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1763 Walnut LaneCity of Eaaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 MAY 2 4 2011 a` cep;-es r Use BLUE or BLACK Ink Permit #: q 9 0 -76.71 Permit Fee: Date Received: Staff: 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Crit Date: VA ay Li Site Address: 11 (03 to•J e n ' Law— Unit #: RESIDENT I OWNER Name: C..p7.1 ATCI'r . Phone: ti251 -a..53 -8 3% 4 q Address / City / Zip: 116 W Eztn Qin mA) 551 6 S ein ik 1..0..Y... Applicant is: t/ Owner Contractor TYPE OF WORK Description of work: 1�e.telace.. PVs )'I2q1s eg,n &e.V--- Construction Cost: Q ? k to OD Multi -Family Building: (Yes / No /) CONTRACTOR Company: Contact: Address: City: State: Zip: Phone: License #: Lead Certificate #: If the project is exempt 4tC-kt', ab( from lead certification, please explain why: (see Page 3 for additional information) -0Q-c1/•,-. In the last 12 months, No If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? yes, date and address of master plan: _Yes Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE: 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 permit the City to conclude that they are trade secrets. 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.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name x Applicant's 't ature Page 1 of 3 SUB TYPES Foundation Single Family Multi 01 of _ Plex Accessory Building WORK TYPES New Addition Alteration /Replace Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100% ✓) Census Code # of Units # of Buildings Type of Construction A-11A6c inn t DO NOT WRITE BELOW THIS LINE Fireplace Garage Porch (3 -Season) Porch (4 -Season) Deck XIV, Porch (Screen/Gazebo/Pergola) Lower L I'i Pool Interior Improvement Move Building Fire Repair Repair st 341 Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: Ice & Water Final Framing Fireplace: _Rough In _Air Test _Final Insulation Sheathing Sheetrock Reviewed By: Siding Reroof Windows Egress Window Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building - give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required Final / No C.O. Required HVAC Gas Service Test Gas Line Air Test Other: Pool: Footings Air/Gas Tests Final Siding: _Stucco Lath _Stone Lath _Brick Windows Retaining Wall: _ Footings _ Backfill _ Final Radon Control Erosion Control Building Inspector RESIDENTIAL FEES V Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 City of Eaaan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Date: r Use BLUE or BLACK Ink Permit #: q Permit Fee: 4,2e 3 V Date Received: Staff: 2010 RESIDENTIAL BUILDING PERMIT APPLICATION 17103 (kJ kx-14.7? Tenant: Site Address: Suite #: RESIDENT / OWNER Name: Phone: Address I City I Zip: /.73 °lc /tut Zia, 6 , Applicant is: Owner Contractor TYPE OF WORK Description of work: I'.t1/97-e- /2 L 4Y-0/4 C -4: - 4Construction Construction Cost: 600 Multi -Family Building: (Yes I No ) CONTRACTOR r , aG2G- Name: a / , o * ,r % �! License #: Address: P1t //!.''a P _ City: ,V1q/) /%/���(/ //'�� State: ell Zip: 55337 Phone: (!/fd" �p, `&i'U2/I�j Contact: Email: ,&a l g hd�J%UJI , 0/1'i COMPLETE In the last 12 months, has . If yes, THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING the City of Eagan issued a permit for a similar plan based on a master plan? date and address of master plan: _Yes _No Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: 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 permit the City to.: conclude thatthey are trade secrets. 