1712 Walnut CirCity orEaaan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
Permit #: °"\ \(;) \ �
Permit Fee:��Jt—'
Date Received:
Staff:
2010 MECHANICAL PERMIT APPLICATION
Date: � Site Address: 1-71?) C(r
Raga- Ned
Tenant:
Suite #:
J
RESIDENT /OWNER
Name: ogeX \ke61 Phone: (70�'✓ l ) \o Sg - g3 -l17
}
Address / City / Zip: t11 , VU a-(} u-4 C -(,v_-
CONTRACTOR
Appliance Connections Inc
Name: License #: S1 oq P 19
3 Danita Circle
Address: City:
State: Zip: Phone: CriA-u 5-�q0-5
Contac: J( I Q 2 ) Email:
TYPE OF WORK
New '(- Replacement Additional Alteration Demolition
Description of work:
i01 E: Roof mounted ar d to scrae cl by City
Code ` t nica# for bra ` are ng melds.
PERMIT TYPE
RESIDENTIAL
Furnace
COMMERCIAL
New Construction _ Interior Improvement
_
XAir Conditioner
Install Piping _ Processed
Air Exchanger
Gas ` Exterior HVAC Unit
_
Heat Pump
Under / Above ground Tank ( Install 1 — Remove)
— Other
_
*` When installing/removing tank(s), call for inspection by Fire
Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$55.00 Minimum Add-on
or alteration to an existing unit (includes
burned out appliances, ductwork, etc.) (includes
$5.00 State Surcharge)
OC
$5.00 State Surcharge) $ TOTAL FEE
$95.00 Fire repair (replace
COMMERCIAL FEES:
$75.00 Underground tank
$55.00 Minimum (includes
installation/removal OR
State Surcharge)
$10,010, surcharge is $ 5.00
surcharge increases by $.50 for each $1,000 Permit
Fee requires a $ 5.50 surcharge)
Contract Value $ x 1%
= $ Permit Fee
- If the Penmit Fee is Tess than
Fee = $ Surcharge
- If the Permit Fee is > $10,010,
(i.e. a $10,010-$11,010 Permit
_ $ TOTAL FEE
CALL BEFORE YOU DIG. Cali Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Cali 48 hours
before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.orq
1 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 1 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.
Applicant's Printed Name
Applicant'signature
CITY OF EAGAN Remarks
Addition WO00'. ti8 2 4 8 ~~M~~W~B Mihfl a Lot 61k Parcel
owner M Q• Street 1712 Walmit Cirele stace Fagan.,Mm 55199
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. -7 33 1 8.52 1.70 P21
STREETRESTOR. 1976 10
GRADING
SAN SEW TRUNK ~Cf 1974 114,72 1
jESEWERLATERAL ,jJ" 1976 EjH 1 102
WATERMAIN
WATER LATERAL 1976
jf WATER AREA 1976 3
jE STORM SEW TRK 1976
jE STORM SEW LAT 1976
CURB & GUTTER
SIDEWALK
STREET LIGHT WATERCONN. 140.00 122153 12-20-74
PER,
snc i 00 00 12 12-20-74
4G
CIT'l Or r.9C.±N
3i 95 r•iio t ISIIOD poaa
Eagsn, P'Iinnesota 55122
PEfiivUT NO.: 630
The City of Eagan hereby gra.nts to GeO Sed9wick gt9• & U= Oond. Co.
of 1001 %enia !?ve. So• MPls, HU
a 8eatinq Permit for: (tr,ar.er) liev Horizon •
at 1712 Walnut Circle , pursuant to application datedJan. 30, 1975
Fee Paid: 20.00 dated this 31 day of iFamuarY ~ ~9 75
.50 s/c
Building Inspector
Meehanical Permits:
Bid To'tal:
- v'
CITY of EAGAN N°- 3503
BIJILDING PERMIT
3795 Pilof Knob Aoad
~o '
Owoet
- TY'__.""""""_'.'_"....'-"-' £agan, Minnesota 55122
Addrea (?reean2) ---~..°.Z.~ 454-8100
Bullde;
Addreu
DESCAIPTION
Siorissl _ To Ha Uaed For Froni Dapih Haighl Eal. Cos! e:mlt F~e ~ Aemarks
,d g vo 3~, i
LOCATION a..f7.a~o
Sireef, Road or oihez Desczipt[on of Loealion I Lo! Block Add(tion or Trsc!
