1689 Walnut Lane
VILLAOE OF EAGAN WATER SERVICE PERMIT
3795 r~'iot t:TCb Rood PERMIT NO.: 1$67
Eagan,MN 55122 DATE: 5/29/74
Zoning: R-1 No. of Units: 1
Owner: _IQ0WLH4 O O1R29
Address: ~ T l~J
site Address: _1689 Walnut Larte
Plumber: Sh4IDg30ILP11Lmbinq CO.
Meter No 4 a Connection Chazge130.00 pd 3/18
Size:"5z le~ Account Deposit:
Reader No.: 9 Permit Fee: 10. 00 billed 5/29/4
1 ogrsa b comply with fMe Villoge o! Eopan Surcharge: • 50 billed S/29/4
Ordimncas. MePFA. Charges:60.00 billed 5 29/4
Total:
By d&~ &44ti`= Date Paid:
Date of Insp.: Insp.:
YILLApE OF EAOAN SEWER SERVICE PERMIT
3795 Pilot Knob Road PERM17IT NO.: -2226
Eagan, MN 55172 DATE: 5/29/74
Zoning: R_1 No. of Uni[s: 1
Owner: ntav wnri n Hnm c
Address:
Site Address: _1689-Walnut Tane
Plumber: Thompson Plwnbinq Co
1 ogrea fo comply wi}h 1Aa Villoga of Eogon Connection Chazg.400.00 pd 3~
Ordinmca. Account Deposit
Permit Fee: 10.00 bllled 5/29,
Surcharge: •50 billed 5/29.
BY: Misc Charges:
Date of ]nsp.: Total:
Insp.: Date P:tid:
- - - - ^---..s.--
CITY OF EAGAN Femarks
Addition Woodqate lst Addition Loc 4 aik 5 Parcel 10 84600 040 OS
OwnerCFCJ 1" (Hqr1677` HOfi/(F Street 1689 Walnut Ln. state Eagan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SUflF.
.jaj STREETRESTOR. pAV2NG 1976 $992.92 $330.97 3 PAID
GRADING
PAVING 1974 $115.45 $23.09 5 PAID
SAN SEW TRUNK 1974 $93.54 $6.24 15 PAID
* SEWERLATERAL 1975 15
WATERMAIN
* WATER LATEFAL 1975 15
• WATER AREA 197$ 15
~ STORM SEW TRK
* STORMSEW LAT 1975 $2036.55 $135.77 15 PAID
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATERCONN. [130.00 10204 3-18-74
BUILDING PER.
snc 3-18-74
PARK
RESIDENTIAL
BUILDING PERMIT APPLICATION ,I
ciTV oF E,ncaN d3 ~l p. v C~ I
3830 PILOT KNOB RD - 55122 ~
651-681-4675
NewConatruNionReauiremeMe RemodellReoairReauiremeMS ~ -(J I
• 3 regfstered s@e surveys showing sq. fi. ol lot, sq. R ol house; arM all roofed areas • 2 copies of plan
(20% maximum lot ooverage aAoxred) • 1 set of Energy Calwlatbra for heated addAions
• 2 copies of pan slawing bemn & wiMow s¢es; poured found design, etc.) . 1 site survey tor e#erior additiors & decks
• 1 set of Efcergy Caiadatbns • Ind'xxte H tqme uned by sep6c syslem for additiore
• 3 copies of Trae Preserva6on Ran H lot platted after 711/93 I~
• RM JoW Dehad Optbre seledion shcet (ddgs with 3 or less wvls) DATE I/,f.lM V/ALUATION
~
JOB SITE ADDRESS /1
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTYOWNER f 'i7N~DR' //!S((A° ~ca-U/C45 C ~II
TYPE OF WORK FIREPLACE(S) _ 0 ?1 _ 2 ,
APPUCANT Pafi ~'~~rt~iL~%rr° ~ru~CQS PHONE#..(~s/ YS(S£~d:3 I
ADDRESS ~ftLi+lr ~~ZIPCODE 55~7a
0
PAGER # CELL PHONE # FAX # li S/ 4~5 //.35_3 II~
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Cateyory _ MINNESOTA RULES 7670 CA'TEGORY 1 I~
(check one) - Residential VenUlaGon Category 1 Worksheet Submitted ;
- Energy Envelope Calculations Submitted
_ MINNESOTA RULFS 7672 ~I
- New Energy Code Worksheet Submitted
Plumbing Conhactor. Phone ;I
Plumbing System Includes: _ Wa[er Softener _ Lawn Sprinkler Fee: $90.00
Watcr Heater No. of R.I. Baths
No. of Baths
-
Mechanical Confrador. Phone # I
Mcchanical System Includes: _ Air Condidoning Fee: $70.00
_ Heat Recovery System
Sewer/Water Confractor. Phone #
Y
All above infortnation must be submitted prior to processing of applicaUon. O I
I hereby acknowledge that I have read this application, state that the information is corr ~and a ~i
with all applicable State of Minnesota Statutes and City of Eagan Orndinances.
