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1406 Walfrid St CITY OF EAGAN Remarks SOLD FOR TAYP-q z-,,,-- Addi o CARLSON RES Lot 13 Blk 1 Parcel- 10 16400 130 00 Owne ~ ~ ` 6treet d 5tate EELg~, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SUR F. STREET RESTOR, GRADING SAN SEW TRUNK 1973 8.75 ZO P SEWER LATERAL WATERMAIN WATER LATERAL j972 230.00 WATER AREA STORM SEW TRK STORM SEW LAT CURB & GUTTER SIOEWAIK STREET LIGHT WATER CONN. 260.00 1049 4-30-74 BUILDING PER. sac 400.00 PARK INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: f N'•4 Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: 1" 14,100 ' { H APPLICANT: Iui: i s KlM I 1,1n1 Fftrl) Es1 ~t!; i, ~ I nrj , i rif + !'al'{ '.~IP! 11~ F.) . . . PERIUIIT SUBTYPE: TYPE OF WORK: i ~ I•1~'.i ~ !•j t r'~Ii' INSPECTION D• • D• F J L Permit No. Permit Molder Date Telaphone M ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FDOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AiR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAI HTG ORSAT TEST - r - BLDG FINAL ~ ~ffyl BSMT R.I. BSMT FINAL DECK FTG DECK FINAL v CITY of EAGAN N02 3264 . „ . " BUILDING PERMIT 3795 PiloY Knob Road Owne= ..........................................."~'/......~............p-'-- ~ Eagan. Minnesola 55122 Address (Hresenl) ....7 .7.d ~""`C•`;=....T'~-1.....---'....---.. 454-8100 suiiaB:.. ••~..:~!-'.-e- ~.,L-3o-~ y Dale Addrass DESCRIPTION Siorias To He Used Fos FronS Deplh Haigh! Esl. Cos! Permi! Fae Aemarlcs ' TS.'9-0 t1' (r ~5< SL 7, $eo Lv ~ J4l~a-a / LOCATION Slreet. Road or olher Deseripfion oi Loea2ion .I Lo! Block Addilion or Tzae! 1 Y o G 41V-n-~~ ~ 9,0 ~ I/ 3 This permit does aot auihoxiae the use of slreels, roads, alleys or sidewalks aor does it give the owner or his agea! the rightio oreale anp siivalion whiah is a nuisanca or which presenls a hasard !o the healfh, safelp, coaveaienee and general welfare to anpoae in the eommunilp. THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PAOG ESS. Thts ia fo cerfify, !hal..Ja:...... has permissioa !o ereet a..... ~ . . ._'~--.`_..:cl.... __._upoa the above described premise subjecY io the provisions of all applicable Ordinanaes for the Ci of Eag ` 44~ :W~ : Per Mayor ~p Suildinp Itupecfos 1~ A VILLAGE OF E4GAN WATER SERVICE PERMIT 3795 Pilot Knob Rood PERMIT 1Y0.: 1498 Eagon, MN 55142 DATE: 6/17/74 Zoning: R-1 No. of Units: --l,_ Owner: son bnst,l31C_ Address: Site Address: ].4Q.5 Wc1jfrld Plumber: Elavlock Plumbing & Heating , 0 Meter No.: ~.ir7_ 7 Connection Charge320.00 Ud 4/30/4 Size: 'Fs- p~ Accoun[ Deposi4 Reader No.: Permit Fee: 10.00 pd I agree fo comply with fhe Villoge of Eagan Surcharge: • 50 Jpd Ordieances, Misc. Charges: Total: AY Date Paid: Ilace of lnsp.: Insp.: . YILLApE OF EAGAN SEWER SERVICE PERMIT 3795;;lotK.^.abRoad PERMITNO.: 2257 Eagon, MN 551I7 DATE: _ 6/17/74 Zoning: R-1 No. of Units: 1 Owner: n l oII_f'onstruction Address: Site Address: 14~g Idalfrid Plum6er: ~t ~~s~,l• ni • ~ ~ '-n4 1 agroe to camply wifh fhe Yilloge of Eagan Connection Chazgc:00.00 pd 4/30/4 . Ordinoncas. Account Deposir Permit Fee: 1 f7 _ OO pA Sumharge: _ 90 Pd BY= Misc. Charges: llate of Insp.: . Total: Insp.: - DatePaid: t.or 13 Yc/AiFR~ p CARiso.v A~/zes eXCef~T ~~ie. i werT - - - ~ - . I - - - - - - i ~ _ i . SS j - + - - - ~ _ i . - _ _ _ ~ - - ~ _ - - - - ~ - - - - - - . - - ' ~ , . - i _ . . _ . _ - _ J . . _ . . . . _ _ , . ~ . t - _ - - ~ --I . _ ~ , ~ MASTER CARD LOCATION ~Q ~~r_. ~ o~ ~•Q 06 /3 Ce vlser. U'.rs~ I OWNER STRUCTURE AND ~ LAND USED AS Q~ ~IQ ? i Issued To Permit No. Issued Conirattor ' Owner BUILDING ~ 4-30-7~ ~)fan PLUMBING CESSPOOL - SEPTIC TANK WELL EIECTRICAL HEATING GAS INSTALLING SANITARY SEWER OTHER OTHER Approved Items (Initial) Date Remarks Disiance From Well FOOTING SEPTIC POUNDATION ~ CESSPOOL PRAMING ..4_ 7 TILE FIELD FT. 610 FINAL ELECTRICAL DEPTH HEATING OF WELL GA$ INSTALLATION SEPTIC TANK CESSPOOL . DRAINFIELD PLUM8ING WELL SANITARY SEWER Violations Noted on Back COMMENTS: PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U X L D I N G Eagan, Minnesota 55122-1897 Permit Number: 0 2 7 8 5 4 (612) 681-4675 Date Issued: 0 6/ 12 / 9 6 SITE ADDRESS: 1406 WALFRID ST LOT: 13 BLOCK: CARLSON ACRES p.I.N.: 10-16400-130-00 DESCRIPTION: ( R 0 0 F I N G) S+T-11M B~uild3ng.Permit Type f~Building Wbr' k Type REPAIR r Cens4s Cbde 434 ALT. RESIDENTIAL } F'`. ......r a d / ~~1i-~ } \..,-;l.....~``1 ~ ~ t/ ti, 71 ! _.q 1 ~ J~ 4 e f 4 t ~ ~'i J 1 J REMARKS: FEE SUMMARY: CONTRACTOR: - qpplicant - sT. Lzc.OWNER: CHRISTIANS INC 18818536 8003712 BUBLITZ CONNIE 9033 LYNDALE AVE S 1406 WALFRID ST BLOOMINGTON MN 55420 EAGAN MN 55123 (612) 881-8536 (612)452-6738 I hereby acknawledge that I have read this application and state that the informatian is correct and' agree to comply with all applicable'State o'f Mn. L. Statutes and_Czty vf Eagak? Ordinances. ~ AP ICANT/PERMITEE SI N R ISSUED : IGN UR k 14i CITY OF EAGAN jr41996 3830 PILOT KNOB RD - 55122 BUILDING PERMIT APPUCATION (RESIDENTIAL) ~6814675 New Conswclion Reauiremenls RemodeUReoafr Reavirements ? 3 registered site surveys ? 2 copies aF plan ? 2 rnpies of plans (indude beam d window sizes; poured (nd. design; etc.) ? 2 site surveys (axterior additions & decks) ? 1 energy calalallons ? 1 energy calculations tor healed edditions ? 3 copiea af tree preservation plan 'rf lot plalted aRer 717193 requUed: _ Yes _ No DATE: CONSTRUCTION COST: -YJtJ~~00 DESCRIPTION OF WORK: STREET ADDRESS: LOT ~ BIOCK nO SUBD./P.I.D. PROPERTY Name: i TL L e Phone OWNER `M'T Street Address: City: fq State: Zip: 5-5-123 coN7RAC'roR Company: Phone Street Address: 263 Ae S License 71-2 City: State: )1?zv~l Zip; STY2 D ARCHITECTI Company: Phone ENGINEER Name: Registration Street Address• City. State: Zip: Sewer & water ticensed plumber: Penalty applies when address change and tot change are requested once permit is fssued. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with a9 applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes No Tree PreservaGon Plan Received _ Yes _ No CITY USE ONLY LOT 1~e BL 00RECEIPT SUBD. C~~ l~/'?tiC,d~ RECEIPT DATE: / 9 MECHANICAL PERMIT # 3~"7 ~QI C7 1999 MEcHANacAr. ~EftMiT (REsaDFrrriAL) CITY OI' EAfiilN 3$30 PILOT KNO$ RD £AflkN MN 55122 Date: J f3 I (651) 681-4675 Complete this section onlv if you are installing HVAC in a single family dNvelling, townhome or condo under canstractio;; and noi owner /cccuoied. • HVAC: 0-100 M B T U $ 30.00 ADDITIONAL 50 M BTU 6.00 • Gas outlets (minimum of one required @$3.00 ea.) State Surchazge .50 Total $ Complete this section onlv if you are remodeling, adding to, or repairing an existing single family dwelling, townhome, or condo. Please indicate if it is a new item, alteration, or repair. _ New X Alteration Repair _ Other Reminder: Ca11681-4675 for inspections. ~ Furnace ~ Air conditioning _ Air