS tEES
contractor: Assessnents Permit
Water/S2wer Surcharge____~~
Acldress: Police Plan Check /('6
~Fire SAC S~
City/Zip Code:
~gng, Water Conn. yS O
Phone Planner Watex Meter
Council ~ . _Road Unit gSD
Arch./Ehg.: Bldg. Off. --Zf~
Address: /~20 3 APC '
City/zip Code: 6L:2±= ~ Si a 3
rnone TCYTAL
-
Weatherstripa Conrtrnction No.
~'indow~ Guide Insclation -
Doon I Refereace ~ a1. w.u Int. WAN Ceiling Roof Floor liiad How"Appijed'
ea._ Fl.~ m Length1p~0~ Width }leight ~
Winc{ow~ and Door~Crackege end Area d I ~~u ~ 1Cb ROOm ~n~2p`O' Width Z p` ?{eiih!
ww~n H•1sn, N,. ,t L1..1 f~ Windowe and Doors--lntkage eod Area
Ns. of D~ne ef p~n~ o: el~eL p. A'ieip Hd~lt No. ef IJnW tG wrea -
No. ef p. e• ef pu~ II~LU enet p. (t. ' Iofiltraeion Coef. &u Coef. B~
CJass Indltratioo
Esp. wal( Glau
Net esp, wall Exp• wsll
Int. wall Net up. wall
Fleer Int. wall
CeU. F!oor '
Tota1 Btu. 47"1
1 Tdel B~u.
ReQuired sq. ft. D.R. or iq. ine, W.A. J,eader arca
ReQuired p. h, Ep.R. or p. mL Q/.A. Leader sna
F)~ Room Length Widthl2 Height " Fl.I Room I L.ength Width
VWriadmvs and Dcors--Gacinge snd Ane
wwea H.irei N> 9 LIeW /4 ww Windows en
Ma af d I~oor~-Craekage ana Area
p~n~ elqe~ Ilipls at<neR q.h WIEt
efpaN ettp~e~ IIL?1~ ofeneY. wn~
1 q. f1.
+
1a61entioa C.oeE Bri Coef.
Gla,. , InLlo-adon
FiR woll Glass
EE
Net ap Mrall Fsp. wall
IoR aatl b Net up. wall
1a1. asll
KL. FlOOI . . '
, Ceil. r.;
Total Btn. ,
~
Required sq. fL E.D.R, or sq. inL W.A. Leader Tota1 Btu.
area
~~equued sq. (t E.D.R. ot sq. ins. W.A. Leader area -
F]. -r Room ~Leneth I I.b" Width _
I%rlndo+~'~ +ed Daors-Craekage end Area ~ht~ ~ ~•I ~m I L.ength Width Height -
1d1" H•le*t ifo. o1 u~..~ fc w... Windows and DoonMAma
Na elefpaa~ IIIA~~ e/naeM ~q.tl. WIJI~ H~IS~t N> O-n- ef,p.n. CoefBtu In6ltration Eip. w'a0 .i,: Glase
~ f;s;t~Exp. waC
Net esp. wlll
IAt. wal1 . Net e:p. wall
~ Int. wa11
Fbor
TOW BiY. cea. '
a TOf9I BtY.
Reqvircd I. (G ED.R w p. ia. WA I.udar ua R°quircd y. ft ED.R.,er
W. in+. V.A. Ltsder aroa
' Weuherareq A Comtroction No. Inralation
Gu;de
Q'i s I~~_ ~ ReEerena ~ Out. Rlall 1nt. Q1aA Ceiling Roof Floor I Kind How Applied
ee- o 0 19__
Au- Room Length Width % ~ Fieieht N" ~ 171.1 T Room L.ength `V Width " Heitht `
Windows and Doon-C:acluge ead Area Windows and rt-Crackage aad Mea
wiein H.iiei t+o. ot uewi n •n• wmie ' x.iHt aa et we.~k tL w...
Tea et Da"* e! p+.. Ilrhl• ef ef p.o. ef Mee IIfOY Ot cnek M. fl.
