4707 Walden Dr
CITY Of EAGAN
3795 Pikt Kwob Rood Eayan, MN SS122 i ' 84-~~
' . PHONE: 454.8100 -
BUILDING PERMIT Rece+at J ; '
Te w wmd 1er SF DWG/G_AR Est. Volue ~,70,000 Date Augttst 23 19 83
Slte Address 4/07 a en va Ete~ r_ 3
~ 3 Sec/Sub. Walden Flei~+hts Alter ~ ~~u Zoninq ~~y R-1
Lot 22 Blatk
?
parcel # Repair ? Fire Zone 1A
Enlaros p Type oF Const. v
0: Nome ~unshine Cons*ruction Co. Move
? # Stories
~ 1466 Richard'3 Court 46
llddross Demolish p Length
Ci ::agan 55122 454-7433 ? Depth 48 Sq. Ft.
~ eT ApPravah Foes
~ o Name F ` .
u~ ~roa Assessmenf Pertnit . ~O
Cit phane Water & Sew. Surcharfle
Police Plan check 1~
a
~W Nome Fire SAC 525.00
x~ /lddress Enp. Woter Conn. 450. 00
~W Ci phorm Plonner WaterAAeter 6 0.00
Council Rood Unit 250.00
I hereby ocknowledge that 1 have read this applicotion ond stute thot gldp. Off.
the informotion is correct ond egree to comply with all applicable A~ Total $1fi3G.50
State of Minnesota $totutes and City of Eaqen Ordinonces.
5lgnoture of Permittee Suuuhtne . ronstrucri n Co.
/1 Building Permit Is issued to: on the express condition thni
oll work shall be done in accordonce with oll appliwble Stote of Minnesoto Statutes ond Clty of Eayon Ordinonces.
Buildirg Officiol '
it No. Holder
VD Permit No. Permit Holder Misc. Perm
E V~'~l~ 41..~/~13
Swwr
Electric 6J0403'V1 el'LQ. Q~~i~BJ
Inspaetion Date Insp. Othe?
' Footings
Foundstion
Framinp
` 9,-s
auph PI6p. - ~3
Rouqh HVAC *
Inwlation
Final Plbg G
Final HVAC
Final
Water Deseribe Loeation:
Well ' .
Sewsr
i
Pr. Oisp.
.
Receipt Y PLUMBING PERMIT Permit No. r=`
CITY OF EAGAN -
, Fee
` Fill in numbered spaces S/C
Type or Print legibly
Tot.
. .
1. Date -7/ 5l 2. Installation Cost
J~.
3. Job Address 4/ 1~ .11CLotl'-)2.2_Blk. Tract
4. Owner l /1 _ ` - i l /';i l • ~ - ~
5. Contractor Phone
6. Address
7. City t, State . Zip
T
8. Building Type: Residential 0 Commercial O Institutional ?
9. Work Description: New lO Add ? Alter ? Repair ?
10. Describe
11. No. Fixtures No. Fixtures
~
- Water Closet Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory Softner
5hower Well
Kitchen Sink
i
Urinal/Bidet Other ~/p fQ r -
Laundry Tray f; y . ,
Floor Drains y -
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 F inal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Receipt MECHANICAL PERMIT Permit No.
CITY OF EAGAN .
Fee
Fill in numbered spaces S/C
Type or Print /egib/y Tot. •
1. Date ~ 2. Installation Cost
3. Job Address Lot Blk. ~ Tract
4. Owner
5. Contractor Phone 6. Address
7. City State 2ip
8. Building Type: Residential 0 Commercial ? lnstitutional O
9. Work Description: New 0 Add ? Alter ? Repair ?
10. Descri be F ue I Type
11. No. Equioment 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
Rough F inal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
CITY OF EAGAN Remarks
Addition WALDEN HEIGHfS 1ST ADDN Lot 22 Blk 3 Parcel 10-83300-220-03
Owner street 4707 WALDEN DRIVE state EAGAN MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 12-9-$
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA ZZ
STORM SEW TRK s -8
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
250.00 38228 8-24-83
WATERCONN. 4S0,00 t+
BUILDING PER. $41$
SAC
PARK
I INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: ~a ?-4'1 -r
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: i 0 41 45 . o «I , , APPLICANT:
i ! 1;i 1 1)PN n R
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION .
~ . ~
pp~
Permit No. Permk Holder Oate Telephone M
ELECTRIC
PLUMBING
HVAC ~
~
InspecUon Date Insp. CommeMe i
FOOTINGS
FOUND
FRAMINO
ROOFING
!
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBDARD
I FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG I
ORSAT I
TEST I
BLDG FINAL I
~
~ BSMT R.I.
I
I
BSMT FINAL I
I
DECK FfG I
DECK FINAL
CITY OF EAGAN WAM SERVICE PERMIT
V30 Pilot Knob RoM
r. U. t3ox 21199 PERMtT NO.: 7
Eagan, MN 55121 DATE: 9 - r - :-S
Zonirg: P. 1 No. of Units:
Owner. 5unshipe Const
Addreas:
Sie Addrosc 4707 1•;aldo:i Cr L22 L''s ~tialclen :i-ts
plun,ber. i.ahev.zlle 111?--
AAater No.: Connectlon Chargs: 450,;,:) ;)d
Size: Accomt Depoalt:
Reoder No.: Parmit Fee:
1~!9 !o osrolp qNh elw Cih of Eaya¦ Surcha?fle:
• OrdiM110M. MIiC. ChOroQS: ~1 • . ij {;1 Pt 4'T
Totol:
By Data Pbid:
Dote of Insp.: Insp.:
CITY OF EAGAN SEWER SERVICE PEIWIIT
'0 Pilut Knob Road
P. 0. Box 21199 PERMIT NO.: 6134
Eagan, MN 551~i DATE: -
Zoninp; No. of Units:
p,,,,,,er; SLmshine Const
Address:
Stre Add?ess: 4707 14alden Dr L22 83 Walden Iigts
Plumber. "a eY e g
3-24-83 38228 . P
1 proe to aompy wt!` Nn Citi of laee• Connsctlon C}+orps: _ 4 2s S. 00 pd
O?dlnesea. ^ooount Deposit:
Pa?mit Fas: 0. 00 15c
r
B Surdhorye:
Y Misc. Cl,oroes:
Date of Insp.: Totol:
Insp.: DaM Peaid:
^ertificate for:
. • S'unshine Construction
_ •r-
DELMAR H. SCHWANZ
LANDSURVEVOR e r I k3C•
ReqislarOd Untlor Lsws of Ths Stete af Minn*sots
2978- 146TH STREET W. - BOX M ROBEMOUNT, MINNESOTA 66068 PHONE 672423-1769
SURVEYOR'S CERTIFICATE
~f4. 7c
~'h'~ / ~7.
=a
~ - - - - " ~
~ _
~
304ti°~ i;z~ ~L
`f 1
~
4L
71)
~ ~ f F y 'S!~ d rn
~ Z
a0 Dralnage & utility
easement ~
~ 1 ~ ry
-
T'
Tv?r.~y • T°P~~ls `r ,
SCALE: 1 inch ~ 30 feet
'?47W Denote$ existing elevation D Denoted set wood hub Propoaed garage floor frpmr
.
C:)Denotes proposed elevation development plan
r.- Denotes proposed drainage
(
I hereby certiPy that thia is a true and correet represenLation of
Lot 22, Block 3, WALDEN HEIGHTS FIRST ADDr'T'ION, according to the
recorded plat thereof, Dakota County, Minnesota.
Also ahawing the location of a propoaed house as staked thereon,
I
Pated: August 13, 1983
I
lj, ,t
MINNESOTA REGISTRA ION NO. 8625 ~
REQUEST FOR ELECTRICAL INSPECTION Ee-00001-04
' Sae instructions for eomplating this form on back of Yellow copy.
_Nj. ~ ~ 'l
" X" Bel_.~ o e ed by This Request 7J$ y a-7
AAd Nep, Type of Builtling Appliancna W1red EqviVment WireA
Home Range Temporary Service
Duplex Water Heater Lightiny Fixtures
Apt. Building Dryer Electric Heatin
Commercial Bidy. Fumace Silo Unloader
Industrial BIAg. Air Conditioner Bulk Milk Tank
Farm d ~ Ther Isuecifyl
t nr uocily Other
Compute lnspection fee Below
N Fee Servica EntranceSize A Fee Feadars/Subteaders b Fee Gircuits
cTQ U to 200 qm s 0 to 30 Amps 3'~ ka i() to 30 Am s
Above 200 qmps 31 to 700 Amps / trtm 31 to 100 A s
Swimming Pool A6ove 100_Amps Above 100_P,m s
Transiormers Irrigation Booms ~Sa Pdrtial'Other Fee
Signs Special Inspection S ~
Remarks J/~. ~7} TOT FF~
~
FouBh'in
the Electrica
~ spactor, he,eby
certity thei the abpva
Finel ( ~i1e insoaction has baen
mede.
