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1778 Walnut Lane h CITY OF EAGAN ~ 3830 PHot Knob Road, P.O. Box 21-199, Esgan. MN 55121 11971 PHONE: 454-8100 ~ BUILDING PERMIT Receipt~- E To be used for nk%CX/PATIU UW4a1ue a2 •0DV Date MAY ly .19 $6 5ite Address 1 778 WAJNUT LtV Erect ? Occupancy Lot 7 Block 5 Sec/Sub. WOORGAx'E 3'rtD Remodel ? Zoning Parcel No. Repair ? Type of Conat. Addition ? No. Stories Name R. HAGEN Move ? Length 1 U z Demolish ? Depth 12 o Address SA~ Int Impr. ? Sq. Ft Ciry Phone 835-3310 (W) RZTA Instell O I Name :.il~l~lE APP~aIs FNs ~ Address Assessment Permit - $ 3 2. 5 0 ~ City Phone Water 8 Sew.- Surcharge 1.00 ~ a Police Plan Review ~ = Name Fire • SAC _ - Addresa < W ciry Phone Eng. Water Conn. Planner Water Meter t hereby acknowledge that I have read this application and state that the COUnCII FioBd Unit information is correct and ree to comply with all applicable State ot B~dg. Off. 5/19/86 Tr. PI. Minnesota Stetutes and C' i Eagan prihancbs. Var. APC Date Parks Copie ~ Slgnature of Permittee . A Building Permit is issued to: • ~GEN TOtel on the express condition that all work shall be done in accordance with all appliqable State oi Minnesota Statutes and City of Eagan Ordinances. Building OfflCiel -'"r ~ ~ ~ I J Ll - For ofNo. use onfy: ~ MECHANICAL PERMIT PERMR # CITY CF EAOAN RECEIPT #E c% ~ 3830 PILOT KNOB ROAD, EAt1AN, MN 65122 DA~: CONTRACT PRICE PHONE: 4~~100 3ite Add ,lreas BLDO. ?YPE WORK DEBCRIPTION Lot Block .$eE/Sub Res. NOW ~ / ~ . • , MUIC Add-On ~ Name Comm. Repei? -K_ ~ Address , c Ciry _ Phone Name ~ ' ' 1 • ; : ` RES. HVAC 0-100 M B ~S $24.00 3 Address ADDtT10NAl 50 M BTU - 8.00 ' p City Phone ~AC INCLUDES A/C ON NEW CONSTRUCTION) ' GAS OUTLETS (MiWMUM -1 PER PERMIT) - 1.50 EA. TYPE OF WORK COOAMlIND FEE -1% OF CONTRACT FEE Forced Afr M BTU APT. BLDCS. - COMM. RATE APPLIES Boiler M 8TU TOWNHOUSE & COND05 - RES. FlATE APPLIES Unit Heater M BTU - A41.-A6D4N i Air Cond. M BTU REMODELS - 12'00 MIMIMUM COMMERCIAL FEE - 20,00 Vent CFM STATE SURCHARCiE PER PERMIT - .50 (3as Plping Outlets #f (ADD 550 S/C PER EACH $1000.00 OF PERMIT FEE) Other PERMIT FEE: S/C: . 31t3N1~li~}EgF1L~~~11TyEE , . . . ; . d e TOTAL: FOR GTY OF EACiAN • . ~ CITY O 7, EAGAN Remarks Additio Wood ate 3rd Addition Lot 7 sik 5 Parce~ w'0 05 0 ier W ~t Street 1778 Walnut Ln. Stete Eagan, MN 55122 Improvemen? Date Amount Annual Years P yment Receipt Date STREETSURF. ? 1977 476.67 158.89 3 476.67 C003374 10-9-76 STREET RESTOR. GRADING 1974 37.67 $7.53 5 PAID I SAN SEW TRUNK 1974 65. 31 $4. 35 15 PAID * SEWERLATERAL 1976 3 WATERMAIN * WATER LATERAL 1976 3 * WATER AREA 1976 3 *s TORMSEW TRK 1976 $1628.80 $542.93 3 PAID * STORM SEW LAT 1976 3 CURB & GUTTER SIDEWALK STREET LIGHT wATER CONN, $140.00 700 7-16-75 BUILDING PER, 4,471 7-16-75 sac 425.00 700 7-16-75 PARK CITY OF. EAGAN Remarks - . Addition ood ate 3rd Addition Loc 8 pik 5 Parcej 10 84602 080 05 Ow~.er &.1• screec 1780 Walnut Ln. Scace- - Eaqan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. 0 4/6.61 158.89 3 476.67 C003375 10-9-76 STREET RESTOR. GRADING 1974 $37.67 7.53 5 PAID I SAN SEW TRUNK 1974 $65. 31 $4. 35 15 PAID * SEWER I.ATERAL WATERMAIN * WATER LATERAL 1976 3 * WATER AREA 03 TORM 5EW TRK 976 1628.80 542.93 3 PAID * 3l STORM SEW LAT 1976 3 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 140.00 700 7-16-75 BUIIDING PER. 7-16-75 sAC 7-16-75 PARK 700 7-16-75 I CITY OF EAGAN Remarks Addition Woodgate 3rd Addition 6 5 Lot Blk Parcel OwHer' • Street 1782 Walnut Ln_ State Eaqan, MN 55122 y` ; ? , Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. 3?0 1977 476.67 158.89 3 476.67 C003373 10-9-76 STREET RESTOR. ''+,~3 GRADING 1974 37.67 $7.53 5 PAID ~ SAN 5EW TRUNK 1974 65. 31 4.35 15 PAID * SEWER LATERAL 1976 3 WATERMAIN * WATER LATERAL 1976 3 * WATER AREA 1976 3 * 3STORM SEW TRK 1976 $1628.80 $542.93 3 PAID *31qSTORM SEW LAT 1976 3 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. $140.00 700 7-16-75 BUILOING PER. 41715 sAC 425.00 700 7-16-75 PARK ~ CITY OF EAGAN Remarks Addition Wood a e 3rd Addition Lot 5 aik 5 Parcel J0 84602 0= Owner L 1- Oh Street 1784 Walnut I.n. Scace Ea4an, MN 55122 Improvement Date Amount Annual Years Payment Receipt Dete STREETSURF, -~10 1977 476.67 158.89 3 476.67 C003372 10-9-76 STREET RESTOR. 33GRADING 1974 37.67 7.53 5 PAID a SAN SEW TRUNK 1974 65. 31 $4. 35 15 PAID * SEWER LATERAL 1976 3 WATERMAIN ir WATER LATERAL 1976 3 * WATER AREA 19 6 3 *3 STORM SEW TRK 1976 $1628.80 $542. 93 3 PAID 03I STORM SEW LAT 1976 3 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. $140.00 700 7-16-75 BUILDING PER. #3715 7-16-75 sAC 425.00 700 7-16-75 PaRK RL` -C lJ RU ^ - ~CITY OF EAGAN PERMIT TYPE: ? 3830 Pilot Knob Road Permit Number: c; (36q 7 Eagan, Minnesota 55122-1897 Date Issued: i t+ r N~, 198 (612) 681-4675 SITE ADDRESS: ` ` " I s`^''". 4) 10 W' APPLICANT: I_Qi • / !il Ili f : • , ilA1. N11I 1 qNF III;I I I.I f1hl i, ~-~~il:.~~, f I i i 1 • PERMIT SUBTYPE: TYPE OF WORK: ~ rrhlt? PJI! ~ I '~1 I1 ~ r: ~ : INSPECTION D. • DA ~ i W 111 ff rl~~ t i ( 1-lf 1{lt) I r!.- 1 I ~ L ~ ~ ParmN Motder Date Telephone i ~ PLUMBING i HVAC I Inspeetion Date Insp. Commenu I FOOTINGS ~ ~ FOUND I FRAMING i ROOFING I ~ ROUGH I PLUMBING PLBG I AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPIACE AIF TrST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITv TEST HYOROSTATIC TEST BSMT R.I. BSMT fINAL DECK FTG I DECK FINAL Roceipt MECHANICAL PERMIT Parmit No. o ~ u f~+ Iv i/ CITY OF EAGAN Fee L ~ FiII in numbened spaces SMS, Type or Prinr /egiWy 1. Date ~n z 6 ~ 2. Installation Cost 3. Job Address~/~~ Lot. (,q_Blk. Traci 4. Owner 5. Contractorl~7~NZ Phone 6. Address~~~s' 7. citr,z-2state zip SSa68 8. Building Type: Residentialx Commercial ? Institutfonal O 9. Work Description: New ? Add 0 Alie~ Repair ? 10. Describe Fuel Typo 11. No, EquipmepL BTU - M. Ea. tkw. Eauiament CFM ~ Foroed Air 7/'O' ° v~ Air Handling: Mfg. / '-o~ .r/ ° Boilers Mech. Exhaust Mfg. Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. I hereby oarti at the above infor!nation is true and correct, and I agree to comply wi~din;nces~nc~.cod~es governing this type of work. ~gned : for Rough F' I L~J,,, Inspections: Date Insp. Date Insp~GW This is your permit when numbered and approved. Approved CITY OF EAGAN 464,8100 Receipt MECHANICAL PERMIT Permit No i/~ CITY OF EAGAN ~o 14 F..S • I Fill in numbered spacss S/C , Type or Print /egib/y 1. Date ~d j b'~ 2. Installation Cost 3. Job Address1ffL ~A.IIUT Lot U r7 Bik. v5 Tra L 4, Owner A2 -~Lr4 AI Phone ~2 3-// ~ SL 5. Conuactor GEiv 2 6. Address,,y7',-,5- 7. City ~tE~iedal T State Zip,-Lso 8. Building Type: ResidentialA Commercial ? Institutional ? 