1697 Walnut LaneMAY/18/2011/WED 11;21 AM City of Eagan FAX No. 651-975-5694
41/6 City of Eaall
3830 Pilot Knob Road
Eagan MN 56122
Phone: (1351) 675.5675
Fax: (651) 675-5694
c,(-1
P, 001/001
Use SLUE or BLACK Ink
rat 4.tti
Perrnioi. 1�
Permit Few �/ Q
Date Received:
Staff:
2011 RESIDENTIAL BUILDING PERMIT APPLICATION
Data: Sits Address: / 9-) tAs
RESIDENT /
OWNER
TYPE OF WORK
CONTRACTOR
Name:
Address l City / Zip:
Applieent is: towner Contractor
Description of work:
Construction Cost: err& 3
Unit #:
Phone: $' ' 3, 9
Multi -Family building: (Yee 1 No )
Company: G ( -
city: M ,
State: . Zip. Phone: P50.) Y6 -' k
Lioenste #: ; Lead Certificate 0:
Does this project require Lead Remediation?
if no, please explain:
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 If yes, date and address of treater plan:
Licensed Plumber.
Mechanical Contractor:
Rhone:,
Sewer & Water Contractor:
❑ Yes O No
(see Page 3 for additional information)
Phone:
Phone:
NOTE; Pians and supporting documents that you submit are coos/tiered to be public Information., Portions of
the information maybe clas*ified non public ifyou provide specltia 'reasons that would permit the City fb
cartelude that they aro trade secrets..
CALL BEFORE YOU DIG, Call Gopher State Ono Call at (651) 454-0002 for
Call 48 hours before you intend to dig to receive locates of underground utilities, protection agannstu� Qerground utility damage.
I hereby acknowledge that this information is complete and accurate; that the work will be In oonfarmanCe with the ordinances and CQdt* of the city of
kagan; that I understand this Is not a permit. but only an application for a permit, and work is not to start without 8 permit; that the work will be In
acaciaa/nce with the approved plan In the caw of work which requires a review and approval of plans.
Applicant's Printed Name
TO/TO 3Jbd
iooa 30aWE 30V
x
Applicant's Signature
Page 1 of 3
b££OLOLZ56 OZ:TT TTOZ/80/90
~
YILLAIiE OF EAOAN WATER SERVICE PERMIT
3795 Pilot Knob Rood PERMIT NO.: 1470
Eo9an, MN 55123 DATE: 5I29I4
Zon}ng; R-1 No, of Unlta: 1
Owner: I
Address: a---~- L / i
Slte Address: _.15 i
Plumber: Thompson Plumbing Co.
Meter No.:~--`~ Connection Charge: 130. 00 Pd 3/I8
Size: Account .00 e /4 ,
Reader No., 5 L Permit Fee: Z
I a9rN fa canPlf with tbe Villa" of Eoqan Surchazge: ~ I
Ordinonees. Mfsc. Charges: • '''d
. Total:
By - C4,~I,~l 3•~~c~-- Date Paid:
Date of Insp.: Insp.:
riLuQE
oF FAoAN SEWER SERVICE PERMIT
3793 P71ot Knob Road PERMIT NO.: 2228
Eagon, MN 55129 DATE: 5 29 74
Zoning: R-1 No. of Units: 1
Owner:
Address:
Site Address:
Ptumber: Thamoqon Plun_. >inq Co.
~ nyrN te eomplY wiNh the Yillaye ef Eo9an Connection Chazge: 400.00 Pd 3/1814
Ordi"4"ces• Account Deposit:
Permit Fee: 10.00 billdd 5/29/4
Surcharge: • 50 billed 5 29/4
By: Misc. Charges:
Date of Insp.: Total:
Insp.: Date Paid:
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH ON E: 454-81 OO
BUILDING PERMIT Receipt ~
To be used for ~I ill Est Value Date ,18
Site Address 1b 7 WAi NU7 LANfi OFFICE U8E ONLY
on 3ne Sewaye Occupency
Lot Block ~ Sec/Sub. 'wNCIDGATE ADD.