exchanger _ Other $ 30.00 State Surchazge 50 Minimum Total Due 30. SITE ADDRESS: Mow 1ja 1,Fr'Id St. OWNER NAME: DO'n ?)ub I i T Z PHONE -q5aJ U773 a (QIQ. -q3I"7099 INSTALLERNAME: UUO~I~rSuIR°l~~L~G 'I'11`1 ~~ll/! PHONE#~ ~ STREET ADDRESS: I"I ]2"J p- (AREA CODE) ~eY~ I 1 CLF- 7~ vt/ CITY: STAT'E: M~-)- ZIP: 1,3' LAi X' (if SIGNATURE OF PERMITTEE ~ `l'~5 5 RESIDENTIAL I I~ BUILDING PERMIT APPLICATION CITY OF EAGAN f 3 0 3830 PILOT KNOB RD, EAGAN MIV 55122 0 651-681-4675 / / Naw Conetruetlon Reauirements ~ vRemodallReoalr Reauiraments r/ . 3 registered sile surveys showing sq, fl. ol lot, sq. ft, of hause; and all roofed areas • 2 copies af plan (20% maximum lot coverege aUowed) . 1 set of Eneigy Calwlatbns lor healed additions • 2 copies of plan showing beam & window sizes: poured found design, eta) • 1 sde survey for aYlenor addiGoris 8 decks • t set of Energy Calculafions • Indicate'rf home served by septic system lor additions • 3 copies of Tree Preservation Plan if lot platted after 7!1l93 . Rim Joist Delail Options 5election sheet (bldgs with 3 or less unds) 41 dU DATE /U' VALUATION 7 SITEADDRESS ~y9 6 GUA«~V Q 57/f&X7_ MULTI-FAMILYBLDG _Y _N TYPE OF WORK /ff leUUf 1ti/7H T~9/P OFF FIREPLACE(S) _ 0_ 1_ 2 APPLICANT QuAL17y GGAISTAG7lUAI CU.Uw&,T/Uv /NG STREETADDRESS NORTHEiPN A%CtW iPUN?E Fl 4dX /&I Clfl ASTATE Y1A1 ZIP 561131 TELEPHONE # 2)8-927' 3335CELL PHONE # 1,19101 -S/dU FAX # G/L '7$& ' 62et L ?4 LvL PROPERTYOWNER PdV 13y-OL17.2- TELEPHONE# ~5~~ ySt- G73g COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ y(INVrSOTA RUITS 7670 CATLGORY I MIIVNI:SOT:\ RliLES 7672 (J submission type) • Resitlential Ventilation Cate9ory 1 Worksheet Submitted rNei E~at9y'lCq ie Wortk fi et Submitted • Energy Envelope Calwlations Submitted I D ~ ' ~ l ' ~ G~T ~ 1 2CC2 Li ~ Plumbing Contraetor: Phone #I" Plumbing system includes: Water Softener Lawn Sprink~,le.r _~ee:_$90.00 Wa[er HeaCer No. of R.I. Baths No. of Baths Mechanical Contractor: Phone # Vleclianical systcm inclutles: Air Conditioning Pee: $70.00 Heat Rccovery 5ys[em Sewer/Water Contractor: Phone # I hereby acknowledge that I have read ihis application, state thaT the information i5 correct, and agree to comply with ali applicable State of Minnesota Statutes and City of Eagan Ord' es. SlgnatureafApplicant OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4l02 : . Oi: 48P FROM: ~T /LM I T~ # ~~G t~l TD:6516814694 P:1/1 ~ /l V.- ~L Fi= f~X Nd 4 Z16 9Z Cc/'f2~6 7/c; ti5 ?~vU LJ 6 t2 5 .m~r4~ 3 6T ~c~ ~ ivi17Z r' S!! reZp ~ FUAsH~n/c- . 5 ~Dtll~ D - So y/~ ~AUL i~ St~ WGGL S. `ru ~.~1~ 4 N `L~S H l•~'~ ,,4,L2 ~<U~?i ~'IC/l ~7ji~N;Ui? - qc L /L CGNiGLRc7O/L LIG AO! ?GyGI ~ ~ ~ (yqf~&N C9u~Kr- ~ ~ 19PP1141-Y fLiro co.vr,,a.dl~Q n,Z~yL Fuq~H v4crc ~t- rz . Commerce Department Building Contractor List Page 1 of 2 Minnesota Department of Commerce Building Contractor List - Ordered by Name Last Updated on 10-24-2002 To find the person or company name you want, use Find in the Edit menu of your browser. Then enter the name (or portion of the name) and then press Enter. KEY TO L_ICENSE TYPES NOTES B= BUILDING CONTRACTOR CE = CERTIFICATE OF EXEMPTION R= REMODELER A certificate of exemption is NOT a license. It is merely a regis X= ROOFER for contractors who claim to be exempt from the license requir M= MANUFACTURED HOME because they do not gross more than $15,000 annually. Certifi INSTALLER exemption holders are not required