4722 Walden Dr
CITY OF EAGAN Q'Z~'~
' 9795 Pilot Knob Raed Eogon, MN 55122
• 4
• PHONE: 454-8100
)
BUILDING PERMIT Receipt
SI' DG7r3/qI_?; 7 ? 0" L71',N.t7A?Y 10
Te be wed fer Est. Value Date 19
Site Addre ss 72 S^711I.,DL.'.1 7R Erect ~ L~,. - Occuponcy
Lot Blotk Set/Sub. Alter ? Zoning
Parcel 3 Repoir p Fire Zone
Eniarye 0 Type of Const.
oc Nome Move 0 # Stories
z ~
Address 1471 1E Demolish ? Length C~ L;r.c Aa ~ 4 5 4- 7~'. c 5 Grode ? Depth Sq. Ft.
. 5 L Approvab Fees
p Nome , , i
Address Assessment Permit E. a
Woter 8 Sew, Surchorqe _
Cit i'" Phone VJ. Police Plon check176 C ~
u W~ ~ W Ncme ` Flre SAC
2 ;!U't;~OLD"i '1~7~ . ''r; ^
0 0
~Z Address A r Eny. Water Conn. 5 .o 0
iW Ci LCO, iIi; ."'O:I Phone 3 3 - :j Plonner Water Meter r0Q 0
Council Road Unit
1 hereby ocknowlydge that I heve read this opplication and state that gldp. Off. 1~3 n~
the inlormotion is correcr and ogree to comply with oll applicable APC Totol
Stote of Minnesota Sratutes and City of Eogan Ordinances.
Siflnoturc of Permittee
A Building Permit Is issued to: onths express condition thce+
all work shall be done in actqRdance with all applicabla Stote of Minnesofc Statutes and City of Eagan Ordinnnces.
Buildinq pfficinl
Permit No. Permit Hoider Mise. Permit No. Holder
Plumbin9 s" L/
H.V.A.C. ~ .1 "J 7t
We11
Water
Disp.
Sewer
el.ctric 2 b9 3 f G-L~ 13
Inspection Date Insp. Other
Footings
Foundation
Framing Rough Plbg. [El
Rough HVAC Insulation Z-a
Final Plbg. ; 4//3
Final HVAC ~
Final
Water Deseri6e Loeation:
VYall '
5ewer , Pr. Disp. '
Receipt MECHANICAL PERMIT Psrmit No. '
CITY OF EAGAN
Fae
Frll in numbered spaces ' S/C
Type or Piint /egib/y
Tot.
1. Date 2. Installation Cost
3. Job Address Lot ~1 Blk. Tract
4. Owner
5. Contractor C: , Phone
6. Address
7. City . State J Zip ,
8. Building Type: Residential ~ Commercial ? Institutional O
9. Work Description: New 0 Add O Alter ? Repair ?
10. Describe FuelType'
11. No, Eauipment STU - M. Ea. No. Equipment CFM
v" Forced Air Air Handling:
Mfg,
Boilers
Mfg Mech. Exhaust
.
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. Dete Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
Receipt' PLUMBINGPERMIT PermitNo. f• '
CITY OF EAGAN ,
, pee
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 ,r. Zip ,
8. Building Type: Residenti8l ~ Commercial ? Institutional ?
i
9. Work Description: New.-[3'-- Add O Alter ? Repair ?
10. Describe
11. No. Fixtures No. Fixtures
i ' Water Closet Cesspool/Drainfield
~ Bath tubs Septic Tank
. Lavatory Softner
Shower Well
Kitchen Sink
Urinal/Bidet Other
` Laundry Tray
Floor Drains "
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 gaverning 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 !
~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ~55 .5~r
PH O N E: 454•8100 »
- BUILDiNG PERMIT Receipt #
To be used for tIRZpLACE Est. Value $1.000 Date gS-FIL 1 ,19$$
Site Address 4722 WALDEb DR OFFICE USE ONLY
Lot 14 81ock 3 Sec/Sub. WA1~~F" 11L;MITS OnSiteSewage OCCUpancy
MWCC System Zoning
Parcel No. On Site Well (Actual) Const
a Name LA NERE Ciry Wafer (Allowable)
z Address 4722 wALUk;~ DR PRV Required # ot stories
3 Booster Pump Length
C) City 1=~+` Phone
Depth
. o Name ZiiTLRTCIh. Pkl'ntjCIS S.F.Totai
~ i Address 4br25 LYNDALE AVF. h Footprint S.F.