9. Work Description: New ? Add O Alter,-d Repair ? 10. Describe Fuel TYpe 11. No. Eguinment BTU - M. Ee. No. Eauipment CFM Forced Air -/U 1 o cJ O Air Handling: ? Mfg. 6 .F..~ olK Boilen Mech. Exhaust Mfg. Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. I hereby cert' that the above ' formation is true and correct, and I agree to comply wi rdi n es codes governing this tYpe of work. Signed : for Rouph F I I Inspections: Date Insp. Date Insp.l?~_ This is your permit when numbered and approved. Approved CITY OF EAGAN 454,6100 CITY OF EAGAN n 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N2 11971 ' PHONE: 454-8100 / BUILDING PERMIT Receiptp iobeusedfm DECK/PATIO Dqg&alue $2.000 Date MAY 19 ~y 86 SiteAddress 1778 WALNUT LN Erect ? Occupancy Lot 7 Block 5 Sec/Sub. WOODGATE 3RD Remotlel O Zoning Parcel No. Repair ? Type oi Const. Addrtion ? No Stories W Name R. HAGEN Move ? Length 20 ' 3 Address SI~ME Demolish ? Depth 12 o Int Impr ? Sq. Ft. Ciry Phone 835-3310 (W1 RITA Install ? o Name SAME 452-1856 (H) APProvals Fees $Q Address Assessment Permit $32.50 ~ Ciry Phone Water & Sew. Surcharge 1.00 ~ Q Police Plan Review F i Name Fire SAC nddress Eng. Water Conn. w a Ciry ahone Planner Water Meter Council Road Unit Iherebyacknowledgethatlhavereadthi§ypplicationandstatethatihe Bidg.ott.5/19/86 Tr.PI. mformation is correct and gree to co (pIJ with all applicable State of Minnesota Statutes and C f Eagan r~nances. APC Parks Var. Date Copies~ff Signature of Permittee Total A Building Permit is issued to: R. HAGEN on the express condition that all work shall be done in accordance with p bl St of Mi n ota es a~nYd,City of Eagan Ordinances. Building Official ~ CITY of EAGAN N° 3776 BUILDING PERMIT 3795 Pilo! Knob Aoad Owne= ..........Z? i!........................ Eagan. Minnesofa 55122 Address (preeen!) ~.a.......~:v`'.': 4 454-8100 Bullder a-/- 7.f- Del~ ._Z......................................... Addreas DESCRIPTION Sioriec To Se Used For Fron! Deplh Heigh! Eel. Cos1 Parm!! Fse Remasks n- LOCATION •Sz' Sireef, Road ar ofhes seripiion ot Locefion I Lo! Block Addtfion or Trse! -7 This permit does not aufhori:e the use oi sireeis, roads, allepe or sidewelks nos does it give the ownss os hL agen! the righ!!o ereate anp sifuation which is a nuisanca or whioh presenfs a hesard !0 the heellh, eafetp, eonvsalsaes aad genera3 welfare !o anpone in the aommunify. THIS PERMIT MUST BE-ICEPT ON THE PAEMISE WHILE THE WORK IS IN PAOGJRE$S. Th(s is !o ceriify, lhat...f-~"'" .hae permiesion !o upoa _ ihe above described p:emise suhjecf !o fhe provisions of all applicable Ordinances for the Cify of Eagan ' /~p .1..... Per ~(X............ ...s~-...~..c. ....1./..................................................... Mayor Bulldinq Impector /~s /D ?~11v0c~ 6la6 OS • " GJ . CI`?'Y OF rAC=P.N 3795 Pilot Knob Road Eagan, Dtinnesota 55122 PERICT NO.: 57a The City of Eagan hereby grants to Thomnson rlumhipy m_ ef 12201 Minnetonka Blvd., Minnetonka 55343 a PL[76SBI1 Permit for: (Owner) New Aorizon - D7oodqate III 1778-1780 78 -1784. 1786-1788-1790-1792, 1777-1779-1781-1783, 178- 7 - 91-1789, 69795-1793-1797-1799 Wal ut J-Zgwsuant to application dated 7/18/75 1801-1803-1805-1807 Wa nut Iane Fee Paid: saon_oo dated this _g1 day of Julv , 19 75 12.00 s/c Building Inspector D;echanical Permits: Bid Total: ~ CITY OF i._AU:?N 3795 Pilot Knob Road Eagan, I+Iinnesota 55122 PERtUT NO.: rgn The City of Eagan hereby grants to Geo. Sedm.iclc neatina 6 A/C Co. ef 1001 Xenia Ave. So. a ucnmrr.x_ Permit for: (Owner) rlew Horizon - woodRate 1785-87-89-91, 1778-80r2-E34, 1777-79-81-83, 1001-03-05-07, 1793=95-97-9Q and atL7RA_ua_qn_42 wainee r;.n , gursuant to application dated 6/11/75 Fee Paid: ;aan_no dated this 13 day of June , 19 75 12.00 s/c Building Inspector A, 1_ T,4YYdYFMYF'~*'MYti 'M%c0~XRtY,cM>X%tXt~>X'n'(= Xtk** CITY OF CAGF1N CASHTEfi: u TERMINAL NOe 775 DATE: 10/03/98 T7:MF: 08:37:28 ZD: NAME: SUISU(;RAN GROIJP INC 2155 9001 95.00 3210 9001 1i00 WOOLiGAlF L 224.75 3210 9001 1777 WAL.NI.IT LAN 274.75 321.0 3001 1785 WAL_hUT L..AN 274.75 3c-j.0 3003 1793 IA;AI_NUT I...AN 262.25 32,1.0 900:1. 180 1. 14AI_NtJT LAN 224.75 321.0 3001 4444 JOFINNY 0: 274.75 32.'10 9001. 4452 J01-INNY CN 274.75 3210 9001 4460 JOFINNY CF: 224.75 3210 9001 4468 JUFINNY CF: 224.75 C.r,03E3299 -XY,c CllNT7NUE I15+=fi ID" NANCY CONTINUE i,;~tY,tY,tXh7;;"o;:7',CY,tY,c;::Xm$;;1cY,tY,O;ti~(>$~'UYY,cf,:Y,OX$tY„7R7X CONTINUE CITY UF E:FlGAN CASHTE.F,: S TfFMINAI. N0: 775 D1TE: 10/09/98 TZME: 08"37:23 P. NAME: SURURHFlN GfiOUF' INC 32J.0 9001. 17748 kIALN!!7 I_N, 262.25 381.0 3001. 1.78E WAI_NIJT LN 262.25 Total Receip+, AmourrCr. 2y873.75 CR030279 t1SF'fi ID: NANCY vaLa2E of SAGAN ,ZWATER SERVICE PERMIT. ` 3795 Piloe Kno6 Road PERMIT NO.: 1774 Eagan. MN 55112 ' . ' Z. \ DATE: 7/21I75 Zoning: PUD No. of Uni[s: 4 Owner: -_N ' e--SII Addressr_ "".J i Site Address: _1]]9-80-82-84 Walnut Lane, / Plumber. ' ThomoSQiLPlinnUing Co Meter No.: - Connection Charge: 560.00 pd Size: Account Deposih ' Reader No.: ~ Permit Fee: 10.00 pd r I agree fo comply with the Villaqa of Eoqon Surcharge: •$0 Pd Ordinonces. Misc. Charges: --5"-°• ~ i Total: By Date Paid: Date of Insp.: Insp.: - - - - ILL10E 6F-EIIGAN SEWER SERVICE PERMIT 795 iilot Knob Road PERMIT NO.: 2535 ogan, MN $5172 DATE: 7/2Z/75 :oning: ptm Na. of Units: 4 )wner: turw HOrizon - Woodgate III kddress: ;ite Address:1778-89-82-84 Walnut Lane 'lumber: Thomoson Plumbing Lb. agrae ro comply wifh eha Villoge of Eogon Connection Charge:1700.00 pd )rdinancas. Accoun[ Deposit: Permi[ Fee: 10.00 pd Surcharge: .50 pd 3y: Misc. Charges: Jate of Insp.: Total: nsp.: Date Paid: _ PAUL H. HAUGE & ASSOCIATES, P.A. ATTORNEVS AT LAW 3908 SIBLEV MEMORIAL HIGHWAV EAGAN (ST. PAUL), MINNESOTA 55122 PAUL H. HAUGE pqEA CODE 672 BRADLEY SMITH KEVIN W.EIDE TELEPHONE 456d224 June 4, 1979 Mr. Robert Rosene BONESTR00, ROSENE, ANDERLIK AND ASSOCIATES 2335 West Trunk Highway 1l36 St. Paul, Minnesota 55113 RE; Woodgate Second Addition. Dear P1r. Rosene: Enclosed for your information is a copy of a letter sent to Mr. Hauge by Jackson A. Sanford concerning a manhole that was uncovered just North of his property on Walnut Lane. This is the same manhole that is immediately South of the Dennis [dillis property. I know that you have been in contact with Mr. Willis concerning this problem and that you have repeatedly asked the contractor to complete this work. I think that it is important that you again contact the contractor and insist that this property be repaired immediately. I am enclosing copies of this letter to Mr. Sanford at 1776 Walnut Lane and Dennis Willis at 1780 Walnut Lane, Eagan, Minnesota 55122. I lmow that both of them would appreciate it if you would let them know what progress you have made with the contractor. Thank you for your assistance. Very truly yours, Bradley Smith BS:cdg enc. cc: ' om Hedges Dennis Willis Jackson A. Sanford - . I + c _ /y/~ ~Gf~$7 GlJ. ~C03LC.fJt° 6 7 2335 tV. 1-14ur d' {1 P St s~uG, Mi.u,u 6s1/3 /U Z • '9'9 G~JE' MAU~..