4730 Walden Dr ^+~+.a+r.~..~•R
CITY OF EAGAN Z")'
3830 Pilot Knob Road, P.O. Box 21-199. Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt #t
TO M 1109d }w Est. Vclue ' - ' - Dote r , , 19
Site Addrea 473(1 Erect ? Occupancy
Lot ~ Block ~ SeclSub. Remodel ? Zoning
Repair ? Type of Const.
Percel No. qdditipn ? No. Stories
W
Name ~ RX . 1 Move ? Length
Demoliah ? Depth
; Addreas Int Impr. ? Sq. Ft.
b City Phone r - Inatall Q
Name Approvols F.•s
~
Z~ Nssessment Permit
uu Addresa
~ City Phone Water b Sew. Surcharge
Police Pian Review
Name Fire SAC
utg Address Enp. Water Conn.
O:W City Phone Plonner Water Meter
Council Road Unit
I hereby acknowledfle thot 1 haw read this opplication ond srote that gldg. Off. i`' Tr. Pl
fhe informotion is torrecf ond agree to comply with oll upplicabla A~
Stote of Minnewta Statutes ond City of Eogon Ordinances. PerkB
Var. Date Copies
Sipnoture of Pem+ittee
Total
A Bulldinfl Permif is issued to: ~'y W= on the •xpress tondition Ihat
ofl work sholl be dorn in occordonce with oll oppliaabb Stote of Minnesota Stotutes and City of Eoqon Ordinonoes.
Bufldinq Official
Pwmit No. Permit Holder Dau Tslsphone *
Plumbino
H.VA.C.
Eteetrlc
SOfLeMf
Inspeetion Dats Insp. Othsr
Footinys I
Footfnys 11
Foundation
Frominp
Rooflnp
RouQh Plbg.
Rough Htg.
Insul.
Firoplace
Final Mty.
Final Plbg.
Final
Cort/Occ.
Watsr DosC?ibs location:
Well
Swvsr
Pr. blsp.
CITY OF EAGAN • ~ 19
' 3745 Pilo* Koob Rood Eoqan, MN 55123
' • PHONEs 454-8100
BUILDING PERMlT Re~eiPt
Te be usad fm S:7 DWG/GAR Est. Value $58,000 Date AuQuet 23 19 S3
51te Addrrnsa 4730 a en r vF: Ered ~ Occuponcy ~-3
Lot lJ Block Sec/Sub. Wa en t?eig tg ^lter ? Zoning °^1
Repoir ? Fire Zone °~A
Poroel #
Enlarge ? Type of Const. v
ag Name Sunahine Construction Co. Mo,e
? # Stories
z Address 1466 c ar 3 ourt pe,.nol;sF, E] Length 54
~ ci :..3F.an 55122 Phono 454-7495 Grode ? Depth 38 Sq. Ft.
~ mer Approvals Faes
Nome
Z~ Asseument Permit ~
ou Address
C~r ~n~ Wuter & Sew: Surcharge 2 `
Police Plan check 153.50
b°W` Nome Fire SAC
Address Enp. Woter Conn. 450. ~0
~
~W Ci p~ Planner Woter Meter ~70. 00
CounCil Rood Unit 250. 00
1 hereby ocknowledge that I hava read this opplicotion ond state thet gldg. Off.
the inlormotion is correct and ogree to comply wirh oll applicoble 1774.50
Smte of Minnesota Statutes ond City of Eagon Ordirwnces. APC Totol
Sipnoture of Permittee
UI181 :1E ,_.OT18tYltC OIl ri0.
A Building Pertnit Is issued to: on the express tondition thni
oll work sholl be done in eccordonce with oil oppliceble State of Mi?vesoto Stotutes ond. City of Eoqon Ordinances.
Buildinq Official - '
Permit No. Permit Holder Misc. Permit No. Holder
Ptumbin9 3Z-73 L&~EUL'UE
H.V.A.C. Q-7 M -
Well
Water
Disp.
Sawer
eieCcric Oic4ST E ~lt-C ~ Q -zl-$.3
fnspection Date Insp. Other
Footinga -2
Foundation
Framina i
Rough Plbg.
Rough HVA
Inwlstion
Finel Plbg
Final HVAC Q/~ " r ~ •
Finel
Water Descri6e Locetion:
Well '
5ewer '
Pr. Disp. ' .
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
6611LDIN~P~RMIT Receipt #
x-
To,be use for POjtCH 6DECK Est. Value $13,000 Date Jt1L 14 ,1g-91_
Site Address 6230 LTALDgK ~
Lot 1.'~ Block Sec/Sub. ~ 1lEt~IMlS OFFICE USE ONLY
Parcel No. Oocuaancr 2.3 FEES
zoning -
W Name WRIO $~w (Actual) Const _ Bldg. Permit 16/?~ ~A
o AddreSS 4730 VAl~iLZ1 DQ (Nbwabie)
- Surcharge
City EAt'M Phone 452-•3471 # of stories _
Length _ Plan Review 24-~
=o Name ~~H K~~N CONS?BUCTLON
Depth - SAC, City
ou Address 2135 128TH ST ii S.F.Totai _
U~ City EMOUNT Phone ~2U2M9 S.F. Footprinis _ SAC, Mcwcc
On Site 5ewage _ Water Conn
r¢
~ W Name On Site Well - Water Meter
Address Mwcc sys?em _
a W City PhOnB City Water _ Deposit
PRV Required _ 5NM Permit
I hereby acknowlege that I have read this application and state ihat the Booster Pump - SM! Surcharge
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances. Treatment PI
Signature ol Permitee APPpOVALS Road Unit
A Building Permit is issued to: RPJM HAPUM CMT Planner - park Ded.
on the express condition thal all work shall be done in accordance with all Council
applicable State of Minnesota Statutes and City ol Eagan Ordinances. gldg. pry_ _ Copies •30
Building Official _ ~ Variance - TOTAL 245•00
Permk No. Psrmit Holds? Date Telephone x
WATER
SEYVER
PLUM8ING H.V.A.C.