~ • , 1 ~ ~ ~'O„ , ~ - .
1 \ • \ 1~ ~
C«f. &n C«f. Beu Iofiltratioo L (nyltratioe V
Glas'
IEO 1 GJau p S
fsp. wall Fxp. wall 1
Net e:p. wall L Nci up. wall
6t wall ~a \ i4 L 1 int. wall
Floor
F!nnr LI
Ccil. !'•1.
ToGI Bta V
Tdnl Btu.
. Required sa. (L ED.R. or eq. ine. W.A. I.eader erc& Reqvired ra. h EDR er p. inL WJ1. Leader area
a F7.1 f o ev- Reom Lcngth lp" Widthf}l(oo HeiehtB " \ Fl.I Room I[.eogtlt ` Width J3' Height $~O
Windom and Doon-Crackage and Ares WindoNe and boorii-Oack aad Ares
wbie xu t P OI 10ea1 St. JTN aiein H~1~0t no. oe ~.d n. w... .Pw sf pno et pae. Ilfhts e[ enek p. R Ne. of o~N etp~M !1~lb Otene4 p. f~. 1
Coef. Beu C«f.
~~'d"~ ~ S O 1nGluatinn t
C" Class ~00
Esp. wall ~ F:P. wall
Nd eV• wd Net e:p, wall
IeL wall lnt. wall
FlO°r LPLI Floar CeO. CeJ.
TOlml &tl' • Tots1 Btu. %VJC6 0Z * I AE Re"ned sq. fe. ED.R. m.q. a.. W,A. Lude, ,n. Required sq. ED.R or sq. ins. W.A. Leader area, Fl. -T Roem I Lenqch \'V Widthl O Nciehe 'O" Reem I Leneth jV6" widehl b 0" HeisA
Windo+rs and DootrCracluge and Area Window3 and Doors-Craekage and An&
A'14t? HN[sl Naet Ueblfl ArM WW(n HaIf6t Jlaa[ Wnnllt Ara
Ma e1qne OfW" Ilghb a[aemt sp.lL N. er9ane efynn, ItrLU eferaek• p.1t
b' ' o ! 20 1 y, Zo b ~
2 1~ ' s • I ~
C«f. &u Cecf. Bta
labltration Infiltration • l~
Glap 5 0 cjasa Sd
FsP. wall EsP. wal:
Net e3tR wall IVet exp. wall 1560
Im. wdl ' Int. wall
Floot, . Ftoer
Cea. 12 L} C.eil.
To41 Btu. Total Btu.
Reqnircd si. fL ED.R. w q. inL W.p. Itader uea Required sq. ft. E.D.R,.or p. iaw V.A. Leader area
-ToZttL. 4k = 541,)b5 aT%Ah
;
65~
CITY OF EAGAN
L o~6 gMECHAHICAL PERMIT RECEIPT #/o t', o
SUBD. (612) 681-4675 DATE F"G q~-
RESIDENT7AL •
PLEASE COMPLEfE UPpER PORTION ONLY FOR SINGLE FAMILY DR'ELLINGS. ALSO, COMPLETE FOR
TOR'NHOMFS(CONDOS WEiEN SEPARATE PERMITS ARE REQiJTRED FOR EACH DWELLING UNIT.
OR'NER: e,rr ~h SQY~ FEFS
SITE ADDRESS: 4fN9 U-b-~ ef'1 6 ADD ON/REMODEL (E7IISTING $ 15.00
(o• SS I~3 CONSTRUCTION ONLI)
INSTALLER: HVAC: 0-100 M BTU 24.00
PHONE ~ ADDTI'IONAL 50 M BTU 6.00
annREss: cas ovriErs - MnvnKUM i@ $s Ea.
crry: ~le. zrn: suRCxnxc~: - $ so
SIGNA TOTAL: $ Qb
CDMME'RCLAL1.
!
