4706 Walden Dr
CITY OF EAGAN ~T
3830 Pilot Knob Road, P.O. Box 21-139, Eagan, MN 55121 1\ ? 8831
PHONE: 454-8700
BUILDING PERMIT ReceiPt # To 6e wed Mr SF DWG/GAR Est. Volue $ 73, 000 Dare FF.AR[IARY 17 S ite Address 4 706 WAT.i7FN nR TErect Occupancy F`3
Lot 1Black 3- Sec/Sub. WAT-DF'ZI fI`1'S _ Alter ? Zoning Rl-
Parcel No, 10- 81 3 0~- 7 2 jZ 3 Repair ? Fire Zone N fA
Enlarqe D TYpe oF Const. V
oc Name SUNSHINE CO"NS'1'Rt3f'TTnN Move p # Stories
z Address 7 rt77 mranrus y-Aag Demoi?sh ? Length_ZL'
City -EAC,~:~T Phone _ 4-57 4 $.Ti Grade ? Depth -Zk-_Sq. Ft.
Approvals Faes
Name ~ ~N~''
ip
U Assessment Permit • 0
ul
Cityr~ Phone Water & Sew. Surchorfle 36 . 50
Police Plan check 17 6.00
~°W` rvame ,I,~.,~^r~ R FITT T IgJC,
9w Fire SAC 525.00
Address ggno T Fnq. Water Cor,n. 450.00
~W City V 00, '$hone $.2T_~=9 Plonner Water Meter 63.00
Q
Council Road Unit 250.0
I hereby acknowledge thot 1 have reud this opplication ohd stote that gld9. Off. 2 17 $ 4
the information is correcf end ogree to comply with oll applicable APC Totol $1 ~ 8~~•~ 0
Sfate of Minnewta Stotutes and City of Eogon Ordinances.
Signuture of Permittee
A Building Permit Is issued to: SLr on the express cor?dition lhnt
oll work sholl be done in acct+rdonte.with'o epp`Ii bl¢.,State of Minnesotq Statutes ond City of Eagon Ordinoncea.
Bulldinp Official
rS
Permit No. Permit Holder Misc. Permit No. Holder
P
SISY"
Disp.
Sewer
Electr
;c S bo I f L
w AILV/u
InsQectivn Date Insp. Other
Footinys
Foundation
Framing
R ph Plbg. ~ 1
Rough HVA
Inwlation
Finat Plbg. - ~ !
Final HVAC
Final
Water Describe Location: ~
Well
Sawer •
Pr. Dfsp.
Receipt MECHANICAL PERMIT Permit No.
CITY OF EAGAN
Fee
L Fill in numbered spaces S/C
Type or Print /egibly Tot.
1. Date 2. Installation Cost
y : .
3. Job Address t' , Lot - Blk. Tract
4. Owner
5. Contractor Phone ' ~ -
6. Address
7. City State -1 / 2ip
8. Building Type: Residential L-r Commercial ? Institutional O
9. Work Description: New C1'l Add O Alter ? Repair O
10. Describe Fuel Type
11. No. Eguioment BTU - M. Ea. No. Enuiament CFM
:
' Forced Air Air Handling:
Mfg.
Bailers
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
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Receipt PIUMBING PERMIT Permit No.
CITY OF EAGAN
, • ' Fm
Ffll in numbered spaces S/C
Type or Print /egib/y '
Tot.
1. Date , i2. Installation Cost
3. JobAddress` ,!ll~if: -,i1 'iLot Blk. Tract
4. Owner
5. Contractor Phor6 • 6. Address 7. City State Zip
8. Building Type: Residential 0Commercial O Institutionat ?
9. Work Description: New 0' - Add ? Alter ? Repair O
10. Describe
11. No. Fixtures No. Fixtures
' Water Closet Cesspool/Drainfield
Bath tubs Septic Tank
._-L4,; Lavatory Softner
Shower Wel I
Kitchen Sink
UrinaUBidet Other ~ ; • _ ;
, Laundry Tray
i Floor Drains
i Lt
Drinking Ftn.