~ ,~AD !~..GyY T•~.~-~~/~ON„F ~.CSGL!~._-'-.~/)P~.%t ;~c_/,[';:s.,~.~ To TYE Se(/Ea°E"GY ,6k74,ezL=1-), 7~~AM' G(l/SE; SEf/E~'EGY E.Y~'.4~(l13F, siz~ u.~is~, EXCAIiATiD.U _AFYZSde,5 IV /Y!Y Y.4eP. L'~s•7 13;:7, ,Z- ctias IYV~P,1 .,sl 6VZ1 77AE.r? iL?E.S54+dre 7"iV4 7' ~~r'~' s:tfd.IE',dr C.JOUCO 45C C'COMGY..~F7'ED ,BqCC Ortl - ,C~'sY 71,lE E.f/J C+,c TN47" 1WO4171-1. TH15 4~50P-4ouC-:' e.<"AS 7'.w.E 4 ' R4.`vpoA,t51SGe A2'Y S/C;,t//.2/.~r T.VE AI/JVE:,r9,eY CDMP,64lSAT/OiV. ~°lY FECL/NGS TO.G7rwY TF~*',~J~ CDUCD 4'D7' fa~.~lVC BeEV AfD,eE Scll~,~~Ly ~y~ flti0 .Z Gvv~~D y9vE SO/rlE f.~~~i/~~'Y /ifJ MY -7c~~7 f,'~40 GaNE Fo,e ?IVE /~94UEY. ~~G'~',~•' G(//7'f?OU1 yoVe ZeT'TZ-',E' tJ,C t;>°~.fi/E 5/,q79 h'7E~4lT~~~id/EJ i~c`= •ZL~'tcS EM' Gt/FAT/aE.G~ ~'/~/S SG?/iflb., -T7' /S 4lOUJ 7'w, E .Zcy,eW;4(6e 1-14.s- .vOr : /-91-'6-"~ oWdF si~lc~a_ ~~r /1iJA~Y/NG CONS7.~'UCT/4N 1!~OGv<°6:7S 4A5'u"?'liU,'7 TOGl1N, ..~~0 46r5 oJe7 TACK .4,80&-;' 7"'hlg NA5 E',66N Iua u;o,e&- G)a~sp 49 A4y MAy 23, 7;u47-5 AN dAv ~ndy ;y ~~ad zu~ s~v.~~y sacsni,+1 a'6~ : a~ 2?/~~S %l7YW rv6 '9b,37 ~ iY-/ .*?!/Y!f>Y;'-i Q,?G S/77l~j'J ~ S~ 'V,~~ , ~ , , • a sa°nax _ . , `JGY/1 L?PHS 6' 07O~ 7aO .4?f' 55ZF141 soc-~Pdm3a' 7ar2rYjYi,~ -3W,-/ 1 473r--7lVWV -Zlrnb RS' (77170M '.'~'i"'~f1 fj' /Yj.-' -JMh'Jb~c3' !Nb' t b'H1 arr,949,,.L"" -IJ769 .c~~so~ 3ad' s~3~~a~o~ly l.v~~evad sii>1 OZ d?3f/ 76"937 a'9zZr' 01 911V rJOf( fYO1A1-Z- ?'l!'d78 6' .,CO1Y S/ S/h'1 ,[6f%1 3/l~175:97 ,y5b-217a' 37P c3'O 9!N O~i~?3~' 01 s3a~~id ~ndh' T~8' .S 701~?~Y-C/ ifGl/ S~I~'fi'1 s~iyL `n~or~~~r~[snb~ .~N1 ~O ladcs .~H.~ ot ao~r7d s~;~. ?G''/lC~a"' --&Y 771177 ~/yi00oS32/ ~rZ _ . ,4 a~r7 g P. 1986 BDILDING PEHIiIT APPLICATI09 - CITY OF EAG9N HOTE: ALL CAPTRACTORS MOST HE LICENSED NITH THE CZTY OF EAGAN SIAGLE FA4ffLY DiiELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS MOLTIPLE DiIELLINGS - R&SIDENTIAL BEN?AL Q9ITS FOR SALE ONITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SIIRVEY - CHECg WITH BLDG. DEPT., 1 SET OF SNERGY CALCULATIONS COMIIiERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND ~ To Be Used For: 'T Valuation: ;2~, Date: ~ f Site Address 176 ~ OFFICE USE ONLY Lot ~ Hlock S Erect ~ Occupancy Remodel Zoning Parcel/Sub Repair _ Type of Const ' Addition 4 of Stories Owner Move _ Length Demolish Depth ~ Address ~~-7 ib 41t Int.Impr. _ Sq Ft Install _ City/Zip Code Phone APPROVALS FEFS Contractor ~•~r Assessments Permit ~ , Water/Sewer Surcharge Address Police Plan Review Fire SAC City/Zip Coda Engr Water Conn Planner Water Meter Phone `l S S ~O 7/.3 Council Road Unit Bldg Off J~ g Treatment P1 Arch./Engr. APC Parks Variance Copies Address TOTAL City/Zip Code Phone ~ ((7~_ ~ 0 ~ ° - ~T -3310 ° NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOlIEOANER MDST DESIGNAiE WHICH ADDRESS IS DESIRED. NO CHANGFS WILL BE ALLOHED ONCE BQILDING PERMIS IS ISS[IED. CITY USE ONLY L ~ BL r ~ RECEIPTli: SUBD, RECEIPT DATE: 1997 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681a4675 Please complete for: . single family dwellings ~ townhomes and condos when permits are required for each unit . backflow preventer for underground sprinkler system FIXTURES EACH 1( , TOTAL 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 TublSpa 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 = WaterSoftener `fordwellingsunderconsWCtion 5.00 X = Water Softener ' forexisting dwelling J'Z o f'20.00 x U.G. Sprinkler • for dwelling under const. 3.00 = U.G.Sprinkler 'torexistingdwelling 20.00 = Alterations ' to existing residence 20.00 = Water Turn Around 20.00 = Private Disposal System ' oak cry iic. 75.00 = (new and refurbished systems) Private Disposal Systems `,obandonment 20.00 = STATE SURCHARGE .50 15C9 TOTAL C~0 ~ I hereby acknowledge that I have read this appliptlon, state that the iMomwtion is corted, and agree to compty with all appliwble City of Eagan ordinances. It is the epplicanPs responsibility to notify the property owner that the City of Eagan assumes no liability tor any tlamages caused by the Cily during iLa nortnal operational and maintenance adivities to the fadlities constructed under this permit within Ciry property/right-of-way/easement. SITE ADDRESS: 1 -7 y OWNER NAME: ,,12a,4%ck INSTALLER NAME: ~i^?.1i / I ~ ~Jr..,,,~ ,1ricJ TELEPHONE STREET ADDRESS: 713 q -9,-• CITY: ,.9 STATE: /LJ,v • ZIP: ~ SIGNATURE OF RMITTEE ~ CITY OF EAGAN FERMIT PERMIT TYPE: 3830 Pilot Knob Road B U I L D I N G , Eagan, Minnesota 55122-1897 Permit Number: 0 3 3 5 8 7 (612) 681-4675 Date Issued: 10 / 0 5/ 9 8 SITE ADDRESS: 1778 WALNUT LANE LOT: 7 BLOCK: 5 WOODGATE 3R0 P.I.N.: 10-84602-070-05 DESCRIPTION: R E R O O F B ~lditiq~- ermir Type C-Q,. MISC. uilding Wa`ckType y3yREPAIR COnsus Godo ~ ~ni. ~j(. /j~'- µ • ' l `..m.i~~UY,y~ 1 REMARKS: REPLACING ROOFS INCLUDIN6: 1789. 