1764 Walnut Lane
CITY OF EAGAN NO 89~?Q
3830 Pilot- Knob Road, P.O. Box 21-199, Eagan, MN 55121 .
PHONE: 454-8100
BUILDING PERMIT Reoeipt
To be wed for HOMF IMPROVE Est. Volue $2,000 pate APRZL 10 19 84
~ 1764 WALNUT LN. P,
51te Ad eot Erect ? Occuponq
Lot ~ elock 6 l5ub WOODGA E. ~n plter
' 10--0'1U-06 ?x Zoniny
Parcel No. Repalr ? Fire Zone
de Name j~n~~r~!~n D. HAYGn017 ~o~ a 0 Type of Const.
Z SAP9F 0 # Sfories
; Address Demolish p Length
I ~ City Phone 4 5 2- 2 4 5 9 Grade p Depth Sq. Ft.
ApProval¦ Ftaa
~ ,O Neme
Addresa Assessment Permit
City Phone Water 8 5ew. Surchorye
Police Plon check
tZ N~a Firo SAC
A~~g$ Enp. Water Conn.
tW Clty Phone Plonnsr Woter Meter
Council Rood Unit
I hereby acknowledye that I hava reod fhia applicotion ond state thot Bidy. Off.
fhe information Is correct ond agree to comply wit all applitable $ 33
State of Minnesoto Stotutes y5d City of Eagon Or inonces. APC Totol
Sipnoture of Permittee
A Bullding Permir fs issued to: EDWAF:i:i n. iAYcoon on tha express cordition ihm
oll work sholl be done in with oll applioo~le Stote of Mlnnesota Sfotutes and City of Eapon Ordinances.
Buildinp Offtdol 7- 7)
~
~
r
Pwmit No. Psrmit Hoidsr Miw- Pwmit No. Holder
Plumbiny 1 (
Z
A'L
H.V.A.C.
Wdl
Wm?
Ditp.
Sewsr
elact?ic 07 SI1 0 W N f.4 IIy 29
•oo
Inspection Drb Insp. Other
Footinqs
Foundation
Freminq
Rouyh Piba ~
$Plbq.7?)`V' '
Final
Waftr Wscri6s Location:
Wsll
Sewsr
Pr. Dbp.
CITY OF EAGAN iiemarks
Addition WooBgate 2nd Lot- 7 Rik 6 Percei y0 $4601 070 Ob
Owner~h1Q.'Yf- b.a b2t Street 1764 Walnut Lane State Eagan,MN 55122
Improvement ;97 Amount Annual Years Payment Receipt Date
STREET SURF. ~3_3 8 2 1 0 Paid
STREET RESTOR. S lO - .92 Pa3d
GRADING
SAN SEW TRUNK 114. 2 7.64 1 P~.d
*SEWER LATERAL " 068 1 1022.90 3 PA~.C~
WATERMAIN
.~INATER LATERAL 3fYVATER AREA 1976
*6TORM SEW TRK 197 3
#STORM SEW LAT 1976
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 140,00 316 6-3-75
BUILDING PER, ..7
sAC 425.00 1 -
PARK 120,00 31 -7
Rscsipt PLUMBING PERMIT Permit No/°~
CITY OF EAGAN
Fee
Fill in numbered spaces S/C ' S V
Type or Print /egibly 1,ot
1. Date 2. Installation Cost
6,9 i~
yiJ
3. Job Address(76q We,iovLit 1,4. Lot ~ Blk. 0_ Tract °1 -
4. Owner Ei~uJAptN U. Gvo
5. Contractor 0u)s0E F Phone y$ Z- 24 S-~
6. Address /7by C,!}~ ( nl u't L q~U F
7. city 6-:Q G AK,) state !'!?~l, zip SS/ 2 2
8. Building Type: Residential Ek' Commercial O Institutional 0
9. Work Description: New 13 Add e Alter 0 Repair ?
r~
10. Describe rIA11 St(ING ff~'r ~0%'44E0 -,1-V Qq Tt 12 vo?.-.
11. No. Fixtures No. Fixtures
Water Closet Cesspool/Drainfield
Bath tubs Septic Tank
~ Lavatory Softner
Shower Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ffi.
