1686 Walnut Lane
YILLAOE OF FApAM WATER SERVICE PERMIT
3"S Pjbt Knob Rood PERMIT NO.: 1572
Eagon,MN 55 122
Zoning: P~JD DATE: 8/22/74
- - ~ No. of Units:
Owner: New HOz'izorl - Wopd gte
Address:
Site Addresa: ~6,86_WDjnut_L1.
Plumber: _Thompson P1umb1nSj C0.
Meter
Connection Charge: 3130, OC} pd.
Size:
Account Deposlt: _
Reader No.: -46F--7 ' / 10.90 billed
Permit Fee:
~°9r" tO co-Vly wlfh tM Villoye ot E 50 billed
opon Surcharge: .
~~nces' Misc. Chargea: 60.00 billed
Total: _
By /Q • Date Paid:
Date of Insp.:
Insp.:
vau•' OF EAfiAp SEWER SERVICE PERMIT
379r r.4t Knob RO°d PERMITNO.: 2331
Ea"n. MN 53122 DATE: £3/22/74
Zonfng: PUD
Owner: No. of Unlta:
' New Horizon Woodgate
Address
Site nddress: 1686 Walnut Lrt,
Plumber: Thom son PLumt)in Co.
I g!m ro eomplr wiNh f1e yN66" of Kogan Connection Ch 0.
Wdieonees. ar8e: -~4000 Ad.
Account Deposit;
Permit Fee: 10.00 ~
Surchazge: • 1 e
By~ Misc. Chazget:
Date of Insp.:
Total:
Insp.:
Date Pa1d:
I
~
~
CITY OF EAGAN
3796 Pilot Kneb Rood Eagan, MN 55122 N2 4429
PHONE: 454-8100
BUILDING PERMIT ~;-0i_~. Receipt
To 6e vsW fer ~ . . pate - =i • 1
Site Address a 1 ngit L.n - Erect El Occupancy
Lot - B,ock 7 Sec/Sub. 1'.'oodgnte Alter 0 Zoning
Porcel #k Repair ? Fire Zone - -
Enlorge ? Typa of Const. -
cc Name Move ? # Stories
~ Address Demolish ? Front it.
Ci Phone 45 7- 318 3 Grode p Depth ft.
-
Approralt Fees
Name
Assessment Permit
Address Woter & Sew. Surchorpe -
~ G Phone
Police Plan check
WW Nome Fire SAC
~
x~Z Address Eng. Water Conn.
u
<W C~ pha~ Planner Water Meter
Countil
I hereby acknowledge that I have read this applicotion and stote that gldg. Off.
the informotion is correct and agree to comply with all opplitable APC Total ~
State of Minnesota Statutes ond Ciry of Eagon Ordinonces.
Siynoture of Permittee~
1 i vi n i! -ICh 1 o tmAil on the express condition that
A Building Permit is issued to:
oll work shall be done in accordonce with all opplicoble State of Minnesoto Statutes and City of Eacon Ordinonces.
Building Officlal ' -
i
i
~~M ~ O~M Inw~ hrrlllN
Plumbing
Mechonicol
INSPECTIONS ~ DATE IIVSp• Rqph_in FMd
Footings Dah lerp, Duts lryp,
Foundation _ plymbiny
Fromelins. Meciwnicol
Finol --Remorks:
CITY OF EAGAN Remarks
Addition Woodaate lst Addition Lot 2 Rik 7 Parcel 10 84600 020 07
OwnerILZILA! ik)°ci"2b)LL.TU1Lt1,1i street 1686 Walnut Ln. State Eagan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR. 7 3 PATD
GRADING
2S $23.09 5 PAID
SAN SEW TRUNK L 9.54 6.24 15 PAID
* SEWERLATERAL 197 -5. 15
WATERMAIN
* WATERLATERAL 1975 15
* WATER AREA 15
* STORM SEW TRK 1975
,t STORMSEW LAT Z91 1975 $2036.55 $135.77 15 PAID
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 130.00 10759 6-4-74
BUILDING PER.
sAC 0.00 10759 6-4-74
PAR K
ciTr oF EacaN
3795 PiIM Knob Road Eagan, MN 55122 N2 4429
PHONE: 454-8100
BUILDING PERMIT APPLICATION $700Receipt # 6885
To ba umd for Deck Date JULy Z8+ , l9Z7
Site Address 1686 Walnut Ln Erect EPE Oc<upancy
Lot 2 Block 7 $ec/Sub. WOOdgete_ Alter ? Zoning .