/ 7/ 3 ' "
-~-~4,C..
/ Y
/7/~
This pecmif does not auihorize the use of slceels, roads, alleys or sidewalks nor doas it give the ownar or hia agen!
the righ! !o creale any sifuaSion whieh is a nuisanee or which presenla a hesard !o the healih, sefaly, eonveaianee and
general welfare !o anyoae in the communily. ~
THIS PERMIT MUST BE KEPT ON THE PAEMISE WHILE THE WORK IS IN PAOGAESS.
Thts ie !o eerfifp, ihal. ~?-u.^.:'... . H°:.-•-'_-..-h°° permission 2o ereat e..:.~.~...
. ~ • _ upon
the above described premise subje~i So 3 e pxovisions of all applitable Ordinances for the Cify of Eagan ~
/
...........----............:!..ii..~.~.'u`:.-:._"----........... Per !SX-..~-~
-
Mayor Huildiay Impaelos
/5
YILLACE Oi EAOAN WATER SERVICE PERMIT
3795 Vilot-Knob Rood PERMIT NO.: 166r,
Eogon,MN 55123 UATE: _ 12/20/74
Zoning: PUD No. of Units:
Owner:
Address:
Site Address:1212 wa7 t r.irclp -
Plumber: 1~ ~Gleter ~N-o-.~.~ u nection Charge: 14p_p0 nTa _i A
Size:~Account De
posih.
Reader No.: G3 5~ i~ pemit Fee: 1Q, 00
I a9~j~~.tn~~wi~tha Vilkqa of Eogon Surcharge: _ SO tD
Ord~na vg. Misc Charge$(~~(J
/ Total:
BY Date Paid:
Date of Insp.:
Insp.:
YILLAuE OF CApAN SEWER SERVICE PERMIT
3795VibtK"bRood PERMITNO.:_ 2416
Eagan, MN 55122 DATE: 12/20/74
ZoNng: _Dpg No. of Units:
Owner: Din,~on u„ ~.r ag,r ri
Addrese:
Site Addmss: 1717 wa ] t ri r 7 a
Plumber. mhmmpSon Plimhing (,O
I ayne ro comph wi}h tM Villoye oF Eagan Connectian Chazge:400. 00 pdid
Ordinancas. Accaunt Deposi[:
Permit Fee: 10.00 pd
Surchazge: • 50 Pd
BY` Misc. Chazges:
Date of Insp.: Total:
Inep.: Date Paid:
CITY USE ONLY
7
PERMIT 1+ L~ RECEIPT DATE:
8005 RESIDERTIFcL M£CHANIClkI. PERMIT APPLICATIOA
crrYorgasAx
3$30 PILOT KAOB iiD
EA6RN MN 55122
651-681-4675
Please complete for: ? single family dwellings
townhomes and condos when permits are required for each unit
Date:
SITE ADDRESS:
OWNER NAME: TELEPHONE UBE-9!3-277
INSTALLERNAME: TELEPHONE#: U51=322_-8flZ.~
STREET ADDRESS: 2-" W ' . ~ . G • Ts cpC ^F5J
CITY: STATE: ft yJ ZIP: .rj60bb'-UY,!~5
Place a check mark next to the permit work type
Add-on, modification or alteration to existinq dwelling unit $ 30.00
urnace rep acemen
• air ex ger
• air conditioner
• other
Nature of work:
In 1 I
Ii r
State Surchar e la„ $ .50
rotal S
SIGNATURE OF PERMITTEE
voz
'1050, pa
' 2005 RESIDENTIAL BUILDING PERMIT APPLICATION ~ 7() City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone 4 651-675-5675 FAX # 651-675-5694
New ConsWCtion Reauirements RemodeVReoair Reaulrements Oflice Use Onlv
3 regislered si[e surveys showing sq. fl. of lot, sq. ft. of house; anA all roofed a2as 2 copies of plan Cert of Survey Recd Y N
(20% maximum lot coverage allowed) 7 set of Energy Calalatans for heated additions Tree Pres Plen Recd _Y _ N.