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCW/iNDUSTRIAL BUILDINGS. AISO COMPLETE FOR
APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUII,DINGS WHEN SEPARATE PERMT!'S ARE NOT REQUIRED FOR
EACH DWELLING UNTl'.
WORK DFSCRIPTION: CONTRACT PRICE: FEES
y^ ~ 196 OF CONTRACf FEE.
STATE SURCHARGE IS $.50 FOR EACH
S1,000 OF PERMIT FEE a
PROCFSSED PIPING - $25.00
$
XAIIQ?M*Jlbi 5FE = S35.00
OVYNER: TOTAL: $
SITE ADDRFSS:
TENANT:
SUITE #c
INSTAI.I.ER:
ADDRFSS:
C1TY: ZIP:
PHONE CTPY SIGNATURE
SIGNATURE.
MECHANICAL (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 are required for each unit
Date ~ ~3
Site Address OoAkQ-"/~ Unit #
Property Owner ~Q/f'~ ~ J C~ ~ Telephone #
Contrac[or
Street Address 12481 Rhode Island Ave. So. City
S[ate Zip Telephone I l~)~~ - lJl.~-~ ~
The Applicant is _ Owner Contractor _ Other
Add-on, modification or alteration to existing dwelling anit $ 30.00
d furnace replacement
air exchanger air conditioner D
other FEB 1 0 2003
B_
State Surcharge $ 50
Total O ,150
I hereby apply for a Residential Mechanical Pernvt and aclrnowledge that the information is complete and accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a
permit, but only an applicadon for a perznit, and work is not to start without a pemut; that the work will be in accordance with the
approved plan in the case of work which requires a review and approval of plans.
~U„~~ C~ ~ • ~~.n~ ~YJ~1'1 wvs Applicant's Printed Name Ap ignature
2004 RESIDENTIAL BUII.DING PERMIT APPLICATION
City Of Eagan
~ r 3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
NewCOnsWC6m Reaui2mem.s RemodeVReoairReauirements -
3 registered sile wrveys shovririg sq. ft. of bt, sq. ft of house; and all roofed areas 2 copies of plan ~ofiSuneR~d "_Y~
(20%mazimumbtcoverageallowed) isetofEnergyCalculationsforheatedadditbns ~Pr95P ~fs~'~' t~
2 copies of plan shaving beam & window sizes; poured.found design, etc. 1 site survey for additions & decks
7setofEnergyCalculations Addifbn-indicateHon-sitesepticsysfem
3 copies of Tree Preservation Plan'rf bt platted after 7/7193 -
Rim Joist Detail Opfbns seledion sheet (bldgs wiN 3 or less unils
DatelO/ CJ / ConstructionCost I Di"~ v
Site Address CI ~C 1 (~.J/C . Unit/Ste #
Descriptiou of Work ~ Jo-vs 4- 1 b ~
Multi-Family Bidg _ Y _ N Fireplace(s) _ 0_ 1 _ 2
Property Owner l, hq ~ Q I IC ohnTelephone #(bS)
-T
Contractor L ciw l0f1m
Address City 1
State 1 r~? Zip 2 Telephone )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy CAde Category . Residential Ventilation Category 1 Waksheet • New Energy Code Worksheet
(Jsubmissiontype) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y review
iee appiies.
Licensed Plumber Telephone H.
Mechanical Contractor Teiephone ( )
By
Sewer/Water Contractor Telephone J 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 pemut, 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 ofplans.
,~.v) I 1~
ApphcanYs Printed Name Applicant s S' ature Lll/
~
~;/l W S "O
zow RESIDENTIAL PLUMBING PeRMir aPPUCaTioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date~~
Slte Sfreet Address Unit #
Property Ovmer ~~4( VlJ Telephone #(,,r5 I)
Champion
CoMractor 651-365-1340 Telephone # ( )
3670 d Rd. #100
Address City Sfate ZJp
The Applicant Is: _ Owner & OccupaM V Licensed Plumbing CoMractor
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license InGudes County fee
E 100.00
Peras-buitt $ 70.00
Fire Repatr (replace bumed out flxtures, etc.) $ 90.00
This fee a lies when extensive lumbin re airs are made to a buildin .
