The URL can be used to link to this page

4731 Walden Dr CITY OF EAGAN 40 17216 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for nREpI.A= Est. Value $1 9000 Date Oc."t'OSEB 19 1 9--B,9-- Site Address 4731 WAI.DEN DR1VB OFFICE USE ONLY Lot 19 Block 3 Sec/Sub. V#JXZ" HEiGM PafCel NO. Occupancy _ FEES Zoning _ W Name 'XNa)# "A~`~7*~ (Actual) Const - Bldg. Permit ; Addtess 4711 "Al,`lTi nZ1Vf (Allowable) a Surcharge City ~=a'~~~ ' Phone 6~~7-054'.J x or siories - length _ Plan Review o Name "•;:A'I-'.-„i~') F1 fiEPLN~r 5 Depth - SAC. city o ~ Address 13 S.F. Total U¢ , - sAC, Mcwcc ~ City ~11:.:,.,V1L!.° Phone 894-075~`• S.F.Footprinis - On 5ite Sewage _ 1Nater Conn ~ ~ W Name On Site Well - Water Meler AddreSS MWCC System _ s W City Phone Ci1y Water _ Accl• DePosit PRV Required _ S1W Parmit I hereby acknowlege that I have read this application and state that the Booster Pump - S/W Surcharge information is correct and agree to comply with all applfcable State of Minnesota Statutes and City oi Eagan Ordinances. Treatment PI Signature of Permitee APPROYALS Road Unit A Building Permit is issued to: t''"AT-`{-11,LJ r jAEPLA" '5 plannar - park Ded. on Ihe express condition that all work shall be done fn accordance with ali Council - applicable State of Minnesota Stat-utes City ot Eagan`Ordinances. Bldg. Otf. _ Copies -7 5 Building Official ` • ` ' Variance - TOTAL Permlt No. Permk Hoider Date Telephone # WATER SEWER PLUMBING H.V.A.C. ELECTRIC InapecHon Date Insp. Comments Footings I Foundation Framing Roofing - Rough Plbg. Rough Htg. Isul. Fireplace Fnal Hig. Fnal Plbg. Const. Meter Pibg. Inspec[or - Nolily Plumber Engr./Plan Bldg. Final DBCk Ftg. Deck Final weli Pr. Disp. CITY OF EAGAN 7 3830 Pibt Knob Road, P.O. Box 21-199, Eagan, MN 55121 7 PHONE: 454-8100 BUILDING PERMIT Receiptft To be usod tor 5~ DWV/t'AR Est value ~9 4, 000 Date h'AKC H 17 19 U 6 Site Address 4731 WALDEN UR Erect 11 Occupancy Lot 19 Block 3 secisub. WALDEN HTS Remodel ? Zoning +11 Parcel No. Repair ? Type of Const Addition ? No. Stories W Name UN I VERSAI, $LDRS Move ? Length 44 = 849 ROGERS CT Demolish 0 Depth 44 o Address Int. Impr. ? Sq. Ft City EAGAN phone -0982 Install ? = o Name SAM F Approvats Faes Q Address Assessment Permit S 415.00 ~ City Phone Water & Sew. Surcharge 47 . 00 Police Plan Review 207.50 ~ W Name Fire SAC 575.00 Address Eng. Water Conn. 500 . 00 < W City Phone Planner Water Meter 63.50 Council Road Unit 290.00 Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe Bld ON 3/11/86 Tr. PI. 156.00 information is correct and ag~ to comply with all applicable State of 9 Minnesota Statutes and Cij,of Eagan Ordinances. APC Parks ~ / Var. Date Copies Signature of Permitt ' Total $2.254.00 UCdIVt:RS:AL, BUILDcR5 A Building Permit is issued o: on the express condition that all work shall be done in accordance with all applicable State ot Minnesota Statutes and City of Eagan Ordinances. Building Official z ' - a PermN No. Parmk Holder Date T~one N Plumbiny / ~ r3S l N.V.A.C. EIecMa ~ J Soltener Inspecdon Date Insp. Comnronb Footinys I I'wodny. 11 -r/f Gc~ Foundation y (t) Freming y~Y RooNng Rouph Plbp. 3 ` Rouph Hfy. Insul. Fheplace FinN Hty. i,~-~ - ~ ~ ~ • Flnel Plby. - • ~ ~ Bldp. Ffnsl , Cert. oce. ~ . Y • -a.2 - ~ Dock Fty. Deck Frmg. WNI Pr. Dlsp. ~ ~"~7Tf°'i~•~ , ~~w~"7F1~"ui`I^~.s~+.--~r~~ •w ..-..,..~..~7~.-r~ ' ~ 'PERMIT # " / CITY OF E/IGAN FEE U~ D G 3 PLUMBING PERMIT ~ RECEIPT # 454-8100 S/C ~ MINIMUM RESIDENTIAL FEE - $10.00 + $.50 TOTAL DATE MINIMUM COMMERCIAL FEE -$2Q•00 t S-50 1. Bldg, Type: Res~Comm Inst 2. New ~ Add Alter _ Repair ix.~/ 3. Total Bid Price 4. Job Address Lot Block ~ Sec Owner 6. Contractor (Name) (Streeq (City) (Zip) 7. Contractor Phone # 6 NO. FIXTURES NO. FD(TURES NO. FIXTURES Z Water Closet - $3.00 / Laundry Tray - $3.00 -Well - $10.00 :Z~Bath Tubs - $3.00 -7_Floor Drains - $1.50 --,,,-Private Disp Syst - $10.00 ~Lavatory -$3.00 TWater Heattr-$1.50 -J Rough Openings w/o -L.Shower - $3aA " Whirlpool -"$3.00 Fixtures - $1.50 -LKitchen Sink - 3.00 ZGas Piping Outlets -$1.50 -UrinallB~,~et - .00 ,/1 -Softener - $5.00 _ COMM./I . Ap4 - 1 - ~ tAL ID Pt17~S.50 STATE SURCHARGE FOR EACH $1,000 OF FEE. 1 Signed: for Approved Vnspections: Date Rough Insp. Date Final Insp. PERMIT # • ' ' ' PLUMBING PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, IYIN 55121 DATE: CONTRACT PRICE i C r ' PHONE: 454-8100 Site Address BLDG. TYPE WORK DESCRIPTION Lot Block See/Sub Res. New ~ Name. - ' Mult Add-on S2 Addres5' Comm. Repair ~ City' I_ Phone Other NO. FIXTURES TOTAL ~ Name Wate? Closet - $3.00 $ c Address Bath Tubs - $3.00 p City Phone Lavatory - $3.00 Shower - $3.00 Kitchen Sink - $3.00 FEES COMM/IND FEE - 196 OF CONTRACT FEE Urinal/Bidet - $3.00 Laundry Tray -$3.00 MINIMfJM - RESIDENTIAL FEE -$10.00 Floor Drains -$1.50 MINIMUM - COMM/IND FEE - 20.00 Water Heater -$1.50 STATE SURCHARGE PER PERMIT - .50 Whiripool -$3.00 (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets -$1.50 BEYOND $1,000.00) X SoRener - $5.00 Well - $10.00 Private Disp. - $10.00 . Rough Openings - $1.50 SIGNATURE OF PERMITTEE FEE: STATE S/C: FOR CITY OF EAGAN GRAND TOTAL• PERMIT # MECHANICAL PERMIT RECEIPT # 22 °q 5 ~ CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE November 4i;9, 1387 CONTRACT PRICE PHONE: 454-8100 Site Address 4731 W BLDG. TYPE WORK DESCRIPTION Lot Block Sec/Sub Res. New ~ M ult. Add-on m Name m id'7tR ~x+ Comm. Repair Address c City Rosavoiannt,p. MN Phone aher C;KMA FEES ~ Name [in * RES. HVAC 0-100 M BTU -$24.00 c Address ADDITIONAL 50 M BTU - 6.00 p City an~~ Phone (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PEkMIT) - 1.50 EA. TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE Forced Air 137 M BTU 30.00 APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE 8 CONDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-QN & Unit Heater M BTU REMODELS - 12.00 Air Cond. - M BTU $ MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # 3.- • BEYOND $1,000) Other / FEE: 31 50 S/C: SIGNATU E OF PERM EE TOTAL• FOR: CITY OF EAGAN C1TY OF EAGAN Remarks t''/ 1 Addition MI+DEN HEIGNfS 1ST ADDN Lot 19 eIk 3 Parcel 10-83300-190-03 owner street 4731 WALDEN DRIVE State EAGAN MN SS122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 1976 153 - 31 10-27 SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA ZZ STORM SEW TRK g S STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILOI NG PER. SAC PARK INSPECTION RECORD JEITY OF EAGAN PERMlT TYPE: 30 Pilot Knob Road Permit Number: agan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: ~ ~ . t~ ~i?i ~ i, ~ i i ~ . ~ ~~~i , ~ PERMI ,T, ~kJPTYPE: TYPE OF WORK: INSPECTION D, . DA ~ ~ l~ Permit Holder Date Teiephone M PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING 4L ~ ROUGH ltle-e ..C' PLUMBING PLBG AIR TEST ROUGH fiEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLOG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST SSMT R.I. BSMT FINAL DECK FTG DECK F4NAt CITY JF EAGAN WpTM SERVICE PERMfE 3830 Pitot Knob Road - P. Q ,Box 21199 PERMlT NO.: Eagan, MN 55121 D^TE: ~ Zoninp:. ~ No. of Units: ` OwrNr: .-1 ; - = a Addrsss: Site Addrcss: . , •;T • :,19 ' ? id%~?_1!'r. :it Plumber. ~r,: - I've' ' Meter No.: -36 7 .l Q bn Cho~: ~ Size: " oc, ~ Deposit: Reader No.: Z +~iWi[~t 1~• Q OPd Cto ~ I .,m ro a..po, wuk th.TE ELE 156.000 T; ~ Ordi"ma& isc. C~io IREDT~X i 63.5i~rd +net:,r ~ gy ~ore Po?e: ~ Dote of irnp.: IroD-: 1 , CITY oF EAGAN SEYVER SERIIICE pERMiT 3630 Pilot Knob Road PERMIT NO ; P. O. Box 21189 Eagan, MN 55121 D^TE- I Z~ing; No. of Units: . Owrxr. Addrcas: Site /lddrem: Pturr?ber: 1Gew !e Nsm* wMb lV C1e1r of isMn ConrNdr°^ CJ'°rv' Orii.enew Ac°°uM D°posit: - Prrnnit FN: Su?charye. By Mise. C~+ar'0ec Doft of Irnp.: Totol: - Insp.: Datt Pokk c~or.r _ ~ , . This request void 18 monLhs from 3_a 4 -4 V f B 0995 6 9 /,I 9,8 30aJkp Request Date Fire No. Rough-- n Inspection Required? [:]Ready Now lo Will Nnlffv Inspec- 3-19-86 InYes ?No lor When qeadY ~ Licensed Electncal Contractor I hereby request inspection o1 above ? Owner electrical work installed at: Street Address, Box or Route No. City 4731 Walden ?rive Eagan ection o. Township Name or No. Range o. County Dakota OcCupant (PRINT) Phone No. Universal Builders 454-0982 Power Supplfer Address Dakota Electric Assoc. Farmington, MN Electncal Contractar (Comuany Name) Cnntractords Lice,nse No. Corrigan Electric Company 0 39549 8 Mailinp Address (Contractor or Owner Making Instailation) P.O. Box 475, Rosemount, MN 55068 hone Number Aut r zed Signature (,C ontractor Owner Making Installation) 7423-1131 MINNESOTA STATE BOARD OF ELECTRICIT THISCINSPECTION REQUEST WILL NOT Gripgs-Midway Bldg. - Room M-791 BE A CEPTED BY THE STqTE BOARD ~ UNLESS PROPER INSPECTION FEE IS 1821 University Ave., St. Paul, MN 6610 Phone 1612) 297•2111 ENCIOSED. ~2 ~;,2` REQUEST POR ELECTRICAL INSPECTION ee-ooooi.oa ~ ' Sae inslructiens for completing this form on beck o/ yellow coDY. ~dp~ 69 -,x,' " 8elow Work Covered by Thrs Request ~ ~J FQ4-Re . Type of Builtling APOliancas Wired Equipment Wired ,.ome Range Temporary Service Duplex Water Heater Lightiny Fixtures Apt. Buildinc~ Dryer Electric Heatin Commercial Bldy.Fumace Silo Unloader Industrial BIAg. Air Conditioner Bulk Milk Tdnk Ferm Dffier Spec,tv b, W~ r Othei l5oecltyl t er Speci y Othor " Oiher ompuie lnspection Fee 8elow p Fee ServicaEntranCe3ize p Fea Fentlera/SUbleetlers - IX Fee Gircaiis f L U to 200 qm 5 0 to 30 Am s 33.00 0 to 30 Am s A6ove 200 Amps 37 to 100 Amps 31 to 700 A rrim Swimmin Pool Above 100-Amps Above 100_Amps Transtormers Irrigation Booms Partial%Othe Signs Speciallnspection - S y'S-,S V TOTA EE i M Remarks , W Rough-in ~~Le I, tha Ele ' ~,y~ Insoacbr. herehy ceriify ihe~ the abova Final ~~inspection hea baen made. Thiarequesrvo1tl18monthstrom " CITY OF EAGAN NO 172 1s . 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 " PHONE: 454-8100 BUILDING PERMIT Receipt # Tobeusedfor PIREPLACE Est.Value $1,000 Date OCTOBER 19, 1g-,- Site Address 4731 WALDEN DRIVE WALDEN HEIGHTS OFFICE USE ONLY Lot 19 Block 3 Sec/Sub. Parcel No. occuPancy - pees Zoning - w Name nnwtan ^aui_SON (ACtual) Const - Bldg. Permit 26.00 z O AddleSS~31 WAT.DF.N DRTVF. (Allowable) - 50 Surcharge . City FA('AN Phone 6R7_0540 aof Stories _ Lengih _ Plan Review }F Name HEAT-N-GLO FIREPI.ACES oaPm - snC, ciiy oa Addr85S 3850 WF:ST HWY 13 S.P.TOtal uI O1ty RIIRNSVTT.i.E PhOf12 890-0758 S.F. Footprints _ SAC, MCWCC On Site Sewage _ Water Conn ~ W W Name On Site Well - Water Meter t:~ AddfeSS MWCC Syslem - qcct. Deposii aW City Phone cirywater _ PRV Required S/W Permil I hereby acknowleqe ihat I have read [his application and state that Ihe Boosler Pump . - SiW Surcharge inlormation is correct and agree lo comply wilh all applicable SIa[e of Minnesota Statutes and City of Eagan Ordinances. Trealment PI Signa[ure of Permitee APPROVALS Road Unit A Building Permit is issued to: HEAT-N-GLO FIREPLACES Planner - park Ded. on ihe express condition that all work shaT be tlone in accordance with all Council applicable Slate of (M°i~nn_esota Stalutes andCily /of E n Ordinances. gl~pp Copies Variance Building ONicial ~~.1 L[ ~-~--FX.i l UM~ - TO7AL 26. 50 C~^'~- CITY OF EAGAN N p 11627 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHQNE: 454-8100 BUILDING PERMIT Receiptp « Date RCH 17 19 86 Tobeuaedfor SF DWG/GAR Est.value $94,000 ~ SiteAddress 4731 WALDEN DR Erect N Occupancy R3 Lot 19 aiock 3 secrsub. WALDEN HTS Remodel ? zonir,y Rl Parcel No. Repair ? Type oi Const. V Addition ? No. Stories W Name UNIVERSAL BLARS Move ? Len9th a4 = ROGERS,C oemolish ? oepth " 4 o Address ' Int. Impr. ? Sq. Ft City EAGAN phone 454-0982 Instau ? o Name SAME APprovals . Feea oa nddress Assessment Permit 415.00 ~ Ciry Phone WaterRSew. Surcharge 47.00 Police PlanReview 207.50 Fw Name Fire SAC 575.O0 z Address 5~~.0~ ~ u Eng. Water Conn. a W Ciry Phone Planner Water Meter 63 . 50 Councii RoadUnit 290.00 Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe Bldg.Off. 3 17 $6 Tr.PI. 156.00 information is correot and aAe to comply with all applicable State of Minnesota Statutes antl C' ~f Eagan Ordinances. APC Perks Var. Date CopieS Si9natureofPer ~iYfz2~ ~ Tot21 $2.254.00 A Building Permit is issue to: UNIVERSAL BUILDERS on the express condition that al[work shall be tlone in accordance with all appl' a S of Minnesota ~tatut Eagan Ordlnances. Builtling Otticial y~~ 1986 SDII.DING PHRlII2 APPLICATION - CITY OF EAGAN IQOTfi: 9LL CAHTRACTO$S MUST BS LICS9SED WZTH THE CITY OF EAGAN COP4MERCIAL SIHGLH FAPIILY DiiTSLLINGS INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS & STRUCTURAL PLANS, t SET OF 3 CERTIEICATES OE SURVEY SPECIFICATIONS AND 1 3ET OF 7 SET OF ENERGY CALCULATIONS ENERGY CALCULATIONS $2,000 LANDSCAPE BOND ~4 cnU To Be Used For: Valuat3on: LIL2792=` Date: 3 $ Site Address 31 w aQ-Q-Cr OFFICE IISE ONLY Lot 19 Bloek 3 Erect X Oecugancy ~•3 Remodel 2oning W'I Pareel/Sub Repair _ Type of Const '5: Addition # of Stories Owner ptz-:'dn vi Move Length 44 Demolish Depth 44 Address `~i'~q ~~&6t5 c,T-- Int.Impr. Sq Ft Install City/Zip Code S/ 1 --7 Phone APPROYALS FEES Contraetor assessments Permit i 5 Water/Sewer Surcharge ¢1. Address Police Plan Review 2v? Fire SAC -7S. City/Zip Code Engr Water Conn Sco. Planner Water Meter (o3'$O Phone Council Road Unit 29 0, Bldg Off Treatment P1 1540 Areh./Engr. APC Parks Variance Copies Address TOTAL T" City/Zip Code Phone # NOTS: ADDRESSES FOR COH9SR IATS - CONTEACTOR/HOMFAANER KOST DSSIGHATE WHICH ADDR&SS IS DFSIRID. NO CBANGES WILL BE ALLOWSD ONCB BOILDING PERMIT IS ISStTED. J2~. ' Q12x Sg " ~Z~°fC~ ~ • ~r= Y . ~ J 7C - ~o ~c l2 ' ~ Z o U 2o K~ ~ 1 c~d x 15 8 - 32ov 4,00 x E> - 2r,2 x Z4- `~24 x 93 ~sz I S~'R'~IEYOR'S. CERTIFICATE uNIVERSAL BUILOERS WA L DEN DR1 VE • . , gs ~ T~`F d=61°38'!O" qs~•z 954.1 ~ 3 X r:~ f?°60.00 ~ 953.t ~ 64.55 . / fy ' , O . . . . ? pa O -~o sa x 9so.z 14.00. ~ NN c,sF ~IV N zo.33 23.67 . 0iGAR/ O R ~ . 4 , j O rr N . I P 20.0 ~ 4D a ~ 24.0 %943.0 i 94-fl"~94~,3 = ao.is - I ~ 9 1 A ~ 00 /~y~~ • WP O ! 4 Lor rs ~ ~ . I ~ORAINAGE & UTILITY EASEMENT PER PLA7` tn p X 185.00 NO°,43'05"E . , . N_ _ IL 2/84 CITY OF EAGAN APPLICATION FOR PERMIT % SEWER AND/OR WATER CONNECTION (PLEASE PRINT) 1) PROPERTY ADDRESS: ~~4,0e-/LJ 4/e~7 T•FfAT• DFSCRIPTION: 1-0T / 9j ~ J~<,~~~iJ /I c/(ty5~'S (Lot/Block/Subdivision or Tax Parcel I.D. Ntunber) j IF F"{I:;= :G STRL'CI"„RE, DAi ; OF ORIGi'NAL iy;iI=:G F=.ffT ISsUA1SC;':: , 3 t: _O^: J Y ~ PRc.S=1 .,.^.;IP:C;,/PROPOSc`~.~ L"E• 'D<R-1 S-=GLE r^AMSI,Y C] R-2 DUP= ('I:^1O LtiITS; ? R-3 TCJr7NH0USE (TfIREE + TiN1TS) ( UNITS) ? R-4 APP,R'I=/CODIDCdum[M ( IINITS) ? COP2,TEf2CIAL/REPAIL,/OFFICE Q .Ti.D' L'S7RSAL ? TNSTITUTIONAL/GOVERNA7IINT Z) APPISCA.'V,P ' (PLEASE PRINT) NAME: ADDRESS: ,9 ~OCY~~S CDlJ.C?-7° CITY. STATE, ZIP: --~r--r- PHONE: 3) pi,Unqggz NP.ME: FOR CITY USE ONLY % PLUMBERS LICENSE: ADDRESS: ~ Active CITY, STATE, ZIP: Expired PHONE Not of Record : I a ni ia 4) OCC[JPFINT/arzIEE2 PL_A..E NT) NAME: ADDRESS: CITY, STATE, ZIP: PEKNE : 5) INDICIITE WHICH PERMIT IS BEING RECJITESTID: ~CODINECPION 'IC) CITY SEYTER , ~COIaIF=ION TO CITY WATER ? C7i'HER (PLEASE DESCRIBE) 6) IIVDIG,:E Oiv'E: ~ PLE~'15E AOLD APPROVID PEf2MIT FOR PICK- BY ONE OP F1B(3VE PI~F~F15E MAIL APPROVID PETZMIT `Ib 1, 2, 3, 4~1HCh7E T (Circl one) 7) SIGNANRE: DATE: ~ c`~~_ •a ~wae:iws.?r~ar ~e ~;ah~r~: iinkis~.r+a:•ary+aR i.i~ i.irasar?taw,r ait rtr~rf.~.,rwir~;rfr ~ rk ess~la~ar..r F Q R C I T Y U.S E O N L Y ' PERMIT ISSUED i~3~ .3fz(~~, 8EE5: $ A'1 SEWER PEBMIT (I'dCLi;DE SURCHARGE) $ & • ~ l~ WATER PERN4IT (IDICLUDE SURCHARGE) $ G WATER METER/COPPERHORN/OUTSIDE READER $ WATER TAP (INCLUDE CORPORATION STOP) $ SE:VER TA' $ ACCOUNT DEPOSI'!' - S°WER $ ACCOUNT DEPOSIT - WATER $ WAC $ SAC $ TRUNK WATER ASSESSMENT $ TRUNK SEWER ASSESSMENT $ LATERAL BENEFIT/TRUNK SEWER $ LATERAL SENEFIT/TRUNK WATER $ OTHER A $ TpTAI,cA /lU ' AMOUN'1'u`PAID%RECEIPT 6G 5~ DOES UTILITY CONNECTION REQUIRE:EXCAVATION IN PUBLIC RIGHT OF WAY? ~ XES IF YRS, THEN A'"'PERMIT,FOR WORK WITHIN PUBLIC ROADWAY" MUST SE ISSUED BY THE ~ NO ENGINEERING DIVISION. LIST AS A CONDI- " TIO[V. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED SY: ,(c yt.;i AlJvZ.v-- n TSTLE: DATE: t s~ ~ w~s~.~ wc.~~a a w~ we~~s~e ws~ wa w.a se~~ ~ a~ r~p~sa aw wk+ rc~r~+r~ w~ I 1989 BfTILDIHG PERMIT 6PPLIC9TION CITY OF EAG9N / 7c~-/ ('0 SINGLE FAMILY DWELLIAGS MIlLTIPLE DWELLINGS COI+RMERCIAL 2 SEfS OF PLANS 2 SST3 OF PLANS 2 SETS OF 9RCEI2ECTIIRAL 3REGISTEAED SITE SIIRPEYS &EGISTERED SITE SIIR9EYS - & ST&UCTORAL PLAN3 t SET OF EIiERGY CAI.C3. (CHECg WIT9 BLDG DI9.) 7 SET OF 5PECIFIC6TIONS 1 SET OF ENERGY CkLCS. 1 SET OF ENERGY CAI.CS. MULTIPLE DWELLINGS RENT9L IINITS FOR S9LE IINTTS # OF UNITS NOTE: ADDRE53&S FOH CARNER LOT3 - CONTRACTOR/HOMEOIiNER MUST DESIGNdSE SiHICB ADDRFSS ZS DFSIRED. NO CHANGES W2LL BE ALLONED ONCE BOILDING PERMIT IS I33IIED.. SEWER 6 iT9TER PERMIT FEES AND ACCOUNT DEPOSIT FEE4 i+TILL BE INCLtTDED WITH T8E BOILDING PERMIT FEE. PROCESSING TIME FOA 3SWER AND HATSR PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEH COMPLETED INDIC9TING A LICENSED PL@lHER. PENAI.TY APPLIFS i1HEN: PEHMIT I3 NOT PAID FOR IN S9ME MONTB TT IS BEQIIESTED. LOT CHANGE IS REQQESTED ONCE PERMIT IS ISSIIED. ~~D To Be Osed For: Y~W Valuation: Date: Site Address OFFICE USE ONLY Lot ~ Block Occupaney I~/ Zoning Parcel/Sub !/~r/~(.(~j~D~ ,~5~/,+!i Actual Const Bldg. Permit 7L. ~ /f- Allowable Sureharge o Owner 123114A) (~{10Ilw L~' # of stories Plan Review 6~~j~ Length SAC, City Address ~,/B.rCI") ,~1624IiC~ Depth SAC, MWCC S.F. Total Water Conn City/Zip Code Footprint S.F. Water Meter Aeet. Deposit Phone 1087 • O$ V%:5 On site sewage S/W Permit ' On site well 5/W Sureharge Contraetor /~1T_ MWCC System _ Treatment P1. City water Road Unit Address ~Sv • L1 ~3 PRV required _ Park Ded. &aA4/tr/,/y Pump _ Copies City/Zip Code,L]/.fAi/tr/,/y S;j 33~ 3IIBTOT9I. APPROVALS Penalty S-0 Phone 09/J-/2 r/620 Planner _ TOTAL 7Z;7- Council Areh.lEngr. Bldg. Off. Varianee Address City/Zip Code Phone # PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan,, Minnesota 55122-1897 Permit Number: 0 3 3 4 0 2 (612) 681-4675 Date Issued: e y/ Z3/ g 8 SITEADDRESS: 4731 WALpEN oa LOT: 19 BLOCK: 3 WALDEN HEIGH75 P.T.N.: 10-83300-190-03 DESCRIPTION: R E R. o n F 8u~~,aTtt'W- Permit Type STORM DAMAGE 8,03LIy3ing114e~rk Type REPAIR 434 ALT. RESIpENTIAL „ (r: .~+n. . . e y ~ 8 e p: F+Pr~~ tF Aa 6... ki'Jv.YAv'i:m L usi~ REMARKS: FEE SUMMARY: C1.T570M"1:OTN'C~PTS CDNST Pp 118987290 20142417 OLYSNE WNER: KflREN 16540 KENRICK LOpP/STE B 4731 WALDEN DR LAKEVII.LE MN 55044 EAGAN MN 55122 (612) 898-7290 (651) 3t ~ iaeeeby aCktio:wledge th-at I havs read tliis applicat-ibn ahd' state thdt.tfae i.!~farmatson"xs.carr,ect °~hndagr2~ ta co~n~rl~+ wLth aIj a0p1.fidah16 '5tate of' Mn. ' - StaCutes Ahd Gity trf Eag4tf flrdinances, „ . APPLICANT/PERMITEE SIGNATURE UED BY: SIGNATUR 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN r, 3830 PILOT KN~OB RD - 55122 V New Canstruction Reauirements RemodeVReoair Requirements ? 3 regislereC site surveys ? 2 copies oT pian ? 2 wpies of plans (inUuda beam 8 window sizes; poured fnd. design; etc.) • 2 sRe surveys (aRerior addRions & decks) ? 1 energy wlwlations ? t energy calculations far healed addRions • 3 copies of tree presenation plan if lot platted aRer 7l1/93 required: _ Ves _ No DATE: CONSTRUCTION COST; • DESCRIPTION OF WORK: STRE ADDRESS: !~:Z -7~~ fP1 LOT: BLOCK: ~ SUBD./P.I.D. vi ~ Name: L~4S4-e- ~ O Yl Phone PROPERTY Last Firs OWNER Street Address: City ~Gt Gor/~ _ Stately/p ZZip: comPany: Custom Concepts Construction lnc. Phone a: ZL1 ~T CoxrxnCTOR 16450 Kendck Loop, Suite B StreetAddress: akearille,_MN55044 License# (612) 898-7290 Ciry State: Zip: ARCHITECT/ ENGINEER Company: Phone Nazne: Registration Saeet Address: City State: Zip: Sewer 8 water licensed plumber (new construction only): . Penalry applies when address chanc and lot change is requested once permit is issued. I hereby acknowledge that I have read this application and state that the inTortnation is w and agree to comply with all applicab !act State of Minnesota Statutes and City of Eagan Ordinances. - ~ Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No Not Requir 2005 RESIDENTIAL BUILDING PERMIT APPLICATION <j~ ~T0- a o City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsUuction Reauiremenls RemodeVReoair Reauirements Office Use Onlv 3 registe2d sfle surveys showirg sq. ft of lot, sq. ft. of hause; and all roofed areas 2 capies of plan CeR of Survey Recd Y N (20% mazimum lot coverage allowed) 1 set o( Ener9y Calculatlons for heated addNOns Tree Pres Plan Recd _ Y_ N, 2 copLs of plan showing beam & window sizes; poured found design, etc. 1 sde survey foradditions & decks Tree Pres Required _Y _N 7 set of Eneigy CalcuWtions Addition -'mdicate i/on-site septic sysfem On-sfte Septic System _Y _ N 3 copies of Tree Preservation Plan'rf lot platled after 7A/93 Rim Joist DetalOpllons selec[ion sheet (6uildings wIM 3 or less units) Date I C~ / N_ / o] Q \~Sl Coostruction Cost 3 SiteAddress Unit/Ste # C/ob Description of Work Multi-Family Bldg _ Yk, N Fireplace(s) _ 0X 1 _ 2 Property Owner V+ `WJJ ~ ~""~S L 1 SA-k--S Telephone # (6q ) 5k) 1 -3,~71 0 Cootractor ~ I w5 eq ~ Address q3'rl ~ ~/'~U~17~ ~L City d State Zip 4W37 t) Telephone # (,5W ) "97/ / "3Li/ y COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category , • Residenlial Ventilation Category 1 Worksheet New Energy Code Worksheet (Jsubmissiontype) Submitted Submitted • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master planQ?Cr _ Y _ N If yes, date and address of master plan: Licensed Plumber Telephone ) 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 for a permit, and work is not to start without a permit; that the wark will be in accordance with the approved plan i e ork which requires a review and approval of plans. C 1 1 ' Applicant's Printe Name Applic t's Signature ? I Clty af EapIl Permit # I Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 ~ oate Received: Phone: (657) 675-5675 Fax: (651) 675-5694 i StaB: i 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: O O Site Address: 3~ Tenant: Suite RESIDENT / OWNER Name: ~ y S Yl e- Phone: ~ Address / City / Zip: Applicant is: _ Owner ~ontrador TYPEOFWORK Description of work: TPaf n~E ME roc5 F i Construction Cost: --.;~L) 0 6 Multi-Family Building: (Yes No ~ CQNTRAGTOR Name. License Address: -2, ~o A4w T v ~j City: ~Ofi`nc. ~ kgo ~az T ~ State: I-VAZ Zip: ~s~~ oZ . Phone ~-6 -D 0 contact Person: RaTT 9vc-h a.+.a,0. COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Cat@gory Submitted Submitted (4 submi55ion type) • Energy Envelope Calculations Submitted In the last 72 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 8 Water Contractor: Phone: NOTEr Plans and supporting documents that you submit are considered fa be pubiic iAformation. Portionsaf „ the infoimafio» may beclassffled'as non-public'lf you prouiale specifte reasons that would permit theCatyto ~ ; .,,i, c"o»afude that the a're tracleseerets. nt I hereby acknowledge that this information is complete and accurate; that the work will be in confortnance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permd; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plan . X 7( Applicant's Printed Name Applicanl Sig ature Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA125951 Date Issued:08/08/2014 Permit Category:ePermit Site Address: 4731 Walden Dr Lot:019 Block: 003 Addition: Walden Heights PID:10-83300-03-190 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Craig Angell 12253 Nicollet Ave. S. Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 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 - Alecia Pickett 4731 Walden Dr Eagan MN 55122 Angell Aire 12253 Nicollet Ave S Burnsville MN 55337 (952) 746-5200 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA125952 Date Issued:08/08/2014 Permit Category:ePermit Site Address: 4731 Walden Dr Lot:019 Block: 003 Addition: Walden Heights PID:10-83300-03-190 Use: Description: Sub Type:Residential Work Type:New Description:Garage Heater Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Craig Angell 12253 Nicollet Ave. S. Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 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 - Alecia Pickett 4731 Walden Dr Eagan MN 55122 Angell Aire 12253 Nicollet Ave S Burnsville MN 55337 (952) 746-5200 Applicant/Permitee: Signature Issued By: Signature .� . � �� — CO�S� � Use BLUE or BLACK Ink � � ,---------- --, �j� " � � For O�CB Use � �' � �3 aou �1 � Clty of �a�a� � Permit#: � , � JUL 2 2 1015 �9 C7 . O� ' � Permit Fee: I 3830 Pilot Knob Road � � Eagan MN 55122 I Date Received:� ` � Phone: (65'�675-5675 j � I Fax: (651)675-5694 �tih�� Staff___ , � ------------� 2015 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: �� '�✓� Site Address:_�� 1 "" ��'�""" �;�/ � �s�`71"' `� �',v �d"� Tenant: �� Suite#: �� a � � § � � Phone: � ��-�'��l �"`� �' ReS derl OyN j Name: ��-0�. �� Address/City/Zip: �� \ � I/`�"""- �� a-Z. � � �� tvame: �bert Corr�pany Inc dba Culligan Water �icense#: WC641376 F � , _� _ �� .r :��0� : . . . � : �� . � AadfeSs: 18p� 50�' St East� ��ty. Inver Grove Hgts., �.a,ntr � -a - _ � � � �" state:� Mn zip: 55077 Pnone: 651-451-2241' � ,�. y Contact: W11I1�Y1 R MI'�UeTt Email: :��.K� � � �. �k - �� ' �New Replacement _Repair _Rebuild _Modify Space " Work in R.O.UV. � �/�3e� � OF, — — - � �q ��., „� ,_ ,A Description of work: s �� 3� � �RESIDENTIAL � � �� Water Heater � � �� `� �Water Softener ��_ ,� �.� e � Lawn�Irrigation(_RPZ/_PVB) � � Permi yp °_ �� • � Add Plumbing Fixtures�Main/_Lower Level) � __Septic System � •� "�� ew, WaterTumaround � �_ ��';'� � .��-_. Abandonment i RESIDENTIAL FEES: � $60.00 Water Heater,Water Softener, or�'Vater Heater and Softener(includes$5.00 State Surcharge) , $60.00 Lawn Irriqation(includes�5.GQ mihimti�m�tatQ Su�c�G��e; $60.00 Add Plumbing Fixtures, Septic Svstem Abandonment,Water Turnaround*(includes$5.00 State Surcharge) *Water Turnaround(add$200.00 if a 5/8"meter is requireC) j $115.00 Septic Svstem New($10.00 per as built)(includes County fee and$5.00 State Surcharge) / �q O O II TOTAL FEES$ �DV, • CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. ! Call 48 hours before you intend to dig to receive locates of undeGground utilities. vwvw.gopherstateonecall.org I� . I hereby acknowledge th8t this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of � Eagan;that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with t e approved plan in the case of work which requires a review and approval of plans. . x V"� j,�� n��--` X '' _ � � Applicant's Printed Name Applicant's Sign ure . , � �FO� �;FIG�` -�U.��- �;�: r � . �� qui �d�� p� : ; . � ;��, � � � � . �� ,.r u � �� a � � ��M�te ela � � , - ,: a � � � e ��,.,.�� w� _ � �� ar�"v`��;�z.� .� _ _ _ -