2 copies oF plan shovring beam & window s¢es; poured found design, etc. 1 site survey for additions 8 decks Tree Pres Requ'ved _ Y_ N
1 set of Enertgy Calculations Addif'ron - indfcate Aon-site sepOc system OneRe SepOc Syslem _ Y_ N
3 wpies of Tree P2servation PWn H lot platted afler 7/1193 ,
Rim Jois! Detail OOtions selectron sheet (buPdings with 3 ar less units)
Date 3) Construction Cost o ' b
Site Address S--- Q {'1 bi ~ UoiVSte #
Description of Work ~ e-f4 /l92/" 131-15 e--
-z
Multi-Family Bldg _ YN " Fireplace(s) _ 0 1 _ 2
y~ 7 J~
Property Owner ~~0~ ~///G/"i_a Telephone#(6~~)
Contractor
Address City
State Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submitted Submitted
• Energy Envelope Calculations Submitted .
In ihe last 12 monihs, has the City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, dafe 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 plan in the case of work which requires a review and
approval of plans.
~ p ~C e-/' f-~- /J P~OI 7i
Applicant's PrintedName ' Applic s Signature ` ~
13~3~ a-ool~ $-iO
" ZA95 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reauirements RemodeVReoair Reauirements Ofiice Use Onlv
3 regislered site surveys showing sq. ft of lot, sq. ft. of house; and ell roofed areas ? 2 copies of plan CeR of Survey Recd _ Y_ N
(20% maximum lol wverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd _ Y_ N.
2 copies of plan showing beam 8 window sizes; poured fomM design, etc. ~ 1 site survey for addilbns & decks Tree P2s Required _Y _ N
7 set ot Energy Calculations Add'rtion - indicate Nonsife septic sysfem On-stte Septic System _Y _ N
3 copies of Tree Preservatbn Plan if lof platted aNer 111193
RimJoistDefailOptlonSSelecBonsheet (buildingswith3orlessunils)
Date 1 / M ur- / 0,6 Construction Cost
Site Address ) 71 Wq ItA Hj if: Unit/Ste #
Description of Work fi k
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0_ 1 _ 2
Property Owner Telephone
Contractor
Address City
State Zip Telephone # ( )
At
~
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Wodcsheet
(J submissian type) Submitted Submitted
• Energy Envelope Calculations Submitled .
In The last 12 months, has the Cify of Eagan issued a permit for a similar plan based on a master plan2
. _ Y _ N If yes, date and address of master pian:
• Licensed Plumber Telephone )
Mechanical Contractor Telephone )
Sewer/Water Contractor Teiephone # ( ]
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 plan in the case of work which requ' s a review and
approval of plans.
k '3y~L~- HLLZ
Appli anYs Printed Name Applicant' Signature
OFFICE USE ONLY -
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
0 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex 0--1118 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
O 31 New ? 35 Int Improvement ? 38 Demolish Interiar ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 WindowslDoors
34 Replacement 'Demolition (Entire Bldg) - Gfve PCA handout to applicant
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 r Fire Sprinkiered
Type of Const ~ Width te ?
REQUIRED INSPECTIONS
Footings (new bldg) FinaUC.O.
~ Footings (deck) ~ Final/No C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final
_ Framing _ Siding _ Smcco _ Stone _ Brick
_ Fireplace _ R.I. _ AirTest _ Final _ Windows
_ Insulation _ Retaining Wall
Approved By: Building Inspector ~
-
Base Fee :
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Dakota County Real Estate Inquiry Page 1 of 1
Dakota County Real Estate Inquiry
Data Updaletl 31912006.
Ah
Select option and click map: Zoom In !~p`.
~ Whole County Refresh Map Small Map
" $ ~ ~ ,.rar
Legend
Real. Estate Parcel
M Parcels
ElCommon,Ownei
~ ~ f . -
MW a[er
ERMf.Easemerrt
x
w? Dedicated RMl
tt~ , Standard
~ .
14
l N "i;' ~ (II • `.e~'~ .