PBroel NO. MWCC S~rstem Zoninq
On Site well (Actual) Conat
fiAL+. VUL'c.' Cfty Water (Allaweble)
a Name
Z Address ' AN£ PRV Requlred * ot Stories
o
City Phone Booster Pump Length
Depth ~
Name ALLl ED $NF r"'"' S.F. Total
~ - +
Addres¢ ' ` Footprint S.F. i
Cfty ' Phone - '
APPROVALS FEES
~e Engr./Aaseas. Permlt ~t(~b.AO
W
N&me pianner Surcharge
_ ~ Address
~ W City Phone Council Plan Review
Bldg. Oft. SAC, City
I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC
information is correct and agree to comply with all applicable State of Water Conn.
Minnesota Statutes and Ciry of Eagan Ordinances. Water Meter
Signature of Permittee Road Unit
A Buildinfl Permk is issued to: ALL140 Treatment P1
on the express conditfon that all work ahall be done in accordance with all parks
applicable State of Minnesota Statutes and City of Eagan Ordinances. ~~-i--~-
Building Ofticial TOTAL
Permit No. Prnnit Holder Date ToNphons s
Plumbing
H.V.AC.
Electric
Softener
Inspectlon oac• lnsp. Commenb
Footings I
Footings II
Foundation
Framing Roofing
Rough Plbg.
Rough Htg.
IsuL
Fireplace
Final Htg.
Final Plbg.
Bldg. Final
Cert Oca
Temp. LP
Deck Ftg.
Deck Final
Well
Pt Disp.
' rt ir ~c f1 ea //ex
I
~ CITY OF EAGAN Remarks
,addicion Woodqate lst Addition Lot 2 Rik 5 Pefcel 10 84600 020 05
Owner lcc, Street 1697 Wa,-I..~~_=t Zdil. State Faga,^_ MN 551 22
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR. PAID
GRADING
5AN SEW TRUNK , 24 15 PAID
* SEWER LATERAL
1975 15
WATERMAIN
* WATER LATERAL 1975 15
* WATER AREA 15
rr STORM SEW TRK 1975
* STORMSEWLAT 2.q 1975 $2036.55 $135.77 15 PAID
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. $130.00 10204 3-18-74
BUILOING PER.
SAG 10204 3-18-74
PARK
IN5PECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued: ~ ~ ~ ' ~ ~ •
(612) 681-4675
SITE ADDRESS: I " ~ „ i 4 f.', 0 i APPLICANT:
l~ . I ,rll Nil l I RNt I I ilt l i10; I t i'i;,; I h11i
PERMIT SUBTYPE: TYPE OF WORK:
INSPFCTION .
~ ti
I ~ ~ ~
Psrmk No. Parmk Holdor Dets Tilephono#
ELECTRIC
PLUM8ING
HVAC
Mspntlon Wft Insp. Commonb
FOOTINGS
FOUND
FRAMING
ROOfING
ROUGH
PLUMBING I
PLBCa
AIR TEST
ROUGH I
HEATING I
GAS
TESTSVC II
i
INSUL I
CiYP BOARD I
FIREPIACE
FIREPLACE I
AIR TEST I
FINAL PLBG I
FIM/IL HTG I
ORSAT I
TEST '
BLD(3 FINAL
85MT R.I.
BSM7 FlNAL
DECK FfG
DECK FlNAL
_ CITY of EAGAN ?va 3223
BUILDING PERMIT =
- ' ' 3795 Pilo! Knob Aoed
Owno! ~
Addreu (P=~~ani) Eagan. Minnesofa 55142
..L .............................~"'y':°.`..
454-8100
Hutldar
Dale
Addreu
DESCAIPTION
Bioriu To Ha Utad For Froni Dtplh Hsigh! Efl. Coa! ermlt Fea Aomarb
3 q,, 0~
/ Y 9 so 301 - LOCATION ~s'o "So
Slreet. Roed or other Deseripiion ot Loealion I Lof Black Additioa or Trad
This pezmit does not aufhorize the vae of elreets, roeda, allept or sidawalks nor does It gits the owqer or hia apon!
the righ! !o ereate enp situation whieh L a nuisanee or which presenfe a hazard !o the haslih, sefelp, eonveniean and
gsneral welfare !o anpona in the communiip.
THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WOAR IS IN PAOGAESS.