Slop Sink
Gas Piping Outleu
12. I hereby certify that the above information is true and correct, and I agree to
comply wit all ordinances and 6des g verning this type of work.
Signed : 'C' for
Rouph Final
Inapections: Date Insp. Date Insp.
This is your per,Fnit when~numbered and approved.
Approved ` CITY OF EAGAN 464-8100
ti ~
RESIDENTIAL
BUILDING PERMIT APPLICATION
~ l Y/N ~ 9 CITY OF EAGAN
3830 PILOT KNOB RD - 55122 ea
657-681-4675
New Construetion Reauirements RemodalfRewirReauirements
. 3 registered site surveys shrnving sq. R of lot sq. fl of Aouse: ar4lj ioofed emas . 2 mpies of plan
(2f1% maximum bt coverage albxed) . 1 set of Erieigy Cakulatiors for heated add'NOns
• 2 wpies of plan shawiig beam 8 window shes; poured found Oesign, etc J . 1 site aurvey lor mierbr additions 3 dedcs
• 1 set ol Energy Calalations . hMicale d home served by septic system for addiGons
• 3 capies ol Tree Preurvation Plan d bt piatted after 71153
. Rim Jo'st DeUll ODfions selection sAcet (bidgs wNh 3 or less unNs)
DATE Ul VALUIfION ~ I~~Q~ 0~1
JOB SITE ADDRESS I76 Z-F WtYLAluv- I-/W
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER 'PfY?V`7 A/t1ll'
TYPE OF WORK fP,~a Fr,?6 r FIREPLACE(S) _ 0)Q 1_ 2
APPLICANT 7D.A-0rn N1-r+i PHONE# l~l = 9~f1P-6`t ~
ADDRESS 17(>H I.UA-rvur JW ZIPCODE-657'afy
PAGER # CELL PHONE # FAX #
NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMP ELY
Energy Code Category MINNFSOTA RULFS 7670 CATEGORY ~16 ~ 8 W ~z
(check one) - ResidenUal Ventllation Category t Worksheet S tted D
- Energy Envelope Calculations Submitted
_ MINNFSOTA RULES 7672 By
- New Energy Code Worksheet Submitted
Plumbing Confractor. Phone
Plumbing System Includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00
_ Water Heater _ No. of R.I. Baths
_ No. of Baths
Mechanlcal Contractor: Phone #
Mechanical System Includes: _ Air CondiDoning Fee: $70.00
_ Heat Recovery System
Sewer/Water Confractor. Phone N
All above infortnatlon must be submitted prior to processing of applicat(on.
I hereby acknowledge that I have read this application, state ihat the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and CiTy of Eagan Ordinances.
- Signature of ApplleaM ~ /ll-IA40M
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
. . -Updated 1/01
. "
RESIDENTIAL
BUILDING PERMIT APPLICATI ~
fI CITY OF EAGAN 2 $](7, OD
#'7b5 ~g 3830 PILOT KNOB RD - 55122 * I~~~`~ 8 7 a~
651-681-4675 l~
vt
NewConstruetionReauirements mode e air
• 3 regbtered site surveys showing sq. fl. af bt, sq. ft of house; ardA ioofed areas . 2 mpies of plan
(20% maximum bt ooverage albwed) . 1 sel of Energy Calalatians lar heated additions
• 2 capies at plan shovnng beam 8 window sizes; poured found desQ7n, etc.) . 1 site survey }a exterior addifions & decks
• 1 set of Energy Cakulations . Indxate N home served by sep6c syslem lor addilions
• 3 apies af Tree Preservation Plan ff bt platted afler 717193
. Rim Joist Detail OpGOns selection sheet (bldgs wiCi 3 or less unBs)
DATE _ 7- O 1 VALUE[ION
JOB SITE ADDRESS 17(0~ U/A'/-AlU,Z" 4194U4
IP MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER 7AV1D AI/ ttr'
Tl'PE OF WORK Bf15&nro- Pn/lSa-~i,i2 FIREPLACE(S) _ 0_ 1_ 2
APPUCANT 12rNl2 /l/1 'Ri PHONE#
ADDRESS )7& ~k l,tl/~;-NUr LM ZIP CODE --I51 a-~k.