Choose a search met7
crileria, and Gick Go 0
key.
iT,
,
House
~ f
. ' o. ` . n. .
l ~`h E y
~ f G f~
rF
.+or. . ,a~.. . . ~ n t( :I:
Address:
I} i y~i 1~ 4 A F • •
Q(f ~ C.~t.. /h
?rt Q
PIN:'
Go'.
Ceoi'dgM 0 2005. DakcRa Couray
[AW~
a able 2007): $256,700 6~~b
2006 Est. Value (P y
PIN: 10-84601-040-08
2005 Taxable Value Pavable 2006): $226,100 r
Owner: ROGER D HED ,
Address: 1712 WALNUT CIR Payable 2006 Tax: $2,489.14
Qj~L EAGAN, MN 55122 Total Acreaqe: 0.36 N W
Year Built: 1975
ltc,ntp.5ale
This applirafion was developed by lhe Dakota County Office of GI$
in woperaGon with Assessing Services, Treasurer- Auditor and Prooertv RecoMs DepartmenGs .
T
Click on the Dakota County Logo above to reWm to the home page
L. t.-.i REVit-V7IED
B V• ~
DAVE: /a k
BU1B.DIMG IAISPE'CTlOR1S 03FlBg90N
http://207.171.98.200/scripts/esrimapdll?Name=webql &Left=533276.182258686&Bott... 03/10/2006
RESIDENTIAL BUII.DING
Permit Application
City Of Eagan
3830 Pilot I{nob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
New Construction Reouirements RemodeVReoair Reauiremenls Office Use OnH
3 registered site surveys shovring sq. ft. of loY, sq. ft. of house; and all roofed areas 2 copies of plan Ced of Survey Recd
(20% maximum lol coverage allowed) 1 set of Energy Calculations for heated add'N'ons _ Tree Pres Plan Reo]
2 copies of plan showing beam & window sizes; poured (ound design, etc. 1 site survey for addi6ons 8 decks Tree Pres Not Reqd
1 set of Eneqy Calculafions Add'dion - indicate Hon-sffe septic system _ On-sile Seplic Syslem
~ 3 copies of Tree Preservation Plan if lot platted after 711/93
~p Rim Joisl Defail Opfions selection sheet (bidgs with 3 or less units
/1 10
Da[e _Lit--/ /3 Construction Cost 43~6,9
Site Address t 4 _t Q_~~l UnitlSte #
(J
Description of Work p l QC Q-
Multi-Family Bldg _ Y? N Fireplace(s) _ 0 ~ 1 _ 2
Property Owner V(AQj/' 4' mQyi 0. 112 (A Telephone # (b ~gg/- 93a 7
Contractor G ~ ~~i ~
~i~ Zl 1,~Q.Ir I~A YYl
Address _I O U ~Il' _ r__C4 (IN Y" City zvo rr~ QY-l
State rnN Zip `-rja!~,5A Telephone#(~"ja)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- MinnesoYa Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submitted Submitted
• Energy Envelope CalcWations Submitted
Licensed Plumber Telephone )
Mechanical Contractor Telephone # ( ~
Sewer/Water Coniractor 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 plan in the case of work which requires a review and
approval of plans.
7--ni shi /Vt ~eILl- .
Applicant's Printed Name plicant's Signature ~
am
Aft.
-
, I
770 Clt of Ea an I Permit#:
' - ~ ~ I Permit Fee: / ~ ~
3830 Pilot Knob Road
Eagan MN 55122 j Da[e Received: g~ j
Phone: (651) 675-5675 I ? ~ I
Fax: (651) 675-5694 1 Staff: I
I 1
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: SiteAddress:
Tenant: Suite
RESIDENT / OWNER Name: ~ Phon : '0A~
Address ! City / Zip: -t
Applicant is: _ Owner _)~Contractor
TYPE OF WORK Description of work;
Construction Cost: Multi-Family Building: (Yes No
CONTRACTOR Name: icense li:
Address: ~ C
City: ate: M Zip:
Phone: Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted submined
(4 su6mission type) • Energy Envelope Calculations Submittetl
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan7
_Yes _No If yes, date and address of master plan:
Licensed Plum6er; phone:
Mechanicat Contractor: Phone:
Sewer & Water Contractor: Phone:
:NOTE: Plan`s`Bnd 'svppa,rfin`g documents that you sukmit are Con§Idernd to 6e publl~ Information: Pnltions o#
° fhe rnfo.rmelion may be c~ass~f?etl a conclude ttiatt he aie t ade s~ecreYs asonsJlhat wavld perm~t the CI{y #Q
° ~ S
I hereby acknowledge tha[ [his 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, work is not to start without a permit; that the work will be in
accordance he approved plan in the case of work which requires a review and appro I of plans.