to maintain insurance and their customers DO NOT have access to the Contractor's Reco The licensing information is updated as of the date at the top of this ENF = ENFORCEMENT page. Any questions or concems The presence of a Y in the ENF column indicates that the Dept regarding the accurecy of this Commerce information should be directed to Enforcement Division has taken formal administrative disciplin the Enforcement Division (enforcement) action against the contractor's license. If you w at 651-296-2488 or 1-800-657-3602. specific information regarding an enforcement action against contractor you may call the phone number to the left. -QatOQZ- go to Index_Page COMPANY NAME / DBA LICENSE # TYPE CE STREET Q W MARBLE CONSTRUCTION ZNC #3789 S 75 CHURCH RD QUAD STATE ASBESTOS REMOVAL INC #20219622 B 122 N 5TH STRE PO BOX 95 QUALI CARE CONSTROCTION INC _ .#20218179 B 28559 142ND ST QUALITY ASSOR HOMES #20249707 B CE 10025 LINNET S QOALITY BUILDERS #2208 B 23931 970TH S QUALITY BUILDERS CONTRACTORS #20094921 B 9945 ITERI CT QUALITY BUILDERS DETROIT LAKES ' #1494 B 21516 NE PZCKE QUALITY BUILDERS INC ' #20064761 B 9530 168TH AVE QOALITY CARPENTRY SERVICES #9073 B 18831 NATCHEZ QUALITY CHECKED CONSTRUCTION INC #3069 S 16300 MAKAH ST QUALITY CONCEPTS EXTERIORS LLC ' #20186894 B 3530 W 89TH ST QUALITY CONCRETE CONSTRUCTION INC #20071793 B 12042 267TH ST QUALITY CONCRETE KASSON LLC #20061268 B 207 15T AVE NW QUALITY CONSTR REMODELING . #20235727 R CE 4117 165TH AVE QUALITY CONSTRUCTION - ' #1527 B 11599 30TH ST QOALITY CONSTRUCTION AND LANDSCAPING -#20.351365 B. . 5649 KALLAND A (QUALITY CONSTRUCTION CONNECTION INC r _#20136461 3 1 _ 29813 442ND AV ~ QUALITY CONSTRUCTION INC - #3360 B 1907 SE 7TH AV QUALITY CRAFT CONSTRUCTION INC - #20135189 B 14993 KENTUCKY QUALITY CUSTDM BUILDINGS INC #20336340 B 16491 LAKE ST QUALITY CUT CONSTR WOODWORKING 420224405 B 902 DORLAND DR QUALITY ENVIRONMENTAL CONSTROCTION INC-, #20329743 8 1892 SAPPHIRE QUALITY EVERGREEN HOMES INC #20007563 B 1102 RUM RIVER QUALITY EXTERIORS INC 41887 R 1022 S ROBERT QUALITY FIRST CONSTRUCTION INC #20029772 B 6170 PIONEER J http://www.commerce.state.mn.us/pages/ContractorsBCListJbcQA.hrin 11/05/2002 RESIDENTIAL BUILDING 7~b, G.~ ~0,j ~ q Permit Application J City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Canstruction Reauiremertls RemodeUReoair RenuiremenLa Otftce Use OnN 3 registered sRe surveys showing sq. ft of lot, sq. R of house; and all mofed amas 2 copies oF plan Cert of Survey Reod (20% mar..imum IW coverage allaved) 1 set of Energy Calculations for heated addifions Tree Pres Plan Recd 2 copies of plan showing 6eam & window sizes; poured found design, etc. 1 site survey for add'N'ons & decks Trce Pres Not Reqd i set of Energy Calculations Add'Aion - indicafe i(onsite sepfk system _ On-si[e Septic System 3 copies of Tree Preservafion Plan if lot platted after 7A193 Rim Joist Defail Options selection shcet (bidgs wiN 3 or less units Date -A 1 I % / U) ~ ConstructionCost o-j Site Address , ~l~lA \OC)..~n6u C~5YC.Rj UniUSte # DescriptionofWorkl~pYlki R ~2 WtY+d.6li.S ~ 1 S` -la ~c\~$ t Multi-Family Bldg _ Y'~ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner Telephone # L(FJh L}CJ(~" U-IM Contractor sq Address RENEWAL BY ANDERSEN 1920 COUNTY RdAD "C" WEST Cit3' State ROSEV 2E, 4N 55113 ~ Telephone ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submisslon type) Su6mitted Su6mitted • Energy Envelope Calculations Submitt ed" ~ Licensed Plumber Telephone # ( ) Mechanical Contractor Telephone # ( ) Sewer/WaterContractor Telephone ) B)~=° I hereby apply for a Residenrial 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 pernvt, but only an application far 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. A)cl,-'t a~e.r~So n Applicant's Printed Name pplicant's Signature r~•.