Thk L!o cerlilY. ...-.........haspermieston !o areet s.....L~.......- 6 upoa
the above described premise subjeci !0 the provisions of all applicable Ozdinances for the agen.
1~!.:........!i.......... Par ................._......................,_v".,~°_"°~---~'
.
Ma r ,~'/j Hu[ldinq Imp~etpr
~
HOUSE HEATING TEST RECORD D-24984 J5
ADDRESS 1697 Walnut La, qpT. -FLOOR CITY SUBURB RAGAN
OCCUPANT Dale A BI'llIC OWNER Ye8
HEAT LO55 DATE HTG. INST. GAS CO. METER BADGE H
SOLD BY INSTALLED BY aedgwiCk Htg.
Elsctrical Work By Gos Line BY 11 11
TYPEOFHEAT GA_FA X HW STEAM SPACEHTR. UNITHTR. OTHER
GAS DESIGN CONVERSION
MAKE Williameon MAKE OF BURNER
Model 1117-10-5 Model
7402270
Ssrial Max. BTU Rafing
INPUT 100,000 Btu Hr, MAKE OF FURNACE
Model
CONTROLS
u
THERMOSTAT ID s Heat Plug Vent Size `5
Valre M,H, V$UOC KIND OF LINER Alllm, SIZE 6" NONE
Limit Robshaw RFI, 750n Droft Hood Vertical Regulator
Limit Setting xuhxwmum 200°f Filters Size 1611 x 25" Number 1
Fan Setting 900f & 120of Chimney Location Inside Outside
Pilot Type U1211p1C Chimney Consfruction Metalbestoe
Pilot Make
Pilot Model Smoke Bomb Wiring
Pilot Timing 67 SeC0l1d9 pra{t OK Test Tag Ye9
L.W. Cut Off Door Pressure / f Lighting Insi. Y~
Prossurc 4.4~~.C. percenfC02 7•5°~~°/ Date Tested 7/11174
Input CFH 99 Percent Oz 7.u.- Company Tasting a
Stack Temp. ~'^~00f Percent CO 0-0~/ ~v~/" Name of Testar
r
Form 235
HAOUSE HEATjj~INN''^G`TEST RECORD
ADDRESS L6, Z4~2 APT.-F OR~ CITY` BURB
OCCUPAN7 OWNER , /JlGJL~
HEAT LOSS DATE HTG. INST.
SOLD BY INSTALLED BY ? ~ ~
Elscirical Work By Gas Line By
' TYPE OF HEAT GA FA _HW STEAM SPACE HTR. UNIT HTR. -OTHER
DESIGN CONVERSIDN
MAKE ~ . ~ MAKE OF BURNER
Model Model
~
Serial C" Max. BTU Roting
INPUT MAKE OF ACE
Model
~TROLS THERmg ~ Heat Plug Vant Size -
Valve KIND OF LINER SIZE ~NONE
Limit Draft Hood I~D 4LP~'Z - Regulator
p ~ n
Limif SsMing Filtars Si:e 6M ~Number ' y
Fan Setting Chimnay Location Insi~djJ~ ? Outside
PilotType ChimneyConstruction f"yL
Pilot Make
Pilot Model Smoka Bom6 V Wiring ~
Pilot Timing Draft V Test Tag 41A-
L.W. Cut Of ~~t Door Pressura Lighting Inst. 4^~~-
Prossure ~ ` PercentC02~ Date Tasted 6- L-
InPut CFH PercenT 02-~ ~mpany Testinq ' Vv ~
$tack Temp. ~ Perwnt CO U Nama oF Tast `
Fwm 235
CITY OF EAGAN N2 1 4 91 6
. . 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:454-8100 ~ 3 I
BUILDING PERMIT Receipt# 52 p
To be used for SIDING Est. Value $9' Z00 Dale S z- - C~0,19
Site Address 1697 WALNUT LANE OFFICE USE ONLY
Lot 2 Block 5 Sec/Sub. WOODGATE ADD. on Site Sewaqe _ Occupancy
MWCC System _ Zoning
ParCelNO. OnSiteWell _ (ACtuapConst
a Name DALE BRULE Gry Water _ (Allowable)
w PRV Required # ot Stories
~ AddreSS SAME
~ City Phone Booster Pump _ Length
Depih
,o Name ALLIED ENERGY S.F.rotal
~ a Address 1500 ARMY POST RD Footprint S.F
: City DES MOINES phone 1/800/247-4476 pppROVALS FEES
~w Engr./ASSess. permrt ~LO6.00
ww Name 5.00
.i Planner Surcharge
i- Address
aw City Phone Council PlanReview
BIdg.Off. SAC, City
I hereby acknowletlge that I have read this appliwtion and stale Ihat ihe Variance SAC, MWCC
inlormalion is wrrect and agree to comply with all applicable State of WaterConn.