Slop Sink
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
Rough " Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
CITY OF EAGAN Remarks , ~e- %
,4ddition W/LnEN EEIGKI`S 1Sf ADDN Lot 12 alk 3 Parcel =10-83300-120-03
Owner Street 4706 WALDEN DRIVE State EAGAN MAI 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 30y 61.33 A01 551 2-14-84
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA 2L 2- 4-84
STORM SEW TRK (p'rj 539.00 A01 551 2-14-84
STORM 5EW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
2-21-94
CONN. 450OO it
BUILDING PER.
SAC n n
PARK
. _ _ ~ - . . ~ f ~
_ . e } .
' CITY OF EAGAN 4,4ATER SERVICE PERMIT
~ 3$30 Pilo_ Knob Road
, P. O. Box 211yg / RMiT NO.:
i Eegan, MN 55121 pATE;
I Zoniny: No. of Units:
i ONRMr:
AddfbSS:
/lddress; -470V6 ,-i'aldeii :;rzv,^ - ,
rTilOr1:: sor. P 1 L~. r No • 7 Connectior, Chargs: tv.'
WE::,`''. /looount Depostt:
Reader Np.,; Pertnit Fee: 10.00 nd
4!
' 1 peN to ~ tIM of~G ° !:tcSurcharfle: .in r)d
nni«. cnorgm
' Gt l) A otal:
By Dote Pold:
Data of Insp.: - Irap.•
I
~
CITY OF EAGAN SEWER SERVICE PERMIT
3830 Pilot Knob Road
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 p^TE; '
; Zoninp: ' No. of Units:
~ Owner,
~ Address:
Site Nddross: 470~, Walc]eri
~ -
, PlW1'1bQC
: . 1 ' , .
I .ome ro eeR*l,, whh 60 city ei E.,o, c,onn.cNa, aarp.:
AdiNeoN. Aooourrt Depostf:
' Pe?mM Fae: - . ,
Surchorfle:
By Misc. Chorpss:
Dote of I nsp.: Totol:
Insp.: Dcte Pald:
This request voitl Z-IL 4 -g y 49' SO
18 months from ~
A L.IZ, wAI,.iD£~ y1~S0
Requesl Uute ~ Fire No. FouBh.in Insoeclion
R ired? []Ready Now~Wili NotiW. Inspec-
- Yes ?No [or When Feady
Licensed Elecvical Contrxctor 1 hereby request ins0ection of abova
Owner elactncal work installad st
Street Address. Boz or Boute No. Citv
V
ecLOn o. Township Name or No. HanHe No. Counry
Oc ant IPflINT1 , Phone Ne.
P er Supplier Address
Elec al ConV ctor IComp ny Nemel . ConVactor's Liconse No.
J~
M~a"ilinA Addr s (COntracmr or Owner Makii p Instailation) ,
Authorizetl Sie ontractor Ow e Maki~y Ins[allation) Pho Number
~
THIS INSPECTION NEQUEST WILL NOT
MINNESOTA STATE BOAHD Of ELECTRICITY
Griggs•Mitlwey 01de. - Aoom N-191 BE ACCEPTED 6Y THE STATE BOAHD
1821 UnivarsifV Ave.. SL Paul, MN 56104 UNLESS PROPER INSVECTIpN PEE IS
Ph..« 16721297-2111 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION EB-00001-04
, See instructions for comolating this torm on beck o1 yallow copy. L
A~, "'X" 8elow Work Covered by This Request 5(nsd
AAtl Nao. Type of 9uiltline AVOlioncea WireE EquipmeN WiraA
Home Range Temporary Service
Duplez Wa[er Hea[er Lightiny Fixtures
Apt. Building Dryer Electric Heatin
Commercial Bldg. Fumace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm P 05 'fY nuier (SVer:ify)
Iher Speci(y ~ e Othui
ompute lnspec[ion Fee Below
M Pee SewiceEntrenca5ize p Fae Fentlers/5ubleeders N Fee Circuits
0 to200qms0 to30Ams ~^r 0 tn30Amu
Above 200 Am ps. 31 to 700 Ainps 31 [0 100 A s '
Swinuning Pool Above 100_Am s Above 100_AmVs
Transtormers Irrigation Booms , e Partial-'Other Fee
Signs Speciai Inspection S
Remarks TOTV9E
~ - ~ •d59
ugh-in D:3te I.iha ieal
Inspectoq he,eby
ceriify that the above
Final n ( ~`11e spaction has Eeen
da.