x 1 x ~
ApplicanYs P d Name Appl ant's Signature
Page 1 of 3
I
~
~ -
~
Clty 0f EaRflIl j Permit# j
~ Permit Fee:
3830 Pilot Knob Road
EagBn MN 55122 i Date Reyqiv`e~ v~ i
Phone: (651) 675-5675 I starr: !1 I
i i
Fax: (651) 675-5694
2008 RESIDENTIAL BUILDING PERMlT APPLICATION CAlfa Il-y-oe
Date: Site Address:
Tenant: Suite
RESIDENT / OWNER Name: ~ &Ldf~ / Phone: 4~-~`4~18V - 9?0.
Address / City 1 Zip: cG"
Applicantis: _Owner -~(Contractor sy~
TYPE OF WORK Description of work:
Construction Cost: L4 . 0 0 O Mufti-Family Building: (Yes No ~
CONTRACTOR Name; l s f,j ` License#: 17~01a 601
Address 4d( A-v"Q-- ~]q City: State: /`~~-A-r Zip: S? ~~F- - Phone:qs-j' 4ct- Contact Person: 5 (SJ~_
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateoorv 1 Minnesota Rules 7672
Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Cotle Worksheet
Category Submitted Submitted
(4 submiSSion type) • Enerqy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of masfer plan:
Licensed Plum6er: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTEr Plans and,supponing documents that you submit are considered to be public intormation. Portions of '
the informatian may be Gassitied as nonpu6lic if you provide'speci€ic reason`s tha! would permif the City to;
conclude Chat the V are trade secrets.
I hereby acknowledge that this information is complete antl accurate; that the work will be in confo nce with the ordinances and codes of the City of
Eagan; ihat I understand this is not a permit, hut only an application for a pertnit, and work i t start withoul a permi[; thffi the work will be in
accordance with the approved plan in the case of work which requires a review and approval of la
x ~'"r' S x
ApplicanYs Printed Name ApplicanYs ignature .
Page 1 of 3
~
DO NOT WRITE BELOW TH1S L1NE
SUB TYPES
? Foundation ? 05-plex ? 16-plex 0 Accessory Building ? Pool
? Single Family ? 06-plex ? Fireplace ? Porch (3-season) ? Ext. Alt. - Multi
? 07 of _ Plex ? 07-plex ? Garege ? Porch (4-season) ? Ext. Alt. - SF
? 02-Plex ? 08-plex ? Deck ? Porch (screen/gazebo/pergola) ? Multi Misc.
? 03-Plex ? 1D-plex Lower Level O Storm Damage
? 04-Plex ? 12-plex ? Miscellaneous
WORK TYPES
? New ? Interior Improvement ? Siding ? Demolish Building`
? Addition ? Move Building ? Reroof ? Demolish Interior
~ Alteration ? Fire Repair ? Windows ? Demolish Foundation
Replacement ? Egress Window ? Water Damage
. ' Demolifion (entire building) - give PCA handout to applicanl
DESCRIPTION:
Valuation bo ~ Occupancy MCES System
Plan Review Code Edition SAC Units
(25°/a_ 100%~ Zoning City Water
Census Code Stories 8ooster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Const. Width
~
REQUIRED INSPECTIONS
Footings (new bldg) Sheetrock Meter Size:
Footings(deck) FinaUC.O.
Footings (addition) u FinallNo C.O.