1782n AND 1789. FEE SUMMARY: VALUATION $18,000 Base Fee $262.25 Surcharge ~ $9.00 Total Fee $271.25 CONTRACTOR: - Applicant - OWNER: SUBURBAN EXTERIOftS 28818232 . WOODGATE HSSOCIATION 9701 PENN AVENUE SOUTFI 1778 WALNUT LANE BLOOMINGTON MN 55431 EAGAN MN 55122 (512) ssi-azaz ; Z}5ereby aCkrtawlerJge tFrat I havo rec~rJ this app2LC-&tion and state thai Che i` intcrrmatiorr is corret-It and agree -4;a c4MPlY with a1X appl3cable state 0f tnn, : ~Statutes and GitY of Eagan Drdinances. APPLICANT/PERMITEE SIGNATURE ISSUED BY. SIGNA UR- 1998 BUILDING PERMIT APPLICATION (COMMERCIAL) CITY OF EAGAN ~ 681-4675 ~3a~ ?.a5 Submit toliowing to obtain necessa permit Foundation Onl New Construction interior Improvement structural plans (2 sets) architectural plans (2 sets) erchitectural plans (2 sets) civil plans (2 sets) struGural plans (2 sets) eode analysis (1) " coCe analysis (1) ° civil plans (2 sets) projed spees (1 set soils report (1) landscaping plans (2 cets) Key Plan ) prqeel speu (1) wEe anatysis (1) " energy calculations (1) not always " Speeial Inspections 8 Testing Schedule " soils 2port (i) Electric Power & Lighting Fortn (t) not aHrays " SAC detertnination letter trom MCANS - SAC 0etertnination letter from MGWS - SAC determination letter from MGWS - tall 602-1000 cail 602-1000 call 602•1000 Special Innpeetions 8 Testing Schedule(1) " project spea (1) energycalculations (1) ^ Electnc Power 8 Li htin Fortn (1 " " Contact Building Inspections for sample Food 8 Beverage or Lodging facilities: Plan must be submitted to Minnesota Department of Health. Call 21 &0700 for details. DATE: WORK TYPE: NEW REMODEL CESCRIPTION OF WORK: :J:'Gp~M `T-/,,,,Q_ CONSTRUCTION COST: TENANT NAME: Luan!~QQtc 4~2~ 2x- SITEADDRESS: (-7rYrJ1 ~-Tn, O'C</ l.~-t`yw~Lnv~e SUITE LOT -1 BLOCK 5 SUBD. L,L~CitIC~Jt ~JY~ P.I.D. # Name: ~Q (D C{Q GaQ Phone N: PROPERTY Last F'vst OWNER Street Address: 17 -7 '76't ~`T ~ti~-ISs'z US L/ 4" City &4- ('j Stare: V) Zip: Company: S C.~V11 IJCv?1 GC LQ~ ic^•!3 Phone k: CONTRACTOR q 4z Street Address: 1~G t1) License # Ciry IU~C~Zhrvi State: J'Aso Zip: ~ sscj ARCHITECT/ ENGfNEER Company: Phone Name: Registration Street Address: CitY State: Zip: it o~~ Sewer 8 water licensed plumber (only if inst sewer 8 water): I hereby acknowledge that I have read this tion and stete that th i ation is ca =andagree comply wRh all applicable State of Minnesota Statutes and City of Eagan Ordin lican LOT BL CITY USE O\LY RcCEIPT 1' 0 v I SUBD. RECEIPT DATE: 1 U'" I~ " II MECHANICAL PERMIT # 1999 MEcHArrtcAL PERMrr (REsinExT[AL) crrY oF £,asAiv 3830 Paor Kivoa P n / r-4fiAN 1NN 55122 Da[e: (651) 681-4675 ~ f Complete this section onlv if you are installing HVAC in a single family dwellmg, townhome or condo under construction and not owner /occupied. • HVAC: 0-100 M B T U $ 30.00 ~ r•.i~ .1• , n i r~i~rr. nn ll~?S11V3\(1LJV I1L1 V V.VV • Gas outlets (minimum of one required @$3.00 ea J State Surchazge .50 Total $ Complete this section ortlv if you are remodeling, adding to, or repairing an existing single family dwelling, townhome, or condo. Please indicate if it is a new item, alteration, or repair. _ New Alteration 4- Repair _ Other Reminder.• Call 681-4675 for inspections. ~ Fumace _ Air conditioning _ Air exchanger _ Other $ 30.00 State Surchazge Minimum Total Due $ 30.5 SITE ADDRESS: ~ l.vC L OWNER NAME: PHONE INSTALLERNAME: ~iowESTNu~STrt~er ~ (^~^cooE) PHONE#: jW#jLApOLIS,MN 65409-29(axEwCODE) STREET ADDRESS: 8124e24-2VA CITY: STATE: ZIP: 4kat~ OVW"' SIGNATCTR-t OF ITTEE " PERMIT# ~ ~ I Y RECEIPTDATE: 8008 U~SIDENTIAL PLU16I$INfl PERMIT APPLIClkTION crrY og EAsM 3830 Paor Kvoa {tn EAHRA, b11Y 551 EE D~ lUJ ~ O IJ ~ 851-6$1-4675 ~ aPR 16 2002 Please complete for: single family dwellings, townhomes and condos when permits are required for e unit, backflow preventer for irrigation system SITE ADDRESS: ~a,~ By OWNERNAME:: WII\Il~~il YY~G~V~K-~,Q,(~ TELEPHONE#: ~5~ ~~5~-~"(5qy (AREA CODE) INSTALLER NAME: TELEPHONE STREET ADDRESS: ~ U~14~ O (AREACODE) ~~(Q (:a G~1~h CITY: ~~~IA k/ STATE: ZIP: ~~uLl _ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00 includes $40A0 County fee Note: Additional consultant fees may apply • MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING: _ Adding fi#ures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00 _ Abandonment of septic system. _ Water turnaround - existing dwelling unit 5/8" meter if needed -$118) Other: _ RPZ: new installation/repair/rebuild $ 30.00 _ lawn irrigation system ReplacemenUadditional: watersoftener _ waterheater $ 15.00 State Surcharge $ .50 Total $ • 520 I hereby acknowledge that I have read this applicahon, state that the informaGon is corred, and agree to co yvnth all applicable City of Eagan ordinances. It is the applicant's responsibility to no[ify the properry owner that the City of Eagan assumes no liability for y damages caused by the City during its normal operational and maintenance activities to the facilities consVUCted under this permit within City prop ht-o a/ease t. SIGN TURE OF PERMITTEE 1l02 ' PERMIT # S D((/ O I RECEIPT DATE: EOOE RUI)EPTIRL PLUM$IRH PEgM1T APPWCATION crrY og EAsax 3930 PILOT KNOB RD £AHRN, MA 55122 651-681-4875 Please complete for: single family dwellings, townhomes and condos when permits are required for each unit, backflow preventer for irrigation system SITE ADDRESS: I l M O,ltrw.l Io{\"L n' ~ G OWNER NAME: : ~~S,LI e,{') Pj (~~6- TELEPHONE (AREA CODE) INSTALLER NAME: C m6W n, TELEPHONE STREET ADDRESS: '(r~ ~l-rh (AREA CODE) CITY: W(l.Wll~L STATE: m~v ZIP: e~50 _ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00 includes $40.00 County fee Note: Additionai consultant fees may apply • MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING: _ Adding fiMures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00 _ Abandonment of septic system. _ Water turnaround - existing dwelling unit 5/8" meter if needed -$118) Other: _ RPZ: new installation/repair/rebuitd MAY 2 1 2002 $ 30.00 _ lawn irrigation system By Replacement/additional: /water softener _ water heater $ 15.00 State Surcharge $ .50 TOtal $ I hereby acknowledge thal I have read this appliration, state ihat the information is correct, antl agree t co with all applipble Ci Eagan ordinances. It is the applicanPs responsibility to notify the property owner thal fhe City of Eagan assumes no liaity for yd cau~s y the City during ils normal operaGonal and maintenance activities to the facilities consWCted under ihis permit within City prop !ri h ay! s~R. ,,SIGNA RE OF PERMI 1f02 RESIDENTIAL ~ BUILDING PERMIT APPLICATION 3830 PILOT K OB RD, EAGAN MN 55122 '13~'r-7 U.0() ~ 651-681-4675 p New Conewdlon Heauhemame HemotleVReoeir Beauhemema • 3 repislereC sfte suneys showing sq. tt. of bt, sq. fl. ol house; and gll roofe0 areas • 2 copies of ptan (20%marimumbtcoveragealbwed) • lsetolEnergyCakulationsforheatededtlHbns • 2 copies of plan showing beam 8 window sizeg poured found design, etc.) • 1 srte wnay tor exAerqr atldtlbns 8 decks • lsatotEnergyCakulatbns • Indicate'rfhomeservedbysepticsystemloradd'NOns • 3oDpiesotTreePreservatbnPlan'rfbtpladedatter711/93 • Rim Joist Detail Options selectbn sheet (bltlgs wtlh 3 or less unils) DATE ro' 1I I o-Z- VALUATION ~,Y _N SITEADDRESS 1-78D WPclhu-l- Lr.NL MULTI-FAMILYBLDGY TYPE OF WORK~~ -3k0Z~ 9Vf40LA(A FIREPLACE(S) _ 0_ 1_ 2 APPLICANT lM.l- /I w STREET ADDRESS W0JA44 i-e- PrJJ- CIN 0ALt~nJ STATE /j`!V ZIP )Z'L TELEPHONE #~OS~'ZIO- ( vop CELL PHONE #(W~'Z1o ^1 n00 FAX# 68') -1351 PROPERNOWNER LcrtpJ L+' TELEPHONE# Kt'40-G'87i COMPLETE THIS SECTION FOR ••NEW,, RESIDENTIAL BUILDINGS ONLY Energy Code Calegory _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672 (4 submission type) . Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Confracfor: Phone # Plumbing system includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00 _ Water Heater _ No. of R.I. Baths _ No. of Baths Mechanlcal Conhactor: Phone M Mechanical system includes: _ Air Conditioning Fee: $70.00 _ Heat Recovery System Sewer/Water Conhactor: Phone # I hereby acknowledge that I have read this applicatlon, state ihat the information is correct, and agree to comply wiTh all applicable State of Minnesota StatuTes and City of Eagan Ordi ` s Signature of Applicant OFFICE USE ONLY JUN 1 3 2002 ~ Certificates of Survey Received _ Tree Preservation Plan Received _ Not ired By pdated 102 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 OEplex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Afl - Multi ? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4sea.) ? 33 Ext. Alt - Sf ? 04 02-plex ? 10 08-plex 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_YOr_N ? 25 Miscellaneous O 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroot 13 46 Windows/Doors x 34 Replacement `Demolitlon (Entire Bldg oniy) - Give PCA handout to applicant Valuatlon Occupancy ~~1~ MC/ES System Census Code ~ Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs / Length Fire Sprinklered T Type of Const W idth REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaVC.O. ~ Footings (deck) y FinaVNo C.O. Footings(addition) 71( Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ AidGas Tests _ Final _ Framing _ Siding Stucco S[one _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By , Building Inspector T Base Fee Surcharge $70 ~-Plan Review H/ MC/ES SAC City SAC Water Supply & Storage S&W Permit 8 Surcharge Treatment Plant Plumbing Permit Mechanical Pertnit License Search Copies Other Total • RJ Reynolds Tobacco Co.; 1234567; 14-JUn-02 18:44; Page 4/5 ~ .~.v4r" 9 ` arsig : pNL83~479T~ ~ P ~~y lb • ~ ~ j~'~j oA? 3}O~ 75.fi-f' dg ~Y~ w S!'G3 ~ f[ ~-!3 a i 4 r bY„4I ' ~ 8G01 ~ " e+ ~ . ' ~N.79°5.o 69S`~ ~ • ~ ~ ~ r~..~ ° 8 ~ ei 107.6 B rQ0.00 JI ~ ~ < \ cornrr o~' N.E_ %4 oP . ~ 191 . . ~ 35' U P Lo 4- ~~~a,~ RESIDENTIAL BUILDING PERMIT APPLICATION S~ I l I l I. CITY OF EAGAN c) 3830 PILOT KNOB RD, EAGAN MN 55122 651-661-4675 New Conatrumbn Heaulremenb • NemodeVHeoalr Reaulrements • 3 regWered sfle surveys showing sq, fl. of lot, sq. fl. ot house; and ~II roofed areas • 2 copies of pian '0 ~ (20%m2ximumbiCOVerageallowe0) • lsetofEnergyCalculationsforheafedadditbns • 2 copies of plan showing Deam 8 window sizes; poured found design, atc.) • 1 site surveyfor exterior aedAions & tlecks • 1 set of Energy Cakulatlons • Indicate A home served 6y septic system toraddHbns • 3 copies of Tree Preservatwn Plan H bt platle0 atter 711193 • Rim,bist Detail Optwns selection sheet (61dgs wiUM 3 or less unfts) DATE (0I 11I oZ VALUATION SITE ADDRESS I78,q "lnv4- Lcnrt MULTI-FAMILY BLDG nY _ N TYPE OF WORK `,nSh 11/~t.j ~eCk FIREPLACE(S) _ 0_ 1_ 2 APPLICANT r^-t- J ( STREET ADDRESS W 4- vA' CINoilp,) STATE/?`~!1~ ZIP !5S/7•Z- TELEPHONE # Cns(-ZI cf-/ onv CELL PHONE #~S7-ZJo-looo FAX #(07'-(t"i)-1351 PROPERNOWNER 11U(1 (a'nL00,3 TELEPHONE# 611'~514~503 COMPLETE THIS SECTION fOR ••NEW- RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I MINNESOTA RULES 7672 (J submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submittad Plumbing Conhactor: Phone # Plumbing system includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00 _ Water Heater _ No. of R.I. Baths _ No. of Baths Mechanlcal Conhactor: Phone ri Mechanical system includes: _ Air Conditioning Fee: $70.00 _ Heat Recovery System Sewer/Water Contracfor. 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 Ordi i ce . Signature of Applicant a l11 ~ OFFICE USE ONLY ~ Certiflcates of Survey Received _ Tree Preservation Plan Received _ No ~FR2quire~= - Updatetl 4I02 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-ptex ? 16 Firepiace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-ptex ? 17 Garage ? 22 Porch/Addn. (4sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex x 18 Deck ? 23 Porch (screened) ? 36 Multi ? OS 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage ? 06 04-plex O 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvemenl ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair ~ 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg only) • Give PCA handout to applicant Valuatlon Occupancy MC/ESSystem Census Code ~ Zoning City Water SAC Units ~L Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs / Length Fire Sprinklered Type of Const 1fU W idth REQUIRED INSPECTIONS Footings (new bldg) FinaUC.O. ~ Footings (deck) 1( FinaUNo C.O. _ Footings (addition) Plumbing Foundation HVAC Drain Tile Othcr Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) Insulation _ Retaining Wall Approved By Building Inspector - Base Fee Surcharge ~ Plan Review MC/ES SAC City SAC Water Supply & Storage S8W Permit 8 Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total ;er F.J Reynoltls Tobacco Co.; 1234567; 14-Jun-02 18:43; Page 3/5 Cs.oo _ =`-T'. a?`~ ~O' v e ~ , _ ~`47'py~~ ~ Y 'C~~~~O /OLP ~ f a. s1°[ N ' b d P/i~\` ~ ~i•7' ~ ~ 's-ar14`° z ` 19 ~ O ~ 70,r3 Q r 0 MtJ~. b + 62.42 840~ cos_ N 6a32 , ~ . ~ o N.B~ 36' ~ s d 144 = 3~ • O U ~ N e ~ ~ O~ •n w (1 a < ~OL6B y 69.32 r 60.00 ~ C`~ • S.W. orner of NF_ %4 af rS - . ~9 ~ . . . 3y' S~~ u~ f~ SE (A~~.