Thle renuast voitl 18 months from
CITY OF EAGAN N• ~ g418
3793 Pikt Kno6 Road Eagan, MN SS122 ~
~ PHONE: 454-8100
~~C 7
BUILDING PERMIT Receipt
Te 6a wad 1or SF DWG/GAR Esr. Value $70,000 pO1e August 23 19 83 milw- Site Address 4707 Walden Drive R-3
Erecr g]{ Otcupancy
Lot 22~ Blxk 3 Sec/Sub. Walden Heights Alrer p Zoning R-1
Parcel # Repair ? Fire Zone NA
Enlorge ? Type of Const. V
a Nama Sunshine Construction Co. Move
Z O # Stories
Address 1466 Richard's Court Demoush ? Length 46
c; Eagan 55122 pF1Ofe 454-7485 Grode ? Depth 48 Sq. Ft.-
p Neme Ownei APProrak Fees
ot Address Assessment Permit '
u~ Cit Phone Wofer & Sew. Surchurge 35.00
Police Pian check 171.50
tW Name Fire SAC 525.00
Address Enp. Water Conn. 450.00
<W Ci Phone Plonner Water Meter 60.00
Council Road Unit 250.00
I hereby ockrwwledge that I have read this opplicotion and state that Bldg. Off.
the inlormation is correct and ogree to wmply with all oppl(cable APC Totol $1834.50
State of Minnewto Starutes ond City of Eagon Ordinances.
Signature of Pertnittee
Suns ine Construct on Co.
A Building Pertnit is issued to: on the exprest cOndition Ihm
all work sholl be done in acmrdance with oll ~ pl c/o le S~! f Mln a Statutes ond Ciry of Eogan Ordinances.
Building Official ~ lf~L-.-, .
J'
This request void Cl L2a ~ Gi31 watdA~ *N8>~ 3$ T 2 1
18 months irom - - WQ 81 ya ,so
Rnquest Oate Fire No. Foogh-in InsUer,[ion
AequiredT ?Ready Now 0 Will Notity Insuec-
f^i~,, -f yVZ Wr When Ready
~ LicenseA Elec[rical Contractor I hereby request inspection of above
? Owner _ electricel work installed at
Sveet Atldress, Box or Route No. City
(4) .f3 ~E _ Cz-?,
eclion o. Township Name or No. ange No. County Occuoent IPflINTI • Phmne No.
~
Power Supplier AAdress
Elec~sjcal Con acror IC p ~Y el Cnntructor's License No.
~9u-c1 -O~ (
C¢o 3 .
•M•~ailing A rass 1 niractor or OwnerMakinnstallationl ~
Authorized Signe[ut - o r tor Owner Makin InstTllation) Pho Nomber
a~~'t-~ °f~JL.e.~Jtdi° 3EQ -
MINNESOTA STATE BOARD OF ELECTNIGITV THIS INSPECTION qEQUES7 WIIL NOT
Griggs-Midway Bldg. - Noom N•791 BE ACCEPTEO BY THE STqTE BOAflD
1821 Univeryiry Ava., SC Paul, MN 55104 UNLESS PNOPEX INSPECTION FEE IS o~.,..e rat91 947J111 ENCLOSED.
CITY OF EAGAN Include 2 sets of plans,
1 site plan w/elevations &
g~ pu3°~~~BUILDING PERNffT P,PPLICATION 1 set of energy cal.culations.
d -
0-
Zb Be Used For Valuation llvr-Q 4'Q U Date F-9
Site Address: 70 "7~'4u ax.aw., OFFICE USE ONLY
Iat Aa- Block 3 Sec./Sub.'w Erect 1- Ocazpancy
Parcel Alter Zoning
Repair Fire Zone
O,aner: Enlar9e _ Type of Const.