PAGER # CELL PHONE # FAX #
NEN' RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RUI.ES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNFSOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Conhactor. Phone k:
Plumbing System Includes: _ Water Softener _ Iawn Sprinkler Fee: $90.00
_ Water Heater _ No. of R.I. Baths
_ No. oF Baths
Mechanical Contracfor. Phone #
Mechanical System Includes: _ Air Conditioning Fee: $70.00
_ Heat Recovery System D~ I, ~ n nn ~
ll L'~
Sewer/Water Conhactor. Phone
Ali above infortnation must be submitted prior to processing of application. 8Y_
I hereby acknowledge that I have read this application, state ihat the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Slgnalure of Appl(wnt
Certificates of Survey Received _ Tree Preservatian Plan Received _ Not Required _
~ . _ . _ Updated 1/01
.
. OFFICE USE ONLY
? 01 FoundaGon 0 07 OS-plex O 13 16plex ? 20 Pool O 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex O 16 Fireplace O 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
O 03 Dt of _ plex ? 09 07-plex O 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex O 10 08-plex O 18 Deck 0 23 Porch (screened) O 36 Multi
? OS 03-plex O 17 10-plex qV19 Lower Level ? 24 Stortn Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
# 31 New O 35 Int Improvement O 38 Demolish (Interior) O 44 Siding
? 32 Addition O 36 , Move Bldg. O 42 Demolish (FOUndation) ? 45 Fire Repair
? 33 AlteraGon O 37 Demolish (Bldg)• ? 43 Reroof O 46 Windows/Doors
? 34 Replacement 'DamollUon (Entire Bldg onl» - Give PCA handout to appllwnt
Valuation Occupancy /T, -3 MC/ES System
Census Code 112 Zoning 10 io City Water
SAC Units ~ Stories Booster Pump
Nbr. of Units / Sq. Ft. PRV
Nbr. of Bldgs ~ Length Fire Sprinklered
Type of Const ~ Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) FinaUNo C.O.
_ Footings(addirion) _ Plumbing
Foundation HVAC
Drain Tile
Roof Ice & Water Final Other
~ Framing _ Pool _ Ftgs _ AidGas Tests _ Final
Fireplace _ RI. _ Air Test _ Final _ Siding Stucco Stone
~j Iasulation _ Windows (new/replacement)
Approved By Building Inspector
Base Fee ~
Surcharge Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Pertnit & Surcharge
Treatment Plant
Plumbing Pertnit
Mechanicai Permit
License Search
Copies
' Other °
Total , `
~ CITY of EAGAN rv'2 3603
~
BUILDINC3 PERMIT
3795 Pilo! Knob Aoed
Owoee I........ .............l........:.'...e~........~ Eegan. Minaeeota 55122
Addrw (Prssent) 454-8100
1
s,.iie.:
' Dele
Address Addzeu
DEBCRIPTIOIi
81ori*s To Bo Uaed Foz Fron! D,plh H~Sph! Eil. Cosl~ ~rmf! F~a Remaska
G 5~ f~ 7°a ~l 9c7 UI
LOCATION 2e, o,Sa
f Slrost Roed or olhar Dasaripfioa o! Looa!!on I Lo! Block Addition os 'l4ad
S ~
.O-e-c
/ -1- i 9 G
T6b permit doas not eufhozi:e !ha um of s1sNb, roeds, allaps or sidewelks aor doN !t give the owner os LL apen!
the r[qh!!o craele nap ailuation whieh b a nuleaecv or whieh presenis a hssnrd !o the heallh, aaEelp, eoavenienp aad
yonsra( msliers !o nnpons ia the eommuniip.
THIS PERMIT DQUST BE REPT ON THE PREMISE WHILE THE WORB IS IN PAOGRESB.
1'hii bi !o cerflfp. thal..~A.f~!~ arpermLeloa !o erec! a..r~:/.............. ....._._..._aDen
• ihe above deaoribed preause subjeai to ih rovisione ot all applicable Ordinances for the Cily ..of agan. U .
~ ......r...............
! Q Per ..........~~n~P
. 2.