^ Foundation HVAC
Drain Tile Other: Roof: _Ice & Water Final Pool: _Footings _AirlGas Tests Final
~ Freming _ Siding: _Stucca Lath _Stone Lath _Brick
-4` Fireplace:V.l. -*Air Test ~Final _ Windows
~ Insulation _ Retaining Wall
Reviewed By: Building Inspector
- - - - - - - - - - - - - - - - -
RESIDENTIAL FEES:
Base Fee
Surcharge
Plan Review r•~ -1,~- j
MC(ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
Total
Page 2 of 3
Use BLUE or BLACK Ink
r - - - - - - - - - - - - - - - - -
I For Office Use
( I
WV7
Permit 1
City of Ea ✓R® 09 I
Ed~ I
Permit Fee:
3830 Pilot Knob Road //2
Eagan MN 55122 I Date Received: I /J
Phone: (651) 675-5675 I rW7 I
Fax: (651) 675-5694 I Staff:
I I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit
Resident/ Name: 12 0 G gp- weyo Phone: 6 f_ 6e J-?) q2-
Address /City /Zip: /"712-
Owner W,+Z- J t4-~
Applicant is: Owner Contractor
Description of w r . 7tA4& 6- -/tO f _r/l>
Type of Work
Construction Cost: Multi-Family Building: (Yes / No
Company: dontact:
~ ,,~~nn~~ ,
17
6 o CL F city: jQ;Z ^'t rNts~'O~
Contractor Address: ,
State: fin Zip: Phone:
License Lead Certificate#:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
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:
o-,
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 spepific 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.oro
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
Applicant's Printed Name Ap lica sl' ature
Page 1 of 3
1710
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation _ Fireplace _ Porch (3-Season) _ Exterior Alteration (Single Family)
j Single Family Garage _ Porch (4-Season) - Exterior Alteration (Multi)
_ Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Miscellaneous
01 of Plex _ Lower Level _ Pool _ Accessory Building
WORK TYPES
_ New Interior Improvement _ Siding _ Demolish Building*
Addition _ Move Building _ Reroof _ Demolish Interior
_ Alteration _ Fire Repair _ Windows _ Demolish Foundation
Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation Occupancy MCES System
Plan Review Code Edition Gam?' SAC Units
(25%_ 100%-Z) Zoning- City Water
Census Code 3H Stories 1 Booster Pump
# of Units 1 Square Feet 14 YQ PRV
# of Buildings i Length J%A. Fire Sprinklers
Type of Construction _ Width A0
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC _ Gas Service Test Gas Line Air Test
Drain Tile Other:
Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final
Framing Siding: -Stucco Lath -Stone Lath -Brick
Fireplace: -Rough In -Air Test -Final Windows
Insulation Retaining Wall: _ Footings _ Backfill _ Final
Sheathing Radon Control
Sheetrock Erosion Control
Reviewed By: , Building Inspector
41 41w I
RESIDENTIAL F ES ~ON1/
Base Fee 34 ~Y®'~ ✓lci.vt v _
Surcharge l ? ?£syj ~f 2 ~,t 0~'
Plan Review aZO/ 3y
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
1414 7'F
A
24
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0
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BACK,
1
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+ 0 :31vcl
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THE IiviriiLL
DATE:
BUILDING INSPECTIONS DIVISION
rECKS SHALL NOT BE SUPPORTED BY
CANTILEVERED I -JOIST HOUSE FRAMING
WITHOUT SPECIFIC ENGINEERING.
ON STAIRS OF R1UR OR MORE RISERS,
A GRIPABLE -HANDRAIL EQUIVALENT TO
1-1/2" TO Y DIAMETER AND MOUNTED
E " EN 34" TO 38" ABOVE TREAD
I:3 13 REQUIRED ON AT LEAST ONE
Silk OE THE STAIRS.
1
333 /
WALKING SURFACES GREATER
AREA BELOW REQUIR AN
/C4 , ?- AILS MINIMUM 36" IN
IND DESIGNED SUCH THAT
"; tMETER SPHERE
NA THROUGH MAY NOT
TREATED WOOD MAY REQUIRE SPECIAL
AND
SUPFLiL:r r Jif MORE Iitii=ORiMATION.
i 101 !N _1
/(1 0' C
l /PO • %ryp;c 41
UE ER MUST SE ATTACHED WITH
MINIMUM (2) 3/8" 'CSS
WITH WAS=
VY
TRAIL
MN 55124
PICKING LIST - GUEST COR/331
PHONE: (952) 431-4300
FAX: (952) 431-6472
CASHIER:
PLEASE STAPLE
RECEIPT HERE.