2~ ^ Move # Stories
Address: Dermlish Front / ft.
City/Zip Code: ~ Grade Depth Lfh' ft.
Phone # : 7 `f f APPROVAIS FEES
Contractor: Assessments Pezmit ' 3~~ ~
Address: Watex'/Sewer Surcharge
Polioe Plan Check / 7 / ,5sd _
City/Zip Code: ' ` Fire SAC
Phone Eng. Water Conn. ySb ~
Planner Water.Meter /0p
Arch./Eh9•: Council Rnad Unit ~F-O
Bldg. Off.
Address: / (J°u /Y6 APC
city/zip code:&-~~ 553 37
TU'I'AL ~ ( 0 ~ S
Phone Y3~) _ 'Po
'eu:arnrnr~ Cvide Conrtroction IVo. ,
awr:.- Ra(ercnce Out. Dlnll Int. W~N CeilinR RooF'.~ Floor Kind How Applitd .
ro I _ e+- io 19_ . i.. ftoem Lensth f_%'C,` Width Fieiahe F..r m ( Room Lensihl 'Lv' W~h ~ • Fieitht fj'
ndo.+s and Doers-Cnckage iind Area Windows and Doors--Cnekage and Area
•.iaie x.iget r.._•t u...I a •r.. Wldls n•trb~ x•.et u~..l n. w... .
•f e..• •f ~~w• 11!hl• •lvui r~. ft , Ne. N pan• e( N66 Ilffsb •f . e4 •Q. !6 7'O~' ~•t•~ ICI 'C 1C
L~
i~~ •1L) .
I i~ l~~ ~~~~J~ I ~L~ •
C«f. &o Cocf. Btu
0 Infiltration ~ y V Ill'Ag
U`~a 5U Uest ~ 0 SO
a2g Exp. wall
iv. wall 0 Net up. wall
'll " Int. wall
'
3 ~ Floor .
w C•]. 1 •
B'u• o Totel Qm. 4
red sq. !t. E.D.R. or sq. ins. W.A. I.eader erea jtcQuircd iq. fL ED.R. or tq, ins. W.A. Ltader arca "
_LulN•4 Room Leneth l')'I~.,' Width~ ~'(n" Height 8'0"' I ~.1 MA~.a~~,~oemll.~n~h g' Wideh ,'G" Hei`ht 0'
ndown and Doers-~raekmge end Aree Window3 xnd Doorr-Craekage and Area
wuu a•irht e+...t i...Iu. w..a w~inen uetre~ t+w et ~.~~..i n. w... '
•f ~~w• •t f~n~ II~M~ •f v~ek arI. fL Na. ef eeu n[ O~M 11[et• ef e4 q. t~.
3 ~ ~
f
Coel. Btu Cocf. ta
,~ioo ~'j ~tO Inhluatian ~
~(1 SO 1 0 11 Gleos '
Fxp. wall
p. WaU Il.+l Net ezp. well •
~II Int. wall 1 .41
Floor
Zr1 s i t oc3 ceii. "1 4 2Z8 ~
jtn. l Total Btu. 2-7 -v
rd sa. f6 ED.R, er t. ins. WA. Luder aren
~ Required sq. ft. ED.R. or sq. ins. W.A. Leader aree
pii,)% r.% Reem I Length 16 6' Width 1 p'o' HeEght 'O" I F7.1 pt T n-~ it Room I Length '1' U' Width 5'(~' Heisht 'D ,
dern and Deers-Cnekase and Atea Windowo and Doom-Craekage and Ana
wlJU Hattht *.O! Lln.4l fl Arw WWth 11t Na ef Une.l ft. Aru . a
~f pw. •f p.q tlf*b Of ["fh M. !f. H0. ef DRn• OI•D~n~ Ilf~l• Of lr~a4 ~0. fl. . iy.
:l
Caef. Btu Coef. Ba 1
ioe 'L ~~n V Infil(ration •s
1 O Cj Gla~e t
ill • I Ecp. wall
. MaU ' S Nct ezp. wall 4
1 Int,wall
• Floor
IOfe Z Cdl: 1 A
U. ro?at stu. +
d m. (l. E.D.R. ot sq. int. WA l.eadet arr.a Reqeirccl sq, ft. E.D.R.,or sq. int. WA.1.adet
~3-ru1~+ -A
.