Parcel # Repair ? Fire Zone _
Enlarge ? Type of Const.
rc Name ElVln H SChlotman Move ? # Stories
Z Address 1686 W81nUt Lil Demolish ? Front ft.
0 452-3183
Cit Phone Grade ? Depth R.
a Name S~e Approvala Fees
0
Zu Assessment Permit 5.00
o Address -
V~ Cit Phone Water & Sew. Surcharge , 50
r Police Plon check
Fw Name Fire SAC
Addreu Eng. Water Conn.
aw phane Plonner WaterMeter
Council
I hereby acknowledge that 1 have reod this applicotion ond state thot Bldg. Off.
the infortnation is correct and agree to comply with all opplicoble APC Tatol 5.5~
Stote of Minnesota Statul~Ad Gty o~Eagon Ordn ances.
Signuture of Permittee/~
A Building Permit is issued ro: Elvin H Schlotman on the express condition that
all work sholl be done in accord e with al oppl" State of M' nesota Statutes and City of Eagan Ordinonces.
Building Officiol &k,
CI-TY of EAGAN N°- 3304
BUILDING PERMIT
3795 Piloi Knob Aoad
. . .
Own~r ..~.~"^.'.:~.~`.....:`..n~-'.. . Eagan. Minnesola 55142
Addreu (Present) ~.......0/...-."...~-`-' '~454•8100
SS3~3
- Builder
Dale ._(?...-...`f..-- ...~.y
Addreu
DESCRIPTION
Storisc To Bs Used For -Fron! Depih Hsfgh2 Esi. Cos! Permi! Fee Aomuks
LOCATION
Sireel, Aoad or oiher Desoription ot Loce2ion I Lo! Bloak Addtifon or Trae!
7 7 ,
9 S' 1.
This permii doea aof aufhori:e ihe use of sfraefe, soads, alleya or eidewalks nor doee it give !hs owner or hG nqent
the righiio create anp aituetion which is a nuisanea or whieh presents a hncard fo !he health, safetp, eonvealenee ead
gsneral welfare !o anpone in !he community.
THIS PEAMIT MUST BE KEPT ON THE PAEMISE WHILE THE WORK IS IN PROGAESS.
.
This ie fo roriif .has armisaion !o erect d......(fr...........^.,..
p. P 7 _upon
She above described premise subjecf fo ihe provisions of all applicable Ordinances for 1he Cify of E~gan.
t:. Per
n ...........................................:.~..9._. D
Mayor .y~ Buildin Im eelosX3
/6 ~;~~Oa a~0 G 7
CITY OF i.AGaN
3795 Pilot Knob P,oad
- ' ' Eaga.n, B'finne;ota 55122
PL.R~IST Id0 e : '
- 'Phe City of Eagan hereby grants to 17iompson P!nnbin^ Co.
Of 12201. -*rtinIIr!t0^!c2 wlvA.
a PT.i*MPTT?C'i P2I'illt fOY': (US+71EP) rpV7 POTiT.O`7 Wnl Wo00!r3te F1ddIl. 1
a-6 sec atYached l.ict , pursuant to application dated 4/19/7?
Fee Faid: $1060.00 d.ited this ?A" day of *Cri.l ~ 19 _
44.OC s/c
Building Insnector
i'-:e;hanical Permits:
DSfl Total:
- ' EAGAN TOWNSHIP DALE S. PETERSON
BuilHing & Ubliry lnspecfor
PUBLIC WORKS DEPT. wiLunM H. sRnNCH
3795 PILOT KNOB ROAD SuperintendentafPu6licWarks
EAGAN, MINNESOTA 55122 PHONE 4548100
nn-;n; t "o. 442 - a/)n /7q
covers `071o-.ainn uni_ts and homcs:
?r,28,1A32, 1535, 1640, 1644. 1r5n, ](~54. 1r58, 16F.2, 1F6E, 1C7n, 1F7A, 1E?~, 1~82, rR-. 1~9n,
.]6-2. ].r94. 169r, lf:~Q, 17no ~Jatnut Tsne'anrl 1r.35, 1655, lf-r;1, 1.hF5, 16E9, 1F,73. 1677, 1~R],
iFRS, 1C;99, 1593, 1F,c)7, 17n1 4:alnut r,ane
1r31-7q-27-25 Eiicl:ory i?ill, 1~rC-~,F1}lickory tiill & 1567-65 H.ickor.y Lane, 1(,~-5,F7-Fr)-71
t;ic};ox'1 ;;ill, 15F,3,r1-59-57 Hickory Ilill, 16R1=£33=£35=57 Y.ickorv 11i11 oLus laGt eleven
1) tnwnhouse I;uildinqs - do not have correct house nu:nhers as wet.
