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