~
~ Mapor . . 16 Sulldinq I3upeclor
I ~
CITY OF Ei.GAN
3795 Pilot Knob Road
Eagan, Minnesota 55122
PERMIT NC.: 685
The City of Eagan hereby grants to Geo. SeBqwick Heatin9 6 Air Cond. Co.
of 1001 Xenia Ave. So., Afple. 55416
a HL'ATING permit for: (Owner) r]ew Horizon Homes - Woodgate
at 1764 Walnut Iane , pursuant to application dated 6/4/75
Fee Paid: $20.00 dated this 6th day of June ~ 19 75 .
.50 s/c
Building Inspector
Mechanical Permits:
Bid Total:
tc%Gjz~
CITY OF EAG.iN
3795 Pilot Knob noad
Eagan, Minnesota 55122
PERiU;IT NO.: 571
The City of Eagan hereby grants to T1,goson~ pl „n• t+i^g, rn.
ef 12207 ALfLatotLka Blvd -
a vrinmTar_ Permit for: (Owner) New 80rizon Homes - woodaate
1775,76,74,72,70,68,66,6~62,60,58,56, and 54 Walnut IAne and 1757,59,61,65,67,
at 17#;o,71,,,,q ai pirtinrv ai1gtu'suant to application dated 6/16/75
Fee Paid: $A2n_nn dated this 19h day of June ~ 19 75 10.50 s/c
Building Inspector
Mechanical Fermits:
Bid Total:
I
CITY OF D1G:1N
379 7 Pil.ot ILneo Road
Ea.-3n, Niinric3ota 55122 c~--
PEPNiT NO.:
Tlie Cit,y o; Es.gan hzreby grunts to _Cymnere sofr watPr rn_
o£ lsnl rhgifornia S N_F_
. L. J. Aaake, L.'D. Cstanlund, J. S. Oricchio,
a__vTPTEE~DFmcnn?R _ Perm:it 1'or: (Owner) -u-t7--~adexm
T: b~-_
1764 47 ~ e ,
u; 3}g ~ pursuaat i;o appii::ation dated 1/76176 F,:e ~al.u: 0 ~ de.ted this day of ~1r ....it ''~~Zfi
2:00 8/C
nuil3inE,; InsFe<:;.;•----
P4echar_icwl. Permits:
Bid Totai.
~
CITY OF EAGAN *T
. ' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 lr O 8960
PHONE: 454•8100 ~
G/
BUILDING PERMIT Receipt #
To be uud far HOME IMPROVE.Est. Value $2,000 pate APRIL 10 19 84
SiteAddress 1764 WALNUT LN. Erect ? Occupency R3
Lot 7 eloct 6 SeclSub. WOODGATE 2ND A11er Zoni Rl
10-84601-070-06
Parcel No. Repair ? Flre Zone N A
Enlarga ? Type of Const. _
w Name EDWARD D. HAYGOOD Move ? # Srories
w
Z Address $AME
~ Demolish ? Length_
City Phone 452-2459 Gmde ? Depth Sq. Ft.-
s Avvrorob Faet
o Name
oU Address Assessment Permit $ 32.50
u~
i' City Phone Wafer 8 Sew. Surchorge 1.00
r Police Plan check
FW Name Fire SAC
Address Eng. Water Conn.
~Z City Phone Plonner WoterMeter
<W
Council Rood Unit
I hereby acknowledge that I have read this application and sfate that Bldg. Off.
the inbrmation is correct and agree to comply wi all opOLcable
Sinte of Minnezota Stotutes nd City of EagaranceAPC Tofal $ ~.~//f ~
Sipnoture of Pertniftee
A Buiiding Permit Is issued to: EDWARD D. HAYGOOD on the expreu cordition thai
oll work sholl be done in~ with all p i ble State of Minnesata Statutes and City of Eaqan Ordinonces.
Buildirp Officiai ~
CITY OF EAGAN Include 2 sets of plans,
1 Certificate of Survey &
BUILDING PER14iT APPLICATION 1 set c£ enerqy calculations.
L Io~14~'-/
Zb Be Useci Por Valuation ~Z o00 Date ~f~?,
Site Prldress /7( !;Z /,);QLA)uT LAn)C OFFICE USE ONLY
Lot _'7 Block / lo Sec./Sub. WODAbATE Q~ect OccuPan 3
c7'
Parcel & ` Fy60 1- ~qD- Q~o Alter Zoning
Repair Fire Zone A/li-
Oaner: b. f~jlyC,oon EnlarJe _ 7yPe of Const.
Address: 17eq WALn,uT 'LAn/C- M°"e # Stories ft.
Derolish Front
City/Zip Code: _'4GAn1 S-S/22 Grade Depth ft.
Phone (612) yc2 - 2Lfs9
' APPROVALS ~S
Contractor: S c L_J~ Assessments Permit
?9at~er/Seaer Surcharge
Address: Police Plan Check
City/Zip Code: Fire S.4c'
Phone Erig. Wat,PS Conn.
Planner Water Meter
Council Road Unit
Arch•/tng•= Bldg. Off.
Address: APC
City/2ip Code:
Phone # : ICTAL
~ ~ ~
_Zrli:l - -
HOUSE HEATING TEST RECORD D-21807.,-,"='
ADDRE55 1764 W81IIllt L8. ppT.-FLOOR CITY SUBUREPaAan
OCCUPANT None OWNER NflW HOIj.ZOII6
HEAT LO55 DATE HTG. INST. 50d 1Ck Ht
SOLD BY INSTALLED BY g'
Electrical Work By Gos Line By
TYPE OF HEAT GA _ FA R HW-STEAM SPACE HTR. _UNIT HTR. _OTHER
~ GAS DESIGN CONVERSION
MAKE ~BIIa MAKE OF BURNER
Modal Model
Swpal A80400814 Mox. BTU Rating
INPUT 105,000 BtLL/HY. MAKE OF FURNACE
Model
CONTROl.S
S"
THERMOSTAT Heat Plug Vent Size
Valve GC BS9RO4 KIND OF LINER AIUM• $IZE 6" NONE
Limit CTC 2N5-1-180-FCW Draft Hood Vertieal Regularor
LimitSeHing 1$0of Filters Size16"x25" Numberl
Fon SeHing 900f 7 1250f Chimnay Location Inside YeS Outside
Pilof Type Couple Chimney ConstructionMEC8I.t106tOS
Pilot Make
Pilot Model Smoke Bomb Wiring
Pilot Timing 59 $eCOIIaB pra{} OR Tast Tog yeS
L.W. Cut Off Door Pressure Lighting inst. 1'eS
Pressure 3.6"W.~'.. percent CO 7.0% Date Tesfed 9/2$/75
Inpur CF~~Percent O2~ Company Testing C. S. BRIGMT COPOVA"y
$tack Temp~--Percenf COZ 0.00 Name of Tester I.y /J
T mC-~4
Form 235
Thus reqoest void y ~~a 1~
18 months fram ~
L ~ 16 Zo, t.Jo o D 6A TZ t Ydy 93
Request Date Y Rre No. Renughe~ Inspecuon C:]fteatly Now gKiII Nouty Inspe~ -
?1'es ?NO «r Wben ReadY
~ Licensed Electncal ConVac[or I hereb e
r-~~ y r quest inspection oi above
~iiwner electncal work installed aY
SVeet Atldress, Box or Foute No. Cny
l 7&q ur L.R.vc 6-:4G A'J
ecuon o. Township Name or No. RanBe No. Couiily
D.aK/6Ta
Oceupnnt(PRINT) Phone No.
Fbc.vA,e 6 6. f/a yG o o d ySZ - zL! s~
Power Supplier Atldress
bAkaTA att.T
Elec[rical Contractor ICompany Namel Cuniracmr's License No.
oWNEp,
Mailmg Address (ConVacmr or Owner Makine InstailauoN
~ -76 UJ4 cxT 4.!{N9- 94GRAI . GY[N .
Amhorized ienature (ComracmdOwner Ma g Installa[ion) Phone Number
S~ ^ Z ~ 7
MINNESOTA STqTE 80AND OF ELECTRICITY 4- p THIS INSPECTION HEQUEST WILL NOT
Griggs-MitlwaV Bldg. - Noom N-191 BE ACCEPTEO BY THE STqTE BOAHD
1821 UnivarsitY Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (672) 297-2111 ENGLOSED.
(~.10'r(,/ REQUEST FOR ELECTRICAL INSPECTION r ee.ooooi.oa
i
' See insLUCtions for completing Ihis torm on back of yellow copy.
"X" ge(ow Work Covered by This Reqteest
Home Fange Temporary Service
PInsomp,te TvPe ol Builtlingy Apolmnces Wved Equiument Wvedr^
Duplex Water Heater Lightiny Rxtures '
Apt. Bwlding Dryer Electric HeaLn
Commercial Bldg. Fumace Silo Unloader
Industnal Bidg Air Condiboner Bulk Milk Tank
, Farm otne, Soeu v oine~ IsneciJyl
ther SVec~fy Other ptha,
pectio n n Fee Below
N Fee ServiceEntrenceSiza p Fee Feeders/5u~faeders k Fee Gr wts
0 to 200 qmps 0 to 30 Am s 0 to 30 Am s
Above 200 Amps31 to 100 qmps 31 to 100 Am s
Swimming Pool Above 100_Amps Above 100_Amps
TranstormerS Irrigation Booms ~ Partial-'Other Fee
Signs SUecial Inspection SCO ~s TOTAL FEE
Remarks
Roueh-in p,,,,,//~ ~ ~
, f3 , tne ElecRncal
InsOector, he.eby
cerUty
Final iM1at iTe above
te
, f~ecUOn has baen
Thi6 reQuest voitl 18momhs irom i
YIU qGE OF EAGAN WATER SERVICE PERMIT
3795 Pilot Knob Road PERAIIT NO.: 1753
Eagon,MN 55144 ppTg: 6/19/75
Zoning: PUD No. uf Umts:
Owner; New ftOrizon 1Homes - Woodgate II
Address: 7- ~O ~i J 7r
Site Address: 1764 Saalnut La
Plumber. 'I71mm~son Plumbing Co.
Meter No.: ~'1201- 7~-7 f Connection Charge:140.00 pd
Sffi~.: 9 Accuunt Depasir.
Reader No.: Permi[ Fee: 1 fl_!lp_DOI~Q
, 1 agrealy pompl with the Village of Eagan Surcharge:
Ordinances~ ~7G Misc Charges:~'n-oo',Al'!!' ~ Pd
Total: ~
BY Date Paid:
I Dateoflnsp.: ~ Insp.:
L_
_ ..~N. ~
,
YILLAOE OF EAOON SEWER SERVICE PERMIT
3795'V716t Anob Road PERMIT NO.: 2514
Eogon, MN 551I2 DATE: 6/19/75
Zaning: _ Ppn No of Units:
Owner: mpw No i ~on Nome Floodc ate II
Addresa:
S1te Addrees: 1764 I4a1 nut T=ne
Plumber: - ml,omncon nl mh' ng C'o
1 a9ree b eomply wifh ths VilloqG of Eoqon Connection Chazge: 425.00 pd
Ordi^OnGs• Account Deposit:
Permit Fee: 10.00 prb P
Surchazge: • 5f) Pd
BY0 Misa Chazgea:
Date of Insp.: Total:
Insp.: Date Paid:
C[TY USE ONLY
LOT / BL [.v RECEIPT
SUBD. 1V4~ (-051_ RECEIPT DATE: 7/
1997 MECHANIC'AL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
Date: JO - aA--9 7
Complete this section only if vou are installinE HVAC in sinele familv, townhome, or condos that are
under construction and are not owner /occuoied.
• HVAC: 0-]00 M B T U $ 24.00
rui,uiTiviv.yi, 50 I~ BTi3 6."v~
• Gas outlets ( minimum of one required @$3.00 ea.)
• State Surchazge: .50
• TOTAL:
Complete this section only if you are remodeline, adding to, or repairia2 eaistine sinele familv
dwellings, townhomes, or condos.
~ Add-on furnace _ Add on air conditioning
_ Add-on air exchanger, i.e. Vanee system, etc. _ Other
Minimum fee applies to all remodel or add-ons of existing residences $ 20.00
State Si:rcharge
Total: $ 20.5
siTE nnnREss: 17 414 W fdnu f Lh .