• ' '~1 ~i~g~~~~~~~ a i ' ' ' < 1(' . -
CITSC OF EA(iAN
3795 pilot Knob Road
Eagtut, Minnesota 5512
4p L'ftMLT N0, t _1w,
The City of Eagan hereby grants to
of
a Permit for: (Owner) Geo• gedgaick Heating 6 A/C Co.
at , pursuant to application Aqg Xenia Ave. So. Mpls. 55416
Fe~ dated this day oipew Hozizon Aomae ~ ~9
1678-824~6,Walnut iane 3/28/74
$60.00 17th BuilAWFn-s-pe-c-t-or--7111
1.50 s/c
Mechanical Permits:
Bid Total:
~
HOUSE HEATING TEST RECORD D-21049 _7 l/
ADDRESS •1686 Wfllllllt L8. APT. -FLOOR CITY SUBURB Eagan
OCCUPANT E1viII H SChlotman OWNER Ye3
HEAT LO55 DATE HTG. INST. GAS C0. METER BADGE #
SOLD BY INSTALLED BY Sedgivick fttg,
n u
Elechical Work By Gaa Line By
TYPE OF HEAT GA _ FA x NW -STEAM SPACE HTR. -UNIT HTR. -OTHER
GAS DESIGN CONVERSION
MAKE tiYilliamson MAKE OF BURNER
Mode I 1117 -10-7 Model
Smiel 7412066 Mua. BTU Rating
INPUT 1002000 Btu MAKE OF FURNACE
Model
CONTROLS
THERMOSTAT C'm 260 Heat Plug~ Vent Size 511
Valve M.H. V$UOC KIND OF LINER Alllm, SIZE 8" NONE
Limit Robehaw RFL 750n D.afr Hood Vertical Regularor
Limit Satting 200 f Filters Size 1811 a 25" Number 1
Fan Sett'ng 90°f & 1200f Chimney Location Inside Ye8 Outside
Pilot Type Couple Chimney Consrmaion Metalbestos
Pilot Make
Pilot Model $moke Bomb Wiring
Pilat Timing 66 SQCOIId9 prcfe QK Test Tag YQe
L.W. Cut Off Door Prossure Lightinq Inst. YQ8
Pressure 4•5"w.C'• percentC02 8•0Oj Date Tested 9U74
InputCFH 9 ~Partent OZ 7•~~y CompanyTesfing CO ~1 OS C 1 tlEB
Stock Temp. '470 f Percent CO 0•00/' Name of Tesfor ~
Form 235
- 4('o
Date : a 7 7
BUILDID?G PEFf•IIi P.PPLICATIO?d
LOT ~ BLOCK ~ ADDITIO:S ~N Do d n~`P
PAItCEL & SECTIOPI I'~Ni1IIER IF Ui1PLATTED
IeUDRr-SS OF PARCEL Ibi3(, a Ir(.1- io Y)'e ,~E-aaca-Y) Kmrn
7AiJT.1G OCCUPP.t1CY ~ USE No~ e DQ~-~~
ESTLnidli'ED COSi
orniEa E L v~ -v\ TELEPHOi4E NO.
AnDREss Ea!p-Y. I1•1 :SS I 2 Z
COTdTPSCTOR TELEPHOPIS :10.
ADDRESS
11ote: Inclu@e site plan, building plans, and energy calculation3 with this
application
Signed Eq---` A ~p OPFICE USE
~ O~
VALUt1L IOi?
S "t1C
t?ATAR WMNEC^_ IOiI
TTATEki METET
IIUILDIP7G PERL1Ii FEL''
SJRCHARGE FPfi ~
PLi1fi C"r.I:CK F£^n
PARK DEDICIITMO FEE
OT. s R
s~
TarrL*
APPROVALS:
ASSESS,tilE::^P CLERIZ BUILDII4G D T. POLICB DEPT.
CIATER & Sm.*ER DEPi. FIZL DEPT. PARK DEPT.