Alterations to exis6ng dwelling $ 50.00
_ Add plumbing fixtures to main level lower level. This fee includes
installation of a water softener and/or water heater at the same Gme. lf you are
instaN)mg onlv a water softener and/or watei heater, do not complete this section;
move to the next section and place a checkmark next to the appliance(s) you are
installing.
_Septic System Abandonment
Water Tumaround add $136.00 if a 5/8" meter is re uired
- ( 9 )
_Other.
~..I
Water Softener VWater Heater $ 15.00
_ new ~ replacement
Lawn Irrigatlon _RPZ _PVB _new _repalr _rebuild $ 30.00
State Surcharge $ 50
Total $ SFso
I hereby apply for a Residential Plumbing Pertnd and adcnowledge that the infortnation is tnmplete and accurate; that the work will be
in cantortnance with the ordinances and codes of the City of Eagan and the plumbing codes; that i understand this is not a permft, but
onry an appiicetion for a permit, work is not ta start without a permit and work will be in atxordance with the approved plan in the eveM
a plan nd to be reviewed and approved.
ApplicanYs rinted Name Applicant's Sign
(~d
~ I
City of Eaian ; Permit#:
~ L-T ~ CX, ~
3830 Pllot Knob Road ~ Permit Fee: ~
Eagan MN 55122 ~ Date Received: ~
Phone: (651) 675-5675 I i
Fax: (651) 675-5694 I Stae: I
` I
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date:I° `1°O SiteAddress: 4(g`'1`1 WaIci 1' 161r
Tenant: Sulte
RESIDENT / OWNER Name:
I u r \L IL l"I IL Lr 17 Phone: C.
Address / Ciry / Zip: .1~ft'(1P_ (1 S QboJ~
Applicant is: _ Owner A- Contracror
TYPE OF WORK Description of work:
00
Construction Cost: Multi-Family Building: (Yes No X-)
CONTRACTOR Name: " Z License OlQ 11 (U~ a(D
Address: .)f
City: Sta e: -1 I IV Zip: 551 10
Phone: Contact Person:
COMPLETE TH15 AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code • ResldeMiai Vantilation Category 7 Worksheet • New Energy Code Worksheet
Category Submltted Submitted
(4 SubmisSlon type) • Energy Envelope Calculations Submined
In the last 72 months, has the CNy of Eagan Issued a permit for a similar plan hased on a master plen7
_Yes _NO If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
X ' Ee~~ ~ „d_
I hereby ecknowledge ihat ihis inforrnatlon is complete and accurate; that the work will be in conformance with ihe ordlnances and codes of the City of
Eagan; that I underetand ihis Is not a permit, but only an application for a pertnit, and work is nof to staA without a permtt; 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 K. L~Q?~ re n~~ X~.~...~z~1
Applicant's Printed Name ApptlcanYs Signature Pege 1 of 3
~-ForO--fi-ce-Use------------
~ I
~ Permil#: ~I Peimit Fee: ! ~v • I
City of EaiaIl ' q/~ '
3830 Pilot Knob Road /-7 p
Eagan MN 55122 j Date Rece'
Phone:(651) 675-5675
Fax: (657) 675-5694 I Staff: I
! _
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: r~,'- Q 7 Site AddresB: W4JC~W 04
TenaM: Suite 1F:
RESIDENT / OWNER Name: --piEkSoi Phone:
Address ! Cily / Zip: `f~ W aIcLe1 QiL
Applicant is: Owner _ Contractor
TYPE OF WORK Description ofwark: Af,.,VW_e tl ld ~C~G 1ONl7 T.T//~iJC'~1
ar
Construdion Cost ~ MuIU-Famity Building: (Yes No
CONTRACTOR Name: -/1w11 r PL,7 5= ~L License # oZOJ`b 79Do?