TNe repuasl voia 18 montfn fmm '
CITY OF EAGAN N. ~ 8831
3830 Pilot Knob Road, P.O. Box 27-199, Eagan, MN 55121
PHONE: 454-8100
Bl)ILDING PERMIT rteceior #
T. M utad fer SF DWG/GAR Est. Volue $ 73,000 pare FEBRUARY 17 , 19-BA_
SlteAddress 4706 WALDEN DRIVE Erect V Occupancy R3
Lot 12._ Block 3 Sec/Sub. WALDEN H'1'$.. Alter 0 Zoning RI-
Parcel No. 10-83300-120-03 Repuir ? Fire Zone N/A
Enlarge ? Typa of Consi. V
W Name SUNSHINE CONSTRUCTION Mova ? # Stories
= Address 1471 HOMAS T.ANF Demolfsh ? Length 72
~ City EAGAN Phone 454-748-5 - Grode ? Depth 26L Sq.Ft.-
SAMF Approrals Foas
o Name
o~ Address Assessmenf Permit T ' ~
u1- City Phone Water & Sew. SurcFwrga 36 . 50
Police Plon check 176.00
wW Name .T MFS R HTTT TiQ(` Fire SAC 525.00
~ 8200 HLTMRnT.T1T AVFCfl
nddress En9. WoterConn. 450.00
'W City B•OO~TNC~ON'hone R R d
0
< - 4(19 a plpnner Woter Meter 63,0
Council Road Unil 250.00
I hereby acknowledge thot I have read this applicotion and stote that Bldg. Off. Z17 $ 4
fhe inlormalion is correct und agree to comply with all applicable $1 850. rJo
State of Minnesota $tatutes and Ciry of Eagan Ordirances. APC Totol
Signoture of Permittee
A Bullding Permif Is issued to: SU on the express tondition thm
oll work sholl be done in ot ance wlII op i b ete of Minnesota Statutes and Ciry of Eaqan Ordinances.
Buildirp Officfal
3
CITY OF EAGAN Include 2 sets'of pl•ans,
• 1 Gertificate of Survey &
BiJILDING PERM:C'P APPLICATION 1 set c£ energy calcu].ations.-
~ -
Zb se Used For valuation 6 7,3'~ T$v Date S2~ A- }l
Slte Pl3dYE55 ~~/OC~ G'?C<rq~w ,~'r/ve OFFZCE USE ONLY
I,ot f.Z Elocx ,3 sec./sub. Oa/cfc;t gxect _x ~ occupancy
Parcel [6 J~ 3 3~ `~Z rj 3 Alter Zoning
Repair Fire zone
Oaner: Enlar9e _TYAe of Const.
Nbve # Stories
Address: jY~ `~e,,Hy~s « Damolish Fmnt 7 ft.
City/Zip Code: El? .~.J Grade - Depth 26 ft.
Pnone 4.S't{-
APPROVALS FEES
Contractor: 4-s' Assessments Permit 35
Address: ?^7ater/Seaer Surcharg~
Police Plan Check ~
City/Zip Code: Fire SAC
Eng. Water Conn.4,e;-6
Phone Planner Water Meter 63 rscn./Eng.: -J; zc_ council Roaa vnit asa~-
Bldg. Off. ~y-/7
Address: APC
City/Zip Code: o~-~ .a SS31
Phone Xp~- 3 D.~ TUTAL J d J~ Q- S C~
derti°icate For: . . •
Sunffihine Construction
1.471 Thomas I.ane
Eagan, MN 55122
DELMAR H. SCHWANZ
LANOSUFVEVOREI IUC.,
. qpistae0 UnMr Uws oI T" StaU of Mcnnesota
• 7878 - 1487M 8T(iEET W. - BO% M ROS6MOUNT, MINNEBOTA 86088 PHONE 812 423-1789
- ' SURVEY014'S CBRTIi1CATE
"E
n/83°~Z'o4 - ~ ~
1ov#06
J ~r----`
Drainage & utility
b 0 easement
N I .
o o
q 96~'8 Lot 12, Block 3 i'
, z o
.3Cale: 1, ch a 30 feet Prroposed garage floor elevation
~•7 Denotee existing elevation from development plan -~I56•
: Q Dencities aet wood hub
° ~Danotes propased elevation
yDisnotes proposed dratnage •
b~
f h6reby cerCify that this is IL ti•ue and correct representation of
lot 12, B2ock 3, WALDSN FiEItiHTS l+IFST AI7DITION, according to the recorded
plat ther9ioP, Dakota County, MinneBOta.