~ ~ F L~-E- ~OU4, d-~fj.r.,j ~a ?r~. ~ ~~3u -J , . RESIDENTIAL - ' ° BUILDING PERMIT APPLICATION U ~ CITY OF EAGAN S~ O 3830 PILOT KNOB RD, EAGAN MN 55122 t-4~ 1 651-687-4675 Naw ConstrueNon RaauiremeMe RemoAeVRenair Peauiremente U'~- • 3 registere0 sHe surveys showing sq. fi. ot bt, sq. k. of house; and II rooted areas • 2 copies of plan (20%max'vnumbtcoverageallowed) • 15etotEnergyCalculatbnsiorheate4adtlAions • 2 copiesot plan showing beam & window sizes; poured fountl design, etc.) • 1 s8a survey lor eMerior addBbns & decks • 1 set of Energy Calculatans • Intlicate tl home served by septic system for add'Aions • 3 copies ot Tree PreservaCqn Plan H bt platled atter 711193 • Rim Joisl Det2il Options selection sheet (bldgs with 3 or less unAS) DATE /710 z VALUATION SITE ADDRESS 1n-79 Z zAtve- MULTI-FAMILY BLDG _ Y _ N NPE Of WORK G4_~ivrl ~ SGS~_ 5,7L DCCVi~ FIREPLACE(S) _ 0_ 1_ 2 APPUCANT ~l~n-Y ~?~I~ STREETADDRESS y~lg_ LI ti)`Wcl-` ODr~ CITY-CAG,OAJ STATELZIP ~ZZ TELEPHONE li CELL PHONE #(os(-Z10-/opa FAX # PROPERNOWNER &-iI m Ac(<y TELEPHONE# COMPLETE THIS SECTION FOR -NEWff RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672 (4 submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Enargy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Conhactor: Phone # Plumbing system includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00 _ Water Heater _ No. of R.I. Baths _ No. of Baths Mechanlcal Conhacfor: Phone # Mechanical system includes: _ Air Conditioning Fee: $70.00 _ Heat Recovery System Sewer/Water Conhactor: Phone N I hereby acknowledge that I have read ihis application, state that the inform tlon is correct, and to comply wlth all applicable State of Minnesota Statutes and City of Eagan Or Ir Signature of Applicant ~I UU OFFICE USE ONLY . ~ ~ N sY , Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4l02 OFFICE USE ONLY ? 01 Foundation ? 07 OSptex ? 13 16-plex ? 20 Pool ? 30+Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 37 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-piex ? 10 08-ptex 4X 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-ptex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDoors -12~ 34 Replacement 'Demolition (Entire Bldg only) • Give PCA handout to applicant Valuation ~ Occupancy t3 MC/ES System ~ Census Code Zoning ~ City Water ~ SAC Units Stories ~ Booster Pump ~ Nbr. of Units i Sq. Ft. PRV Nbr. of Bldgs ~ Length lo Fire Sprinklered Type of Const W idth ~ REQUIRED INSPECTIONS Footings (new bldg) ~ FinaVC.O. ~ Footings (deck) _ FinaVNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tes[s _ Fina] _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By , Building'Inspector ~ Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S8W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Totai < r...: : V`..--^ 60 q~ Q ~9r<<,~~ C:~:'10. ~ Z ~ :.J: q~ ~ 10• ~ ; y4 ~ ~~R ~r3' F.~ .~`.-~e 09' u, . ~ N . 'r•' N 162 _34 28.~ ~ ~ 8 \ g 1', !8 ~u'~ ~ . ~ `~+`s?,~y'A ' 'rn 4 - - - ~ 10 ~ ~ ~ t 2 ; , , . },2k..~) `1 65- _ . - F~ ? g,4~ ~ ~'s,•7f7.13 - ~ - ' ~ ffi. o G O I ~ - f3 Q:49~' . 4 `~11 w:~' 09 82.81 S.- N~ t.~ ~ `O ~ s ~ 1i ~ 15 ~n~ ,75.17 1 N:~ ,n ~ A{;:^,. ~,~88,55 ' $.75•5A~ 1 x 50 7 \ g ~ 10210- 68.4 cn ' • i I i 1098.( 135.00 872•56 159.09_, o r.,..,,,~-.-~ I I,°n' o o 17?6-~- o ~ C3 ~ ~ ~ tss4t~` ~ ' ~ - ~ 78 z (vp I ~ z 1774s~ ~ is~.os ~ n „s L4.,~ ts N o ~ C5 1772' ~ ' f ^ c° ~-UL f 0 ~ 3 ry c~ _I l~ • / 139.7pr;s ; ~ j 125. Oi 13223:i_ ; ~ --f:ir`,• .`~P o 1.76~~ ~ V65 ui E 2 GAT N D 5 - , S8 ' ~ ~63"r~ 14 ~ o l• ~ / ' . 7 ~~e, v~!~L. 8 59.94 176-1'?:~.°P'~ • > . Be •d~~3; G~7 r~ 1 764, 3Y~~ L 8q2 j~.( A_;~ } o~ ~ . ~n ,,p. 17 5 7 i, ` ~ (~r~ Y~ fy ~ ? N ~'.-'.~n V 8 i"+;, a~ ~i'_ . o, ,&;~'~.l 94.21 'f? ' ~ ~ P ~ • 1' N ~9 e a`•~' 5~ ~ • : a, r ~ A •i . .ti .e~ '1~'XCG~~w~ 9 la • 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City OfEagan 3830 Pilot Knob Road, Eagaa MN 55122 Telephone # 651-675-5675 FAX 9 651-675-5694 New Construction ReauiremenLS RemodeUReoair ReouiremeMS Office Use Onlv 3 registered site surveys showing sq R. of lot, sq. ft. of house; and all roofed areas 2 copies of plan CeAof Survey Recd Y N 120% maximum lot coverage altowed) 1 set of Eneqy Calculatans for heated add'Rions Tree Pres Poan Recd _ Y_ N, 2 copies of plan showing beam 8 windowsizes; poured tound design, etc. 1 site survey foradditions & decks . Tree Pres Required _ Y_ N 1 set oi Eneyy CalcuWlions Addrfion - indicafe A on-sde sep6c system On-sRe Septic System _ Y_ N 3 wpies of Tree Preservation Plan'rflot platted afler7/1193 Rim Joist Detail Options seledion sheet (buildings with 3 or less units) Date i o / jo Construction Cost SiteAddress Unit/Ste # Description of Work J' /Q(fL d ~7 ~ Multi-Family Bldg _ YY= N Fireplace(s) _ 0 x 1 _ 2 Property Owner (Li/ w Telephone #k~J7 ) Contractar Address City State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv I Minnesota Rules 7672 Energy Code Category . Residential Ventilafion Category 7 Worksheel • New Energy Code Worksheel (Jsu6missiontype) Submitted Submitted • Energy Envelope Calculations Submitted In the last 12 monihs, has the City of Eagan issued a permit for a similar plan based on a master plan8 _ Y _ N If yes, date and address of master plan: Licensed Plumber 7elephone ) Mechanical Contractor Telephone ) Sewer/WaterContractor 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 Statutes; I understand this is not a permit, but only an application or a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan n the case of work which requires a review and approval of plans. Applicant's Printed Name A 1'cant's Signature ~ '7 yt t. i - ` ioos`-RESIDENTIAL PLUMBING PERmiT aPPUCaTioN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date~1~rL1 14° SiteStreetAddress~/`I~ Unit# Praperty Owner Telephone - Contrector C~~/-FYl'~1~?