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CIVIL ENVIROM[A1nL
MUNICIPA'L L4ND SIIRVEYIhG
PLANNING SOiI E%PIORAtION
Certilicafe of Survey
For /YEk/ f/DIe/ZD/l/ yd/~'lES' /~YG:
I !o r Z, g!o c.e 7
l?oD/~ G.9TE
i = sa Dr9~Oliq ~adyT/; Mirriit~ESOT~
$cale
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O a S ~ ~ a`fryq~~o
a 0
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We hereoy ceriify thnt this is a true end corred repre;entetion ot a survey of the boundaries of ;he land above tiescrfbed and of
the locat;on of all buildinys, if any, ihereon, and all visiole enroachmenis. ii any, from or on said land. This sur~ey ia made c~.r in
connecrion wirh a mortgaye loan now being placec on ihe prooerty ano no liability is assumed eacept to the nolaer cf t,.c~ mor'-
gage or any oiher intcrest acquired by ihe renson of zuch morfgnqe. H is undersroccl and agreed no monumenh ha:e been plared
For !he p,.rpose of establ;snfr.g lot lines or boundary corne,s. As surveyed by me r4is
day o: - -A/'<P/L- - - - - - 19 74 .
consulting engineers diversified inc.
P O Bo. J.Oaeeo 6linna if55369-t8'V21425-2
by
F.I. No Y-<_~ Boo4 Gape 4linnecota Aepisbalion No
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CITY USE ONLY
PERMIT N: RECEIPT DAT6:
8008 fiUIDENTIAL 11ECHARICA1. PERMIT APPLICATIOft
crrY oF $wsnx
S$SO PII.OT KPOB iiD
$lIHAP MP 55182
651-681-4675
Please complete for: > single family dwellings
townhomes and condos when permits are required for each unit
Date: al I V J ( C)
SITE ADDRESS:
OWNERNAME: TELEPHONE#: 5 i -"t Z 1 -7Z
~..aopln Nai .G-C"r~ oQ
INSTALLER NAME TELEPHONE S I- 3Z~-~~YJ I Z~
STREET ADDRESS: S4- W- GL"~
CITY: STATE: r~, v ZIP:
Place a check mark next to the permit work type
Add-on, modification or alteration to existin dwelling unit $ 30.00
• furnace replacement
• air ex er
~earrditioner
Nature of work:
ID ~ ° ~ d ~(~I
~
I_ n ~ il
State Surchar e $ 50
rotal $
i
SIGN O M -
uoz
I For Office Use ~
I - - I
City of EapIl ; Permit#
I Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 ~ Date Received:
Phone: (651) 675-5675
Fax: (651) 675-5694 i Staff: ~ I
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: 16, ~i (,A zn~ /_/1/ .
Tenant: o b f,fnSC~ Suite#:
RESIDENT / OWNER Name: 1-46411,4 % l2~1~'~ f Phone
Address / City / Zip: ,~lpFS(o ~r.~s/n~~ ~ ~Lnl
Applicant is: _ Owner ~n Contractor TYPE OF WORK Description of work: ~X&2F
Construction Cost: Multi-Family Building: (Yes NoI)c-)
CONTRACTOR Name: ~i(~,~~o~~I9 Cm4~ 1i7G, License ~r y(a)
Address: ~~,.x
City: 12r, EanJ State: ZIOAZ Zip: CS/Z-3
Phone: 60/Z-- 3/6,/4/ 2 Z Contact Person: 29a
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submiried
(4 Submission type) • Energy Envelope Calculations Submitted
In the last 72 months, has the City of Eagan issued a pertnit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contrector: Phone:
Sewer 8 Water Contrector: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permif the City to
conclude that the are trade secrets.
I hereby acknowledge that this infortnation is complete and accurate; that the work will be in confortnance 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 nol to start without a it, lhat the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
x
Applicant's Printed Name Applica s Sig
Page 1 of 3
Date:
City of Eagan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
Permit #: / /�
Permit Fee: CSO
Date Received:
Staff:
2010 MECHANICAL PERMIT APPLICATION
cc\ --.3r)--1 0 Site Address: (co ' �� 1(1i1 l N_
Tenant: Suite #:
RESIDENT / OWNER
Name: 44k cJa;A $ 4TPir a - C.— Phone: '1 0 0\ Jc
Address / City / Zip: t 1.�5 3D+ t\ lc ot\csk-Ake__ -0 P...
CONTRACTOR
Name: ) fPl?®I( Cod-rodem - ne License #:
Address: }'rt`(t Irat(2� 0 dr c5 City: �ctfee
State: MPV Zip: ST'S 7 / Phone: i0%?rS''''013e-9,?E
Contact: M ice. Email:
TYPE OF WORK
New V Replacement Additional Alteration Demolition
Description of work: 1'Vfflaa`) C di le lace me&
NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City
Code. Please contact the Mechanical Inspector for information on permitted screening methods.