Ve:~~r~~->~e Canrtrnction No. tniwa io
Cuide Now Appfitd
.+e + D004 Relcrenu Out. Wall Int. W¦N Ceilina RooE Floor Kind '
fdo I ie 11 19_ • '
I Ac~ I Rnem Leasth~le' " Width ll't~' Fkight 0'O" Fl.1 ~ Room L.enE~+ ° Width 1Q`Tj Fk+th~ '
'indevn aed Deen--Craclute aed Arca Windows and Deor?-Craekase aod A+ea
•u11L wru ' .
MNIf Ntbt N9. ,t U~M fL An• IAU . f~It~t
~ Na o( •f
H H~• M~~ 71r*U d v~[Y q. (L Ne. ^•f Ou• O! P~w ~It\li tt~et q: fl.
L` 0 , w
L'o' y'O" •
Coef. &n CO`f. Etta 4
ntien 20 Wiltrstien . ~ yF
~ 1 'SO GI.u S~
wali FcP. wall
np. Mal1 Net r.xp. w.ll l ~
w.ll - Int. well
' Fleer . • .•-w
1 Gl.
l Btu. Totel Btu. '
iired sq. (t. ED.R or sq. ine. W:A. l.tader erea RequRed sq. !t. EM.R. or fq. ins. W.A. LeideT i*ea `
l1 AL~., Room Leneth Width 3'fe" Heiehl'8' " p5C eNT LL Reem I Leneth l1 ~ Width-cnb" Heitht '
riedo.n and Deen-Gackage aed Ares Windows and Deon-CnekaEe and Area
WNU hqhl 0. H Llo~l ll. Ar~• NIA/h )IU[Ot Na ~t Lln~d fp Are•
•f lae• •f Bf~b •t n~ek ~1. f6 Ne. af p~•~ nf o~M I~tll~ et enet ~v. ft. .
2 , .
1
COtE. BLU LI-L Lc:~ LA 0w ~
f~lb0 InI7It7a110t1
1 fi)aff
v+all Exp. wall '
:sp. wall Net ezp. wall Itv ~ b
vall ~ 6tt. wall Ex . NiU uL 3 15
r Floar
• W y y cea. '
I Btu. 7'otal Btu. Nr-L ti-Se,
t~
~;red sq. fL E.D.R er sq. ins. W.A. Leader area Required Bq. ft. E.D.R. or +q. ins. W.A. Leader arca
1 'i 2 go Reom I Lenqth I p'()' wiath 13 1-k:aht b'O" Fl.1 Room I LenEeh Width Neiiht -
indows iknd Doers-Craebd,e and Ares i Windowa end Door?-Craekege and Arca
NW~~ Nel~*t {,I
Mw f[ nl'l ft ArH WIJth Na1[h! Nw d Lfo. Ar.• ~ . '
•f same Hf~~• Ilfhl• •f natk p1. fl. . Na ef pan• ?t*b af nuk . ta. Il. ~ .
,0 ~ 4 b •''~1
~ l
IACI. Atu lACf. ~ ~
Atiee ZC~ y p Pjpp Infillralien
sp Gleu .
vnu ~ bP. wall -
:o. wall 1t) Net exp. well
rJl int. wall '
~ • Floar
7% b 4 cal '
Tolal Btu. '
ired s-1. ft. ED.R ot +q. in+. WA Luder ata Reqeired sq. ft. E.D.R..or sq. ins. W.A. I.eader area
:h
,
PERMIT
CITY OF EAGAN
„ 3830 Pilot Knob Road PERMIT TYPE:
Eagan,Minnesota55122-1897 PermitNumber: %3J695NG
(612) 681-4675 Date Issued: 10 / 0 2/ 9 7
SITE ADDRESS:
4707 WALDEN DR
LpT: 22 BLOCK: 3
WALpEN HEZGH7S
P.S.N.: 10-83300-220-03
DESCRIPTION:
(ROOFSNG)
Virildlt14u,Permit Type SF (MISC.)
jLf.fS{d3bg Type REPAZR
gtt#&{s 'C ci~& ;W 434 A'LT. RESIDENTIAL
c
a +
e : ;
a F ~s iY'
~ L ~A.m
n ~
`s v rxi3ie i~~t aa . .