/t~~ n /4-/G'/L Telephone# (jS~1y.3~ City /c n)~4//!L~_ State,00__ ZiP~~::~ The Applicant is: _ Owner -xContractor _Other Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license In=County Per as-built $ 50.00 Alterations to existing dwelling Add plumbing fxtures. This fee includes installation of a water softener and/or water heater at the same time. !f you are installing on( a water softener and/or water heater, do not complete this section; move to the next section and check~ the appliance(s) you are installing. n~, C~ ~ Qq~l E I"1(1 _Septic System Abandonment ~ ll F1,~~? ] 2 2006 WaterTumaround (add $130.00 if a 5l8" meter is required) Other: Water Softener Water Heater $ 15.00 new ~ replacement Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 $ 50 State Surcharge Total 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 ac ance with the a roved plan in the event a plan is requa d approved. inted Name Si atue 733~~- '`Ic~ - 4c-1 p2661o RESIDENTIALBUILDING19 City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New CAnsWCtion RequiremenLS RemodeVReoair Reauirements Office Use OnN 3 registered srte surveys showing sq. R. of lot sq. tt of house; and all roofed areas 2 wpies of plan shovring footirgs, beam, joists Cert of Survey RemJ _ Y_ N (20% maximum lot coverage allowed) 1 set of Eneqy Calculafions for heated additions Tree Pres Plan Recd _Y _ N. 2 copies of plan showing beam 8 wiMow sizes; pou2d found design, etc. 7 sRe survey for addNOns & decks Tree Pies Required _Y _ N i set ot Energy Calculations Adddion - mdicafe i! on-sde sepfic system On-sde 5eptic System _ Y_ N 3 copies of Tree Preservation Plan if lot platted atter 711/93 Rim Joisl Dehil Oplions selection sheet (buildings wilh 3 or less units) Minnegasco mechanical ventilation form Date `Y l ~ l 0~/ ~ 1 1~/ Construction Cost ~6Q 0G Site Address /7S a41 U~ 1-ri v1 Unit/Ste # Description of Work V'e b/ R S~-' 'v-~ a l~ h f/~ Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2 PropertyOwner WUO ~ A L~ 401~"C 0wrieV..$ Telephone#(952) Sl'S `f 1,C 73 Contractor L ~i P~- ~ e v SO L7 C C)l~) ~ Address ~/q n~ ~(J 605 L~(~'1 i7 ' v City v~ 0(• L/,~ F e State I p1 J'l Zip S`537 Z' Telephone # (~5~ r yd ~ / % ~°~1 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 submission type) Submitted Submitted . . Energy Envelope Calwlations Submitted In the lasi 12 months, has ihe 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/Water 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 Statutes; 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. PG~z "SU i / ~ Applic 's Printed Name Applicant' ignature DO NOT WRITE BELOW TffiS LINE ' Sub Tvpes ? 01 Foundation ? 07 OS-plex , ? 13 16plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06plex ? 16 Fireplace ? 21 Porch (3sea.) ? 31 6ct. Alt - Multi ? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4sea.) ? 33 Exl. Alt - SF ? 04 02-plex ? 70 08-plex -W 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? OS 03-plex ? 11 10.plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work TVPes ? 31 New O 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 ~ 34 Replacement (J~~y~ e.L 'DemoliUon (Endre Bldg) - Give PCA handout to appliwnt . f-vDi~p-I D05CflptlOtl: WaterDamage_Yes Valuation L`~(7 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 Width ' REQUIRED INSPECTIONS _ Footings(new bl(ig) _ Sheetrock _ Footings (deck) FinaUC.O. _ Footings (additioa) ~ FinaUNo C.O. Foundation 1-IVl+C Drain Tile Other Roof _ Ice & Water _ Final _ Pool Ftgs Av/Gas Tests Final _ Framing _ Siding _ Smcco Lath _ Stone Lath _Brick _ Fireplace _ R.I. _ Air Test _ Final _ Windows Insulation _ Re[aining Wall Approved By: Building Inspector Base Fee Surcharge /~~(L ~ Plan Review MC/ES SAC cry sac Utiliry Connection Charge S&W Permit 8 Surcharge Treatrnent Plant License Search Copies Other Total JS-- ~I -n E(3AN, FI ELD & NOWAK SURVEYORS ~ ~ 7415 WAYZATA BLVR E F MINNEAPOLIS, MINNESOTA ESt~~. Il)r CERTIFICATE OF SURVEY Fm NEW HORIZON HOPLS, INC, 68.32 \ r~ ' I J ~ \ J SCALE: 30' ~ N r p ~ e U ~ ~coNSr•1 ( pE ~ a w pCKt y,Z m ¢ t i k4i 11 y m N ~ T- p ~i~[ 1 - ~ IO/.68 f• 58.32 Lots 5, 6, 7 and 8, Block 5, SdOGDGATE 3RD ADDITION We hereby certify Tha1 ihis is a true and correct representation of a survey of The boundari,es of ihe iand above described and of the location ofall building$ if any, thereon, and all visible encroachments, iF any, from or on said land. Deted ihis 22nd day of September , 1975 . EGAN, IELD d NOWAK,ING rve ors F i le No Dak 18 118ook No 2056 - 46 bY /x~~ -n~ F~* v 09/24/2008 12:08 7635033437 ANNA FLOLO PAGE 02l36 E !o L aBed aunleuBIS s milddV ewe1V Peluud s.waWlddl VIN x p~ V N x y ~ vd l0 R'Wjdde PU2 MBNBI B 661inb0J Yo!VM W~W 038~ 61N UI UBp Pa/lOl{wC 941 y1PM d'IYCPIW'JB U! aq II!M a41 lBy! :ywied e 1rm1VA LEl$ Ol 1W sf wOm puE 'Uwiad BjOl UOq"lkIR Ue R!W !n9 71Wiatl 8 lou s7 si41 D48 `WBNn I 1e41 'U8BC3 ;o IqaD aip;o sapno pue wouewpio ayi yW eaueuuquoo ul eq II!M W~ a411e4i :eiranwe pus Blepwoo s ua3auWlui siyy {wp aBpayxxqp¢ Aqaray I 'Slaives epeN eie ey) lQ47 apnl3uoo o! A7/o ae117/uuod plnonA Ja4! suosDu a/paads eptnwd reo.t !r oyqodLuqu se Pa+.NSSaI.? aq 6eru uW;eutro/u! 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QwX lolld 0£8E I ~p 1!uuBd I IIPlia io fi.` I . 1 m ewyp wj I i l ~ ,1 7635033437 09/23/2008 12:29 7635033437 ANNA FLOLO PAGE 01/10 E lo t 06gd eWeM PeWud $,sueoflddV eanisue~ c eollddq -1 ' VY x Q1~ Y ~ .weM so leAoidde Ptm Melnel s seunbai 4p4+A w~ W as~ e4l ul uep paAadde " 44M eaiePmn~B W a9 II!M VO^+ eN1 is4t :Y yo liv~ aut;o sapW pue ~6u! 9U1 41w~ 18DUewto{u0o iu, eq qwiY~ e41 lB~ 8,n.'~ae Ws sl u eldum a uqle WbY+~s!W situ ~AqWW4, 11 's~a,iaas ape~7 a1a e4j ~4~ epnp+OO F00)'!s2U=YJ9D)dd 71uA+ad p/non~ iWjl suaesa+ olll~s ePMwd ~?qnd-LOU so pep?ssala e0 Aew uoN~plui e4J 'uw7euuolw oI?9rid s4 a! peiqA!SuO* ai8 KWns no.f !ew sluew+a°P 6Wljoddns Pm Sug?d -310N *OU04d :ao!nies ja1g,NfjaMas mu 6u!q¢tsui iepWnld Pamm17 :uoSiBd 1amuoo :au04d :a1etS :Ai1o :dq :Ssajppd 1l3~N1'JN3 :ewery ! 1~311MOtlV _ „o,reus!saa :uosred P14W'J :au04d ~i~ :drz :s7e1S LBIt-09?E9L 1lNNi~ . :sseiPqtl A"d NOStlYBd LfS 2 Z :g esuacm.1 :ewEN !lO.Lzvtl1N03 . :7800 udpru3suoo _ a W oa+ lo uopdUOSaO JI!!OM 30 3dA1 ,woujiuoo- ,eweo- :sswvo!iddv ~dq / A1!o 1 ssajppyr - :euo14d =BWRN aaNMo ua3doaa :f Nt^S (fiugsfx3 ~ / µatJ .sl WmaL) :aweN IuBUai :esWppV Ql!S ~ :a1sQ V~ ~ NOLLVOI-IddV lIN1t13d VNIO11f18 -it/1ou3WW0o $ow ~ - `~,s ; os~.e c~ss) ~ SL99-5L9 (459) :W04d i a~~a e~ea j ZZ GSS NW U~83 ; rROa qOuH ia±a OCK ` .eajLlWed i ean aowo 'Ozf_I 2008-10-06 19:51 ANDERSON 6513881098» 651 675 5694 P 71/12 City of Eagn 3630 Pllot Knob poad j Partnd Fw. i Eagan MN 55122 om.PAowsa: i Phone: (661) 875-Wb Fax: (657) 67545694 tolZ-3oFS-~I.Kb$ 2008 COMMERCIAL BUI'DING PERMIT APPLICATION DOW10 1778;L1:7 $O~ l 182) f1$ I.ANU TanaM HuniK (T«.ant a: Nem, i Ets") suft PnorEarv owMER Name: an«a: ~ h 2- 3 a~ • W ~S aaarew r CAr r z,c: NtXDO 6Q]'K AnWicant is: _ ownx K, convaoto. 