City MPLS Phone 521-76" APPROVALS FEES
~ a Engr./Assess. Permit Z4' ~
y~ W Name . 50
~ W Planner Surcharge
_ ~ Address
a Z CitY Phone Council Plan Review
4w
Bldg. Off. SAC, City
1 hereby acknowledge that I have read this application and state that the Variance _ SAC, MWCC
information is correct and agree to cprtiply with all applicable State of Water Conn.
Minnesota Statutes and City of Eagan Ordinances.A_- j~
Water Meter
~ • Signature of Permittea.-__ _-_,_ri _ Road Unit
r'
~ A Building Permit is issued io_ :t Treatment P1
on the express condition that all work shall be done in accordance with all parks
applicable State of Minnesota Statutes and City of Eagan Ordinances. _TC. Iso-
BuildingOfficial TOTAL
~
Permit No. Permit Holder Dats Telaphone ~
Plumbing
H.V.AC.
Electric
Softener
Inapsction Date Insp. C4mments
Footings I
Footings II
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace 4411 CJiyr
Final Htg. _
Final Pibg.
81dg. Final
Cert. OCC.
Temp. LP
Deck Ftg.
DeCk Final
Well
Pr. Disp.
CITY OF EAGAN Remarks
Addition wAM04 HEIGHTS iST ADDN Lot 14 Blk 3 Parcel b 10-S&WO-140-03 '
owner streec 4722 WAI,DEN DRIVE scate EAGAN M[V 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOF.
GRADING
SAN SEW TRUNK 61.33 A013404 1-5-84
SEWER LATERAL
WATERMAIfV
WATER LATERAL
WATER AREA y'LZ 137.70 A 13404 1-5-84
STORM SEW TRK 1984 673.75 539.00 A013404 1-5-84
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
ROAD UNIT 250.00 40832 1-10-84
WATERCONN. 4SO.00 " "
BUILDING PER. 8767
SAC
5*1
PARK
CITY OF ; AGAN WATER SERVICE PERMIT
3830 Pilot Ynob Rosd Ji~:~
P. O. Box 2'F 199 PERMIT NO.:
Eagan, MN 55121 I`'` D/1TE: 1- - j`'
/Zo^i^fl: / No. of Unrrs: ~
Ownsr• ~.:n <<ll:'; Cat,st Addross:
S~ /uWreu: aJ~r. tS
umber.
r No.: 7 5' ~ Connectfan Charfle• -a 5~7 . t;
Sfze: /1o0ount Doposit: .
Recdsr No1; ~ A .54 92 VSPermit Fee:
1 prM M oe~ply rill! NN Clhr!o "S r, 'Su1Chorge:
Ordieesa~i: - ~ ~ ~Aiac. CFarpes: u'-) 0 0 12 d ;;let e r ~
. ' - ~ .a ~'otol: I
BY Dote Pa1d: !
Dote of Irnp. 3-~ - Insp.:
~ I
CITY OF EAGAN SWR SEMCE PEWR
3830 Pik'. Knob Road _
P. O. Sox 21199 PERMlT NO.:
Eagan, MN 55121 DATE: _
Zo^i^0: ' Na of Unlts:
Owrwr.
~ Address:
Site Address: I.1 ;
Plumber•
•
'I ~ l~fM ft Oph Wmb the C*y of Eo'O¦ (~.011I1eG'tipl 010fgl: J _ -7 . . .
OrdiMnoa. /lcooint Depow;
PeRnit Fm: '
~ Surdwrps:
BY Misc. Charpm
Date of Inap.: Totcl:
Insp•: DaN Pald:
This requast voiE
. 18 months from
,4 r k1fl LD € pJ NTS ADD. l V,3
Pr.nues~ Date ire No. Rough-in InsOeclion
Ne wretl7 ~Ready Now ~Will No[ify, Inspec-
Yes ?No Iur When Reatly
Licensed ElecVical ConVacmr 1 hereby request inspection of above
Owner elaclricel work installed ei:
Street Atldress, Boa or RoWe No. Ci~
' ~ V V ~QGQ~~
ecUOn o. ' Township ame or o. flanpe No. County
Or.c antIPRINTI • Phone No.