CASHIER - PRESS RECALL TRANS APVY 88258
AND SCAN BARCODE = > 111111111111NEM! 1111111111111
PAGE 2 OF 2
SOLD BY: crc
DATE: 04/30/05
GUEST NAME - ADDRESS - PHONE
Hed, Rogger
1712 walnut cir
eagan, MN 55122
Ph: (952) 688-9327
QUANTITY ,DESCRIPTION
SKU NUMBER
UNIT PRICE EXTENDED PRICE
12 EACH 4 X 4-6 POST CONNECTOR
2 EACH ANGLE 1-3/8" X 4-1/2"
PB44-6TZ
MPA1-TZ
227-1760
227-1788
2.16
0.70
2 EACH SCREW PREMIUM EXTER 2-1/25LB#9 SQUARE DR 229-4775 17.99
2 EACH SCREW PREMIUM EXTER 2-1/21LB#9 SQUARE DR 229-4788 4.99
2 BOX NAIL 8D GALVANIZED BOX 1 LB BOX 229-5473 0.88
3 BOX NAIL 16D GALVANIZED BOX 1 LB BOX 229-5499 0.88
1 BOX NAIL 8D GALVANIZED BOX 5 LB BOX 229-5554 3.98
3 BOX NAIL 16D GALVANIZED BOX 5 LB BOX 229-5570 3.98
2 EACH ANCHORBOLT 1/2"X 6" 3PCS 552G 232-3316 1.29
3 EACH 3/8 X6GALV.LAG SCREW 7PC 34373-1 LB. 232-4373 2.18
1 EACH 3/8GALV.FLAT WASHER 24PC 35709 -FAT PACK 232-5709 1.49
25.92
1.40
35.98
9.98
1.76
2_64
3.98
11.94
2.58
6.54
1.49
This is a quote valid today. Upon payment this quote becomes a yard picking list subject to the terms and conditions below.
Guest Instructions:
1. Take this picking list to a cashier to pay for the merchandise.
2. Enter the outside yard to pick up your merchandise. (All vehicles are subject to inspection.)
3. Load your merchandise. (Menards Team Members will gladly help you load your materials
but cannot be held liable for damage to your vehicle.)
4. When exiting the yard, present this list to the Gate Guard. (The Gate Guard will record the
items you are taking with you.)
5. Sign the Gate Guard's signature pad verifying you've received the merchandise.
PRE-TAX TOTAL: 1,19 7.14
READ THE TERMS AND CONDITIONS CAREFULLY. All retums are subject to Menards' posted return policy. In consideration for Menards low prices you agree
that if any merchandise purchased by you is defective, Menards will agree to exchange the merchandise or refund the purchase price based on the form of original payment.
You agree that there shall be no other remedy available to you. If there is a warranty provided by the manufacturer, that warranty shall govern your rights and Menards shall
be selling the product "AS IS." Oral statements do not constitute warranties, and are not a part of this contract. The guest agrees to inspect all merchandise prior to installing
or using it. UNDER NO CIRCUMSTANCES SHALL MENARDS BE LIABLE FOR ANY SPECIAL, INCIDENTAL, OR CONSEQUENTIAL DAMAGES.
MENARDS MAKES NO WARRANTIES, EXPRESS OR IMPLIED, AS TO MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE OF THE
MERCHANDISE. Any controversy or claim arising out of or relating to this contract, or the breach thereof, shall be settled by arbitration administered by the American
Arbitration Association under its applicable Consumer or Commercial Arbitration Rules, and judgments on the award rendered by the arbitrator(s) may be entered in any
court having jurisdiction thereof. The guest agrees to these terms and conditions through purchase of merchandise contained on this document.
THIS IS NOT A RECEIPT GATE GUARD - SCAN HERE =>
11111111111111111111111111111111111
PICKING LIST - GUEST COPYr-
CASHIER - PRESS RECALL TRANS APVY 88258
i
I Ililll 11111 lllil l
PHONE: (952) 431-4300
TRAIL FAX: (952) 431-6472
,MN55124
CASHIER:
PLEASE STAPLE
RECEIPT HERE.