ELECTRIC
hapeetion Wte Insp. Comments
Footings I
Foundation .
Framing ' ~ • ~ T f/ ~
Roofing
Rough Plbg.
Rough Htg.
Isul. Z 9/
Freplace
Final Hlg.
Orstat Test
Final Pibg. Plbg. Inspector - Noti(y Plumber
Const. Meter
EngrlPlan
Bldg. Final S-/ ~ 9 S
Dedc Ftg. rJ/ `1l 41d" 3~-!~ 1J
Dedt Final
weu
Pr. Oisp.
Receipt MECHANICAL PERMIT Permit No.
CITY OF EAGAN
Fee
Fill in numbered spaces S/C
Type or Print lsgib/y Tot '
1. Date ~ 2, Installation Cost
3. Job Address _ • Lot Blk. Tract
4. Owner r ,
5. Contractor . Phone 6. Address
7. City - , i,- State Zip
8. Building Type: Residential Commercial ? Institutional ?
9. Work Description: New Q Add ? Alter O Repair ?
10. Oescribe Fuel Type r •
11. No. Eauipment BTU - M. Ea. No. Equipment CFM
Forced Air Air Handling:
Mfg.
Boilers
Mech. Exhaust
Mfg.
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed :
for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Recaipt ~ PLUMBING PERMIT Parmit No. - ~
CITY OF EAGAN - . I
Fee i
Fill in numbered spaces S/C ~
Type or Princ legib/y Tot ~
~
1. Date 2. Installation Cost ~
C`,,_~~"• ` I
3. Job Address ~ 7~L' ~Ci~~ Lot Blk. 3 Tract'' I
4. Owner L5 ~S ~ L`i.~'?
. j
5. Contractor P (1/2 i Phone ~ ~-;2 1 ~ ~ 1
6. Address
7. City Z-e? Stete Zip
~ 8. Building Type: Residential Commercial ? Institutional ?
9. Work Description: Newt Add ? Alter O Repair ?
10. Describe
11. No. Fixtures No. Fixtures
-2 Water Closet Cesspool/Drainfield
-,41 Bath tubs Septic Tank
~ Lavatory Softner
Shower Well
~ Kitchen Sink
Urinal/Bidet ~ ^
Other/ C' Y
_.Z Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed . for
. t
Rough F inal
Inspections: Date Insp. 'Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
CITY OF EAGAN Remarks # ' ` -
Addition WALDEN HPICHCS 1S'1' t1DN Lot 15 Blk 3 Paroel - -~3
OwnerVD%! 0' _1 5treet 4730 WALDLN DRIVE State EAGAN I?'IId 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF,
STREET RESTOR.
GRADING
SAN SEW TRUNK 3 61.33 A013268 12-9-83
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA Z
STORM SEW TRK ~ 1984 673.75 134.75 5 53 .00 A013268 12-9-83
STORM SEW LAT
CURS & GUTTER
SIDEWALK
STREET LIGHT
250.00 39229 - -
WATER CONN. tt
BUILDING PER.
SAC
PARK
1N SYLC;'1'lUN KL;C;UKl1
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
, , .
SITE ADDRESS: APPLICANT:
' ~ I•i.i I'I c ~ I: t~~~~ i.ipS! I i ~
. I . ,
PERMIT SUBTYPE: TYPE OF WOR!(:
INSPECTION . .ATE INSPTR.
F
L ~
Permit Holder Date Telephone N
PLUMBING
HVAC
Inepection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
~ .qV
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARO
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
corvoucrivirv
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
~ CITY OF EAGAN VVATER SERVICE PERMIT
3836 Piiot Knob Road
P. O. Box 21199 PERMiT NO.: 4
Eagan, MN 55121 D11TE:
ZoninD: R1 No. of Units: 1
pN,ner; Stuishine Gonst
Address:
Site Jlddress: 4730 Walden Dr L25 B3 k:a2den Figts
Plumber: L3iiCYiIIl: Plbg
Meter No.: Connaction Chorfle: 450.00 pd
SiZe: Acaount Deposit:
Reader No.: Pertnit Fee: 40 pd
I aome to cemPy wuh !M Ctfp ef Eaqew Surchorge:
Oeanaaon. Misc. Charpes: pd 111eter
Totol:
BY Dcte Pafd:
Date of Insp.: Irsp,;
CITY QF EAGAN SEWER SERyICE PERMIT
3330 Pilot Knob Road
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE:
i
ZO^i^o: ` No. of untts: 1
pw,ffe.; Sunshinv Const
Address:
Site Address: 4730 Walden Rr i15 133 4aluen t:^ts
pl„mbe,» l,akeville
)-244-k3 °2.'.~
I yrN to OmPlp whh tw C&y oi Eepn ConnOCilon Chorps: 425.00 d
AcwurM Depotit:
Permit FM: 1 ,
Surdhwrpe:
BY Mist. Ctiarpes:
Dote of Insp.: Total:
Insp.: p,pte paW:
'certificate for:
. 'Sunshine .^,onatruction
DEIMAR H. SCNWANZ
LANDSURVEVORS~ lkjC,
Rp1storsa Undar Laws of Tps SUU of Minnesota ~
2978 - 146TH STREET W. - BOX M ROSEMOIJNT, MINNE80TA 06068 PHONE 612 423-7789
~
~ `Y9 SURVEYOR'S CERTlFICATE
~ n
~ gb O. 2 8
Q ~ r
r" DO
o . p ~ ~ ~ ~~15= ~ ~
I
Drainage &
utility M
~ easement '
4
~ a 9b j.HJ . ~0.07 ~ ~
SCALE: 1 inch ~ 30 Peet
963.3 Denotes existirg elevation
IJDenotes aet wood hub Propoaed garage floor from
Iknotea proposed elevation development plan
` Denotes proposed drainage
I hereby certify that thia is a true and correct repreaentation of
I,ot 15, Block 3, WALDEN HEIGHTS FIRST ADDITION, according to the
recorded plat thereof, Daloota County, Minnesota.
Also sho'NiClti7 the location of 3 proposed house ae staked thereon.
Dated: Auguat 18, 1983
MINNESOTA R G15TRATIOfV NO 8625
~aol~
L
ReOUest Date Fire No. Rough-in Inspecfion
ReQmre ~ 40 ? Featly Now illNotily Inspedor
When Reatly?
~ ~ es G N.
7
A9
I-icensed contractor ? owner hereby request inspection of above electrical work at:
Jo0 AtlOress (Street Box or Route No 1 Gty
7 3ci;, Dr 0_ a.u
Setlion No. I Townshi0 Name or No. Range No. Coonry
Occupanl(PRINT) Phone No.
a> r•o r re
PowerSuppher Atltlress
Ell on cmr (C m any Name) ConVador's License No.
Nc a r u ~lr ~ 1,e.~ ~ ~ ~lz G> ~
MiuM1ng AO/C~r~s/~{Go ;ractor or Own aking Inslaiialion~
d a yr2..Z m r^t a cc J
Authonzetl &gnaNra iGOnhaclonOwner Making Inslallationl P~one Number
1123 MINNESOTA SRTE BOARD Oi EIECTRICITY TMIS INSPECTION REOUEST WILL NOT
Griggs-MiEway 81tlg. - Room 54]] BE P.CCEPTED BV THE STATE BOARO
1821 Unlversily Ave.. 51. Vaul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone(612)6<2-0800 ENCLOSEO.
REQUEST FO#i ELECTRICAL lNSPECTION
0, See insfruotions ior completinq ihis form on back ol yellow aopg
10552 "X" Below Work Covered by 7his Request f`~
1
e' dd p. TypeolBuilding AppllancesWred EquipmantWired
61 Home Range Temporary Service
Ouplex Water Hea[er Elec[ric Heating
Api. Buliding Dryar Other (Speclfy)
Comm./Industrial Furnace
Farm Air Conditioner
Olher(spem(y~ GonVaoror's Remarks:
J .St •t.sc.c: ~m a- C 4
Compute 7nspection Fee Below:
# Other Fee # ServiceEntrance Size Fee # Circuits/Feeders' F e
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transtormers Above 200 _ Amps Above 100 _ Amps
SignS Inspecror's Use Only: TO'fAL nf
f cG
Irrigation Booms Y
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETEO WITHIN 18 MON
I, the Electrical Inspector, hereby Rooynin oa+e
certity that the a6ove inspeclion has F,oai
been made. -
OFFICE USE 3NLY ~
TM1IS IBq1183t VOId 18 Ri00R16fl0l11
ThisrequestvoiA L1sr $3' WAIN[n~1'~` \ 3ST
18 months trom ~ti~ `+C lT7
A n691-58 4r so
Repuest DaW Fire No. ~R~oughe~~inspection ~Rpatly NowMWill Notity Inspeo-
-~,j Yes ?Nn wpr When Ready
~ L~censed Elecvical Contractor I hereby request insDection of abova
? Owner electrical work installad at:
Sveet Address, Box or Nou[e No. Cily
~4o?,~Fn Lc)c2 1 „r~
ecl~on o. Towns~i0 Name or No. Hange No. CountY
Z
Occupant (PRINT) _ Phone No.
L.;~C.LYI .S~
Power SupDlier Address '
a-
ElecVical Conttacmr ICOmp n Namel Comracmr's License No.
o~
Maili~ ~ Address ICon[ractor or Owner Makinp Instailacionl ~
.5.5 y?i,~
Authorized Signacute IConvactor Owner ~Makging Insta lationl one Number
MINNESOTA STATE BOApD OF ELECTIIICITV THIS INSPECTION HEQUEST WIIL NOT
GriBes•MiOwev BId9• - poom N•191 gE ACCEPTED BV THE STATE eOAHU
UNLESS PROPEH INSPECTION FEE IS
1821 UniversitY Ave., St. Paul, MN 55104
Phone (612) 297-2111 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ee-aoooi-oa
' Sae instruciians for completing this form on back of yellow copy.
~ n ~ R "x, " Selow Work Covered by This Request 3$-7~
Add e'D• ' YPe of Building APOli enms Wired Eqniument ired
~ Home Range Temporary Service Duplex Wa[er Heater Lighiiny Fixtures
Apt. Building Dryer Electric Heatin
? Commercial Bldy. Furnace Silo Unloader
Indusirial Bldg. Air Conditioner Bulk Milk Tank
Ferm ~ P aF' Other l5uecityl
t er SVecify Oiher
ompute lnspectian Fee Below
q Fee Servica EntranceSize k Fae =bovel eeders # Fee Circuits
D to 200 Am 5 '~0 tn 30 Am s
Above 200 qmps ps ~ 31 to 100 Am s
Swimmfng Pool Arnps Above 100_Am s
Transiormer5 ms Partial-Othe r Pee
Signs ction S 6~ Rertwrks TOT FEE
r
Bough-ia Date
? ~L Yy I.nsxO~ecE t '
Ieaq hereby
certify that the above
inspeCtion has been
made.
fbis reryuesl voitl 18 montM irom
CITY OF EAGAN N°_ 1 1 151
. 3830 Pilot Knob Hoad, V.O. Box 21-199, Eagan, MN 55121
PHONE: 4548100
BUILDING PERMIT Receipt #
_ T. b. wed fer_ FIREPLACE Esr. Value $2.000 pafe OCTOSER 22 1q 85
SiteAddreee 4730 WALDEN DR Erect ? Occupancy
~ WALDEN HTS ADD Remodel ? Zoniny
Lot 15 81ock 3 ec/Sub
.
Repair ? Type of Conat.
Percel No. AddRion ? No. Stories
JULIE & NORIO SUGAWARA Move ? Lenyth
W Name Demolish ? Depth
= Address SAME Int Impr. ? Sq. Ft.
~ City Phone 452-3471 Install x
q
Name SAME App.o.ola Faes
C) Address Assessment Permit $.3.2- 10
V~ Cirv Phone Water65ew. Surcherge 7 flfl
G Police Plen Review
W Name Fire SAC
El Address En0• WaferCOnn.
~W City Phone Plonner WaterMeter
Council Road Unit
I hereby acknowtedge tMt I have reod this apDlication and state that Bldg. Off. 10I22/8 Tc PI.
fhe Informolion is torrecf and ogree to comply with all applicoble APC
State o4 Minrxsoto Stctutes and Ciry of Eagan Ordinonce:. Parks
L'eLQ_;~ Var. Dete CuPlea
S~ynoture of Permittee 33.50
J IE & NORIO SUGAWARA rotal
A Building Pennir Iz issued . on the exprcss condition thoi
all work sholl be done in xcordonca with all lico State of Minne a teys -o-nd Cily of Eapan Ordinoncea.
Buildinp OfflNol - - ~ ~
CITY OF EAGAN N~ 19451
3830 Pilot Knob Road, P.O. Box 21-799, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be used tor PORCH & DECK Est. Value $13,000 Date .IUL 19 , 1911
Site Address 4730 WALDEN DR
Lot 15 Block 3 Sec/Sub. WALDEN HEIGHTS OFFICE USE ONLv
PefCBI NO. Occupancy JL-3 FEES
Zoning _
w Name NORI O SUGl1WARA (ACWaI) Const _ Bldg. Permit 144 _ 00
; Address 4730 WALDEN DR (Allowable) _
° Cjly EAGAN PhOne 452-3471 :YOiStories _ Surcharge 6.50
Lergih _ PlanReview 94-(1n
o Name RALPH HANSON CONSTRUCTION Depih _ SAQ City
Address 2135 128TH ST W S.F.TOtal
U~ City ROSEMOUNT Phone 423-2009 S.F. Footpnnis _ SAC, MCWCC
On Site Sewage _ 'Nater Conn
~
V w Name on Sile Well
ti - Water Maler
Address MWCC Sysrem
145 City Ph0n0 Ciry Water _ Acet Oeposil
PRV Required - SNJ Permit
I hereby acknowlege that I have read ihis application and state thal Ihe Boosler Pump - SNJ Sumharge
information is corcect and aqree to comply with all applicable State of
Minnesola Statutes and CitK oi Eagan - rdir/ances. 7reatment PI
Siqnature of Permitee APPROVALS Road Unit
A BWlding Permit is issued to: RALPH HANSON CONST Planner - park Ded.
on the express condition that all work shall be done in accordance with all Council SO
applica6le State ot Minnesota Slatutes andC,ity of Eagan Ordinances. Bldg. Off. Copies .
BuiltlingONicial Ifi~i(~~I y ~ 'I`~ Variance - TO7AL 245.o
CITY OF EAGAN *T
9795 Pilef Kaob Rwd Eeyon. MN SS743 lr? 8/~19
iHOHls 454-8100
BUILDING PERMIT Receipr
T. 6e wed for SF DWG/GAR Est. Value__$58,000 pOfe August 83 _ l q 83
4730 Walden Drive
Site Address Erect ga Occupancy R-3
Lor 15 BI«k 3 See/Sub. Walden Heights qlrer ? Zontng R-1
Purcel # Repotr ? Fire Zone NA
Enlarge p Type of Conrt. V
~ Name Sunshine Construction Co. Move ? # 5tories
; Address 1466 Richard's Court Derrwlish ? Length_54
c; EaQan 55122 pho,b 454-7485 Grode
? Depth -3$-Sq. Ft.-
AOOrorala Fees
Nama O+'neY
oo ~ Addrass Assessment Permft 3 V7• Vu
V~ Clt pha~~ Water B Sew. SurcFwrge 29.00
Police Plun check 153.50
~W~ Name Fire $AC 525.00
~W
x~ Addreu Erp. Water Conn. 450.00
iW C7 Phone Plonner WaterMeler 60.00
Council Road Unit 250.00
I hereby acknowledge rhat I have read this aOPlication and state thnt Bldg. Off.
the information is correcl ond ogree to tomply with all opplicable
Slote of Minnewto Stotutes and City of Eogon Ordirwnces. APC Total $1774.50
SiOnofure of Permittee
A Building Permir Is issued to: Sunshine Constr ion Co. m tha express conditlon ihnt
oll work nhall be dorre in accardante with all li le a of Minn /otn5rotutes and Ciry of Eapcn Ordinancea.
uildfrq Official
~'h~G
B ~
CITY OF F11GAN Include 2 sets of plans,
1 site plan w/elevations &
BUILDIDIG PERMLT APPLICATION 1 set of energy calculations.
Di.u~rGai- - -
7b Be Used Fo V/a''l~uation ~IOOZS Date
Site Prldress ~f'f3 0'W e~x.a.~ ~~/jt4-~- OFFICE USE ONLY
Lot /.S slock ~ sec./sub.Au. Erecf OccuPancY
Parcel Alter Zoning /
Repair Fire Zone
Oaner: °ccS' Enlarge 7ype of Const.
I"love # Stories
Address• wa' Denolish Fmnt
S ft.
City/Zip Code: 5~/rv Grade Depth ft.
Phone # : ~~f - ~ S~~ ~
APPROVALS FEES
Contractor: d,,.2 ay,/ Assessments Permit ,3 o7~
l ?4ater/Sewer Surcharge ~ 9 i
Address: Police Plan Check / 5- ZT SP
City/Zip Code: e, Fire SAC Sas-~
Phone Eng. Water Conn.
4 ~ Planner Water Meter 60
~
o council xoaa vnit
Arch./Eng.: Bldg. Off.
Address: OD U APC
City/zip Cocle: ~5337
Phone Zo YZt7TAL
Snt I Y YA.7-ay
• Weathcntrips Guide ~ sbactioq No. imnlation
f
R'i s IDon _ I Refeream ~ at. wan Int. WaN Ceilieg Roof Floor II_ Kind How Applied
ee- o es- 0 19_
Fl.( 1: Room LenBth ••A Width$%b" lieieht b'o F1.1 Room Leneth~l`b" Widthq` " Height$~ a
Windowa nnd Dooro-Cracksge and Arca Windowe and Doon---Crackage end Aiea "
Width He1 9 ht Nu.ef Llnqltt Ana Width He1ilLt No.ot Loo1tL Arc~
No. ot pano ot Dan• II.hU of <rwk p. [A No. of Dwn• ot p~e. IIibV ot eraek sV. ft. ,
\ ZO
e' l 1l,
C«f. &u C«f. Bm
~~ltzatioo y o 1 ~crec~o ~y yo
Glaee ~~o Glau SO ;%im
'
Exp. wall Z~b Exp. wall
Net exp. wall 1 k Net e=p. v+all 0
Int. wall Int. wall
Flonr F!oor
Ceil. ('-•l. I'1L1
Total Btu. 6201 Tdal Btu. k
' Requittd sq. ft. E.D.R. or sq. ins. W.A. Leadu area Required aq. h ED.R. or sq. ine. W.A. Leader area
Fl.l No Room I Length22'o" Width %V b Height ' p" }1.I %"-,,toom I L.ength N`b" Width SHeiehtt!O"r'*"
Windows and Doors-Cmckage and Aree Windowe and Doors-Crackage and Area
Width Helshl No.ot Li na. lft. An. Width }IetR~t No.o[ Lln.. ltt. Aru
No. otDmoe otD~ns 11(~t. otenek q.ft. Ne. o[noee n[paM 11[bt. ottrach q.IL
3
:
Coef. Btu Coef. tu " ~
Infiltratioo 4 yp 1 b Infiltration
Clau p 1 Glass
Ecp. wall Exp. wall
Net cxp. wa11 m Nct exp. wall O
Int. wall [nt. well yo
Floor Floor
Ceil. CeJ. • ~
Total Btu. Tota1 Bta
ii:
Required sq, ft. E.D.R. or aq. ins. W.A. I.esder aree Required aq. ft. E.D.R. or aq. ins. W.A. L.eader aree
I Fl. Q%NIN Room lLength k'Z'6 Widthb`y' FkghtQ`p'• o Rooml(.ength\Vb" Width<1'le" Heighl5!~~Y.: .
Windows and Doors-Crackage and Area Windows and Doon-Crackage and Arca ~
K'Wl? Hel[ht Yo.ot LInn1IL Ar. Width Helght No.of Llnaalf[. Aroa
No. o( D+na of Dane IIPh4 of era<k ~p. [t. Na of Dene of.D~no 11[hb ef craek - A. tt. Y' '~~e4~~l~.
y
3' ' e' 1 2 Z
s:w
Coef. Btu CoeE. Btn:
In6ltration 32 p Z Infiltration
Glat+ t}1 aSp -Glaas_ _ 1 90
Fap. wall ~ . ExP. wel; Net ezp, wsll ` 9 Net esp. wall ~g 1
Int. wall Int. well
Floer Floor
Ceil. p tL Ceil: 1114 p
Total B:u. 4631 Total Btu.
Required sq. ft. E.D.P. ot eq. ins. WA I.ader ame Reqaired aq. ft. E.D.R.,or sq. ini. W.A. Ltader area
To4aL 4h = 4y,0a3 4-Tu1n ~
~4{1
. . .
' Weatherotrips A Guide CoettruUiou No. I lnialation
\3'in s I Doon II Refereuce ~ Out.Qlall Int. WaN Ceilieg Roof F7ooc fl_ Itind How Applied
Yn- o Yes-No 19_
Fl.( 'k Q oom Length\S)j" Width IZ' " Fkight F7.1 Roam Length Width Fkight
Windowe and Doon-Craclcage end Arca Windowa and Doorr--Lmckage and Area
W IaOi H.Iff ht No. ot LInu11L wr~. wlath HHget No. at Weul Il. wrc.
Na. of y>ne o[ D~o. II!hb of enct p, tt No. et D.oe of IIgEU of e.clt ~p. ft.
Coef. &a Coef. Btn
Infiluation 'L Infiltradon
Glaes \ Glau
6cp. wall b Ecp. frall Net ezp. wall Net exp. wall
Inl. wall Int. wnll
Floor ploor Ctll.
Total Btu. 3 Total Btu.
Required sq. ft. E.D.R. or sq. ina. W.A. l.cader area Required sq. fL E.D.R. or aq. ins. W.A. l.tader area
.1 Room ( Lengthj$` " wiath Zy` " Neight 8•p" F.I Room I Lenqth Width Neight '
Windowe and Doors-Crackage and Area Windows and Doora-Crackage end Area
~wiatn x<iam ao. of Llo.al fA Ar~[L
No. t p.ne of yane Ilghb of eraek q.~ wmtn rtetset No. of Llnw n. w.e.
Ne. ofDeva rtDaM It[bb otcnek q.fl.
Coef. Btu Coef. ta
Infiltration ~ 140 InLlvation
Glau ~e SO Gla»
Fsp. wall
Exp. wall
Net cxp. wall N 21 IVet e:p. wall
wall NtN ~ l int. wall
Floor 3 Floor
cea. cea.
Total 8tu. Tota1 Btu,
Rcquired sq. Et. E.D.R. or sq. ins. W.A. L,eader aree Required sq. ft. E.D.R. or aq. ins. W.A. Leader ares
FI. Room I Lrneth Width He:ght F7.1 Room 1 Length Width Heig6t
Windows and Doors-Cratkage and Area Windowe and Doors-Craclcage and Area
Wldt? Ilelgnt :VO.o[ Llmailt Ar. el~6l N
of Llne.ltt Are• Ne, of Oene of p.ne 118ht. of ueek WI~ItM1 H
q-
Na of pane eLD~n. IIR~U of en<k ~p. tt
.,A
Coef. Btu Caf. Ben
Infiltratiou Infiltration
Glaia Glasa
Eap. wnll ExP. waC
Net ezp. well Net exp. wall
Int. wall Int. wall
Floor Floor
Ceil. Ceil:
Total B:u. Tocal Btu.
Required sq. ft. &D.R. or eq. ins. W.A. I.eatier uea Req:ired sq, ft. E.D.R.,or sq. ins. W.A. L.eader area
NcitVoFecigan
3830 PILOT KNOB ROAD, P.O. BOX 21199 BEA BLOMBUIST
EAGAN, MINNESOTA 55121 MG«
TFpMAS EGAN
PHoNE: (612) 454-e100 DATE : August 20, 1985
JAMES A SMITH
JERRY TNOMAS
ADDRESS: 4730 Walden Drive iHEODOREWACHiER
Cauncil Memban
C,,,,,,a„",,m«
LEGAL DESCRIPTION: Lot 15 - Block 3 THOMAS HEDCES
EUGENE VAN OVERBEKE Walden Heights CityClerk
Dear Eagan Resident :
RE: RIGHT-OF-WAY/BOULEVARDS - CZTY PROPERTY
It has been brought to the attention of the Pnblic Works Department
that you have placed a structure or obstruction on the City right-
of-way in violation of the City Ordinance referenced below.
CITY ORDINANCE
SEC. 10.32. OBSTRUCTIONS ON PUBLIC PROPERTY
Subd. 1. Obstructions. It is unlawful for any person to place,
deposit, display or offer for sale, any fence, goods or other
obstructions upon, over, across or under any public property
without first having obtained a written permit from the Council,
and then only in compliance in all respects with the terms
and conditions of such permit, and taking precautionary
measures for the protectidn of the public. An electrical co::;
or device of any kind is hereby included, but not by way of
limitation, within the definition of an obstruction.
Subd. 6. Continuing Voilation. Each day that any person con-
tinues in violation of this section shall be a separate offense
and punishable as such. '
SEC. 11.1. GENERAL PROVISIONS
Subd. 9. Structures in Public Right-of-Way. No buildings,
structures or uses may be located in or on any public lands
or Right-of-Way without approval by the Council. ,
The public right-of-way or boulevard is that area from the curb
to your property line (approximately 13 feet) and is intended.solely
for utilities and snow storage. The structure must be removed from
this boulevard area to provide for required storage and also to
protect our snow removal equipment from damage. We apologize for
iHE LONE OAK TREE. ..THE SYMBOL OF STREN6TH AND GROWfN IN OUR COMMUNIIY
.
RIGHT-OF-WAY/BOULEVARDS - CITY PROPERTY
PAGE 2.
the inconvenience this relocation may create, but it is necessary
to prevent damage to your structure and also to our snow removal
equipment. The only exception to the ordinances are mail boxes
if they are installed according to Federal specifications as
furnished by the post office. A copy of this letter notifying you
of this violation will be placed in your parcel file with a copy
to the appropriate enforcement division.
THEREFORE, YOU ARE HEREBY NOTIFIED TO HAVE THE VIOLATION CORRECTED
AND THE OBSTRUCTION REMOVED WITHIN 60DAYS OF THE DATE OF THIS LETTER.
After that time, you will be subject to the fines as stipulated
in this ordinance.
The City of Eagan cannot accept any responsibility for damage that
may occur to those obstruction!~ that are in violation of the City
Ordinance.
If you have any questions, please feel free to call me at 454-5220.
Yours truly,
r
William H. Branch, Superintendent
Public Works Department
wxa:jba
Rock on the boulevard
~f • ' ~
1991 BUILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS ' COHI4ERCIAL •
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGiSTERED SITE SURVEYS REGISTERED SI'lE..SURVEYS - 6 STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY.CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY IAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALIAWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
14~44~ PDYXA -4 VeLx,
To Be Used For: w%4.9 Valuation: ~ Date:
Site Address Lf~7~ &0 4ycc OFFICE USE ONLY
l3,vo~'
Lot ~ Block FEES
Occupancy Bldg. Permit 114y`00
1p` Zoning Surcharge -6-196
Parcel/Sub ~U.L9fluln DaActual Const Plan Review 911,~
nI Allowable SAC, City
. Owner /~/~X!,(0 AJ/AQCL/,(ICL%Q-, # of stories SAC, MWCC
,n ~ Length Water Conn.
Address y7M wu// Q~~~,(.Q1 Depth Water Meter
S.F. Total Acct. Deposit
City/Zip Code Q{%,/~A/ ~~zZ Footprint S.F. S/w Permit
S/W Surcharge
Phone 4"22-3 V-11 6n site sewage_ Treatment Pl.
On site well Road Unit
Contractor ~~p/t MWCC System _ Park Ded.
' City water Trail Ded.
Address JL ~ - PRV Copies .,SD
Booster Pump
City/Zip Code oWal[_~, !~'I~ 5S4(~~f SUBTOTAL
APPROVALS Penalty
Phone y-a S - Planner Lot Change
Council TOTAL
Arch./Engr, Bldg. OPf.
Variance
Address -
City/Zip Code
Phone # ~t~ agrees that all work shall be done in accord„>>ce with
(Sig ature of Contractor)
, all applicable State of Minnesota Statutes and City of Eagan Ordinances.
+ ~',¢b~i~`~.,,:• ~
~
y X,/'3 = GIB~z'
I y X/~ = aA
I
, ertificate for:
Sunshine Construction
%
DELMAR H. SCHWANZ
LANDSURVEVOR SI 1VG. '
1
Qeqiste.eC Untler Laws O/ The Sbte 01 MinnOs01S ~
~
~
G~ 2978 - 146TH STREET W. - BOX M ROSEMWNT, MINNESOTA 86088 PNONE 672 413-7789
{
w' - rSURVEYOfi'SCERTIFICATE ~
r` 7
3~44 9r~zs h I
,
'C M
P°x
S N: - I
Drainage &
G `t'~ ye3 6t uttisty
easement
~ .t_, ~
l1 _ . ~b.
5-
SCALE: 1 1ttCh = 30 f6et
Denotes existing elevation
t= Denotes set wood hub Propoaed garage floor Prom
Q7-~I?enotes propoeed elevation deveigpment plan y:`8 ?
,,@-Denotea proposed drainage
I hereby certify that this is a true and correct representation of
Lot 15, £:lock 3, WALDEN HEIGHTS FIRST AADITION, according to the
recorded plat thereof, Dakota County, Minneaota.
Also showing the location of a proposed house as~staked thereon.
Dated: August 18, 1483
- y: •_a~r : ~
' MINNESOTAR GISTRATIONN0.8625
CJTY OF EAGAN PERMIT
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 033123
(612) 681-4675 Date Issued: 0 9/ 0 2/ 9 8
SITE ADDRESS:
4730 WALDEN DR
LOT: 15 BLOCK: 3
WRLDEN HEIGH7S
P.I.N.: 10-83300-150-03
DESCRIPTION:
RERpOF/STORM DAMAGE
Bu~,~°~.~f~:t~`qlqPermit Type STORM bAMAGE
Bpii2d'ifrg 4b~rk Type REPAIR
~ensu~ G ~d0434 ALT. RESIDENTIAL
f z R~
.c °
m= ~s
^t I n
fi.
a v ~ ~pa t@(5 m ~y uy
Y~R1YY~°Y^ •a
REMARKS:
FEE SUMMARY:
C'U~7bF1~0~~E~PTS CONST Appli18987290 20142417 ~WNER:A ry0RI0
16540 KENRICK LOOP/STE B 4730 WALOEN DR
LAKEVILLE MN 55044 EAGAN MN 55122
(512) 89$-7290 , (651)
her.,Rby acknuwied`ge that S 4av0 rea d thit applica'C#on and state tliat the
cc~rr~~ct and agre6 ta Qarrvply °with a3l apPiicabls 5°tate sri' Mti.
and-City 'df. Eagan;Qrtfinarices.~'
~ , . .
IJED BV: SIGNATUR
` APPLICANT/PERMITEE SlGNAiURE tis
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
' CITY OF EAGAN
3830 PILOT KNOB RD - 56122 ~
681-4675 ' X
New Construetion Reauirements RemodeVReosir Revuirements
? 3 registered sile surveys ? 2 eopies ot plan
? 2 copies of plens (inGude 6eam & window s¢es; poured fid. design; etc.) ? 2 site surveys (exterior add'Rions 8 tlecks)
? 1 energy wlalattons . ? 1 energy plwlations for heated add'Rians
? 3 copies of tree preservation plan it lot platted aRer 711183
required: _ Yes _ No
DATE: CONSTRUCTION COST;
DESCRIPTI OF WORK: , n =4~ 12\n ~UZWI. 10Gl"I"Q
TR~T ADDRESS.
LOT: I~ BLOCK: SUBD./P.I.D.
0.C G.
Name: S L.~ l CIA, c- , vd U Phone N:
PROPERTY Lak Fi~t
„'r'sR
treet Address:-Lt ~ r~1 j3 a 1 1-1 0 M
City ~ a.QI(V~ State: Zip:
Company: `cC \ I Y7 G Pho
CONTRACTOR I/ ~
Sueet Address: 1 ra L-~ ~ LP /1(`I G n f) ' icense #
City LC KP 1/1 ~ fc- State: Zip: C~ 1 Z.
ARCHITECT/
ENGINEER Company: Phone
Name: Registration
Street Address:
Ciry Stau: Zip:
Sewer & water licensed plumber (new construction ony): . Penalty applies when address chang
and lot change is requested once permit is issued.
I hereby acknowledge that I have read this appliption and state that the infortnation is correct and agree to comply with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY EIVED
Certficates of Survey Received _ Yes _ No '
Tree Preservation Plan Received _ Yes _ No _ Not Require Y:
1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS NUST BE LICENSED ifITH THE CITY OF EAGAN
~
COMNERCI9L SINGLE FAMILY DfiELLINGS
TNCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS
& STRUCTURAL PLANS; 1 SET OF 3 CEftTIFICATES OF SURVEY
SPECIFICATIONS AND 7 SET OF 1 SET OF ENERGY CALCULATIONS
ENERGY CALCULATIONS-
$2,000 LANDSCAPE BOND ~
To Be Used For: ~'ir ac8 Valuation: " Date: 10 2abS
Site Address u730 (,/aidsh ~ni?e OEFICE USE ONLY
Lot L~ Block 3 Erect ~ Occupancy ~
Remodel 4 Zoning
Parcel/Sub Repair Type of Const
Addition N of Stories
Owner. ~k~fa tyo1t,e6 , G06ENW-A Move _ Length
~j Demolish Depth
Address ~r/3~ (~a~dQh ~riYe Int.Impr. ~ Sq Ft
Install ~
City/Zip Code ff~a~. SS/2L
Phone ift 4~62-3'~7 7 APPROVALS FEES
5b
Contractor Assessments Permit
Water/Sewer ' Surcharge
Address Police ~ Plan Review
~ Fire SAC
City/Zip Code /}1 16 n r~..r Engr Water Conn
Planner Water Meter
Phone ~ Cauneil Raad Uni*
Bldg Off/e-a3.r5 Treatment P1
Arch./Engr. APC Parks
Variance Copies
Address TOTAL.
City/Zip Code
Phone #
, ~ ~
RESIDENTIAL BUII.DING
Permit Application
I City Of Eagan AT, W-2')
3830 Pilot Knob Road, Eagan Mn 55122 w
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWCtion Reauiremenh RemodeVReoair Reauiremenls Office Use Onlv
3 registered sfle suNeys showing sq. ft. W lot, sq. ft. of house; and all roofed areas 2 wpies of plan CeA of Survey Reod
(20% maximum lot wverage allowed) 1 set of Energy Cak,ulations for heated additions Tree Pres Plan Recd
2 copies of plan showing beam & window sizes; poured found design, etc. . 1 site survey for additions 8 decks Tree Pres Nat Reqd
7setoFEnergyCalculations Addfion-Indicateifarsttesep5csystem _On-siteSeptic5ystem
3 copies of Tree Preservation Plan If lot platted after 711193
Rim Jaist Dehail Optians selection sheet (bldgs with 3 or less units
Date s l' rD l 03 Construction Cost '7 UUv ~
Site Address 0 L-? G~6j:0 CA, ~ f UnidSte #
Description of Work /Lf nl aC'~ //2l ~1 i` (~eJ "~f L(~ U' ~ S
Multi-Family Bldg _ Y >~'N Fireplace(s) _ 0 _ 1 _ 2
Praperty Owner ~-Q u r H !S-7Q 'l tXP~ Telephone #((p Sl
Contractor `•-h''PS -J-j~a_
Address ~p vo /,y-e•., t~? 15 S C, G 1-1 City ~t~-t
stace Gvt'-1 ziP CK7740 -1 Telephone # (7G 3 a
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesob Rules 7670 Categorv 1 Minnesota Rules 7672
Energy Code Category . ResidenGal Ventilation Category 1 Worksheet • New Energy Code Worksheet
(d submission type) Su6mitted Submitted .
• Energy Envelope C Iculations Submitted
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 eonformance 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 accardance with the approved plan in the case of work which requires a review and
approval of plans.
~A iPt 7 L'
ApplicanYs Printed Name ApplicanY ignature
--i
City of Eapn I PermitM:
1 Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 I oate Received: j
Phone: (651) 675-5675
Fax: (651) 675-5694 i Staff: i
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: SiteAddress: yl30 il/ajl'`rs~
Tenant: Suite
RESIDENT 1 OWNER Name: /{G V,`1-1 Phone:
Address / Ciry / Zip: 7~ 3 6 1/Uv /GCr ~
Applicantis: XOwner _Contractor
TYPE OF WORK Description of work: ~~r C~'crfQ
Construction Cost: l~d oo Multi-Family Building: (Yes No ki
CONTRACTOR Name: G 67ci ts t? ~icT t .-la~s _Tvl c. License
pddress: ~ / `G LP
City: L.u <Cc ~tG~ State: ztdZip: ~Swvz-/
Phone: Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code . Residenfial Ventilation Category 1 Worksheet ~ New Energy Code Worksheet
Category submined submined
(4 submission Type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _NO If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contrector: - Phone:
Sewer & Water Contractor: Phone:
° NOTE; Alans and,"supporting documents that you submitare cor+si7lered to bepubleciniormation. Portiorr"s of -
the irtformahon may be cIa's'sifietl as non-public if you provide specific reasons that would pervnit fhe City'tv '
z; z
conclude#hat the are trade secrets.` ' I here6y acknowledge that this infortnation is complete and accurate; that the work will be in confortnance with ihe ordinances and codes of ihe City of
Eagan; that I understand ihis is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will 6e in
accordance with Ihe approved plan in the case of work which requires a review and approval of plans. /
x / ` L.~ /'1~Ik t %S e ~
Applicant's Printed Name Appl~canYs Signature Page 1 ot 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA143809
Date Issued:06/28/2017
Permit Category:ePermit
Site Address: 4730 Walden Dr
Lot:015 Block: 003 Addition: Walden Heights
PID:10-83300-03-150
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Insert
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 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 -
Kevin J Sanders
4730 Walden Dr
Eagan MN 55122
(651) 328-1350
Glowing Hearth and Home LLC
100 Eldorado Dr.
Jordan MN 55352
(952) 492-9276
Applicant/Permitee: Signature Issued By: Signature