, ATao showing the locaticrn oY a propoeed houee as staked thereon.
y 14,0 :C1, 984
" . POWu"
~ ~
r ,
' / ' ~ ~?~'l
' MINNESOTA REGISTRATION N0.6625~
/
RESIDENTIAL
BUILDING PERMIT APPLICATION
L~ CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
851-881-4675
NewCOnetructlon ReautremeMe qemotleVNeoalr Reaulrements
• 3 registered stte surveys showing sq. il. of bt, sq. tt. of house; and AI roofe0 areas • 2 copies ot plan
(20% maximum bt covarage alMwed) . 7 set of Energy Cakulations tor healetl additions
. 2 Coples ot plan showing beam & window slzes; poured found deslgn, etc.) • i site survey tor exlerar a4dAbns 8 decks
• 1 sel of Energy Calculatron6 • Indicate if home Served 6y septic system for addilbn5
• 3 copie3Of TreB PreseNation Plan If lot platled enBr 711/99
. Rim Joist Detall Options seleclan shaet (hlAgs wRh 3 or less units)
DATE J VALUATION `5 e 6 o o
SITE ADDRESS % Co ZAJ GI d,12~ JR • MULTI-FAMILY BLDG _Y _ N
TYPE OP WORK ;Lil-I rJA/`, IZ- rt-57, FIREPLACE(S) _ 0_ 1_ 2
APPLICANT ?LUDY/660 -
STREETADDRESS !.i- YZ_ CIiY_A-~) STAiE1'ZIPSJ)
TELEPHONE ' ) CELL PHONE # I~_,)-Uy -7 7G '7Fax #
PROPERNOW E~ .~~h n ~-S C G// 6S1-G~'/ osG y
TELEPHONE #
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Calegory _ MINNFSOTA RULES 7670 CAT'EGORY 1 MINNESOTA RULrS 7672
(q submission type) • Residential VeMiletion Category 1 Worksheet Submitted • New Energy Code WoACSheet Submitted
. Energy Envelope CalculaUons Submitted
Plumbing Coniractor: Phone #
Plumbing system includes: Water Softener _ Lawn Spiinkler Fee: $90.00
Water Heater No. of R.I. Baths
No. of Baths
Mechanlcal Conhactor: Phone N
Mechanical system includes: Air Conditioning n~~a
Heat Recovery System I
MAY 14 auZ
Sewer/Water Coniractor. Phcn 4
gy-----
I hereby acknowledge that I have read this application, state that the Information is correct, and agree to comply
wfth all applicable State of Minnesota STatutes and City of Eagan Ordinances ~
Signature of Applicant
.._.........~.~..._.v..._~~.
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Requfred _
Updated 4/02
2004 RESIDENTIAL BUILDING PERNIIT APPLICATION
~c ~ 1 City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122 n ~ .2--
Telephone # 651-675-5675 FAX # 651-675-5694
New Construdion Reauirements RemodellReoair Reauirements
3 registered site surveys showing sq. fl. of lot, sq. fl. of house; and all roofed areas 2 copies of plan Cetf dSUNey R¢cd 1' N.
(Z(Pk maximum lot coverage allowed) 7 sel of Energy Calculalions for heated addilrons Treei'iOSPIari;Recd _Y N,
2 copies of plan shaxing beam & window sizes; poured found design, etc. i site surve9 fa additions & decks TreCPresRequu~k Y N
1 set of Energy Calculations Addd'wn - indicate fion-sde septic system 06•sde SapGsSyS9em ....Y _N3 wpies of Tree Preseivation Plan if lot platled afler 717/93 .