+ auo ii..ro rm ~od o11 4itl0 xantsneu. nr enuntu~nn • . Wuux re ~,wmonu,. - = Junet 2oai ' CitrOf Ham . 3836 Rilcrt Snob goad EaM A2IQ 53222 To Whom It May Conoerrt: . Etder 7ones is authorizW tu pq~l buddb81ftmlts for Renewai by Mdeisam_ Please alIow 8idcr Ioncs to provide this se.ivioc far us in Eagmt. YUis mahorlutian is vatid for any date beyoud 6/6/01: uutil a16newa! by Andccsen mana= wcpreselY to the City nevakea !t tn wtitin$ - ou M this autlioization be aca~ced expedidonsly. aa W not deley in the pevc~itig of diu8 Pmnib mny Rizthcr. Plcuac caII mc if tLeo u+c a?p qn*atione. , I can bo r contacroed at 763-502-4906. Yoar itnmqdiatc aacatiott to ih{s mattcx is • eted, K • SinoekelY, . and R Rau tistallation Managor Renewal by Andarsar Cotporatiom t'r.: Karn_F.iclex Inne_a M2L G - 7- a~c~j , (~FI I D ~ ~~"0aa ~was Received Time Jun. 7. IAN I r n Q(~ RESIDENTIAL BUILDING U' Permit Application (~2,9 City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construqion Reaui2ments RemodeVReoair Reuuirements Office lJse OnN 3 regislered sile surveys shaxing sq. ft. of lot sq. ft. of house; and all roofed a2as 2 copies of plan CeA of Survey Recd , (20% mauimum bt coverage allowed) 1 setof Eneryy Cakulatlons for heated addiUons Tree Pres Plan ReW 2 copies of plan showing 6eam 8 windav sizes; poured found design, etc. 1 site survey for addi6ons 8 decks Tree Pres Nol Reqd 1 sel of Energy Calalations Adddion - indicafe if on-site seplic system _ On-site Septic System 3 copies of Tree Preservation Plan if lot platted a8er 7l1193 Rim Joist Detail Options selection sheet (bldgs with 3 or less units Date -7 / a 3 / v 3 I I Canstruction Cost Site Address / y0(P t1~r ~ cL S T. UniUSte # Description of Work I e a-~ o C~ ~ ~'e-S ~ 42 V~oKS2 tl- 5' a r~ ~ - o~ ~o S RMulti-Family Bldg _ YL( N Fireplace(s) _ 0_ 1 _ 2 Property Owner e4- (oIN n u ; 'l1`Z_ Telephone # ((¢S f ) 415a (0 7 3 9' Contractor Midwest Roofing & Siding Address ~amplin. MN 55316 City State Zip Telephaoe #(7-3 )~/a 7-~"}G l"^47 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 esota Rules 7672 w Energy Code Warksheet Energy Code CategOry . Residential Ventilation Category 1 Workshee ~:17bmitted (J su6mission type) Submitted / Energy Envelope Calalations Su\D~ ~U ~ Licensed Plumber ~ Telepho j;( J Mechanical Contractor Telep ne J Sewer/WaterContractof Telephone#( J 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 5tate of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to staR 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 ofplans. -f-L. r25d Man Applicant's Printed Name ApplicanYs Signat •e 2007 RESIDENTIAL PLUMBING PERnniT APPUCaTioN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Do not combine inside and outside lumbin on the same a plication; separate a lications and e its are required. Dateik_! l,q ,_0j_ ~~n~e 1~al~d ~ Site Street Address Unit # ~ t ~8 Property Owner 1 ` on ' U W Telephone # 4tl) . I~r~, Contractor I Vv„N%V6 Telephone# (q MuA• 1~ Address City State~ Zip iq The Applicant is: _ Owner & Occupant V Licensed Plumbing Contractor Septlc System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee _ a 100.00 Per as-built $ 10.00 Fire Repair (replace humed out fiutures, etc.) $ 90.00 This fee a lies when extensive lumbin re airs are made to a buitdin . Alteretions 4o existing dwelling $ 50.00 _ Add plumbing fixtures to main level lower level. This tee includes installation of a water softener and/or water heater at the same time. If you are insta)ling onlv a water sokener and/or water heater, do not complete this section; move to the next section and place a checkmark next to the appliance( ou are installing- - p[~ ~ _Septic System Abandonment ~j DEC 0 2U07 ~ ~ _Water Tumaround (add $136.00 if a 518" meter is required) J Other: v Water Softener Water Heater $ 15.00 _ new ~ replacement Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ 50 Total $1!~ .00 I hereby apply for a Residential Plumbing Pertnh and adcnowledge that the information is comp ete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but , only an application for a pertnit, work is not to start without a permit and work will be in accordance with ffie approved plan in the event a plan is required to be reviewed and approved. City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 1406 Walfrid St Lot: 13 Block: 0 Addition: Carlson Acres PID:10- 16400 - 130 -00 Use: Description: Sub Type: e- Fireplace Work Type: Gas Insert Description: Census Code: 434 - Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Glowing Hearth and Home 100 Eldorado Dr. Jordan MN 55352 (952) 492 -9276 Improvements to the home may requ concealing. Total: Applicant/Permitee: Signature PERMIT City of Eaan BL - Base Fee $3K Surcharge - Based on Valuation $3K - Applicant - Construction Type: Occupancy: Carbon monoxide detectors are required by law in ALL single family homes. $90.00 Owner: Donald A Bublitz Tste 1406 Walfrid St Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: Building EA088068 01/28/2009 ePermit e smoke detectors in all bedrooms. Chimney / flue must be inspected prior to $88.50 0801.4085 $1.50 9001.2195 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 h all applicable State Issued By: Signature Use BLUE or BLACK Ink ~________________-i I For Office Use I I City of Ea Permit ~ t I I I I Permit Fee: I 3830 Pilot KnobRoad I / I Eagan MN 55122 Date Received: ID 1 Z 13 It? Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: / l 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: /0- / Site Address: 414 L F/1 /o ->07- Unit Name: 4NN /r / Gr L l T Z Phone: 7 S Z- G 7 Resident/ r Owner Address / City / Zip: / yU & 4-t/1f1'AW 1P 5-7 Applicant is: Owner Contractor Type of Work Description of work: k117'1-1 T&,V /P ) fjr w Construction Cost: U Multi-Family Building: (Yes / No ?c Company: XI//r/190hu 1?C)0, /NG Contact: X/Zl<1 7 P*/Vj' if/ Contractor Address: Z~/y 5f City: /VCGv /'A0.4 GLtd State: lotlN Zip: ~)(,o / Phone: p612 License G 7y Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 4/0 A4//!/! 0 e Fl_~ fA /YAP/ G1;1lez . COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. 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 underground utilities. www.gopherstateonecall.org I hereby acknowledge that 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 the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x 12 it/ ~y x Applicant's Printed Name Applicant's Signature Page 1 of 3