'~i.~a i~ s~ ,
x~ r=. ~ "'eFbi~ ag ' .
REMARKS:
FEE SUMMARY:
VALUATION $4,000
Base Fee $87.25
Surcharge $2.00
Total Fee $89.25
~
CONTRACTOR: _ qpplicant - sT. LIC OWNER:
QUALSTY CRAFT CONST 18950414 2000635 ELLSNGSON PAUL
650 E 92ND 9T 5 4707 WALDEN DR
BLQOMINGTON MN 55420 EA6AN. MN 55122
(612) 895-0414 (612)452-6170
~ here#Y aoknaulst~ge xha~ Z` hau~,`w~~d~ tft.£~
t
L
S
h
EXlfj`~1~~'7'i?~
„Y[litlaNeE. V u[^w. k.uL.~'{'` *„5# .,al._.1Svsitv..a`n+e .n.2,~.L, rvmw ?a.. .~m~
61.,fR f 149
~
APPLICANT/PERMITEE SIGNATURE ISSUED 6: SICWATUREI
997 BUILDING PERMIT APPLICATION (RESIDENTIAL) ~'~Q•
CITY OF EAGAN
301ql ~
3830 PILOT KNOB RD - 55122
681 -4675
New Construction Reouirements RamodeVRenair Reouirements
? 3 registered site surveys ? 2 copies of plan
• T copies of plans (include beam 8 wintlow sizes; poured fid. deaign; etc.) ? 2 site surveys (exterior additlons & dedcs)
? 1 energy calculations ? 7 energy plculations for heated additions
• 3 wpies of tree presenation pWn 'rf lot platted aftar 7/1193
required: _ Yes No
DATE: 10I z1q 1 CONSTRUCTION COST: 329 5
DESCRIPTION OF WORK: 't2a-Y p~~ ana
STREETADDRESS: Lf 70 I W0.I d-e-n -byivtc
LOT ~ BLOCK ~ SUBD.IP.I.D.#:
PROPERTY Name: ?aW-~ -(5W?~SoY1 Phone#: _`FS 10"70
OWNER
Street Address: ~7 1j.1aljen 17r
Ciry: E~a an State: ~I'1 N Zip: SS ! Z Z
CONTRACTOR Company: C~jojt'!n4 CraP-Pnone#: g95-vL0 V
Street Address: 5 7 0 8 1'f3 ra ~ W License o20COfo352-
City:6pPle Va119u State: M?J Zip: 5512- Lf
ARCHITECT/ Company: Phone
ENGINEER
Name: Registration
Street Address:
City: State: Zip:
Sewer & water licer.-~ed plumber (new construction only): . Penalty applies when address change
and lot change are equested once permit is issued.
I hereby acknowledge that I have read this application and state that the infortnation is correct and agree to comply with all applicable
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Pian Received _ Yes _ No _ Not Required
I
Sy3Da RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EACAN
3830 PILOT KNOB RD, EACAN MN 55122
651-681-4675 -7 ~
New Construction ReouiremeMS RemodeVReoair Reauirements
• 3 registered site surveys showing sq. R. of lot, sq. ft. of tause; and all roafed areas • 2 coDies of plan
(20°b mauimum lol caverage allowed) • 1 set of Energy Calculallans for heated additians
• 2 wpies of plan showing heam 8 window sizes; poured found design, etc.) • 7 site survey for exterior additioix & decks
• 1 set of Energy Calculaliore • Indipte'rf home served by septic system for additbns
• 3 copies of Tree Preserva6on Plan if lot plaHed after 711193
• Rim Joist Detail Options seledion sheet (bldgs with 3 or less units)
DATE VALUATION
SITE ADDRESS 11 -70 2 -(Aj A('CX3v e2' MULTI-FAMILY BLDG _Y X N
TYPE OF WORK FIREPLACE(S) _ 0_ 1_ 2
APPLICANT ~~UYe-- 1~fI lti/7~1+A/f/f~ cA~-V i lO~S
STREET ADDRESS ~l SS~- IDv`V ~-A' 10,UEi CITY -aA/STATE{'N ZIP 54'
TELEPHONE #~~~753 M6'~CELL PHONE # FAX #
PROPERTYOWNER PAVL 4~5-LL1iC, <,r
j°J TELEPHONE#
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RUI.F.S 7670 CATEGORY 1 MINNF,SOTA RUI.ES 7672
(J submission lype) • Residential Ventllation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Emelope Calculations Submitted
Plumbing Contractor: _Phonc #
Plumbing systcm includes: _ Water Softcner _ Lawn Sprinkler Fce: $90.00
Watcr Hcater No. of R.I. Baths
No. of Balhs
Mechanlcal Contractor: Phone #
Mechanical system includes: Air Condifioning Fee: $70.00
Heat Rccovery Sys[em
Sewer/Water Contractor: Phone #
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Or inances.