Signature ot Applicant
I
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required
Updated 1/07 I
~i~
621V 9/7 OFFICE USE ONLY ihis reqmst void 18 months from validoFOn doh prinled in is 6ox.
I~ III II I I IIII II II II IIIIIIII~`'%~s ~°°°r~ ~
~K 0 4 2 6 8 7 7 7~K PLEASE PRINT OR TYPE aO
Request Dok RougMn inspectim required2 ? Yes Inspeaion Olhn ihan RwgMn. jflesdy Now 0 Will Cotl
6 -3 ? (Yw mosi cali the mspecror whan readyl Daie Reody.
I. ~{iFensed conhactor ? owner hereby request inspection oF the obove elechical work aF
bb Add/ress (Sreai, Bo., or Rwre No.) CM Z~p Cade
V~T L~y~E
Sxew No Township Nome or No Ranga N. Fire Na Coun
ni ~ Mane No
/-S 3
Pov:er 5upplia Address
E 'ml Connacwr ICompany Name~ Conhacbr Ltcan.~e N. hbsrer Lic. No. (P6m Ekct. OnlyJ
/lossTow,~ C GL.o,
lAddrrss (Conrcacror w O.me. Perfaemieg I tl
' ~ Z ~/1' ~~S ~/j~ ?/a~
Aothon Sig e (Cmtro mr Per(armmg I olim) Phone W.
E IA.IB/96 ST<TE90AiiOCOVY-SEE STNIICIIDNSONBiCKOFYEIIOWCOOY
REQUEST FOR ELECTRICAL INSPECTION 717L, ~6
? Minnesota State Boartl of Electricity
~ 1821 University Ave., Rm. 5-128, St. Paul, MN 55104
Phone (612) 642-0800
Home Du lex Ap1. Bld . Other: New Addn
Commercial Indusfrial Form Remod Re air
Air Cond. Hfg. Equi . Water Hfr. load Mgmt. Other:
D er Ronge Elec. Heat Temp. Service
"X" above the work covered by this request. Enfer remarks in this space and on the bock of the white copy only.
, jrv S% /tt C/GUO S"elo/l2 / c%~C i d~t P
Caiculofe Inspeclion Fee - This Inspechon Request wdl nol be accepfed wifhouf the correcl fee:
Other Fee N Service Entrance Size Fee q Circuits/Feedcrs Fee
Mobile Home Park Stall 0 fo 200 Amps 0 to 100 Amps
Sfreet Ltg./Tmffic Sig. Above 200-Am s Above 100_Amps
Tronsformer/Genemtor INSPECTOF'S USE ONLY TOTAL Sign/Oudine ltg. Xfmr.
Alarm/Remote Conhol
Swimming Pool
I Mre cMi Ihol l in ted the eltttAml insbllmlon dexnbad herein on the dotee smied
Irrigotion Boom RagMn Daro
Speciallnspecfion
final Da
Inveshgativa Fee
THIS INSTALLATION MAY BE ORDERED r)I D WcfiWC4RiM TED WITHIN 1 MON7HS.
~ . .