Po r Supulier Address
Elect~cal Contractor ICOmU Namel ContraGmr's I'~'nse NQ!
t~ l / a v ' nc . Jj
Mailing A ress IConhacmr ~ r Makinp InilatioN
%lJ r `
Au[horized Signa[ure acmr Owne king Installa[io ph. e Number ^
1(1awr~l
MINNESOTA STqTE 90AflD OF ElECTNIUTV Ti'iS INSPECTION flEQUEST WILL NOT
Grie9s•Midwey Bldg. - Noom N-191 8- ACCEPTED BY THE STATE BOARD
~,NLESS PROPEfl INSPECTION FEE IS
1821 UniversitY Ave., St. Peul, MN 55104 FYCIOSED.
Phona 1612) 297-2711
YY REQUEST FOR EIECTRICAL iNSPECTION EB-00007-04
N'
. , See insiruGions for comvleting this torm on back ot yellow copy.
y~
~ ` - . '"X'" Se/ow Work Covered by This Request
f,
Fonjoirtfi~dd Re0.Ty pe ot Building AoPliancee WireA Equipment Wiretl
,
Home y~ Range TernporDuplex Water Heater Liphtiny Fixtures
Apt. Building Dryer Electric Heatin
Commercial Bldg. Fumace Silo Unluader
Industrial Bldg. Air ondi[ioner Bulk Milk Tenk
Farm A~ ae(v tlier (SO~!dfy)
(V Othui
e e lnspection Fee 8elow # Fee ServiceEntrenceSiae p Fee Feedets/Suhfeatlers p Fee Circuits
,p(] 0 to 200 qm s 0 to 30 Am s SJ 0 tn 30 Am s
Above 200 Amps 31 to 100 Amps ^ tT ' 31 to 700 Amps
Swimming Pool Above 100_Amps Above 100_AmPs
TransiormerS irrigation Boorris -~V Partial; Other Fee
SignsSpecialinspection
Nemxrks . ~ ~ Tk7TAL F E ~
V V
flouBh-in O.te
, the Elechical
• r Inspector, heroby
cer]]] tfy thet tha above
I final ~ u~iy p~ection has been
GF
thb reQUest vaC 18 monthe Imm
~ . CITY OF EAGAN O ~i
,I
. 9795 Pilof Knob Rmd Eogan, MN 55122 N
•
PHOHE: 4548100
BUILDINC PERMIT keceipt #
To EO YbA }Or SF DWG/GAR Est. Value $73,000 DOLe JANUAR 10 ~y 84
Site Address 4722 WALDEN DRIVE ~ Erect ]p{ Occuponcy R3
Lot 14 BI«k 3 Sec/Sub.}WALDEN- HTS.' Alter ? Zoning Rl
Parcel # 10-83300-140-03 Repoir ? Fire Zone N/A
oc Name SUNSHINE CONSTRUCTION Mov~ 0 Type of Const. V
# Stories
z Addrcss 1471 THOMAS LANE Demolish ? Length62
Ci EAGAN phom 454-7485 Grade p Depth__4Z__Sq. Ft._
p Name SA~' ADprorals Faes
Addresz Assessment Perrr~ir 352.00
Ci i Phone Water 8 Sew. Surchorge 36 . 50
JAMES R. HILL. INC. Palice Plan check 176.00
ww Name Fire SAC 525.00
~z 8200 HUMBOLDT AVE. SO.
x~ Addreu Enp. Water Conn..4.5.Q..0
<W BLOOMINGTON pho~ 884-3029 Plonner WarerMeter 60.00
Council Rood Unit
1 hereby acknowledge thut I hove read this apDlicatian and stare thot gldg. Off. .1./9/R 4
fhe informotion Is correcf ond agree fo comply wifh all opplicoble $1,849.50
State of Minnew[a Statutes and City of Eagan Ordirances. APC Total
Sipnature of PertniMee
A Building Permit Is issued to: E on the express wnditlon thnf
oll work shall be done in acc once wi~ II li o I Stafe of inn Sfatufes ond City of Eogon Ordinances.
Buildinp Official ~
..S
cITY OF EAGAN Incltxle 2 sets of AiS,'
1 site plan w/elevations &
BII77,DING PERMIT APPLICATION 1 set of energy calculations.
4b Be Used For /V(,' t,J Valuation ~z Date . a n .5-(9
Site Pddress '172-2 ~-~1aldeh D~' OFFICE USE ONLY
r,ot _L,~_ slocx 3 sec./s,ab. wa(.le.h I{~s Erect occupancy
Paroei f 0-$ 3 3 a ~Alt.er zoning
Repair Fire Zone
Owner: su klcl ihB Cr.-,x~-nCfilon EnlarJe _Type of Const.
Move # Stories
.'4ddress: NY L4",c-
Demolish Front ft.
City/Zip Code: A4AJ Grade Depth ft.
Phone `fS-L(
APPROVALS FEES
Contractor: Assessments Permit
Address: T9ater/Sewer Surcharge ~
61-z,- flJGr Police Plan Check~
City/Zip C'ode: Fire SAC ~s.2s
g~g. Water Conn.