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 approval of plans. x N\IO e SYvi I� ct Applicant's Printed Name pplicant s Si ature Page 1 of 2 DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Single Family Multi 01 of _ Plex Accessory Building Fireplace Garage Deck Lower Level Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool WORK TYPES New Interior Improvement Addition Move Building Alteration Fire Repair Replace Repair Retaining Wall DESCRIPTION Valuation Plan Review (25% 100%) Census Code # of Units # of Buildings Type of Construction REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Occupancy Code Edition Zoning Stories Square Feet Length Width Drain Tile Roof: Ice & Water Final //Framing Fireplace: Rough In Air Test Final l/fnsulation Meter Size: Reviewed By: / Y I L_ Siding Reroof Windows Egress Window Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building - give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Sheetrock Final / C.O. Required �inal / No C.O. Required HVAC Other: V(3cL - -- Pool: _Footings _Air/Gas Tests Siding: Stucco Lath Stone Lath _ Windows Retaining Wall: _ Footings _ Backfill Radon Control Erosion Control Building Inspector Final Brick Final RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 2 YILLAGE OF EAGAN WATER SERVICE PERMIT 379: Pilet Xwob Rood PERMIT NO.: 1711 Eagon,MN 55122 DATE: 4/9/75 Zoning: PUD No. of Units: Owner: New HOrizon Homes - Wood ate II naare88: 15"- -j- Site Address: 1763 Walnut I,ane Plumber: ThomPson Plumbing Co. ~iG[eter No.%-A!6~ /4 7_-7- Connection Charge140.00 pd Sizer,,~ Account Depoeit: Reader No.: A TGZ ~ Permit Fee: 10.00 ppdpd 1 eomolp witfi tM Villaye of Eogon Surcharge: '0~p p4a. Misc. Charges: 0' D ~f Total: gy 4~. - W~~---~ Date Paid: Date of lnsp,: lnsp.: wLuaE oF EAwN SEWER SERVICE PERMIT 3795 Ilbt Kwob Aeed PERMIT NO.: 2471 Eepan, MN 55122 DATE: 419/75 Zoning: x'LIl1 No. of Units: Owner: ~w Hc~ri~An Ho*~~ Ldoodgat II Addrese: Site Address: 1'161 ttalnilt t ane Plumber: Thomnson Plumhing r'o 425.00 pd I oqne M eernPir with tIN Yills,e of Ea4on Connection CharBe: prdinonqm Account Deposit: Permit Fee: 10. 00 ~ pd Surcharge: •50 od Pd By: Misc. Charges: Date of Insp.: Totv: lnsp.: Date Pdd: INSPECTION RECORD CITY OF EAGAN PERMITTYPE: 3830 Pilot Knob Road Permit Number: •~t Eagan, Minnesota 55123 Date issued: (612) 681-4675 SITE ADDRESS: APPLICANT: ~ . I li11 rdtl t i ANf {t{'k I tii ` PERMIT,SUBTYPE: TYPE OF WORK: ! INSPECTION . .A f f ?d ~1 { ~ f - ~ L.~ ~ 1 wm,n No. a.rmn Hoids. o.c. T.kpnon. r I srw I PLUMBING I I HVAC I ELECTRIC I I ELECTRIC I knpoctlon Daes Insp. Commenh I Footirgs I I I I I Foundation Freming i Roofinp //v/l s ~ R°uyh Plbg_ aAO'" ( Rou9h M9 Isul. Fireplece Fnel Hty. I Orsat Test Finel Plbg. Plbp. Inspector - Notily Plumber I ConBt. Meter I EnpclPlen I &dy. Flnal I I Dok FV I I DeCk Finel I I Weli I I ~ I Pr. Disp. il I ~ CITY OF EAGAN Remarks Addition w00 ate 21~ Lot alk 4 Parcel 1 150 04 Owner Street, 1763 Walxlut, Lai18 State EaganaMN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. , 33 12711 2 1 STREET RESTOR. ~5 s 1976 10Paid GRADING SAN SEW TRUNK aql 1974 11 2 1 p' • . 37.d. *SEWER LATERAL ~13 1976 8 1 1022.90 3 PiCI WATERMAIN -XLVATER LATERAL 4 ~ ~j ATER AREA ~STORM SEW TRK ~ b ,~STORM SEW LAT ~ CURB & GUTTER SIDEWALK STREET IIGHT I WATER CONN. 140,00 1 O L-2-75 BUILDING PER. 1 O s,ac 425.00 13094 -2-7 ~ PARK t/ CITY of EAGAN N~ 3537 BUILDING PERMIT ~ 3795 Pilo! Knob Road . (7r" . . . Own~e .~t:t/ . Eegan. Minaesole 55122 '~+'-~~1"~"J Addreu (Presen!) 454-8100 . Bulldee L/ 75~. Datt .......T...~ Addrou DESCRIPTION Blories To Ss Usod Fos Fron! Depth Heigh! Eef. Ca! P~rmt! F~a Romarks 83s ~ I s0' LOCATION Strsef, Aoad or ofher Description oi Loealion ~-Lo! Block Add!llon or Tred .37'-- /Y-I~- ii^f ~ Thia psrmii doea eot auShorize the vea oi ctraele, rosde, elleya or etdewellcs nor does it gi?e the ownor os hL apon! the righ! !o oreale enp situaiion which is a nuisenee or which presenis a heserd !o the hssllh, sstefp, oonveaienn aad gsneral welSare !o enyone in the community. THIS PERMIT MUST SE KEPT ON THE PAEMISE WHILE THE WORK I$ IN PROGAESS. This ie !o eertifp. 