~
Signafure of Applicant
-
OFFICE U5E ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
I
3o.st~
2006 RESIDENTIAL MECHANICAL PExMiT ArrLicnTioN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for single Camity dwellings & townhomes/condos when permits are required for each unit
Date Z'_ / / 0~0
Site Address Q ~ 0 ad XQiYA L~ Dnit #
PropertyOwner Telephone#4,S/) 0
~
Contractor STANDARD HEATING & AIR CONDITIONING
410 RE
Street Address MINNEAPOLIS, MN 55408 Cit
Y
State 'Lip Telephone # ( )
Bond Expires:
The Applicant is _ Owner ~ Contractor _ Other
Add-on or alteration to existing dwelling unit $ 30.00
~ fumace _Additional ;nReplacement _ New
air exchanger
J~ airconditioner
heat pump
other
State Surcharge $ .50
Total
I hereby apply for a Residential Mechanical 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 with the Mechanical C understand this is not a
permit but only an application for a permit, and work is not to start without r at the o wi I be in accordance with the
plan in the case of hich requires a review and approval of ns.
appftS4LC_1)_1
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Applicant's Printed Name Applicant's Si re
~----------------I
City of Eaaan I Permit U6' 7 6, / j
I
3830 Pilot Knob Road I Permit Fee: L ~
Eagan MN 55122 j Date Received:
Phone: (651) 675-5675 i stafl:
Fax: (651) 675-5694 I i
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: - (DB_ Site Address: l~0-1 ldU~lci e n D r.
Tenant: Suite
RESIDENTfOWNER Name: Sor) Phone:\OSI' 4S9Y (0I-1a
Address ! City / Zip: ~
Applicant is: _ Owner A-Contractor
TYPE OF WORK Description of work: i-C.
Construction Cost: Multi-Family Building: (Yes No
CONTRACTOR Name: j_ License k)I 1JWaAn
Address: t I
City: N Stap .N Zip:
Phone: {w-) '3' 5 A J-fl Aontact Person: Ykfl~l
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitled Submitted
(4 Subml33ion type) • Energy Envelope Calculations Su6mitled
In the last 12 months, has the City of Eagan issued a permit tor a similar plan based on a master plen?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
wo.:r_. . ~
. .i~x.. -~L. ' ,.e.. i. . _ . e
I hereby acknowledge ihat this information Is completa and accurate; that the work will ba in conformance with the ordinances and codes of ihe 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 pertnit; that ihe work will be in -
accordance with the approved plan in Ihe case of work which requires a raview and TA, I of plans.
X~ -I.~.r , Ire CX ~1 nd~
Ap piicanYs Pnn eW Name ApplicanYs Signature
Page 1 of 3
41101 City of Eaaau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
Permit #:
9,453
Permit Fee: -
Date Received: / 7
Staff:
2010 RESIDENTIAL PLUMBING BING PERMIT APPLICATION
Date: 2. )5,10 Site Address: 4-107 V U 1l d Dr. E,!_zj a
Tenant: Le rhvt In et(ti
Suite #:
1
RESIDENT / OWNER
Name: Lee At. V Et (ill S ()1,1 Phone: 740S 601 ,34-84
Address / City / Zip: X701 Vtd 7)r. a ti`s Nia.i M 55 1 22
CONTRACTOR
Name: D ra (in Pro P- l o (ti License* OCP Q (01 PM
1b. t
Address: a 01 209'b4 6, W• city: Let -1 v i I k
State: MO Zip: 5 50 44 Phone: C 5 Z- 4-6q 6 q (, c
Contact: i`eb a r r -1"-15L1 Email:
TYPE OF WORK
` New X Replacement Repair Rebuild Modify Space Work in R.O.W.