Minnesola Statules and City of E gan Ordi nces. 1 ~ ~ Water Meter
Signature of Permittee Road Unit
A eudding PermR is issued to ALLI D ENERGY I Treatment Pt
on t he express condibon that all work shall be Oone in accordancewith all
applicable State of Minnesota S tutes and Ciry o agan Ordmances. Parks
~ TOTAL $111.00
Builtling Olficial _
~
` 198$ HUILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS 11+9 L ~
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OE SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDAESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BQILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS 0 OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OE ENERGY CALCULATIONS
CONA7ERCIAL
INCLUDE 2 SETS OF AHCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
^ 6
To Be Used For: c Valuation: z 00 Date:
Site Address/wIE L- OFFICE USE ONLY
Lot ~ Block .S On site sewage Occupancy
MWCC system Zoning
Parcel/Sub On site well _ Actual Const
City water Allowable
Owner PAV required _ Ik of stories
I~ Booster Pump Length
Address ~~~~'r ~ Depth
S.F. Total
City/Zip Code Footprint S.F.
Phone APPROVALS FEES '
Contractor r e V1 ~ Engr/Assess Permit
Planner Surcharge
Address f-{'K~/ ~ /~Ca" • Council Plan Review
Sldg. Off. SAC, City
, City/Zip Code Variance SAC, MWCC
~ Sa 3" Q Water Conn
7`~``77 6 Water Meter
Phone / y
Road Unit
Arch./Engr. Treatment P1
Parks
Address Copies
TOTAL j~
City/Zip Code
Phone Ik
;r. , PERMIT cn qqq Gq
CITY OF EAGAN
3830 Pilot Knob Road PERMITTYPE: BuiLoiNG
Eagan, Minnesota 55122-1897 Permit Number: 0 2 6 7 2 2
(612) 681-4675 Date Issued: 11 / 16 / 9 5
SITE ADDRESS:
1697 WALNUT LANE
LOT: 2 BLOCK: S
WOODGATE
P.I.N.: 10-84600-020-05
DESCRIPTION:
B~iiSding~_Permit Type FIREPLACE
'Building 41o.rk Type REPATR
r
/F
~t
C-, r t_, 16, ~ i ~ ,L
l J
~ Z~
REMARKS:
FEE SUMMARY:
Base Fee $25.00
Surcharge $.50
Total Fee $25.50
CONTRACTOR: - Applicant - OWNER:
STRUCTURAL WATERPROOFING 18589566 BRULE DALE
7900 INTERNATIONAL DR 210 1697 WALNUT LN
BLOOMINGTON MN 55425 EAGAN MN 55122
(612) 856-9566 (612)454-1597
T hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicable State of Mn.
Statutes and Gity of Eagan Ordinances.
- - - - - - -
~ . . ( (L- ~ QtA Q ~ .
APP ICANT/ E 6MITEESIGURE ISSUEDBY: IGN URE - I
-
INSPECTION RECORD
CITYOFEAGAN PERMITTYPE: euiLorNe
3830 Pilot Knob Road Permit Number: 026722
Eagan, Minnesota 55122-1897 Date Issued: 11 / 16 / 9 5
(612) 681-4675
SITEADDRESS:P'I•N.: 1e-84eee-e2e-e5 APPLICANT:
LOT: 2 BLOCK: 5
1697 WALNUT LANE STRUCTURAL WATERPROOFING
WOODGATE (612) 858-9566
PERMIT SUBTYPE: TYPE OF WORK:
FIREPLACE REPAZR
INSPECTION . D•
ROUGH-IN FINAL
L -
CITY OF EAGAN
ic 3830 PILOT KNOB RD - 55122
1995 FIREPLACE PERMIT APPLICATION
681 -4675
DATE:
DESCRIPTION OF WORK: _ INSTALL NE.1p( FIREPLACE: _ WOOD BURNING _ GAS
_ INSTALL GAS LOG ONLY IN EXISTING FIREPLACE
_ INSTALL GAS LINE ONLY IN EXISTING FiREPLACE
~ OTHER:
AREATO BE INSTALLED IN:
STREET ADDRESS: I~ I? ~"vRLlc-ftJ~ L°~N~
LOT r_ BLOCK ~ SUBD./P.I.D.