Rim Joisl Detail Options selection sheet (bldgs wAh 3 or less units
Date Construction Cost G"/r10~
Site Address Z/706 Ai tl f UniUSte #
Description of Work o 1 6 Vn
Multi-Family Bldg _ Y K N Fireplace(s) _ 0_ 1 _ 2
)
Property Owner Sak.. bstscJ I Telephone 6> )
Coatractor 4&f 'S + 1'~A Lo?4 41t~
Address (zS 3S- bot~ vk CitS'
State n KOSP W~ JMn Zip SSD ~Ir Telephone #(gSL ) ~S3?-
1 --7 -7 41 Ce y
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
(Jsubmissiontype) Submitted Su6mitted
. Energy Envelope Calcuiations Submitted
iew
Have you previously constructed a building in Eagan with a similar plan? _ Y If ~on2904t~
fee appiies. AUG 2 Licensed P
lumber Telephone ~
Mechanical Contractor Telephone ~y
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 pemut, 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 of plans.
iAaAt
Applicant's Printed Name Applicant's Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 OS-plex ?'13 16-plex ? 20 Pool ? 30 Accessory Bldg
02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of_plex ? 09 07-plex ? 77 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext.Alt-SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? OS 03-plex ? 11 10-pleac ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Pi6g_Y or_ N ? 25 Miscellaneous
WorkTypes rFtT 64-~~ ~M 4: oj~j
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Add'Rion ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
x 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement `Demolition (Entire Bldg) -Give PCA handoutto applicant
~
Valuation Occupancy MCESSystem
Census Code ~ Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const ilAl Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinallC.O.
_ Footings (deck) 7r FinaUNo C.O.
Footings (addition) ~T Plumbing
~ Foundalion _ HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final
_ Franting _ Siding _ Stucco _ Stane _ Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
_ Insulation _ Retaining Wall
Approved By: T Z , Building Inspector
8ase Fee ~ Ii . -31~5
Surcharge
Plan Review G
MC/ES SAC
CitySAC
Utility Connection Charge
S8W Permit & Surcharge
Treatment Plant
License Search
Copies -C 5"
Other
Total
i
City of Ea~dIl I Percnit# j
~ PermitFee:
3830 Pilot Knob Road
Eagan MN 55122 . j Date Received:
Phone: (651) 675-5675
FaX: (651) 675-5694 i Staff: i
20os RESIDENTIAL BUILDING PERMIT APPLICATION
Date:71_Site Address: 41Vu 1( It~icie1 I 10.11 -
Tenant: Su ite
~
RESIDENT / OWNER Name: CL r ' ` Phone:lo51- lA l • OSIo
Address / City / Zip: o.Jl~-mc, &!zt rowJP
Applicant is: _ Owner _kContractor
TYPE OF WORK Description o( work: e.ar °44 / Re, - Fo
Constru( tion Cost: tl~ J I vc Multi-Family Building: (Yes No X-)
CONTRACTOR Name:M(1StPFC I'(L?T F-)IIGrIff.Cj License#:%019%L001kD
Address:
City: t Statel1NL Zip: bbi ) 0_
Phone~10 r,~' ~ ~ ~ • 004DContact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Categorv 1 _ Minnesota Rules 7672
Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category submined submined
(4 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 plan?
_Yes _No if yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer 8 Water Contractor: Phone:
rNOTg: ~la~J& and'st~jqgrUn{~ doeuments that you sl~karilE are car~lderetl t8,~ie¢pu6lIC 1C~ftrCmaHOn~ ~?orUo
" I~he rntormationf"tie classl~t+~d as honipublie~~f yotr Rravfd4~ ~pea(fta re~s"mns'that "nvbuld peimnt,Che
sonclpdeth8tthe :ace:tradesecrefs.
I hereby acknowledge that this intormalion 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 staA without a permit; that ihe work will 6e in
accordance with the approved plan in the case of work which requires a review and approval of plans.
x 1 Ice.ncc., X k. Lai,nQ11C0
ApplicanYs Pnnted Name Applicant's Signature
Page 1 of 3
City of Eaau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
pc14
Permit #:
Permit Fee:
Date Received:
is
Staff:
2011 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: /a5- Site Address: V7 (e GA/ 7)11-- Unit #:
J
RESIDENT /
OWNER
Name: *e o G1. n t Pa -I C-19 LA-- Phone: /:a j2 `ala -0,59
Address / City / Zip: (171, le ( CD 7U > Z 11/c
Applicant is: .Owner Contractor
TYPE OF WORK
Description of work: E P LL4 & �i t- ' E (2
Construction Cost l eql•et) Multi -Family Briding: (Yes / No )
CONTRACTOR
Company:/1-1-1(g.