Phone Planner Water Metex ~
Council Road Unit „t5 O°
Arch./IIig.: Bldg. Off.
AaaresS: 92-0 o/-~ so rd fiXucS,- APC
City/Zip Code:
~ y 9• 5' o
Phone =AL
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N? 15555
PHONE: 454-8100
BUILDINGPERMIT qeceipt# ~~'C'~
To be used for FIREPLACE Est. Value $1, 000 Date SEPT 1 ,1988
Site Address 4722 WALDEN DR OFFICE USE ONLY
Lot 14 Block 3 Sec/Sub. WALDEN HEIGHTS On Site Sewage _ Occupanq
MWCC System _ Zoning
Parcel No.
OnSiteWell _ (ACtual)Const
a Name LA MERE Ciry Water _ (Allowable)
W PRV Required - # of Stories
= Address 4722 WALDEN DR
° City EAGAN Phone Booster Pump _ Lengtn
Dapih
a Name VALLEY INTERIOR PRODUCTS S.F. rotal
oa Address 4626 LYNDAI,E AVE N FootprintS.F.
U~ City MPLS Phone_5 2-1-7663 qppROVALS FEES
Ww Name Engr./Assess.__ Permit 24.00
1- Z Planner Sumharge .50
x- Address
a W Clty PhOne Council _ Plan Feview _
Bldg. Oft. SAG Ciry
I hereby acknowledge that I have reatl this application and state that the Variance SAC, M WCC
information is correcl and agree lo c ly with all applic I S[ate oi Water Conn.
Minnesota Statutes and City of Ortlinar~p
Signatura of Permitte Water Meter
Road Unit
A Builtling Permil is issue o:-VAZ.LE- Treatment P1
on the express condition atallworkshal be done in accordance with all
aoPlicable Stafe oi Min esota StaWtes antl City of Eagan Ordinances. Parks
BuildingOfficial_ TOTAL _24.50
,~,~q-4~
CertiFicate for: ,
''Sunshine Construction
~ ~
,
DELMAR H. SCHWANZ
LANOSURVEVOR Si IUC.
RpirtrW UnMr 1-6w11ot TFO9ta10 of Minnesota ~
• 2978 - 146TM STREET W. - 807C M ROSlMOUNT, MINNESOTA 66088 PHONE 872 423•1769 I,I
I.
EUNV€YON'S CERTIFICATE ~
96-7• s? >oPNN(3 ~
30 ~,y v
9E73 Drainage &
, o N' ~ utility
lp "N N~ easement
N,
N, p - ,
N
' ~ ~ ~ ~ ~Q~ ,.A q~•° Q
40
a:
/sB.37
3CALE: 1 inch a 30 feet
Proposed garage floor 979•b Denotes exiating elev.
elgY. O Denotes set wood riub
Denotes proposed drainage
I hereby certify that this is a true and correct representation of
Zot 14, Block 3, WALDAN HIffi3HT3 FIRST ADDITION, according to the
recorded plat thereoP, Dakota Ceunty, Minnesota.
Also ahowing the location of a proPosed house as staked thereon.
Dated: January 4, 1989
MINNESOTA EGISTRA ON N0.8625
( ,2
Wsathrr~triq IIARclcree, Conshuctioo No. lnsalation
Gui Kind
JVitti~orM: 1• Doon Out. Wall Int.Q/aH Ctiling Roof Floor How Applied
~o ~ es-;vo 19_
i`..: Room Length, '''Width 5b"Fkight 1'~ Fl.) ~ Room Length) 'Fki~ht r
~ Win ws snd Doors-Craclcage end Ana Windowa an Doon--Cnckage snd Area
.1tea ao. ot Lowl tL . An•
wieen N., o LInYI It Arv& W10[E 34
Na etD~~e e[pae~ li!h[. o[eract W.f4 No. o[p.o. elp~M Ilfsu ofsr~eY ~a.«~11 I 11 1 11 i U
) i !f 1 /1
_L-
Coef. &a coef• BtU
In6ltr~lioc Infiltratioo 37
Glau
Eip, wall Exp. wall
NN exp. wall hlet exp. wdl
Int. wall o titew lnt. wall
Floot Floor Ceil. C.I. , Tota! Btu. Tant Btu. ~
ReWited sq. ft. E.D.R. or sq. ine. W.A. Le er
ad ares Requirrd sq. h. ED•R. or sq. int. W.A. Leader area
Fl.1 EQ~e Room l Lenqth ioil wiath 7, e1 Height ''Fl.I LIY Room l~ns~h "NP W~th ' Height ~
Winda and Doors-Crackage and Aree Windows a Daon-Crackage aed Aree
WIAM Melfnt Ne.at Lln.11 lt. wrn WIUts Na1f0Y No.ot LlnulfL An~
390. Of p\n1 Of P.n1 11(TU o[ Cr\GI[ q. fl NO. of Dhe0 nf C~M IliO{~ O[l~~CY W. It.
~ l q q u
~ ~ j~
fku
Coef. Btu Coef.