1hel....7.~! .r..:............... hae permiseton !o sraet e...L/............... _upon the above described premise subjee! !o the p ovisions of all applicable Ordinaneea for the Ciiy~egen. r ` ....lY w-f Per Mayor ~B Bvlldinp Imptelos A3 • " - GJG..~' CITY OF EAGrN 3795 Pilot Knob Road Eagan, Minnesota 55122 PERMIT NO.: 648 The City of Eagan hereby grants to Geo. Sedqwick Heatinq of 1001 Xenia Ave. S. a _ HEATIPIG Permit for: (Owtler) Ttew Y.orizon IIoodgate at 1763 Wa nLt Lane , pursuant to application dated 3/5/75 Fee Pairl: $20.00 dated this 13 day of Mar. , 19 75_ .50 s/c Bu.ilding In3pector Mcchanical Pcrmits: Bici Total: w~ czT^t oF E,.r,nra 3795 Pilot Knob Road Eagan, Blinnesota 55122 PERMIT NO.. Gs,4 _ The City of Eagan hereby grants to Thompson plombing Co. Slvd., Ninnetonka a PlG71GIt%G PBrmit for: (Owner) Nei•? FlXizot - Woodgate II 1755, 1753, 1760, 1762, 1759 lfir_kory Hill and 1755, 1757, 1759, 761,~ 5,1 ath 1765 Walnut Lane ! , pursuant to application dated 4/1,15 Fee Paid: S72 ().00 dated this °th day of T^r.il ~ 19 75 i.'p s/c Building Inspector D7echanical Permits: Aid Total: PERMIT cUoW ~ CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55123 Permit Number: 0 2 4 3 3 4 (612) 681-4675 Date Issued: @ g/e g/g q SITE ADDRESS: 1763 WALNUT LANE LOT: 15 BLOCK: 4 WOODGATE 2ND P.I.N.: 10-84601-150-04 DESCRIPTION: ~y REROOF S~= ~mIS~ B1'uilding1`Permit Type MrGSFI i AhFn's- tsuilding Wo•r_k Type REPAZR 1o O REMARKS: FEE SUMMARY: VALUATION $2,200 Base Fee $54.00 Surcharge $1.10 Total Fee $55.10 CONTRACTOR: - qpplicant - sT. LrC. OWNER: B& K ENTERPRISES 18616809 0008890 BULTEMA CORY 7601 MORGAN AVE 1763 WALNUT LN RICHFIELD MN 55423 EAGAN MN 55122 (612) 861-6809 (612)452-3417 I hereby acknowledge that I have read this application and state that the infiormation is correct and agree to comply with all applicable 5tate of Mn. L Statutes and City of Eagan Ordinances. J % APPLICANT ERMIT IG AT RE - ISSUED °IGNATUiiE INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: B U I L O I N G 3830 Pilot Knob Road Permit Number: 024334 Eagan, MinneSOta 55123 Date Issued: 0 8/ 0 9/ 9 4 (612) 681-4675 SITEADDRESS: Lor: is BLOCK: q APPLICANT: 1763 WALNUT LANE B& K ENTERPRISES WOODGATE 2ND (612) 861-6809 PERMIT SUBTYPE: TYPE OF WORK: MISCELLANEOUS REPAIR DESCRIPTION REROOF iNSPECTION . . FRAMING ROOFING ' FINAL F ~ L _ ~ CITY OF EAGAN 1994 BUILDING PERMIT APPLICATION a y 3 3~ 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. i Date L' Valuation of work Site Address: i 7l -5 z,(M/~/~ ) ~4 / STREET SUITE M Tenant Name: (commercial only) LOT BLOCK ~ SUBD. `yJ 0"7" Z ~EKTP. # Descri tion of work: e- The applicant is: ? Owner Contractor ? Other coeser;be> N a m e ziii /jrP r'L Phone 17~2'3.`7 Property LAST FIRST Owner Address ~24-,3 A) STREET STE # City State -.22ZA) Zip Company Phone ~ 9~ COI1tY8CtOr Address '7~'~/ ~v RU2 License #~Q_ Exp. L City ~~i/Zl ~ /d' State ~~9%U~ Zip Architect/ Company Phone Engineer Name Registration # Address ' City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. 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 M'nnesota Statutes and City of Eagan Ordinances. Signature of Applicant: a~///'~y~ PLUMBING (RESIDENTIAL) ~ I S• ~ Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 Please complete for: Single Family Dwellings Townhomes and Condos when permits are required for each unit Date3 1 29 /03 Site Address j I lA~ VV (L l''YUAJr 1sN Unit # Property Owner I1t+XA~ Telephone #(rpS l) 4S2--,:3*( 7 Contrac[or X, 10 . 