CITY of EAGAN N° 3223
~ BUILDING PERMIT =
' ' 3795 Pilo! Knob Road
Own~r . .o Eagan. Mianeaole 55112
Addrau (presenS) S•!""3 S~3 454-8100
Hutldar ~-~~--7/
Dsl~
Addreu
DESCAIPTION
Stosi~c To Be Usad Fos Fson! Daplh Hsighi Esl. Coo! P*rmi! Foe Aemarks
~ / a ri ,V io / 144e<
/179 so 301 .aZD~C`
LOCA'lION 2s'0 •So
Sireal, Aoad or other Dsaeripllon o1 Loeelion I Lo! Slock Additioa er Trae
/-S G
This permit does not auihorise the use oE slreele, roede, elleys or sidewa]ke aoz does it give 1h* owaer os h[t apen!
the righ! !o create exp aituation which is a nuisancs os which presenta a ha:acd !o the heelfh, sa4aty, eonvenloam and
general melfare !o enqone in the communitp.
THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PAOGRESS.
ThL is !o carSfp, fhal._2~~-.~*<_~y!:._..----..has permisaion !o areet a..-.-~ •~Q".:.'.~............_upoa
the above described premise subjeot to !he provisions af all applicable Ordinances for the CilEagan
. _ r................""""'_..... Pei 0`..'e`""..`.~,.,"""'_,G~',_,;,,-~,""'..._...................
Ma r ~ BuAdin Im o elor
~ ~
CITY OF EAGAN
3795 Pilot Knob Road
nagzn, D'[innesota 55122
PI:R1vIIT NO.: 470
The City of Eagan hereby grants to r,F.., SoAfrwirk titg, fi A/r. Co.
of tnm xon;a nvr_ So_. Ptpls. 55416
a T~TTS?'C Permit for: (Owner) mpw hnri7on Homec
a~9~~7 t•t~.~nut T=^~ ~ Pursuant to application dated 2/27/74
Fee Paid: cr.n nn dated this __11±.,Flay of t+arrh ~ 19 74
1.50 9/C
Building Inspector
Mechanical Permits:
Bid Total:
~
` ~o ~~Go6 o~~a d,S
CITY OF EAGaN
3795 Pilot Knob Road
Eaean, Alir,nesota 55122
PER'ST NO.: 4,12
The City of Eagan hereby g^ants to '!'homPean Plvnhin^, Co.
of 1.2.201 KineetonYa Alvc1.
a PLT'MF'I"'G Perni{; for: (Ouner) *7ew PoriTOn I'o*ner, `i'coaqate Addn. 1
at _ ser_ atcached list , pursuant to application dated 4/191/7=
Fee Paid: $1,060.00 dated-this..4th. day of P.Fril , 19 7,1
4Q.0() s/c
Building Inspector
iiechanical Per,r,its:
Bid Total:
~ r *'EAGAN TOWNSHIP DALES.PETERSOM
Buddrng B U[Jiry lnspector
PUBLIC WORKS DEPT. wiLLinM H BRANCH
3795 PILOT KNOB ROAD SupenntendenrofPU6bcWorks
EAGAN, MINNESOTA 55122 PHONE 450e100
Permit tlo. an;? _ Mcj7a
Covcrs foil 1o•.vin, ii,n_ts anr }iomcs:
]rp8,1532, V35, 1640, 1644, 155n, 1654. 1E58, 1552, 1C6C. 1670, 107=, 1F7.q, lF-E?. 1FgF. 1r4n,
1(`-2, 2rr,4 1600, 1W, 17nri Walnut L.ane and 1035. 1655, 1001, 1505, 1S69. 7_073. 1077, 1091,
],HS, 0n 1693, 1Fn7, 1701 4dalnut Lane ,
. 7031-''.n-27-25 Hickory Nill, 10Af-R£71}?ickor.y iiill & 1667-05 Hickory Lane, 100,V-09-71
Hi_,kors ;;ili, 1603701-5q-57 Hickory IIi]]., 1691=83=85=P7 Hickory Hi11 plus last eleven
(71) _oo-mhuiise baildinc7s - do not have correct house numbere as vet.
HOUSE HEATING TEST RECORD 11-20986 ~~vl) /-`5
ADDRESS 1689 WalAnt Lale APT. -FLOOR CITY SUBURB EagaA
OCCUPANT Cxa'ig A Mat't'{Qe OWNER Yao
HEAT LOSS DATE HTG. INST. GAS C0. METER BADGE N
SOLD BY INSTALLED BY A +~k $f.d.