Infiltratioe In6luatwn
-kao
Gltts Glass 0 moa
' Ettp. wall EtP. wall
NN exp. wall Nct exp. well leke 7
Int wall Int. wal!
~ F7oer Floor
Ceil. Ceil.
TMaI Btu. Totat Btu. 121 ~ Required sq. ft. E.D.R. or aq. ina. WA. Leader area Required eq. ft. F.D.R. or aq. ins. WA. ader area
° Fl. ` Room I Lengeh Width 061' Heigh~ 'O" Fl.1 # Room I Length ' q Vlideh He~ghe
- Windows and Doora-Crackage and Area Windows en Daora-Crackage and Ana
" WI•llh Neltht Ne. oi LInea11L •r. WIJIh ' Hdi t Na ot Ltnnl IL Afu .
' 1I6 etp~n• ef 9an. Ilghb ef eraek K. ft. Na of psn• Ilght, ef e.. cY sG• fA
o„ , " ~
Coef, gku C«f. Bm
~U~poa Infiltration ffw
CJaq Glass
Eip. wall FsP. wali
Net exp. waU Net exp. wall
Int. wdl Int. wall
Flow ! Floor
ced,
• Totsl B.u. Total Btu.
; Required s;. ft. E.D.R or sq. ina. WA I.eader area Req,:ired sq. ft. E.D.R.,or sq, int. W.A. Leader area
~'~k - - -
Weithrrnriq A Coestrnction No. ^ In+alstion
Guide
' Windows I Doo~_ II Reference Out. Wall Int. VlaN Ceilin Roof Floor Kind How A lied
es- o Yes-, 0 19_ g _1- ~
jbJ2 Room Length Widch 'd Heigh ~
Fl.( oom Length ltill Width 'Fkight i b e;'=
Windows end Doon-Crackege end Arca Windows and Doora--Crackege and Area
wmtn HeIght r+.. oc uM..i tL RHa WIEtp HNti?t ao. eC uo..l n. wre.
M~0. Ol9aea ot P.O. IlrM• of eratk q. [l Ne, of D.o. ot pe,ee II(LY ef eraek .C. ft.
Coef. &a CoeE. &u
1oh14ation 1n61tratioe
CJafs Cilau
Fip. wsll Ezp. nall
: Net e:p. wall Net exp. wsll
IaL wall Int. wall
' Fleer Floor
Ceil.
Total Bm. I Totel Btu.
, Required sq. (t. E.D.R. or sq. ina. W.A. L.tader ares Required sq, ft E.D.R. or aq. ina. W.A. Leader area
Fl.~ Room~Length 'Width Height ~,1 Rooml~ngth Width Height
Windows and Doors--Gockage nnd Arcs Windows end Doors-Cmekage aed Area
K'btn He1tht Ho. o[ Lln.al [0. Arva WIAth flUtbt Na ot Llnul fL Anl
1iO. of O.,e ot oane 11[hL of cr~ck M. fl
NO. Of DaO! OI WM II(pl, O~ L~~GM ~V«'
. Coef. Btu Coef. m
1a61tration [n6leration
~ • Gluu
6ZF Cilass
r". Fsp. wall F.xp. waA
Net acp. wall IVet e:p. well
!et wall Int. wall
Flaor
Ceil. Ceil.
TotalBtn. Tota1 Bm.
Required sq, ft. E.D.R. or aq. ine. WA. I.eader arcn Required eq. ft. E.D.R. or sq. ina. W.A. Leader aree
Fl. Room ~ Length j' " Width ~QHeight Q'~ E7.1 Room I Length Width Heighr
Windows end Doon-Gackage and A. Windows and Doors-Crackage and Aroa
A'IJIh Hel[ht Yo. ot Nneat tL Ar. W IJIh Ntl[ht Na of LIMl1 fL Ara
N0. ef Dan* ef Dan, II.rU of ermek ~0. ft. N. of oane afAan. 11[hb of evck N. t!.