OVl'NER NAME: ,Oallt A/H74"l PHONE 4'54-9 a4(o
INSTALLERNAME: W0{'1kNS <S(]U~SICIP ft'~~t f?'/G lnc• rHOrrEa: 431-7099
S7REETADDRESS: I+739 pennoCK Ave•
CITY: lb2n I,P- VQ 0e V STATE: kly ZIP: 55/a y-
~
7"'-q ,~,~,c c.G k • Gti~'~~ Qe.~a__.,
SIGNATURE OF PERMITTEE
PERMIT# y ~N RECEIPTDATE: ? -0
US1DENTIAL PLUM$IAG PERb'iIT APPLIClETlON
CITY OF $lk6RF
3930 Pll.OT KAOB RD
EAHAA, SiF 551 EE
651-681,4615
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for irrigation system
NITTI, DAVE
SITE ADDRESS: 1764 wnLNUr LnNE
EAGAN, MN 55122 I
OWNERNAME:: (ssi~asa-s2as TELEPHONE#:(AREA coDe)
01M! PLAlhA"emJ
INSTALLER NAME: 1R'JQ~ $,~•~,3 TELEPHONE
STREET ADDRESS: 2905 GARFIFJ.Dnrir pM? (AREA CoDE)
cIrr: MINNEAPOU$' MN 5540 STATE: ZIP:
Place a check mark next to the ermit work type
New residential dwelling unit under construction and not owner/occupied $ 90.00
~ Add-on, modification or alteration to existinq dwelling unit, including: $ 50.00
. abandonment of septic system
. new installation/repair/rebuild of RPZ A 2
. lawn irrigation system
• water tumaround
f~
Nature of work: R.n~0ce. u)lH1a.~~+' bot4eMVl
n~~ L(
Septic System, newlrefurbished - $ 225.00
. includes County & Consulting Inspector fees
• requires MPC license
State Surcharge $ .50
Tota1 $SD . SO
Reminder. Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc.
I hereby acknowledge that 1 have read fhis appliration, state that the iniormation is correct, and agree to complywith all applinble Ciryof Eagan ordinances. It
is the applicanPs responsibility to noliTy the property ovmer that the City of Eagan assumes no Ilabilily for any damages caused by the Cily during its normal
operafional and mainlenance activides to the faalities consWCted under this permit within Ciry property/right-0f-way/easement.
SIGNA URE OF PERMITTEE
Updated 1J01
2005 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date l "2 2 I lJ ~
Site Street Address Unit #
7
Property Owner GU L / l~ . 4v~ ~ ~ Iw Telephone #
Contractor ~ L / T Telephone # ( )
Address City State Zip
The Applicant is: -I'-Xowner _ Contrector _Other
Alteretions to existing dwelling $ 50.00
VI Add plumbing fixtures (excludes water softener and/or water heater--complete next
section if installing these appliances).
_Septic System Abandonment
_WaterTurnaround (add $125.00 if a 5!8" meter is required)
Other:
Water Softener _ Water Heater $ 15.00
_ new _ replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ 50
Total ~ ; t7.SU
I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and ap/pro~ved. ,
( ) LI, I 6/?wllr~" / " ~ ~ - nl~?1 !~!fil./~-- ~i~
Applican s Printed Name Ajolica s Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA119165
Date Issued:11/18/2013
Permit Category:ePermit
Site Address: 1764 Walnut Lane
Lot:007 Block: 006 Addition: Woodgate 2nd
PID:10-84601-06-070
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
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 by law in ALL single family homes .
Chris Haqq
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 -
Robert N Vizard
1764 Walnut Lane
Eagan MN 55122
(651) 756-8714
Abelard Construction
6200 Shingle Creek Parkway, #545
Brooklyn Center MN 55430
(763) 503-6610
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA153883
Date Issued:01/30/2019
Permit Category:ePermit
Site Address: 1764 Walnut Lane
Lot:007 Block: 006 Addition: Woodgate 2nd
PID:10-84601-06-070
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 -
Robert N Vizard
107 Saturn Rd
St. Augustine FL 32086
(612) 240-0188
Boys Mechanical Inc
490 Villaume Ave, Suite 300
South St. Paul MN 55075
(651) 340-5956
Applicant/Permitee: Signature Issued By: Signature