ompany:% lg. C/ 1 &11 R`cirt if ontact: G1EV ES 4261074yt 'ts /Z,
Address: ,---1.0e) I ►3®v /11C--- f v'6 At . City: '��
State: nix) Zip: cS c /a) 5 Phone: al r e--`_ gq L/ - 7-5-x-23
License #: L3 D 3 500K2 Lead Certificate #: NAT-- - ••7,3 —1
If the project is exempt
from lead certification, please explain why: (see Page 3 for additional information)
in the last 12 months,
No If
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
yes, date and address of master plan:
_Yes
l,Icensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
NOTE: Plans and supporting documents that. you submit are considered to be public information. Portions of
the information maybe classified as non-public If you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651)454.0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. y+ww,gooherstateonecali.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and; work is not to start without a permit; that the work will be in
accordance with the approved plan in the'case of work which requires a review and approval of plans.
•
•
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code mu be completed within 180
days of permit issuance.
x Sieve Silo C -
Applicant's Printed Name
Applicant's Signature
Page 1 of 3
JUN/05/2017/MON 02: 23 PM Heating & Cooling 2 FAX No, 7634283677 P. 002
Use BLUE or BLACK Ink
For Office Use i
1r City
Q qn I
Cr of Eaton. R 1.\T Permit#: l 1{3/ �a I
3830 Pilot KnobRoadPermit Fee: O. v v
N o L01sII
Eagan MN 551x2 J�r Dale Received; W`�� 7
Phone:(651)675-5675
Fax:(651)675-5694 Staff: I
I
2015 MECHANICAL PERMIT APPLICATION
0 Please submit two(2)sets of plans with� all commercial applications.
Date: 6 cS I l Site Address_ ,f 10 iP W a\a¢_.4„, ---Vr-s, •, •
Tenant: Suite#:
��
Name .f► Phone:
II ,, , 1JI... , d.., ,j(1 c :
1.1 � Address/City/Zip:
.
f
Name: HEATING 8 COnijNrTWO JNC._ License*:
18560 County Rd. 81
I Address: City:
f 1.r ,� '{r ,.' 41 tiw
1apl� Q� e,MN ../5300 0231
t ' State: ' zip: (783) 428-3677 Phone:
1 , www.heatcool2.00m
Contact: Email: .
1
New A Replacement Additional _Alteration Demolition
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' Description of work: _t+ _ ' R e..-'
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RESIDENTIAL COMMERCIAL
f Furnace _New Construction _Interior Improvement
I .r1 :t( ,� } Air Conditioner _install Piping Processed
' Air Exchanger _Gas _Exterior HVAC Unit
• _Heat Pump _Under/Above ground Tank (_Install/__,,,,Remove)
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RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit(Includes$5.00 State Surcharge) , dp
$100.00 Residential New(includes$5.00 State Surcharge) _$ it OD '''' TOTAL FEE
COMMERCIAL FEES Contract Value$ . x.01
$55.00 Permit Fee Minimum •
$70.00 Underground tank installation/removal =$ Permit Fee
If contract value is LESS than$10,010,Surcharge=$5.00 =$ Surcharge*
"If contract value is GREATER than$10,010.Surcharge=Contract Value x$0.0005
""If the project valuation Is over$1 million,please call for Surcharge =$ TOTAL FEE
I hereby acknowledge that th is information is complete and accurate;that the work will b e 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 t;that the work will be In accordance
with the approved planitIn the case of work which requires a review and approval of pi ns.
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Applicant's
Printed Name X
Applicant's Signature
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA171674
Date Issued:08/25/2021
Permit Category:ePermit
Site Address: 4706 Walden Dr
Lot:012 Block: 003 Addition: Walden Heights
PID:10-83300-03-120
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Michael Wade
4706 Walden Dr
Eagan MN 55122
Pella Northland
15300 25th Ave N #100
Plymouth MN 55447
(763) 745-1400
Applicant/Permitee: Signature Issued By: Signature