Coef. &u Coef. Bm
' (nfilUatioa Infiltration
Clan Gla:a
Fsp. wall Exp. vral:
Net up. wal! I Net exp. wall
Int. wdl Int. wall
~Floot Floer Ced. (:eil.
Teeal B:u. Total Btu.
Requirrd s.-,. ft. E.D.R er eq. ins, WA. I,ader aeea Req;:ired aq. ft. E.D.R.,or aq. ins. W.A. Leader erea
.
~ ' .
1988 HUILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS I ~ 5 5 5
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULdTIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTR6CTOR/HOMEOWNER M[7ST DESIGNATE WI3ICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE HUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL ONITS FOR SALE UNITS # OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COhIIMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
7 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
~i
To Be Used For: Valuation: ) ooL)' Date:
Site Address 4/i G~Apm/ W OFFICE USE ONLY
Lot 1a Block ~a Qn site sewage_ Occupancy
MWCC system _ Zoning
Parcel/Sub On site well _ Actual Const
City water A1lowable
Owner PAV required _ # of stories
Booster Pump _ Length
Address Depth
S.F. Total
City/Zip Code Footprint S.F.
Phone APPROVALS FEES
Contractor J dngr/Assess Permit 2 y, o~
Planner Surcharge .5°
Address cf/~?~ o~,•,,id/~'-/ .Fll~C"/(A Council Plan Review
Bldg. Off. SAC, City
City/Zip Code Variance SAC, MWCC
k'ater Conn
Phone ~o~f 7l ~,3 Water Meter
Road Unit
Arch./Engr. Treatment P1
Parks
Address Copies
I TOTAL a ~l, Sb
City/Zip Code f
Phone II
I
L IW BL CITY USE ONLY
RECEIPT
SUBD. 6()J-0~ zLW!S2'- DATE: O7
1995 PLUMBING PERMIT (RESIDENTIAL) )13L
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES EACH NO. TQTAl.
Shower 3.00 x =
Water Closet 3.00 x =
Bath Tub 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x =
Hot Tub/Spa 3.00 x =
?INater Heater 3.00 x =
Floor Drain 3.00 x =
Gas Piping Outlet * minimum -1 3.00 x =
Rough Openings 1.50 x =
Water Softener 5.00 x =
Private Disposal * Dakota Cty. license 20.40 =
U.G. Sprinkler home under const. 3.00 =
Alterations ` to existing 20.00 = ~
Water Turn Around 20.00
STATE SURCHARGE .50
TozsL 7 0 • 50
SITE ADDRESS: LAMERE THOMRS
4722 WRLOEN ORIVE
[AURti 1 5 5 122
OWNER NAME: l Hasa-otaz w ~
INSTALLER NAME: OO•
~iVASAAJW
STREET ADDRESS: ~ ~ AVIL SOUTH
CITY: STATE: ZIP:
PHONE ( ) V-M A
~
CT' USE ONLY
L BL ~ RECEIPT S5 LL$L
SUBD._.. DATE:-~LLA1e-
1996 PLUMBING PERMIT (RESIDENTIAL) I~3 Z
CITY OF EAGAN
3830 PILOT KNOB RD '
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES EACH t1Q I42AL
Shower : 3.00 x
Water Closet 3.00 x
Bath Tub' 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x
Floor Drain 3.00 x = - ' ~ •
Gas Piping Outlet * minimum - 1 3.00 x
Rough Openings. 1.50 x =
Water Softener 5.00 x =
Private Disposal' Dakota Cty. license 50.00 ' _ '
(new and refurbished systems)
U.G: Sprinkler * home under const. 3.00 = -
Alterations • to existing 20.00 =
Water Turn Around 20.00 ,
~'3300~lelG- 01 STATESURCHARGE .50 _
TOTAL
, . .