Elactrical Work By Gas Line By is
TYPE OF HEAT GA _ FA X HW STEAM SPACE HTR. -UNIT HTR. _OTHER
GAS DESIGN CONVERSION
MAKE C1111iemaon MAKE OF BURNER
Model 1117-10 5 Model
swioi 7402962 Max. BTU Rating
INPUT lfN1s000 R7n.4mr- MAKE OF FURNACE
Model
CONTROLS
THERMOSTAT Gm ?nn Heat Plug Vant Size Rn
yalve 11,jI, vwnne KIND OF LINER AaVta. SIZE AIt NONE
Limit RAhMAAW jtFl. 7ROn Droft Hood 'I1er+i..A7 Regularor
Limit Sa»in9 2Rnof Filtars $ize l.A" XOgt? Numbar I.
Fon $atting A009 Fr 7211o4 Chimney Location InsideY(b Outside
Pilot Type C~~iple Chimney Constroction 119t~11hnaine
Pilot Moke
Pilot Model Smoke Bomb Wiring
Pilot Timing RQ Spennr7a Draft Q$ Test Tag VRpa
L.W. Cut Ofi Door Pressure Lighting Inst. YOR
Pressure 4.3M.C. PercentC02 7•04 DaTe Tastad 81~+3/7¢
Inpuf CFH 1n0 Percent OZ ~p~yr^f Company Testing Wes
$tack Temp. 490of Percent CO n~•••y~_ Name of Tesfar It
Form 235
CITY USE ONLY
LOT ~ BL RECEIPT
susn. l,(j~ RECEIPT DATE: y/ lf
199$ M£CHAIVICAL P£RMIT (RSID£N1'IAL)
crrY oF ewswiv
S$SO PILOT KNOS SD
EAfiRN MN $5122
GI - 3-9 y (612) 681-4675
Date:
Complete this section onlv if you aze installing HVAC in single family, townhomes or condos under
construction and not owner /occupied '
• HVAC: 0-100 M B T U $ 24.00
AuliITIUivAi., 50 ivl b-i U 6.00
• Gas outlets ( minunum of one required @$3.00 ea.)
• State Surchazge: .50
• TOTAL:
Complete this section onlv if you aze remodeling, adding to, or repairing existing single family dwellings,
townhomes, or condos. Note: Mechanical permit is not required for alteration/add-on to ductwork in
existing residential units; but is required for the following:
_ Install fumace -~Z Install air conditioning
_ Install air exchanger, i.e. Vanee system, etc. _ Other
Minimum fee apnlies to all remodel or add-ons of existing residences $ 20.00
State Surchazge .50
Total: 2050
.SITE ADDRESS:
OWNERNAME: PHONE#:
INSTALLERNAME: / MUMWA11N01W0AiRCOtnJrttOAI+iSCO PHONE#:
410\'~E~~af
I~PIEAPOLIS, A:N 554G3-2998
STREET ADDRESS: F, .~^e.?;,cb
CI7'Y: STATE: ZIP:
SIGNATUkP OF P ITI'EE
1S/FORMS BI.D/A1ECH PERMIT (RES) - 1998
2005 RESIDENTIAL BUILDING PERMIT APPLICATION a`k/xf/j1
' City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction ReauiremenLS RemodeVReoair Reauiremenis Office Use Onlv
3 2gisle2d site surveys showing sq. ll of IoL sq. fL of house; and all roofed areas 2 copies of plan Cert of Survey Recd _ Y_ N
(20% maxunum lot coverage aliowed) 1 set o( Energy Calculations for heated additbns Tree Pres Plan Recd _ Y_ N_
2 copies of plan showinq beam & window sizes; poured found design, etc. 1 site survey foradditions & decks Tree Pres Required Y N
1 set ot Energy Calculatbns Adtlifion - indicate il on-sde seAtk sysfem On-site Sepfa Syslem _ Y_ N
3 copies ol Tree Preservalion Plan if lot platfed after 711193
Rim Joist Detail Options selection sheet (buildings with 3 or leu units)
Date to / is / 0S Construction Cost -$jq( O t .lsa
Site Address I(QBq ~00,Q Y1V& LCJ`,n Unit/Ste #
5513G
Description of Work Ne'luo
Multi-Family Bldg _ Y? N Fireplace(s) _ 0 _ 1 _ 2
Property Owner ~p'~eY1~lS1 Ve StY V 1(:.ftS (.V) C• Telephone #(Q51) yS ~-~g 'rj3
Contractor
Address City
State io Telephone # ( )
~
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submitted Submitted
• Energy Envelope Calculations Submifled
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan2
_ Y _ N If yes, date and address of masier plan:
Licensed Plumber Telephone # ( )
Mechanical Contractor Telephone # ( )
Sewer/Water Confractor 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 ' e plan in the case of work which requires a review and
approval of plans. n A
U
hr OC T 0 5 200°~f~~~1~9.~
Applicant's Printed Name Applich t's Signature
gy.~ _ - ~ -
OFFICE USE ONLY ~
Sub Types '
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 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 0 10 08-plex /;6, 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc.