APPLICANT: (circle one only) OWNER CONTRACTOR
I hereby acknowledge that I have read this application and state that the information is correct and agree to
comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
~ R 2 '6- Phone /597
PROPERTY Name: L~Fl Z E L)
OWNER
Signature:
Street Address• Lo77
Ciry: F fF C~ A nJ State: _pLL~ Zip: 5-c-5-1 Z Z
s~av CA
FIREPLACE Company: A/ f>"°= ooFin, N C- Phone
INSTALLER
Signature:
7 90 0 -D~,+. 7-,
Street Address: ,so i 7-_< Z-i d License Q o o~-7 6?
City: ~lQmi~ /NC~ 7`a~ State: ,/Ot/ Zip-~_~s
GAS LINE Company: Phone
INSTALLER
Name:
Signature:
Street Address-
City: State: Zip:
~ For Office Ose I
4p~ City of Eapn j Pertnit# j
I I
~ Permit Fee: ~
3630 Pilot Knob Road
Eagan MN 55122 I Date Received: j
Phone: (651) 675•5675
Fax: (651) 675-5694 I Staff: ~
2008 RESIDENTIAL BUILDING P.ERMIT APPLICATION
Date: Z~, Site Address: C4 I /1 c-C ~ ~ ~ ~ c, n
Tenant: 'I ' l1 \V IJYu,~~- Suile#:
RESIDENTlOWNER Name: Mk 4(~_ ~VUI~ Phone:
Address / City/ Zip: ~ lP I I W~ 1 wu-~- 1.Q he...
Applicant is: _ Owner "ZIContractor
TYPE OF WORK Description of work: v 04-
Construction Cost: (0 J vlJ Multi-Famiry Building: (Yes No
CONTRACTOR Name: License 05
O ~
Address: 012- '
City: State: ~ Zip:
Phone: Ilo~ Contact Person:
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 submined submined
(4 5ubmission type) • Energy Envelope Calculations'Submitled In ihe last 12 months, has ihe City of Eagan issued a permit tor 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 & Water Conlractor: Phone:
NOTE: Plans.and supporting documen[s t6at you submitare conside[ed to be public intormafion. Portions of
the inlormation may be class(lied as non-public if you pro'vlde'specilic ieasons that wou/d permit the Ciry to
conclude that the are trade secrets.
I hereby acknowledge ihat this information is complete and accurate; Ihat the work will be in conformance with the ordinances and codes of the Ciry of
Eagan; 1ha1 I understand this is nm a permit, but only an application for a permil, and work is not to start without a permit; that the work will be in ,
accordance vnih the approved plan in ihe case of work which requires a review and approval oi plans.
x\' x~ 1. I ~9.-CR9JYX1
Applicant's Printed Name Applicant s Sig a re
Page t of 3
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PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA158371
Date Issued:10/10/2019
Permit Category:ePermit
Site Address: 1697 Walnut Lane
Lot:002 Block: 005 Addition: Woodgate 1st
PID:10-84600-05-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Michael A Brule
1697 Walnut Lane
Eagan MN 55122
Haley Comfort Systems
4320 Hwy 52 N
West Frontage Rd
Rochester MN 55901
(507) 281-0138
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA162389
Date Issued:07/13/2020
Permit Category:ePermit
Site Address: 1697 Walnut Lane
Lot:002 Block: 005 Addition: Woodgate 1st
PID:10-84600-05-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Michael A Brule
1697 Walnut Lane
Eagan MN 55122
Haley Comfort Systems
4320 Hwy 52 N
West Frontage Rd
Rochester MN 55901
(507) 281-0138
Applicant/Permitee: Signature Issued By: Signature