SITE ADDRESS:_ LAMERE rNOaws '
4722 IYALDEN ORIVE
: •
_ EAGAN , FW 55122 _
OWNER NAME:_ H 454-013z w
_ _ . . . ;
INSTALLER NAME:
e~oM PLUMeiNa Co. } i
STREET ADDRESS: NOR LERe
-~y~~}'CpfAPpNAINBE Ih8T11L
(812 827-4035
C'TM: AVE. SOUTH
2906 N ; MN 5540e ZIP: m;N PHONE ( ) A6
1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL)
CITY OF EACAN
3830 PILOT KNOB RD - 55122 651-681•4675 _ p
New Conshucflon Reouiremerrts 4 4 4~6 Remodel/Reoair Reautremedfs 10 9
D 3 registered site surveys showing sq. H. of lof, sq. fl. of house 2 coplez of plan
and gQ roofed areas (20% maximum lof eoveraae allowed] 7 set of energy calculallons for heofed addHions
D 2 copies oF plans (show beam R window ahes; poured tnd. design; efc.) 7 aHe survey for exterior addMlons A. decW
? 1 sM of energy calculatlons
? 3 coples ot free preservaflon plan H lof platted_ aFler 7/1 /93 DATE: - ' G CONSTRUCTION COST: l r JDD
DESCRIPTION Of WORK:
STREET ADDRESS: ~2 nl
LoT: ~ N BLOCK: ~ SUBD./P.I.D. ' W a~ ~1 tti c~
Name:~S T121T-&5 Phone#: 1/06- 9~~a
PROPERTY lcst First
OWNER
Street Address: q] + 2 ~"Q ~fl Jev Q
City 4L44"I State: ~ IJ Zip:
Company: ~M4Kic6d vi A.. ZiIrl Phone ~ 707
(area code)
CONTRACTOR ~1
StreetAddress: 7 Y~ctol o4" ?E S License# 01693X3 exp. a'~,~'a
City Rlv~sv'A State: 111,V zip: 5533 7
ARCHITECT/ ENGINEER Company: Name:
Telephone area code ( )
Stree't Address: Registration
City Stafe: Zip:
Sewer & water Ilcensed plumber (reaulred fu new conshuction onlvl:
Per.alty applies when oddress change and lot change Is requesfed once permN Is I ed.
I hereby acknowledge that I have read fhis appltcaHon, state that Ihe inFormaNon onecf, d agree to comply wRh all applicabl
St81e of Minnesota Statutes and CHy of Eagan Ordinances.
Slgnature ot Applicant:
OFPICE USE ONLY
Certificates of Survey Received _ Yes _ No ~
Tree Preservation Plan Received _ Yes _ No _ Not Required
I
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? OS 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bidg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bidg.` ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
* Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. Census Code
(Allowable) Main level sq. ft. SAC Code
UBC Occupancy sq. ft. No. of Units
Zoning sq. ft. No. of Bldgs
# of Stories sq. ft. ~ MC/ES System
Length Sq, ft- _
Width Footprint sq: ft ~
i
I
APPROVALS
r,~;..:' :%,:;X:~n•.bi;S.,:~::k,.
Pianning Buildin9 0~_ ~ ,)C;,:,x,, F-
PermitFee Va P=,r[_„ t~5).ir:,c~:;t' ~
Surcharge d - ,
Plan Review
License
MGES SAC • ~
CitySAC :;P.:LC? i:aao:t :39=52 Nf:`3Iri{.!K;Y bi
'c'9.'S:, 3'7.`_ E4IEHTS''..U(t"t' iA': :i3.iJ0
Water Conn. I
I 3E,?i.f.j c)f)(7i. ,5.7~L?;:.r i,.~n~...rn:~:~~~? Ai!~i 1.1.::...2.`~
WaterMeter J. 5 r, QO;;1. 4 N',
~°i:s,:- tr,...:i,.r-_~~ Acct. Deposit
SNV Permit
S/W Surcharge
, I
Treatment PI.
Park Ded. ;
Trails Ded.
Other ii7.e:;r2„C)0
I
Copies
USIE7:? iic ;i('d:! I
TOtal: --15 ~
SAC Units
% SAC
\
2006 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construciion ReauiremenLs RemodeVReoair Reaui2ments Otfice Use'4nl'v
3 registe2d sile surveys showirig sq. R. of lot sq, ft of house; and all roofed areas 2 copies of plan showing footirgs, beams, joisfs Ceit of Survey ReW Y_~N
(20°,G mazimum lotcoverage allowed) 1 set of Energy Calculations far heated additions Soils RepoR4 ,•_,,,Y _ IJ
i Soils Repod if proposed building is to be placed on disturbed soil 1 site survey for additlons & decks Tree Pres Plan Recd _ YN
fl~
2 copies of plan showirg 6eam 8 window sizes; pomed found desgn, etc. Addi6on - indicate ff on-sile sepNc syslem Tree Pres Reqiiired
i set of Energy Calculations On site S'~eptic System "=Y = N
3 copies of Tree P2servation Plan if lot platted after 71153
Rim Joist Defail Options selection sheet (buildirngs wAh 3 or less units) Minnegasco mechanical ventiWtion fortn
Date ~i l~ Construction Cost
Site Address 7-72 Z 2///~Gs Pr UniUSte #
r`2 ,P1A) SS/ZL
Description of Work S/VeV' /D/N %01374/i_14 96P~ Zk~D ~X /Sf l
Multi-Family Bldg _ Y(~_-N Fireplace(s) _ 0 _ 1 _ 2
Property Owner f!(O7/Y~~~1e ~~947 "~yr Telephone # (GeS~ ) Cld 6 ^ /~'YlZ
Contractor ~$el~y D ~ ~
Address S4ZA}'10 01 City
State Zip Telephone # ( ) OQ6
1!5V
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Woiicsheet • New Energy Code Worksheet .