? 05 03-plex O 11 10-plex ? 79 LowerLevel ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish interior ? 44 Siding
- 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolitlon (Entire Bldg) - Give PCA handout to applicant
Valuation Occupancy MCES System
Plan Review 100% or 25%
Census Code Ll Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const VA_ Width
REQUIRED INSPECTIONS
Footings (new bldg) Final/C.O.
~ Footings(deck) ~ FinaVNo C.O.
_ Footings (addition) _ Plumbing
Foundation _ HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final
_ Framing _ Siding _ Stucco _ Stone _ Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
Insulation _ Retaining Wall
Approved By: Building Inspector
- - - - - - - - - - - - - - -
Base Fee
Surcharge
Plan Review
MGES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
~ C\
~
V
~
ry 4
I,
O
~
Op p~ `Y
17
oho~oo ~~~o
ao~
00 ~O~ ro ~~~5 O~
0
~BOO O
~ ~ 0~ 00 GY eh
V
o ~
3~ h ~80
O .
,
,
- ' ~
Ia~ ~ a5
. ID
2006 RESIDENTIAL BUILDING PERNIIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
NewConstruc6onReauiremems ' RemotleVReoaiReouremertls OfFiceUseOrdv
3 registeied sik swveys shovnng sq, ft ol lol, sq R ot hoise, end all rooled ereas 2 capies ot plan showing faohngs, beams, joais Cat d Swey Recd _ Y_ N
(20%menimumbtcoverapeellah.d) lsetotEnerpyCakulatunsfarheetedaddAons 7reePresPlenRecE _Y _N,
2 capies d plan shavnng beem & wiMow s¢es, poured bund despq ek 1 sda survey fa eddAbns 8 decks Tree Pres Requ"eed _ Y_ N
ltetofEnagyCelcNe[ans AdJN'on-irMkeferlorr-sdesepticsystem On-sdeSepikSystem _ V_N
3 copies d Tree Preservatbn Plen if bt pleCed efter 7H193
Rim Jdst Deleil OpOans selacfion shcet (DUildings wM 3 a less unds)
Mimiegasco mecharucal ventilation fom
Date9_/ o(o Con truction Cost
Si[e Address (-A kj
~11A /I 12?_~1UniUSte #
Description of Work L3
Multi-Family Bldg _ Y _ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner fQ,Y}QnS ti1Q .(L~\1 (CgSTelephone N((OS 1)
Contractor ~ C7ckr"t peke (5Qrl .1o ~3 -1
Address ~bqa -29iS'"I Al/f City B P./l
State AA N Zip Telephone #(q5D q:7-3 - Z~JS I
COMPLETE THIS AREA ONLV IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Catceorv 1 Minnesota Rules 9672
Enelgy Code Category , Residential Ventilatlon Category 1 Worksheet • Ne.v Energy Code Warksheet
(J submission type) Submitted Submittetl
• Energy Envelope Calculations Submitted
In ihe lasi 12 months, has the City of Eagan issued a pertnit fw a similar plan based on a master plan8
_ Y _ N If yes, date and address of master plan:
Licensed Plumber Fr1 fC(N F;' (1 Ph F-~i ~ Telephone )
Mechanical Contractor f~ n [ Telephone )
I 28286
SewedWaterContractor 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 Ciry of Eagan and the State of MN
Statutes; I understand this is not a pemut, but only an applicauon for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved an in the case of work which requires a review and
approval of plans.