AND SCAN BARCODE =>
PAGE 1 OF 2
SOLD BY: crc
DATE: 04/30/05
GUEST NAME - ADDRESS - PHONE
Hed, Rogger
1712 walnut cir
eagan, MN 55122
Ph: (952) 688-9327
QUANTITY D$SCRIPTION
SKU NUMBER
UNIT PRICE EXTENDED PRICE
1 DELIVERY FEE
DELIVERY CHG
ZONE A 1-15 M
9 EACH 16' AC2 THICK CUSTOM DECKAG
31 EACH 18' AC2 THICK CUSTOM DECKAG
2 EACH 2X10-6' AC2 TREATED AG ARSENIC FREE LW 111-1613
111-0669
111-0672
49.90
8.96*
10.08*
7.19
3 EACH 2X10-14' AC2 TREATED AG ARSENIC FREE LW 111-1655 16.99
1 EACH 2X10-16' AC2 TREATED AG ARSENIC FREE LW 111-1668 . 18.99
17 EACH 2X10-18' AC2 TREATEDGC ARSENIC FREE LW 111-1671 25.69
5.75*
3 EACH 8' DECK FLASHING PLASTIC BLACK 157-1010 3.97
17 EACH PREMIXED CONCRETE MIX 60 LBS 189-1030 2.11
4.97
1 EACH HOW TO BUILD - DECK PLAN G90050 191-7668 4.95
2 EACH NAILS 1-1/2 JOIST HANGER 1LB GALV 227-1507 2.42
12 EACH 2 X 10 JOIST HANGER 18 GAJUS210-TZ 227-1743
0.84
6 EACH 4 X 4 POST ANCHOR PA44E-TZDP 227-1750
4.27
This is a quote valid today. Upon payment this quote becomes a yard picking list subject to the terms and conditions below.
1 EACH 4X4-8' AC2 TREATED GC ARSENIC FREE LW 111-2214
6 EACH 8"X4' REMOVABLE CONCRETE FORMING TUBE 189-5117
Guest Instructions:
1. Take this picking list to a cashier to pay for the merchandise.
2. Enter the outside yard to pick up your merchandise. (All vehicles are subject to inspection.)
3. Load your merchandise. (Menards Team Members will gladly help you load your materials
but cannot be held liable for damage to your vehicle.)
4. When exiting the yard, present this list to the Gate Guard. (The Gate Guard will record the
items you are taking with you.)
5. Sign the Gate Guard's signature pad verifying you've received the merchandise.
READ THE TERMS AND CONDITIONS CAREFULLY. All returns are subject to Menards' posted return policy. In consideration for Menards low prices you agree
that if any merchandise purchased by you is defective, Menards will agree to exchange the merchandise or refund the purchase price based on the form of original payment.
You agree that there shall be no other remedy available to you. If there is a warranty provided by the manufacturer, that warranty shall govern your rights and Menards shall
be selling the product "AS IS." Oral statements do not constitute warranties, and are not a part of this contract. The guest agrees to inspect all merchandise prior to installing
or using it. UNDER NO CIRCUMSTANCES SHALL MENARDS BE LIABLE FOR ANY SPECIAL, INCIDENTAL, OR CONSEQUENTIAL DAMAGES.
MENARDS MAKES NO WARRANTIES, EXPRESS OR IMPLIED, AS TO MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE OF THE
MERCHANDISE. Any controversy or claim arising out of or relating to this contract, or the breach thereof, shall be settled by arbitration administered by the American
Arbitration Association under its applicable Consumer or Commercial Arbitration Rules, and judgments on the award rendered by the arbitrator(s) may be entered in any
court having jurisdiction thereof. The guest agrees to these terms and conditions through purchase of merchandise contained on this document.
THIS IS NOT A RECEIPT GATE GUARD - SCAN HERE ==> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
49.90
80.64
312.48
14.38
50.97
18.99
436.73
5.75
11.91
35.87
29.82
4.95
4.84
10.08
25.62
PRE-TAX TOTAL: (CONTINUED)