1' /p iilND'? K~ Address A, bbbb k~ City F--~t GC(iVLi State _hA Zip 2SS[E~~ Telephone # 6~;I)3~s- 13 4-0 The Applicant is _ Owner ~ Contractor _ Other Septic System New Refurbished Submit 2 sets of plans and MPC license $ 100.00 InGudes Counry fee. Additional consultant fees may apply. Alterations To Existing Dwelling Uni[, Including $ 50.00 _ Adding fixtures to lower levels or room additions, excluding water softener and water heater _ Abandonment of septic system _ Water turnaround 5/8" meter if needed -$121.00) Other. _ RPZ _ new installation _ repair _ rebuild $ 30.00 _ Lawn irrigation system ~ n (a fl 1~1 ~7. _ water softener X Water heater APR 0 3 2003 $ 15.00 v ~U ~ replacement _ additional State Surcharge $ 50 Total $ I hereby apply for a Residen[ial Plumbing Perntit 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 [he Plumbing Codes; [hat I understand this is not a permit, but only an application for a permit, and work is not to s[art without a permit; [hat the work will be iu accordance with the approved plan in [he case of work which requires a review and approval of pla . , L9Sc~ 1i10 Wq,~1 ~j, V~eA A~~OU4. Applicant's Printed Name i(pplicanYs Signature ~ ~~k{ 5~ 50 Cpe__ 2006 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single famity dwellings & townhomes/condos when permits aze required for each unit Date_~,__ / 2-"l / U, Site Address `-7 Le-5 L-1-)C1 I Y1l.Lfi LX-) Unit # Property Owner L-T On r ~ VUL I +-rT0., Telephone # (LaS) Contractor Wohlers Southside Htg. & Air, Inc. 6950 W. 146th St., #106 Street Address Apple Valley, MN 55124 City (952) 431-7099 State Telephone # ( ) Bond#: RLTLQ542987 Expires: U8- The Applicant is _ Owner X Contractor _ Other Add-on or altera[ion to exis[ing dwelling unit $ 30.00 fumace _Additional 14Replacement New air exchanger Qw E D airconditioner ~IUn1I heat pump u u J U L 0 3 2006 other State Surcharge $ .50 Tota I 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 wi[h the Mechanical Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start wi[hout a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. ~L/L--- Applicant's Printed Name Applicant's Signature. City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 1763 Walnut Lane Lot: 015 Block: 004 Addition: Woodgate 2nd PID:10- 84601 - 150 -04 Use: Description: Sub Type: e- Reroof, Siding & Windows/Doors Work Type: Reroof, Siding, Windows /doors Description: House & Garage Census Code: 434 - Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 9,000.00 Contractor: Window World AKA Probuilt America 2211 1lth Ave E, #130 N St. Paul MN 55109 (651) 770-5570 Total: Applicant/Permitee: Signature PERMIT City of Eaan BL - Base Fee $9K Surcharge - Based on Valuation $9K - Applicant - Construction Type: Occupancy: $177.00 $4.50 $181.50 Owner: Cory J Bultema 1763 Walnut Lane Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: 0801 9001 Issued By: Signature Building EA091752 10/26/2009 ePermit If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to 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 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA178096 Date Issued:08/01/2022 Permit Category:ePermit Site Address: 1763 Walnut Lane Lot:015 Block: 004 Addition: Woodgate 2nd PID:10-84601-04-150 Use: Description: Sub Type:Fixtures Work Type:Alteration Description:Multiple Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. All tiled shower bases require a water test. Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087 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 - Cory J & Connie F Bultema 1763 Walnut Ln Saint Paul MN 55122--244 Johnson Plumbing & Heating Co 11350 Albavar Path Inver Grove Heights MN 55077 (612) 243-3965 Applicant/Permitee: Signature Issued By: Signature