Address: cA091 ZAP T
City: G4y~ State: W Zip: 6_31l)1011
Phone: ~ SI- d_7z5_-0?3 CorrtaG Person: 67e72 1'~'DC ,r4S
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
E1181gyCOdB . Residential Verrolatlon Cffiegory 1 Worksheel • New Energy Code Wodcshee4
Category subniaed Submilled
(4 submission type) • Ene'gy Envelope Calculations Submifled
In the last 12 moMhs, 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:
Mechanieal CoMiactor: Phone:
Sevrer & Water Contractor: Pho^e:
NOTE: Plans and supporting documerKs lhat you submit are considered m be public iMormatlon. Portions of
the informaUon may be classifled as non-public if you provide specific reasons that would permit the City to
conc/ude that ffie are trade secrefs.
I hereby acknowledge that this iMortnadan is comPlete ard acwiate: Mat the work will be in confomia+ice wiM the mAinances and codes oF the City of
Eagan; ihal I understend tliis is rwt a pertnit, but only an applicetion for a permR, and work is rwt to start wilhout e pemi0; tluat the work will be in
accordance with the approved plan in the cese of nork which iequires a review aM approval of ptaris.
y~`e-~l e. /~l i{'~'f _ xi11~
ApplicaM's Printed Name "^AppllcanPa Slgnature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
SUB TYPES
_ Foundatfon _ Fireplace _ Porch (34eason) _ SWrtn Damage
_ Single Family Garage _ Porch (4-Season) _ Exterior AlteraUon (Single Family)
_ Multi ~ Deck _ Porch (ScreeNGazebo/Pergola) _ Exterior Alteration (Muki)
07 of Plex Lower Level Pool Miscellaneous
Accessory Building
WORK TYPES
1,J New _ Interior Improvement _ Siding _ Demolish Building"
_ Addition _ Move Buflding _ Reroof _ Demolish IMerior
_ AReration _ Flre Repair _ Windows _ Demolish FoundaUon
_ Replace _ Repalr _ Egress Wlndow _ Water Damage
_ Refalning Wall 'Demolitlon of eMire building-give PCA handout to appllcark
DESCRIPTION
Valuation ,34 000. - Occupancy TIZC- t MCES System
Plan Review Code Edition yYl~+ Zoo"i 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) Sheetrock
p Footings (Deck) Final I C.O. Required
Footings (Addition) -P Final / No C.O. Required
Foundation HVAC
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
Meter Size: _ Erosion Control
Reviewed By: Building Inspector
RESIDENTIAL FEES
Base Fee /40 ~ x/,?g
!
Surcharge ~ )
Plan Review
MCES SAG
City SAC
Utility Connectlon Charge
S&W Pertnk 8 Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
Certificate for: / ~~5 kv~IC'ilon Ir
•Swianine Construction :
- 697t3
DELAAAR H. SCHWANZ +
LANOSURVEVOR$ )V.1C.
fia9iSterotl Vntler Laws oi The 5[ate ot Minnesola
2978 - 146TH STREET W. C~IBO~XyM R0.SEMOUNT, MINNESOTA 55068 PHONE 812 423-7789
~EOE°tl ,6a
YOR'S CERTIFICATE
q~sp~~~ )
~ A~q63.7
,
1 - - - ~ I ~ ~ ~
It\
c, T
L.~~ ' ' }l 'n r `7 j
~ -
G t - I
Drainage & utility
ea8ement
• _ ~ , a
-z, -
_
y~ - -
9~53. I
~
SCALE: 1 inch = 30 feet
Denotes exiating elevation Proposed garage. floor froui
~ Denotes set wood hub developme.nt p3an 353.9'
-~Denotes propoaed elevation
-~--Derrotea proposed drainage
I hereby certify that thiB is a true and correct representation of
Iqt 23, Block 3, WALS3EN N.ELGHTS FZRST ADDITION, according 'Co the
reeorded plat thereoP, Dakota County, Minnesota.
Also ahowing the location of a propoaed house as staked thereon.
Dated: Auguet 23, 1983<
~
~I-
- - MINNESOTA REGISTRA710N NO. 8625
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