TaAn~~1 fl . p ke r': e_
ApplicanPs Pfinted Name pplican s Signature
76-7-70
2007 RESIDENTIAL MECHANICAL rExMiT .arrLicnTioN
City OfEagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Pleue comple[e for. single farnily dwellings & lownhomes/condos when pelmits are required for each uni[ '2 ~ 1 0
o
Date 01
Si[eAddress 1,1n1`~A "V\'e Unit#
Property Owner Telephone#( (pla
Contractor {~~lJl~'~O~Y1G~yk_A-A'~LNa (wNa 6:f aCYVkCR
Street Address City 51pG1A7~
State fv\r\ Zip cjs Q_ Telephone k( 1oi~ 1) 21'~p'~ ~
Bond ' Expires:
The Applicant is _ Owner ~ Contractor _ Other
- Fire repair (replace bumed out appliances, ductwork, etc.) $ 90.00
This fee applies when extensive mechanical repairs are made to a building.
Add-on or al[eration to existing dwelling unit E 50.00
~ furnace _Additional ~_Replacement _ New
air exchanger
air conditioner
heat pump
other
StateSurcharge , E .50
Tatal $ c5D' 5D
I hereby appiq for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will I
be in confortnance with the ordinances and codes of Ihe City of Eagan and with the Mechanical Codes; that I understand this is not a ~
permit, but only an application for a permi[, and work is not ro start wi[hout a permi[; that the work will be in acwrdance with [he I
approved plan in the case of work which requires a review and approval of plans.
Applicant's Printed Name ApplicanYs Signature
m
~ ~ 3 ~"3 - • ~
CAn".ri"
2007 RESIDENTIAL MECHANICAL rExMI'r nrrI.ICATION
. City Of Eagan
3830 Pilot Knob Roa(l, Eagan MN 55122
Telephone # 631-675-5675
Please wmplete for: single family dwellings & townhoma/condos when permits are reqwred for each wit
Date Q-)- Si[e Address ~lG~l 1iJCCk 00+ Unit # Z`-'\_ CP19l i
:>r,.r:::or
Strcet.J,.,::tss Cj[~l; ~Lcq-,Ao\av1 C:rr
State h1r\ -:p __!ESj_iV,~ ; eleahnne Y(Lp cj\ )ajj~-1LHQ ~
. - i
'
3nnda:_ IGZ-
I
:eAppiicent s :wner ~-V-- "_.,.Iaar.c; _ ;me: '
-r.. -en:ur .olace -,urnea ~m :opiiancea. luc•r,vnr.c. sc.; =~7 'J
'his 'es zcclies wnen ~:aensive nec°,amcai epair; ;rz ^<:ce :o a'-u;iaire. I I
I !
;aa-.m or ii[c. :c:nu o :::s:ing ~iwc:liny :ni: umsr,a ?.caiticnai .iaoiacrarr:~:u Vew ~
~ - - - - ~
air exchar,ger
~ air conditioner
_ heat pump QD
other uf~ A~~ I 'T"Z001
StateSurcharge , • ! .50
Total
1 hereby apply for a Rwidential Mechanical Pertnit and acknowledge that the infortnation is complet< and accurate; hat the work will
be in conformancrwith the ordinences and coda of the Ciry of Eagan and with the Mechanical Cod Z; [hat 1 undn ;tand this is not a I
pertnit, bu[ only an applicapon for a pertnit, and work is not W stait withou[ a permit; tha[ the wor : will br in ac ordance with the (
approved plan in the caze of work which requires a review and approval of plans.
~ S'Mi.-e, ],~talltC'aC-`CQ L.Q
Applicant's Printed Name Appticant's Signature
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1689 Walnut Lane
Lot: 4 Block: 5 Addition: Woodgate 1st
PID:10- 84600 - 040 -05
Use:
Description:
Sub Type: e- Reroof
Work Type: Replace
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Petersen, Rodney
20998 291stAve
Belle Plaine MN 56011
(952) 873-2351
If there is no ice protection inspec
acceptable in lieu of inspections.
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
Construction Type:
Occupancy:
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
- Applicant -
on prior to final, you must meet inspector with ladder and flat bar. Pictures are not
Permit closed without required inspection(s). Letter sent to applicant on 02/23/2009.