PERMIT TYPE✓✓✓
RESIDENTIAL
urnace
COMMERCIAL
New Construction Interior Improvement
Air Conditioner
Install Piping Processed
Air Exchanger
Gas Exterior HVAC Unit
Heat Pump
Under / Above ground Tank ( Install / Remove)
Other
** When installing/removing tank(s), call for inspection by Fire
Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$55.00 Minimum Add-on
or alteration to an existing unit (includes $5.00 State Surcharge)
burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) $ TOTAL FEE
$95.00 Fire repair (replace
COMMERCIAL FEES:
$75.00 Underground tank
$55.00 Minimum (includes
installation/removal OR
State Surcharge)
$10,010, surcharge is $ 5.00
surcharge increases by $.50 for each $1,000 Permit
Fee requires a $ 5.50 surcharge)
Contract Value $ x 1%
= $ Permit Fee
- If the Permit Fee is Tess than
Fee = $ Surcharge
- If the Permit Fee is > $10,010,
(i.e. a $10,010-$11,010 Permit
= $ TOTAL FEE
CALL BEFORE YOU DIG. Call Gopher State One CaII at (651) 454-0002 for protection against underground utility damage. CaII 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 start wioat a permit; that the work will be in accordance
with the a roved plan in the case of work which requires a review and approval of plans.
R NC
x
Applicant's Prirfted Name
x
Applicartt,' signature
FOR OFFICE USE
Required Inspections:
Under Ground
Reviewed By:
Rough In _Air Test Gas Service
Exterior HVAC Screening Inspection
Test Final
In -floor Heat
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA143971
Date Issued:07/06/2017
Permit Category:ePermit
Site Address: 1686 Walnut Lane
Lot:002 Block: 007 Addition: Woodgate 1st
PID:10-84600-07-020
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
All Season Property Llc
14031 Fountain Ave
Apple Valley MN 55124
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA152899
Date Issued:11/06/2018
Permit Category:ePermit
Site Address: 1686 Walnut Lane
Lot:002 Block: 007 Addition: Woodgate 1st
PID:10-84600-07-020
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Insert
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
All Season Property Llc
14031 Fountain Ave
Apple Valley MN 55124
Glowing Hearth And Home Llc
100 Eldorado Dr.
Jordan MN 55352
(952) 492-9276
Applicant/Permitee: Signature Issued By: Signature
For Office Use.
+„ Permit#:
1 3�3
EAGANPermit Fee: CO
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff:
buildinainspections(a�cityofeagan.com L
2019 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: /— ' / 4 Site Address: �(a 4/�/// A /
Tenant: ,l�hG' C 4k$ h? C C Suite#:
DoH ,
U`7 C Phone: CJS 7 &/3 z
R@si+ Oti +� Name: /�h e N s � Z Z Ci_
Address/City/Zip:
Name: /11c414y &./fefCLr /lo.s//2;11,,, /7 c. License#: IC 7% 5
Address: /c Coritracto
73 p .`�ie-s c l� City: C4,166(?...„.._
State: - " Zip: SS3 7 Phone: 7C3 37G•Op C?
�$0 FRN fix..
Contact: �/�C4 Email: Mc,tlreywie.cti f��Gn4 z5.'r6 e�sv%,�_�
New —Replacement —Repair —Rebuild —Modify Space Work in R.O.W.
Typeqoof Work44
—
� Description of work: /cn Jf v411-C 4.5/`"
RESIDENTIAL
Water Heater
Water Softener
Lawn Irrigation( RPZ/—PVB)
Add Plumbing Fixtures( Main/—Lower Level)
—Septic System
New Water Turnaround
appp
_Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge)
$60.00 Lawn Irrigation (includes State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment,Water Turnaround*(includes State Surcharge)
*Water Turnaround(add$280.00 if a 3/4"meter is required)
$115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES$
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.aopherstateonecall.orq
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.com/subscribe.
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 /V,L 1cf4J `i-' x
Applicant's Printed Name Applicant's Signature
FOR t F �" � wed H Date:
I
Required In SII ions, 4 rnd Rou i r rT � GasTt st I I
I0 ;>u iQ
IMeter Baht-; d an R � � r dAe9 „4!"�h P�On? anom er AWS �.S ff: h Y p drt,ro k, G "
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA177357
Date Issued:06/27/2022
Permit Category:ePermit
Site Address: 1686 Walnut Lane
Lot:002 Block: 007 Addition: Woodgate 1st
PID:10-84600-07-020
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the
water damage.
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 -
Andrew K Herdman
1686 Walnut Ln
Eagan MN 55122
(605) 350-6760
Signature Home Services
7373 West 147th St
Apple Valley MN 55124
(651) 731-1147
Applicant/Permitee: Signature Issued By: Signature