_ _ _ _
Description of work:
PERMIT TYPE
RESIDENTIAL
/(jWater Heater Water Softener
Lawn Irrigation Add Plumbing Fixtures
( RPZ / PVB) (_ Main Lower Level)
_
Septic System Water Turnaround
New
Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation
$50.50 Add Plumbing
*Water Turnaround
$100.50 Septic System
$90.50 Fire Repair (replace
(includes $.50 State Surcharge)
Fixtures, Septic System Abandonment Water Turnaround* (includes $.50 State Surcharge)
(add $166.00 if a 5/8" meter is required)
New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
TOTAL FEES $ 50, U
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.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 aproyal of plans.
x 3`eborak Lrzr3c
Applicants Printed Name
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA132182
Date Issued:07/29/2015
Permit Category:ePermit
Site Address: 4707 Walden Dr
Lot:022 Block: 003 Addition: Walden Heights
PID:10-83300-03-220
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 -
Jeremy Bergerson
4707 Walden Dr
Eagan MN 55122
(651) 368-6008
Window Store Home Improvements
2924 Anthony Lane #115
St Anthony MN 55418
(612) 353-5780
Applicant/Permitee: Signature Issued By: Signature
Y-,
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r For Office Use •
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iv
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W �� i.,, ,� Permit#:
, t, t i
V I..... , '�. ' , Permit Fee: iQ
Date Received:9 --1
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-56751 TDD: (651)454-8535 1 FAX: (651)675-5694 Staff:
buildinginspections(cr�,cityofeacian.com _.,
'
2019 RESIDENTIAL PLUMBING PERMIT APPLICATION
a
Date: ' $� V�/`� Site Address: � 7 � 4. (\....../ "Ir'%Al Fp) � p�,
' iar �
Tenant: a �� �.
Suite#:
' �, Name: w:/141: =I P ' L..:A i.:.) Phone:
Re":1del1,f,00r eth', ' '
:�:::;,v�:,s<<,;;r'�;: Address/City/Zip: �' .
`;',: Name: MILBERT COMPANY dba CULLIGAN WATER .... ...
'
License#: WC641376
' Address: 1801 50TH STREET EAST Cit INVER GROVE HEIGHTS
C:a tr:a'cto:r; Y
State: MN Zip: 55077 Phone: 651-451-2241
Contact: BILL MILBERT Email: gloria.abas@culligan4water.com
•
TyiR.e=;of=•..-• -- New �_Replacement Repair Rebuild Modify Space Work in ROAN.
Description of work:
Water Heater . . .. . ... : . .
Lawn Irrigation.( RPZ/ PVB): .
• . x Water Softener
DeSCrlptl'q,11 Add Plumbing Fixtures (____Main/_Lower Level),
Septic System
Description:-
New
•
_ •
Abandonment
Connection to City Water from Well
RESIDENTIALFEES.._._ .... _..�............_.. �_.... ..._...�_. .._.._ �.. _....._._...___..__._..-....._.._._. .._..._...._.__......_.._.._.._ _......-._._.._.._..-_...
$60.00 Water Heater,Water Softener, or Water Heater and Softener(includes State Surcharge)
$60.00 Lawn Irrigation (includes State Surcharge)
$60.00 New fixtures, adding or removing piping (includes State Surcharge)
$60.00 Septic System Abandonment
$100.00 New Residential (fee collected with Building Permit)
$115.00 New Septic System (includes County fee and State Surcharge)
$60.G0 Connecting to City Water from Well" + $290 for Meter and $190 for Radio Read = $540
• *Sewer&Water Permit also required for connection charges
1 _ . - TOTAL FEES $ 60'0
.6At_L-BEFORE-YOUrDIG. Call Gopher State Ono Call at 651 454-0002 _- -..—_...._gain.... ..nde g.rou �~
( ) for protection against underground utility damage, Call 48 hours before-;;Z---
. intend to dig to receive locates of underground utilities. www.gopherstaleonecall.ory
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
•
wobsito at www.cityofoagan.comisubscribo.
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
Fagan; 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
accor nce '111.11.'approved plan in a ca 2 f work whit requires a.review and approval of 1 ans.
i x 1 7611(\ t
x (....
Applicant's Printed Name
App Icant's Signature
Page 1 of_2
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