$88.50
$1.50
$90.00
Owner:
Comprehensive Services Inc
1210 South Concord St
South St Paul MN 55075
Permit Type:
Permit Number:
Date Issued:
Permit Category:
0801
9001
Building
EA083354
06/04/2008
ePermit
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply
of Minnesota Statutes and City of Eagan Ordinances.
h all applicable State
Issued By: Signature
÷ø
ÿþ
ýüü ûúÿûúþ
ùüü þÿøö è
ô
÷ ÿ
ô
ô
ýüõ
ýüûúù Þ ëõ ü úù
÷ úù Þù
ù ä üÝöÿ
õüõ ôóôðüù
ò ÿ
ýñüø
ë ù ù ù ëþ ïü ï ù éìë ûí
ü
ü ù ûü ëù í
õû ï ê ñüûé ÿëï ïí
øçóæçí
íô
ôù
ýü ÿ èü çóæçí
í
èü óþ
í
óò
õ ñð
ùù
õ ïù îýî
î
ý ü õ ý
ý ü ý
üåã
ß
á
àßóó
û éÿ î ùù ë ï ÿ ïùé ùùûý
ëå ý ü õ ë ÿðí
ùù ì
ü ýÿ ü
AG
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651) 675-5675 ( TDD: (651) 454-8535 I FAX: (651) 675-5694
buiidingineoectionster�.citvofeagan,com
RECEIVEI
14 2020
BY:
For Office Use i,i
Permit t (%G 9� 1 �,
Permit Fee:
o-, c-6 (G
Date Received:
Staff:
-7 - /Li -mac?
2020 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 07/14/2020 Site Address: 1689 Walnut Lane
Unit #:
Name:
Comprehensive Services/Christine Tretter Phone: 651-269-4594
Resident/ 1210 Concord St. S., South St. Paul, MN 55075
Owner Address / City / Zip:
Type of Work
Applicant is:
Owner ✓ Contractor __ ! t W
Descriptlonofwork: Deck Rail Repair - Spindles/top rail/hand rail
Construction Cost:
$ 1000
Multi -Family Building: (Yes / No 11 )
Company: Rodney Petersen Contact:
Contractor e
Address: 20998 291 st Avenue
IState: MN Zip; 56011
License #: XM593648 Lead Certificate #:
City: Belle Plaine
Phone: 612-716-543 Email: petersendesign@ frontiernet.net
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No 1f yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor:
Phone:
Fire Suppression Contractor: Phone:
rNOTE 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 pe..„._r_m_itthflply to conclude. that theyare trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the Ctty's
website at www.citvofeagan.com/subscribe.
Exterior work authorized by a .building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
CALL BEFORE YOU DIG. CaII Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.gopherstateonecall.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 p
x Rodney Petersen
Applicant's Printed Name
x
Apo! r'can frs Sign
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation
_ Single Family
Multi
01 of _ Plex
WORK TYPES
New
Addition
Alteration
Replace
Retaining Wall
Fireplace
_ Garage
Deck
Lower Level
/6q (k-Lvv
Porch (3-Season)
_ Porch (4-Season)
Porch (Screen/Gazebo/Pergola)
Pool
Interior Improvement
Move Building
Fire Repair
Repair
DESCRIPTION
Valuation
Plan Review
(25%_ 100% )
Census Code
# of Units
# of Buildings
Type of Construction
_ Siding
Reroof
Windows
_ Egress Window
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Accessory Building
Demolish Building*
Demolish Interior
Demolish Foundation
_ Water Damage
*Demolition of entire building - give PCA handout to applicant
Occupancy MCES System
Code Edition 12 SAC Units
Zoning City Water
Stories Booster Pump
Square Feet PRV
Length Fire Suppression Required
Width
REQUIRED INSPECTIONS
Footings (New Building)
Footings(Deck)
Footings (Addition)
Foundation Foundation Before Backfill
_ Roof: _Ice & Water _Final
_ Framing 30 Minutes 1 Hour
Fireplace: _Rough In Air Test _Final
Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Shower Pan
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC _ Service Test Gas Line Air Test _ Hood
Pool: _Footings Air/Gas Tests _Final
Drain Tile
Siding: _Stucco Lath _Stone Lath _Brick _ EFIS
Windows
Retaining Wall: _ Footings _ Backfill _ Final
Radon Control
Fire Suppression: _Rough In _Final
Erosion Control
Other:
Reviewed By: ,/ , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Radio Meter Read
Copies
TOTAL
icOlt
r/76111Q4K,
Page 2 of 3