(Jsubmissiontype) Submitted Submitted
• Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber Telephone )
Mechanical Contractor Telephone # ( ~
Sewer/Wqter Contractor 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
% work is not to start without a
Statutes; I understand this is not a permit, but only an application for a permit, m
permit; that the work will be in accordance with the ap p an-~trtka se ork which requires a review and
appro 1 of lans.
~ f ~
- Applkant's Printed Name licant's Signature .
, DO NOT WRITE BELOW THIS LINE
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3sea.) ? 31 Eut. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo/perola) )b;~ 36 Multi Misc.
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
WorkTVpes ~
? 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
,B~ 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout ta applicant
~ ~
DESCfiptlOn: WaterDamage_Yes
Valuation Occupancy MCES System
Plan Review 100% or 25%
Census Code ~ Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const k/6 Width
REQUIREDINSPECTIONS
' _ Footings(new bldg) _ Sheetrock
_ Footings (deck) _ FinaUC.O.
_ Footings (addition) _ FinallNo C.O.
Foundation HVAC
Drain Tile Other
Roof Ice & Water Final Pool Ftgs AirlGas Tasts Final
~ Framing _ Siding _ Stucco Lath _ Stone Lath _Brick
_ F'ueplace _ R.I. _ Air Test _ Final _ Windows
Insulation _ Retaining Wall
Approved By: Building Inspector
~
Base Fee
Surcharge
J
Plan Review ~
MGES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total - '
-
~
Cit of EaEaIl I Permit# z~ ;
~ ~ PermitFee:
3830 Pilot Knob Road
Eagan MN 55122 j Date Received: j
Phone: (651) 675-5675 Fax: (651) 675-5694 ~ Staff: i
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address:
Tenant: Suite
RESIDENT / OWNER Name: A, ~ C•~~ s Phone:
Address / Ciry / Zip: 4 7~ W Q I e^ Or
Applicantis: _Owner Xcontractor
TYPE OF WORK Description of work: 1~~ r 4 C~- C .S - S r q -S ~
Construction Cost: Multi-Family 8uiiding: (Yes No ~
CONTRACTOR Name: A c- A ~ ~ ~J nS f ~ L'F ~'olbcense C) 3 d
Address: /
f G J I
City: Lr(~"~ -,f I ( ~ State:7 Zip: ~ Toq l,/
~I
Phone: ~ ~ v " Contact Person: O ('kc-~ V Cl << ~
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaory 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
(4 5ubmission type) • Energy Envelope Calculations Submitted .
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 masier plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
' MOTE: ~Plans and supporting4ocuments that you submitare coosidered to bepublic infbrmafion. 'Portions of?
the infqrmatron inay be classified as noo ptibiic if yo~u prdvide specific reasons thai rvoirld permit ihe City to;:,~ j,
concludethat:the are.tradeseorefs.
I hereby acknowledge that this information is complete and accurate; Ihat the work will be in confortnance with the ordinances nd co os 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 perm' , that t worc will be in
accordance with the approved plan in ihe case of work which requires a review and approval ot lans. ~
\
X ~U~UbZ x /
7r rinted Name A pplicanYs i n
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA129720
Date Issued:03/09/2015
Permit Category:ePermit
Site Address: 4722 Walden Dr
Lot:014 Block: 003 Addition: Walden Heights
PID:10-83300-03-140
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 -
Martha A Rollins
4722 Walden Dr
Eagan MN 55122
Elite Exteriors
1513 Southcross Drive West, Suite A
Burnsville MN 55306
(651) 688-7808
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA151549
Date Issued:08/30/2018
Permit Category:ePermit
Site Address: 4722 Walden Dr
Lot:014 Block: 003 Addition: Walden Heights
PID:10-83300-03-140
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Includes Skylight
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Martha A Rollins
4722 Walden Dr
Eagan MN 55122
Elite Exteriors
1513 Southcross Drive West, Suite A
Burnsville MN 55306
(651) 688-7808
Applicant/Permitee: Signature Issued By: Signature