7YPE QF WORK Descript;on ol .MOrk: _ j_.. W Ganstruatlnn Cost: GQNfRACTOR Nams: Ucxwe _ ~ ' Address: Cfty' State: A#s.L ZIP: „ Phpn KCqnted Persan: KAWM, WLL- AqCMfTECT/ Name:_-._ ReplstratlonJf: ENQINEER T Address: - Gry:•- state: 7p: Phpn9: Contscf Person , UoN1Md Piue116ef inat3Umg =66wer/w81ar smvlce: PhO1M NbTE: P4MS pAd auppoMfng documrnta Mat Ya+ submN Bm cortsWeraU to be pubBC Mlbmmtfam PoKbn! of thm M/omwNon msy De e/aaeUled as nonpublfc H you provMs sPeHe d raawns fhsf wouFd pwmft the Gry ro eorrduda Nrt the are trsQe aecieta. I hwebY ad°'umiedg8 Mat fhiY Inlameijon is comdes and accurate: thet the wmk w~itl be In confamence nenc0c aM oodss d Me Cily d on Eapan, Met I und9~slpM Utb le not p pelmit, but onry an ~p~aa+ e« a na~+~~ a~+d - na ro s psemlt; tlut Me work wil bo m .coamnce vAth me appwed Wan in the rase a wmk r.w,m a.a,+e.. ane d am. x ~ - . " QLL-,~ /1pplbanYO PrIM" iqmo APWIcaM'* 849rotwe Page t of 3 2008-10-06 19:51 ANDERSON 6513881098 » 657 675 5694 P 12112 . ~ ~ American Family Insurance Group .d. . WOODGATE III HOME033 Building Ezhripr Rooflng Deacrlpttan Bax 3ervlc< Replacemcnt AMnal Cash Oh Unit price Chrr¢e Taxp Cmt Toptl Devreciafion Vahe The jo!lawing usms roJJeer nplacemenr oJrooJon thls urveeu% InsursQ irtQleate4 roof Is approxlmafe{r Io yaarr olQ. Bmss on avemge eoudflfon anAl y'e espadarscy of 30 yscn, 33'b dayreciation har bsen applird Rics iacludes debria nmovd. 1- Rcmwc Tcar off, haul and diapose of comp. shingles - 30-40 year ~ 46.57 SQ $50.96 50.00 $0.00 $2.373.21 -$783.16 (33%) $1.590.05 2- Replace Roofing felt • 15 t6. ar+.57 .SQ $19.71 $16.72 $ I8. {4 $952.95 -S308.95 (3395) S644.00 3a • Remove Additional charge for high roo[ (2 staries or greater) 46-57SQ 34.43 $0.00 50.00 S206.31 -ECat.pA(37%) $136.23 Jb - Replece Addilionel Chuge fof high nwf (2 sWrica ur grcatcr) 46.57SQ 51I39 $966 $0.00 5540.09 -$175.04(33%) $365.05 4-RepleceFlashing-pipejack 4.00 EA $23.19 51.69 S1.57 $96.02 -$31.13 (33:5) 564.89 5- Replace Raaf vent - turtle type 13.00 EA $36.05 $8.54 $11.12 5488.31 4158.32 (33%) E329.99 6- Replaze Ezhaus[ cap - thtough rexif 4-00 EA E64.98 E4.73 $8.64 E273.29 -S88 62 (33`b) $184.67 7- Repiacc Ice & wa[er shield 1,337.00 SF $135 $3289 S5L28 EI,99911 -S61255(33%) f1.276.56 8- Rcplacc Flashing. 14" wide 44061F S268 $1.96 E3.40 S112.56 -$36.51(33%) S7605 9- Replace Roof ven[ - turbine ty}+e 2.00 EA S70.18 3155 55.56 E148.47 -S48,15(3396) S10032 39 - Replace Chimney [lashing - everage (32" n 36") 1.00 EA $20972 E3.82 $2.74 E216.28 -f70.11(33%) $146.17 Remove Roof mount powcr attic vent 1.OOEA E20.91 $O00 t0.00 $20.91 -$6.90(3396) E14.01 • Repface Roof moun[ power nuic ven[ 1.00 EA $280.83 E5.12 $4.60 $290.55 -$94.19 (33%) $196.36 37a - Remove Exterior cover for ven[ilation Ouc[, 5" or 6" 1.00 EA 52.61 $0.00 y0.00 $2.61 -$0.86 (33%) 11.75 37b • Replace Ezterior cover for ventilatinn duct, 5" or b" A,90 EA $43.33 544.21 $1.49 $89.05 -$14.80 (33%) 574.23 13 - Replaa Laminu - 70 yc - c lp. shingle rfg. - w/art fdt 5167SQ E149.59 $14695 $237.85 $8,418.06 -$2.729.66(33%) 55,688.40 14 - Replace Ridge cap - co ion shingles 136.75 L1' $3.15 $7.84 $6.75 5445.35 -$144.78 (33%) 5300.97 WOODGAT£ IIl HOMEOWNFRS 00311284511 7/19l2008 page; q ASSOCIATION i ep /a Use BLUE or BLACK Ink l For Office Use City of Eap t Permit i I Permit Fee. 05,926 3830 Pilot Knob Road t q I Eagan MN 55122 f Bate Received: 1 4 Phone: (651) 675-5475 1 1 I Fax: {651) 675-5694 y I Staff., t I F 2093 RESIDENTIAL BUILDING PERMIT APPLICATION Date F v L ^ Site Address- C•~ i_... d., Unit#: Name: Phone. Resident/ i Owner = Address I City 1 Zip: i Applicant is: Owner Contractor 4 Type of Work Description of work: - C4 ~Ssc Q, Construction Cost: 000 "'%(1 Multi-Fami Buikfi , v ty ng: (Yes 1 No I Company: L 1 Contact: i Address: Contractor tv: _ ~-e G C5 State: -MAL- Zip: _ 5 U 2 _ Phone: t? ~?Z Lfl J License V0 C LA T 112 k Lead Certificate VV A 1 cj - `o - G On- If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: 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 may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. CALL BEFORE YOU DIG. Cali Gopher State One Call at (651) 454-0002 for protection against underground utility damage. before you intend to dig to receive locates of underground utilities. www.ctooherstateonecald org Call 48 hours i hereby acknowledge that this information is complete and accurate; that the worts 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 worts 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. Exterior work authorized by a building permit issued In accordance with the Minnesota State Building Code must be completed within 184 days of penis i issuance. x Ar\Dc_.,._t~ t , ~~J e e 1~~ Applicant's Printed Name X Applicants Signature Page 1 of 3 JL Ugg MAIE or OLK Ink i POrOAAsa~ i ~5c~ acs af_ , 3,g.1s > . Liu bp C ~ EMMUM"M , D'11Ae iaacUiY~~ i Phone i got ) i (561 Fa>a 166'1) 6Tl L BUiL.DlNG PERMiT APPUCA~now 20'!3 RESIDENTiA udt~: ~e SM MOO= _ NOW 3 5 t r L )(`ilY/ziwj gppd Is£"or TIpe ofi Work DeacriD of wale Fm* MAVW MuM ~ Cawbucdon cast cama®rn------------ .Sit6.t~~'ruQ~ PT w . r 3 b c.sa P car contractor phone ZVC skmw N~4T 573~b-! , Lead t,# - v*l: (see page 3 for adcfilionai eq*m P~ fi` the project is a *m lead WtT . t COYRLETE THO AREA ONLY F ~STRUCTING A .lt a $ POOOKtor a oft~ P1m based on a m Sw Om? in the fast 12 mono s. ants ffis Ci<!r toe and address Of nmW Plain Yes if Yas• { Phalm Pp~ L. Phone: sewer a wm~r co"Ma+or Pot s _ - ~rtds~p~aad s~4► ds'asA° Col 48 hOM Qs1 BEPORE YOU DK~ Ca9 eopMrBM" Oae tali at lam) tot O1elst a bslona You i d m i' m dg b Mecei+le locales at wAhh Yee onus ud codas at" CW Of etebl+ edo+ow~d9e stet and actstralx >1~~ a al~,* is a So $Md %*wA s Madt to VW vmt rM be 10 i hEawO umt 1 MIOP td Ws is not s pesdl. b d 90 00101 no appmvd of Plow satortgr,oe= fie approt+sd awe Vito arse ofvm*%td* fe**ss Code m" bs completed whets so Aleta EXWlorwo* aua,oMVdW m t"ft5t1e "ieauod m "wdnmawA*tre them "laSwNf PA4L.5od ek mAwcer ,fcw i'a of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA118067 Date Issued:10/28/2013 Permit Category:ePermit Site Address: 1778 Walnut Lane Lot:007 Block: 005 Addition: Woodgate 3rd PID:10-84602-05-070 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater 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. Kris Oien 3670 Dodd Rd Eagan, MN 55123 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 Surcharge-Fixed $5.00 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 - Sylvia J Quade 1778 Walnut Lane Eagan MN 55122 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature