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4740 Walden Dr . crnr oF EAcaN . t8699 3795 Pilot Knob Raod Eoyan, MN 55122 , ' PHONE: 454.8100 BUILDING PERMIT Receipt # Te be wW For SF DWG/GAR Est, Value $$3, 000 Dote October 25 19 83 Site Addre,ss 4740 a en r ve Er@`t Oc"' R-3 1 7 3 tJalden Heifihts ~ pO~`y R- lot Bixk Se /Sub. Atter Q Zoning Par~l # 1O-F3300-1~~J-03 Repoir ? Fire Zone `t Enlarpe ~ Type of Const. v unsn ne onstruc t on 0: Name Z 1466 RiGhard s Ct. Move ? Stories Addreu Demolish p Length ~ ci Lagan 55I22 Phont 454--7485 Grode ? Depth 35 Sq. Ft. ~ Nome Ovrier Approrals Fees ,a o~ Address Assessment Permit u~ Water Sew. Surchorge 41.50 Cit Phone police Plon check 1 1. ~ W Name Fire SAC ~ H x19 Address Enp. Woter Conn. 45000 ' <W Ci Phone Planner WoterMeter~~ Council Rood Unit ( hereby ocknowtedge that I hcMe reod this applicotion ond state that 81dg. Off. the inlormotion is correct and agree to tomply with a11 applicuble !!899.50 State of Minnesota Statutes ond City of Eagvn ardinantes. APC Totol Sipnoture of PeRnittee ` on A Building Permit fs issued to: on the express condition tlxai e11 work sho!f be done in accordonce with oll applicabie 5tote of Mlnngioto Statutes ond City of Enqan Ordinonces. Buildirp Officiol E Permit No. Permit Holder Misc. Permit No. Holder Plumbing H.v.~.~. w.u water Disp. Sewer Cl°ct"c I 557(p Ra IE pItc• I14-9'3 Inspection Date Insp. Other Footingc 0-2 ~ ~j b p Foundetivn Fromin9 3 ~f ~ Rou9f? P1bq. Rough HVAC 3 Insulation Final PIbQ ~ W Final HVAC Final Qeseribe locatinn: YYell , Sower Pr. DisP. - Receipt MECHANICAL PERMIT Parmit No. CITY OF EAGAN _ Fee FiII in numbered spaces S/C Type or Print legib/y Tot. • 1. Date 2. Installation Cost 3. Job Address ~ yCC L `/~t • ; ~ Lot ~ 7 Blk. ~ Tract 4. Owner 5. Contractor 1 J~2o iJ C 2cJ Phone 6. Address 1- 7. City i i~:-: , r-• State Zip 8. Building Type: Residential Q Commercial ? Institutional D 9. Work Description: New Ll Add ? Alier ? Repair ? 10. Describe Fuel Type, 11. No. E.quinment 8TU - 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 F inal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Receipt ~ PLUMBING PERMIT Permit No. CITY OF EAGAiV Fee PiII in numbered spaces S/C Type or Prini /egibty Tot. 1. Date 2. Installation Cost A 3. Job Address 11 11/G ~t)A H.'~ Lot Blk. Tract 4. Owner F~V.k 1P tJ 5. Contractor 1111 (C • Phone 6. Address 7. City State Zip 8. Building Type: Residential ~ Commercial ? Institutional ? 9. Work Description: New ? Add ~ Alter ? Repair ? 10. Describe y1.~,~ M~' ~~r._,~s,•, ~s~ - a--,--i,~,.~v, ~ 11. No. Fixtures No. Fixtures Water Closet Cesspool/Drainfietd Bath tubs Septic Tank Lavatory ~ Softner Shower Well KitChen Sink Urinal/Bidet Other Laundry Tray Floor Drains Orinking Ftn. Slop Sink Gas Riping 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 60 Rough Final Inspections: Date Insp. Date I This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 CITY OF EAGAN Remarks Addition WALDEN HEIGHI'S 1ST ADDN Lat 17 eik 3 Parcel 10-83300-170-43 owner Street 4740 MIALDBN DRIVE stace EAIGAN MN 55122 Improvement Date Amouni Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK -30-2 -$3 SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA j-Z- STORM SEW TRK j 1984 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT 250.00 39540 10-25-83 WATER CONN. 00.00 ~f tt 9UILDING PER. fing SAC PARK INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number. Eagan, Minnesota 55122-1897 Date Issued: ~ (612) 681-4675 SITE ADDRESS: ' ` F' ~ ~ APPLICANT: . . ~ n vm n p PERMIT SUBTYPE: TYPE OF WORK: INSPECTION . , . . ~ ~ F ~ L Permit No. Permit Holder Date Telephone M ELECTRIC PLUMBING HVAC Mspection Date Insp. Cammenta FOOTINGS FOUND FRAMINQ ROOFING RDUGH PLUMBINO PLB(3 AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE 449 FIREPLACE AIR TEST -10 FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL CITY OF EAGAN WqrER SERVICE PERMIT ~ 3830 Pilot Knob Road P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: 10-2G-_.i ! Zoning: _ :ii No, of Units: 1 Owner; 51inshin Oll L ' Address: Site Addrcss: 4740 S,alde Drive L17 L;.i ~~aluen i'7t5 Plumber. - L1kevil e Plbg & lita . Meter No.: Connedion Chorge: Size: Attount Depostt: Render No.: Permit Fee: 1 u. UO pd I eone fo aomolp witM+ the Citr ef Eoyan Surcharge: .50 pd Ordlaanor. Mlu. Chorpes: 60. JO pd :aete3' ~ Total: ; 81' Dote Pald: ~ Dote of Insp.: Insp,; ; ~f~..___- - - CITY OF EAGAN S~M SEVICE PERM 1830 Pilot Knob Road . P. O. Box 21199 PERMIT NO,: • Eagan, MN 55121. DATE: Zaninp: No. of Units: 1 Ow?Mr: llddrcsx Site Address: Plumber: - h~:Y 112 e t' 1!~ ' * I p/N f0 OOlllPh Nkb n0 C*y of BegOII COf1MCt1011 (hqMe; Ord+110110M. Account aposW - Permit FM: 1 ~ Sur+charpe: BY Mfac. Charpet: Dote of Insp.: Talal: I^sp.: Dote Paid: - Certificate for: ; • Sunshine Construction 7~ ~ -r c.t p ' DELMAR H. SCHWANZ LANOSURVEVORS1 I13G. RNIstNetl UMIN Lawf of TAe State oi Minnosota ' 2Y78 - 146TH STRlET w. - SOX M ROiEMOUNT, MINNESOTA 65068 PHONE 612 423-1788 ! SUIIVEYOR'S CERTIFICATE I hereby certify that thia ia a true and correct representation of Lot 17, Block 3, WALDEN HEIGHTS FIt3T ADDITION, according to the recorded plat ; ate' thsreol, Dalcota County, Minnesota. Also shoNing the loaation of a propose~l ,k• houde ad staked thereon. xyX~~ y~f.$ SCALE: 1 inch - 30 feet ago.2 ~notea exieting elevation SZ.~14 ~ ~ Denotea proposed elevation ; O Denotes set wood hub r Denotee propoaed drainage 1 a4-7 A I ~ ;v~6 . Proposed gare?Ke Ploor 4A~ ~ from develo nOt plan 7~r . ~4r'AWr~ ~ q+ 7~6 3 'Y- o MI ~ . LI-7., \ . I 94/ g a ~ J T~/Hwd ~ IJQ . ~'D Dreinage a,nd utility ' eaeement ' \ -V y.....-.~.,.....~._._. _y,._., 3. 2~j7, l~ ~ lif1~'7 T~ n ' v~ ~ ~l^L. : . , ~ , . . . DatQd i OCZ'?Obe1' 13, 1983 . MINNES07A REGISYRATION N0.8625 Reviesd: October 17, 1983 This request void ~~-S Wal l4- t f` 34 `t q Y 18 months trom A 1 E. 7 Request Date Fire No. Rough-in InsOection ~ ,.y 1 Repuired? Ready Nuw ~[]~W~11`Notity Inspec- ` Yes ?No / ~lor When Faarlv Licensed ElecVical ConVflctor I hereby requastinspection ol abave Owner electrical work installed et: Street Address, Box or Route No. City ecllon o. Township Name or No. Range No. County OccupentlPfllNTI Phone No. Power SupDlier Atldress Elec ical ConVactor (Compan~yllf ame) C~on+t,ractor's License No. Mailing Addr ss (ConVactor or Owner MakinB Ins ailationl . ) L-"1 Authorizetl Sign~(COntraclodOwner MakinQ Installationl Phone Number l~(D-„~- cN.-z~--,.~ MINNESOTA STATE BOARD OF ELECTflICITY THIS "NSPECTION HEQUEST WILL NOT BE ACCEPTEO 8V THE STATE BOAR~ Griggs-Midway Bldg. - Hoom N-191 1821 Univarsitv Ave., St Paul. MN 66104 UNLESS PROPER INSPECTION FEE IS Phone (612) 297-2111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION Es-oaooi.oa , See instructions for completine this torm on back of yellow copy. 10 A- X" Below Work Covered by This Hequest , . C~ 34-7 4 ev4Addj Rap. TYpe of Builtling ApOliancea Wired Equiomenl Wirea _ Home Range Temporary Service Duplex Water Heater Lightiny Fixtures Apt. BuilAing Dryer Electnc Heatin Commercial Bldg. Fumace Silo Unloader Industrial Bid,y. Air Conditioner Bulk Milk Tenk Farm Other Pecify ther (Snecify) t er Gecify Other Othar ompute lnspectian fee Belaw q Fee Service Entranca Size tt Fee Feeders/5ubleeAe1s N Fae Circui[5 -CJ 0 m 200 qmps 0 to 30 Am s 3~z-2 • 5 0 to 30 Am s Above 200 qm>s 31 to 100 Amps s_O[ 31 to 100 Am s Swimminq Pool Above 100_Amps Above 100_/>mp5 Transformers Irrigation Boorr~s r. Partial; Olher Fee Signs Speciallnspection S Remarks TOTAL F Noueh-in o,[e 1, tne Ele ' Insoector, hareby ertify thxt the abova Final nspection hes Eeen made. TMS repuest voiG 1B monttb fram CITY OF EAGAN N~ H6O9 ^ . 9795 Pilef Knab Rood Eogan, MN 55112 , PHONl: 454-8100 BUILDING PERAAIT aece+ot # Te ba uwd fee SF DWG/GAR Esr. Value $83,000 pate October 25 , 1983 Sira nddreu 4740 Walden Drive E.ecr ~ OccuPOncy R-3 Lot 17 Blxk 3 Sec/Sub.Walden Heights Alrer ? Zoning R-1 Parcel # 10-83300-170-03 Repalr ? Fire Zone NA Enlarge ? Type of Const. V s Numa Sunshine Construction µove ? # Scories ; Address 1466 Richard's Ct. Demoiish ? Length.71_ b C; EaEan 55122 pho„e 454-7485 Gmde ? Depth-35 Sq. Ft.- Approrab Faes a Name OWner ou Address Assessment Permit 382.00 u~ CI Phone Water & Sew. $urcharge 41.50 F Police Plan check 191.00 ww Nome fira SAC 525.00 f Address Erp. WoterConn. 4$0.00 iW G Phone Planner WoterMeter 60.00 Council Rood Unif 250.0() I hereby acknowledge that 1 have read ihis opplication. ond state that Bldg. Off. the information is correcf and ogree to wmply with all upplicuble 1 . SQ Stofe of Minnewto Statutes and City af En9an Ordinantes. APC TMOI Slgnofure of Permittee Sunshiae Constructio A 8uilding Permit Is issued to: on tha express cordiflon 1hn+ ota Sfotutes and City of Eagan Ordinonces. ull work sholl be done in accordance, with oll npplico 1 tat of , i(r Buildfng O4ficial 106 J CITY OF EAGAN Include 2 sets of plans, P 1 site plan w/elevations & ~U:IL:DI~G PERMST APPLICATI~I 1 set of_ er.erc.i cal.culations. 'Ib Be Used For Valuation _'07 YLIM Date td Site Address: 417'KiD OFFICE USE ON[,Y Lot' ~Z slock 3 sec./sub. Erect occupancy Parcel Ib'' -PJ ~ Alter Zonin9 / Repair Fire Zone Ovmer: ~ c.c Ks4," F ~vhs'~ Enlarge _ Type of Const. , Move # Stories Pddress: N6,6 Demnlish Front ft. City/Zip Cocle: aSGZ., ~,j Grade Depth ft. Phone # : APPROUAIS FEES Contractor: So~ M~' Assesssakents Permit ,3;~ Address: f-~f3D~JC Water/Sewer Surchange Police Plan Check City/Zip Code: Fire SAC Phone # : Fn9 • Water Conn. 445-tj !01 Planner Water Meter (op p ~ Council Road Unit - Arch./En9• ~ Bldg. Off. ~SO Address: ~ZD 6 %~cu Sa/~7~' ~ e APC City/Zip Code: Phone MTps, Weathcrstrips A Cu'ide Comtrnciioa No. R'md Imalacion ow~ Doon II Refermct Out. Wall Int. Wd1 Ceiline Roof Eloor II kind How APPlied e~o I Yes-No 19_ ~ - ~ 1 FM F:QVer Room Length Width Height ' N / FI.1 ' Room Length ' " Width ' aHeigh ~ ~ Windows nd Doon-Crac;cage and Area Window and Doors--Cracknge and Atea WIlth Ha:tnt !:o.u: Llnvl(t Area N WIe1E Hsl[at No.of LIOUIIL I Are. o. of Oane of p~ne u;hen of cnct y. fL No.^ of p~na o[ p~n~ IlfOb eta~cl[ ap. [t. 0 Q I Al~• 1 1`~ c«r. ~o - c«r. stu InFiitration ]nLltratioo (P Claes Cilaa ~ Fsp. wall Exp. wall ~ . Net exp. wall Net eip, wall lat. wall Floor Int. wan F!mr Ceil. Total Btu. Tdel 8tu. Required sq. Ft. E.D.R. or sq. ino. W.A. Leader area Requirrd sq. k. ED.R. or sq. ins. W.A. Leader area F7•~ Room ( Length a Qlidih Height 'Q~ I Fl.I Room jLength %N Widthlo i i' HeiBht F19T.' Windows an Doorr-Gackage and Aree W~ndows and Doors-Crackage and Area RIEIA Hel~~t No.o[ Llneall0. Ana N0. ofpans o[p~na ?~Ab olenet p.R H'~~~~ Hel6~t No.a! LInnI1t. wrea 'a " W'' ` No. of n~oe nf paM Iltht~ o[ cr~ck au. (t. ~ ~f• ~ Coef. $tu Infiltration Infiltration CJALU Class _ E:p. wall Exp. wall Tjr~ NN exp. wall - _ 1nL wall Net ezp. wall Fleer Int. wall Ceil. Floor _ Ceil. TotalBtu. Totai Btu. aa Required sq. ft. E.D.R. or sq, ins. WA. L.eader aree Required sq. ft. E.D.R. or eq. irie. W.A. Leader aree Fl. Room I LenRth ' "Width/ ' 'I F{e:ght / d IF1•I Rooml Leneth ' u Width Height _ Windowe an oora-Craclage and Area Windowa and Doon--Craekage and Atea awt~ N. ef l~ f LIn~IIIL A~M WiJIn }1el{Ll p0.0( Llne. l({. Afu D~~• ot y~n~ II~~t~ ef cnek q. [L N. a[ Dare ef,pan• IIShU ef ereck Q. ft. 71 Coef. BW Coef. Btu lnfiltraeion ~p'j Infiltration U'" ,~L)5 ) Glass E:p. wall ~I &p. v.•al: Net e=p. wall 7 Net exp. wall int. wall Int. wall Floor Floor cea. ) A. I ceii. - Total B;u. Total Bta. Required s.;, ft. E.D.R. or sq. ina, W.A. I,mder etea Reqeired sq, ft. E.D.R.,or sq. ins. W.A. Leader area 53,303 PuL ~o~ 17 • aVeethcrstrips A.SA . + Comtraction No. --Y^ inialstion V.E Guide I 4%:ndows -Doors Rcfereace Out. Wall Int. WaH Ceiline Roof Floo= O:ind How Applied - _I--=- t'es-1o Ycs-:io 19~ Fl.l D Room Length J/> 'QiIWidi.h f/ I '/Fieighc 1 n -F1 1 - ODoor~-Crackolgc gth ~ ~ n W~.h ~ ~ ~-leight • ~r Windowe and Doors-Crac:cage end Area Windows aand Area WlEOk HeI(ha Nuu• Llnul [6 AM1a WoM.t ere~ Ne. ofW~a e'o.~ii.W. tn.ck q.fL alar~cl[ ep.ft. j 11 14/ f O 1 ~ Coef. &n Coef. Btu Infiltration Infiltration Q GJass Cilau Hoo Exp. wal( Exp. WaII I Net exp. wall / Net esp. wall 7 lnt. wall Int. wall Floor pi.,,n CtU. ('•'I Toral Btu. Taal Btu. ReWired eq. Ft. E.D.R. or sq. ins. W.A. l,eader atea Requircd sq. ft E.D.R. or aq. ine. W.A. l.eader area F1.1 RoomjLength 'O'iWidth ' of yeight ~ " FRoomlUn6~h ~ ~Vidth 'loll Height W'indows and Doon--Crackage nnd Aren Windowe and Doors--Cracksge and Area R'IEtn Nelfht No, of Llneol lL Aro wld[h flalght No. ot I.In~~l ft. wrc. Nw o[ D.n• af ?~n• Ili~u ot votek M. R pa. O( Paee n! O.*N II[~U of Ct~<k q'. Lfl. ' 7 li 1 it 71 ,l T _jq I i! i 1407 CveF. Btu ~ 1 1Coef. m Infiltration Infiltratiun Clau Clae~ _ Fap. wall Exp. wall Net exp. wall Net esp. wall ~ Iat. wall lnt. wall Flonr Floar Ceil. ~ Ceil. Total Btu. Total Btu. ' F p Required sq. ft. E.D.R. or aq. ins. WA. l.eader arta Requircd sq. ft. E.D.R. or aq. ine. W.A. ader aree AA;r Rnom I Lenqth Width I' Fkighe /Fl.1 Room I Lenqth Width He;sht F1. Windows and Doors-Crackage and Area Windowa and Doors--Crackage and Area a'Idth HeIqT[ vo. ot Llna.l (L Are~ W Wth HaliLt No. ol Llneal f[. Are~ Ne. ot p~n• o! Pane 11(hl. of cr.ek wp. [L N. ot O~ne ef,pane Il. ~b ef ercek ~0. ft. 1 11 / 11 Coef. Btu CoeE. Btu lnfiitration. ) 3 Infiltration Cilan /Q Glasa Exp. wall 1 ' Ezp. waIi Net ezp. wall , Nct exp. wall Int. wall lnt. wall Floor eloar Ceil. j Ceil. To:al B;u. Total Btu. Required s.;. ft. E.D.R ur sq. ine. W.A. Leadtr uea Rcqaircd sq. (t E.D.R.,or aq, ine. W.A. Leader area PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMITTYPE: Bu=Lp=NG Eagan, MinneSOta 55122-1897 Permit Num6er: 0 3 0 8 0 8 (612) 681-4675 Date Issued: 8 g/ 18 / 9 7 SITE ADDRESS: 4740 WALDEN DR 1.07: 17 BLOCK: 3 WflLDEN HEIGHTS P.I.N.: 10-83300-170-03 DESCRIPTION: , (GA3 STOVEJLSNE) 8=u1l4xt%E?ermit Type FIREPLACE TYPe NEW ~ 434 ALT. RESIDENTIAL mu ~ j ~ ~ ~ N 'jSij t '°'ws . L~ p;~~~ 9 A~~P ~ Hsm a 4 xs „ p8 s~ r REMARKS: FEE SUMMARY: Base Fee $50.00 Surcharge $.56 Total Fee $50.50 ~ CONTRACTOR: - Applicant - 5T. Lxc OWNER: FIRESIDE CORNER'INC 16332561 2009091 GUBTAVSON JACK 2700 N FAIRVIEW AVE 4740 WALDEN DR ROSEVILLE MN 55113-0847 EAGRN MN 55122 (612) 633-2561 (612)688-8943 ,z~0~eg0 t~at ~F t~~ve2~rs~°~l t~# s~!k~, ~q 7t tij~ ~k n d c 14 ~~+I`~°~~i~n~~ ~ot*r~'~ ,~,adE t't`""`#~~,~~~~~~Y~ ,,h'u*$~~'~".~iC~°i e' ,t i s e s 4 " [ r ~a .,w.ew.;.~r f_ . . .~,.r ,~o-.. . . A 1Q, ~ ~ APPLICANTIPERMITEESIGNATUFE ISSUED1': 1 N UBIE • CITY OF EAGAN 3830 PILOT KNOB RD - 55122 D 1997 FIREPLACE PERMIT APPLICATION v 681-4675 r. DATE: '7 ~ PBRMIT FEE: J50450 ~r- DESCRIPTION OF WORK: CONSTRUCT NEW FIREPLACE ALTERATIONS TO EXISTING _ INSTALL GAS INSERT ONLY INSTALL GAS LINE ONLY ~ OTfER: £ E (nJG- G-yfs 570 c/~- 4- G~s L/.JL- sTREET ADDxESS: IJ,~Q f.J .6p- LOT ~ BLOCK SUBD./P.I.D. ~I li"~~OA1 ^1.0J~/? APPLICANT: (circle one only) OVvN-Ek NiT2ACTG I hereby acknowledge that I have read this application and state that the information is correct and agxee t4 comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. PROPERTY Name: C',-cc5-l;~,Vsof ~?~~K- Phone OWNER Signature: Street Address: City: Li~/,,/ State: MA? Zip: FIREPLACE Company: /YO £51j9£ G phone#: 0.33-25~/ INSTALLER ~ Signature: Street Adclress: ~ift411196J A/Z- Jv License City: ~"l,45ta/lLL~ State: GAS'LI1VE Company: 7547W5'i` r; INSTALLER £G davs o: ~ss._r:ncc, or iE .U,;~ ~ N 11ne , . - „ .s,~ ._-.ica W~ih my swra,are b~.'sow 1 e-ir't" : • . _fr ';E, . . . . . :~Sl'~IYafUIC~'3...,. , . StS` cifiec 2qreei ~P.SS ~.r.~o~_.r,~<:~':..-'°'~-•-_ . Y. , . arein _are 'uc City: ZiP: ~ Fw Office Use ' ; City of EapIl ; Perinit#: /O ~ Permit Fee: % ~ 3830 Pilot Knob Road G~' ~ Eagan MN 55122 ~ Dffie Raceived t/~ ~ phone:(651)675-5675 ~ e& ~ Fax: (651) 675-5694 i Staff: ~ J 2008 RESIDENTIAL BUILDING PERMIT APPLICATtON Date: Site Address: 47Lk~ ~~)OLIdCl1 (k Tenent: JA rlr 171x5-~0.~J6Oo SuFte RESIDENT/OWNER Name: J0.GiC tsi.tSc;t-uSOn Phorre: (nSl- (oS$' 8a43 AddresslCity/Zip: ~-7qO LA)0.Jc1eY! Dr• Applicant is: _ Owner _ Contractor TYPE OF WORK Description of work: T2.0.r' 0'C+ ~ ee - eoo-C Construction Cost: I`4 700 3(o Mul6-Famity Building: (Yes No i CONTRACTOR Name: AL+gC GoV Jq 4 CO-A-34uckaw. License it: 20135140 Address: µInS b5" 14VE IS ciri: `t~rooklH,. Pa.Tk state: rYlnf Zip: 55Y43 Phone: 7(93- 3( S-0530 Contact Person: C-"~ n0.S COMPLETE TH4S AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 Energy Code • Residernial Vernilation Category 1 Worksheet • New Energy Code Wrnksheel C8t2gOry Submitted Submitted (q Submis3ian typC) • Energy Envelope Calculations Submiried In the last 12 months, has the Ci(y 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: Niechanicai Contractor: Phone: Sewer 8 Water ContreCtor: Phone: AIOTE: Plans and supporting dacuments that you subm# are cortsJdered to be publiC Fn/ormat?on. Portlons of the lnformation may be cfassl/ied as non-publfc if you provide specfflc reasons that would permlt the City to conclude ihat the are trade secrets. I herehy xkrwwledge that this informa6on is complete and accurate; that the work will be in conformance wifh the oNinances and codes of the City ot Eagan; ihat 1 understand this is not a permit, but onty an appllcation for a permit, and work is rwt to start wiYhout a permtt; thal the vrork will he in accordance with the approved plan in the case of work which requires a review and approval of plans. x?11LCP ~ r- C4W-k.`n4S x G Applica s Prlnted Name AppliceM's Signature Page 1 of 3 2005 RESIDENTIAL BUILDING PERMIT APPLICATION ~ 4o Q0 City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Consiruclion Reouirements RemodeVReoair Reouirements 0 e ke ~JnW 3 registered site surveys showing sq. fl. o( bt, sq. fl, of house; and all roofed areas 2 copies of plan C~1 a! SU.+ey ReGd _ Y_N. (20°k maximum lof cwerage allowed) 1 set o( Energy Calculations for heated additions Ttee Pres Plan'.Recd _Y .,R 2 copies of plan showing 6eam & window sizes; poured found design, etc. 1 site survey for additions & decks Iree Ares Repuit2d N 1 set of Energy Calculations Addition - iodicateifon-silesepficsystem Dngit@SephcSyslem _.:Y _N 3 coloies oF Tree Preservafion Plan if lot planed afler 711193 Rim Joist Delail Op6ons selecilon sheei (buildings with 3 or less unils) pG Date ~ / ~ y,~ ~r ~ Construction Cost ~ ~`'1 cJ ' SiteAddress ( 1`n1AOY1 }~1L(%(,A Q - Unit/Ste# Aescription of Work i Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner ~ Telephone dj--) RENEWAL BY ANDERSEN Contractor 1920 COLTNTY RD. "C" WEST Address ROSEVILLE, MN 55112 _ CitY State 651-264-4777 ~hone # ( ) T,ICENSE #20130983 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Ca[e¢orv 1 _ Minnesota Rules 7672 Ene~gy Code Category . Residential Ventilation Category 7 Worksheet • New Energy Code Worksheet (J submission type) - Submitted Submitted . Energy Envelope Calculatlons Su6mitted In the last 12 months, has the Cify 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 p n in the cas o work which requires a review and ~ appr IYI 1 of plans p~(~ zt~W, ~a , „ D 24 ppUcant's Printed Name plicant s Signature ; c•~•i itcv .cc.o~ rtta roa oll -8qtt~ tilStYL~t1h4 ~~'9Lf1Jlf[t~7tiC{ . . - _ . ~GIHJU re 3836 PiIcsE Knob Roaci • Eagatt. MN 55222 TU W(tOFII I[ may cpltC6TR: IIderJones is anthorized to .Elder Iones to pio~•ide tFus P~ bniIdiug Pe~tnqts for Renewel fiy Andazaen_ ptcasa atIow . daft beYond 616101: until a~~ r us in Ba~,. ~Tus eudiarizatian is vsiid for any to tha City_ bY Andr,rsen ~~Y revoksa ft in writing I reqnest this attthodaatiaa be our 6 accePted experF~8ous1 , - - aiIdiag Pctmits aaY fvzthcr. Elcasc caii mc If thccc tQ aot delay in the pcpcc~sittg of , cantact~d at 763-502-4746. °m eII3' 9amdons:_ I can Ixi Your immqdiatc a#cnttoa W$ifs matter is ndR, atdon Maxtagor Renowai by Andciscn CorpolatiBn ('c_ Kxrn-Flder7nnea . Receive~ Tihe Jan. 1~07Pld 2006 RESIDENTIAL BUILDING PERvuT arrLicaTTON City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWction Reouirements RemodellFteoair Reauirements Office UseDnN 3 registered sde surveys shmviig sq. ft. of lot, sq. ft. of house; and aIl roofed areas 2 copies of plen showing footlngs, heams, pists Certof Survey; Real, _Y _ N (20% maximum lot coverage allowed) 7 set of Energy Calculatlons for heated add'N"ons Tree Ptes Plan ReGd _Y _ N. 2 copies o( plan showing beam & window sizes; poured found design, etc. 1 sAe survey for additions & decks Tree PreS Required, _Y `N isetofEnergyCalculatrons Addifion-indicateHon-sitesep5csystem On-sdeSepbc-,Sysfem _Y _N 3 copies of Tree Preservafion Plan'rf lol plaried after 711193 Rim Joist Detail Options selection sheet (buildings wAh 3 or less unl(s) Minnegasco mechanical venlilation fortn . Date -AL / 92 6~, Construcfion Cost Od~L7 Site Address 7 y?7 W,4(-D&N QrC Unit/Ste # Description of R'ork G oN5T12 ?c -r /t R`l X x N~ A~ c~s~ c~~2Y 13 vr LpiN6 Multi-Family Bldg _ YL N Nlreplace(s) K 0_ 1 _ 2 Property Owner JoNN D. G vS i i9USON Telephone #(/Sf ) G 8'f1 •~9 y 3 Contractor OwNEK TO 13 V 1 L f~ Address City State _ Zip Telephone # ( ) li ~l o 4 zoob ~ ~ COMP B TE TF{~$ AREA ~ NLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Enerc~y COde Category . Residential Venfilation Category 1 Worksheet • New Energy Code Worksheet submission type) Submitted Submitted . Energy Envelope Calculadons Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master planB _ Y 4 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 aclrnowledge 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. J01414 A Gv srAvSo%~ Applicant's Printed Name A/pplicant's Signature DO NOT WRITE BELOW THIS LINE Sub Tvpes ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex >r, 17 Garage O 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 42-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex O 25 Miscellaneous Work Tvpes ~ . `~31 New ? 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 'Demolition (Entlre Bidg) • Give PCA handout to appliwnt Description: WaterDamage_Yes - Valuation 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 bldg) Sheetrock Footings(deck) FinaUC.O: ~ Footings(addition) y FinaUNo C.O. Foundarion HVAC Drain Tile Other Roof Ice & Water Final Pool Ftgs Air/Gas Tests Final Framing _ Siding _ Stucco Lath _ Stone Lath _Brick _ Fueplace _ R.I. _ Air Test _ Final Windows _ Insulation _ Retaining Wall ~ Approved By: Building Inspector Base Fee Surcharge Y~q Plan Review MC/ES SAC ~ City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other ToWI TITC'~'- , . A'rtiticgte for: ~q= ~ Sunahine Gonatruction DELINOAR H. SCHWANZ ~ lANQSUHVEVOR$I _~?3GRqiRred UMh Lars of FM SCata of Minnelob 2370 - 146T!{ $TR6ET W. - BOX M pOBEMOUNT. MIlMIESOTA $6068 PHONE 812 423-1769 SUR VEYOR'S CERTiFiCATE I hereby certity that thia is a true and correct ~~kL rtspresentation oP Lot 17, Block 3, WALDffid HSIGHTS „ P'IRST AMITION, according to the recorded plat ~ thareof, Dakota County, Mineze8ota. l~i?~ I V k3~ q5Q~~ Alao skwxing the Ioaation of a proposetl d r houee as staked thereon. SCALS: 1 1riCh y 30 feet ffo-zDenvtes existing elevation ; ~ SZ 74' ~ o Q Denotts proposed elevation aA1,40,33"~' d Denotaa aet wood Fiub Denotes propaeed drainage y 9~-lp.v6 ; I 9/ p 4S~ ~g-b ~ax . .6 1/f 2~j 9 Z Propostd gara6e floor 3'ram aevelopme~ plan 9j7 V A%f Q q! 9~ ~ ~ ~9 6. L ~414 4f ~ 94/ g o \ ~ T~.Y~d \ t`~ ~ !l Xq-~ s . • j.~~ , ~ Drainage and u 1 ~ . ~ @88QA1 11n~ ~ ' _4 rF,rti. ~j n . . f • •`r ~ ~~i, Dated: Octobsr 13, 1983 City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4740 Walden Dr Lot: 017 Block: 003 Addition: Walden Heights PID:10- 83300 - 170 -03 Use: Description: Sub Type: Work Type: Description: Census Code: Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264 -4777 e- Windows/Doors Windows/Doors-New/Replacement House 434- BL - Base Fee $3K Surcharge - Based on Valuation $3K Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - Construction Type: Occupancy: Total: $90.00 Owner: John D Gustayson 4740 Walden Dr St Paul MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: $88.50 0801.4085 $1.50 9001.2195 Issued By: Signature Building EA087852 12/23/2008 ePermit A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are required in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector. I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply with all applicable State PERMIT City of Eagan Permit Type:Building Permit Number:EA153793 Date Issued:01/22/2019 Permit Category:ePermit Site Address: 4740 Walden Dr Lot:017 Block: 003 Addition: Walden Heights PID:10-83300-03-170 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - John D Gustavson 4740 Walden Dr St Paul MN 55122 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA161906 Date Issued:06/17/2020 Permit Category:ePermit Site Address: 4740 Walden Dr Lot:017 Block: 003 Addition: Walden Heights PID:10-83300-03-170 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - John D Gustavson 4740 Walden Dr St Paul MN 55122 (651) 688-8943 K & S Heating, A/c & Plumbing Llc 4205 West Hwy 14 Rochester MN 55901 (507) 282-4328 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA161906 Date Issued:06/17/2020 Permit Category:ePermit Site Address: 4740 Walden Dr Lot:017 Block: 003 Addition: Walden Heights PID:10-83300-03-170 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - John D Gustavson 4740 Walden Dr St Paul MN 55122 (651) 688-8943 K & S Heating, A/c & Plumbing Llc 4205 West Hwy 14 Rochester MN 55901 (507) 282-4328 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA166282 Date Issued:12/28/2020 Permit Category:ePermit Site Address: 4740 Walden Dr Lot:017 Block: 003 Addition: Walden Heights PID:10-83300-03-170 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - John D & Linda Mae Gustavson 4740 Walden Dr Saint Paul MN 55122--277 (651) 688-8943 Lindus Construction 879 Hwy 63 Baldwin WI 54002 (715) 684-4647 Applicant/Permitee: Signature Issued By: Signature