1696 Walnut Ct
CITY OF EAGAN '
454-8100 '
+
DEPT. OF BUILDING INSPECTIONS
/W
Correction Notice
Located at ~~~71-
I have this day inspected this structure and
these premises and have found the following
violations of city codes governing same:
l, S R&/iGCr o` ~Ei~ j?'1~•D li4-TE
t s OA- AX-6 I 1-
~kC E~bs
lzS' v
Qo ~j t~
When corrections have been made, please
call 454-8100 for ins ection.
Date
Inspe tor City of Eagan
DO NOT REMOVE THIS TAG
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: '1 1. to a N6
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued: ~ (612) 681-4675
SITE ADDRESS: i 0001 M011r 0~4PPLICANT:
!.lA1 Alll l i 1
11111~~~i~r. ! ~ t I 1 ~ 1 . .
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION .
~ J
Pomtk No. PermR Hoida Date Telephone It
SPoN
PLUMBiNG
HVAC
ELECTRIC
ELECTRIC
Inapectlon Dabe Msp. Comments
Footings I
Foundation
Framing
Roo(ing
Rough Pibg.
Rough Htg.
Isul.
FireplaCe
Fnal Htg.
Orset Test
Fnal Plbg. Plbg. Inspeciw - NoMy Plumber
Conat. Meter
EngrlPlan
Bldg. Flnal
Deck Ftg.
Dedc Final
Well
Pr. Disp.
CITY OF EAGAN r
3830 Pibt Knob Road, P.O. Box 21-199, Eagan, MN 55121 114,~ S
PHONE: 454-8140 J ,
BUILDING PERMIT Receipt #
Tobeusedtor 3-SF.AS014 P(JfiNlue SS,UUU Date rFHRUl1RY 3 19 $G
SiteAddress 1696 WALNJT CT Erect ? Occupancy
Lot-3 Block 6 Sec/Sub. V406DG TE 11L)D Remodel ? Zoning
Parcel No. Repair ? Type of Const.
Addition M No. Stories
Name & FLLEh STANDING Move ? Length
Ir y~~
= Gml~' O S 3(~ Demolish ? Depth
o Address Int Impr. ? Sq. Ft
City Phone 452-2669 Install ?
=o Name G~•+`~F~ Approvals Fees
$ Q Address Assessment Permit $5 0. 5 0
City Phone Water & Sew. Surcharge 2_ 50
U ¢ Police Plan Review
F Z Name Fire SAC
~ Z Address Eng. Water Conn.
i W City Phone Planner Water Meter
Council Road Unit
I hereby acknowledge that I have read this application and state that the Bldg. Off. Tr. PI.
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances. APC Perks
' Var. Date Copies
Signature oi Permittee Total $ 53. 00
'v~t~1 l~ (.LG~:t~ STANvi~Ji~
A Building Permit is issued to: on the express condition that
all work shall be done in accordance with all applicable State of Minnesota Statutes and City oi Eagan Ordinances.
Building Official =
~
POrmR No. PwmM Holder Dab Telepho» N
•
PIuo=6lny
H.V.A.C.
Elocl?ic
Soflener
Mspscrion Date Inap. Commenb
Footlnysl f
Footings II
Foundatlon
FramMq
Rooliny
Rouyh Plby.
Rou9h Mty.
Insul.
Fkeplaee
FInN Hfq.
Flnal Piby.
&dp. FMnaI
CeA. Occ.
Decit Fiy.
Dsck Frmp.
Wdl
Pr. Dhp.
..z_..~d
CITY OF EAGAN Remarks
Additior, Woodqate lst Addition Lot 3 Blk 6 Parcel 10 84600 030 06
ownerwck b~i , s i) fyL._ Street 1696 Walnut fta..CcL.,-~ State Eaqan. MN 55122
-
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
9 STREET RESTOR. PAVING 1976 $992.92 330.97 3 PAID
GRADING
7 5.45 23.09 5 PAID
SAN SEW TRUNK 197 93. 54 6. 24 15 PAID
* SEWER LATERAL 1975 15
WATERMAIN
* WATER LATERAL 1975 15
it WATER AREA 1975 15
STORM SEW TRK 1975
* STORMSEWLAT Za~ 1975 $2036.55 $135.77 15 PAID
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. $130.00 10204 3-18-74
BUILDING PER.
sac p 10204 3-18-74
PARK
CITY OF EAGaN
3795 Pilot Knob Road
_ Eaga;:, Mir.nesota 55122
. PERt>>;IT NO.: G,~ 2
The City of Ea.gan -hereby grants to ThomPSOn p1,,.nhfn^; r_a.
Of 12^01 tyt4llDP?'o^.Yct RZ.Vd.
a pTTT!''PT*?G Permit for: (Owner) *rPw 14oriTan '!'OOQ'.n3te Addn. 1
ai, _ sec att.ached 13 S!: , pursuant to application dated
Fee Faid: $1 , Q6n. 0f? dated this 241`; day of P•rri.l , 19 74
4Q.Of` s/c
Building Inspector
i :e. hrir.ical Per^:its :
Bid Tota.l:
EAGAN TOWNSHIP DALE S. PETERSON
Building & Utilicy lnspettor
~
PUBLIC WORKS DEPT. WILLIAM H. BRANCH
3795 PI LOT KNOB ROAO Superintendeni of Public Works
EAGAN, MINNESOTA 55122 PHONE 454-8100
^crnit_ "n. qa:? - 4124114
Covers fol lowina uni*_ s anc homes:
42a,1632, 103F, 1640, 1014, 105n, 1E54, 1658, 1662, 166C•, 100, 167e, lE.7s?, 1FR2, 168E, 1F90,
lrr:.', 1Fn4, FQj, 10-9, 170n ldalnut Lane anc? 1035, 1655, 1Fr1, 1605, 1669, 1673, 077, 1Fn],
1Fqs, 1080, 1693, tFP7, 17n1 [dalnut Lane
10i _'"_'7-25 F;i.ckory Fri 1 7, 1AAf-6FZI t?i ckor}r tiill & 1667-6S i-!icknry Lane, 1665, F.7-h0-71
E;:-kory P;ll, 1AQ3;r1-5P-57 Hickory i?ill, 164=II3=85=R7 I?ickory Hill P1us last eleven
(11) =ownhouse huildinqs -do not have correct house numhers as vet.
REQUEST FOR ELECTRICAL INSPECTION Ee-ooool/.lqX j1M ' See ins1mctions tor comDleting this tarm on Eack of Yellow copy.
"'X" Be/ow Work Covered by This Request r~
~
Ad Hep. TyDe of BuilOing - Aopliencea Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater lightiny Fixtures
Apt. 8uilding Dryer & Electric Heatin
Commercial Bldg. Fumace ' Silo Unloader
IndusVial BIAg. Air Conditioner Bulk Milk Tank
Fa~m ONa, peci y ther (Spocify)
[ er Suecify Other Oth"
ompute fnspection Fee Be1ow
fee ServiceEntranceSiza # Fea Pexders/5ubfaetlers # Fee Circvits
0 to 200 Am s 0 to 30 qm s 0 [0 30 Am s
Above 200 Am s~ 31 ta 100 Amps 31 to 100 A s
Swimmin Pool Above 700_Am s Ahove 100_Ampn
Transformers IrFigation Boorc,s Partial'Other Fee
Signs Special Inspection
flemerks . ~U TOT - EE U~
flough-in D r/a~~',(7 I, the
cel
' Inspector, hereby
cer~ify thgt the above
final
inspeclion has baen
mede.
~his repuesl voitl 16 montM fmm
`
anr oF encaN N o 11488
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt#
7obeusedror 3-SEASON POK'&IUe $5,000 Date FEBRUARY 3 1986
$iteAddress 1696 WALNUT CT Erect ? Occupancy
~.oiA 3 eiock 6 Sec/Sub. WOODGATE ADD Remodel ? zonin9
Parcel No. Repair ? Type of Const.
Addition No. Stories
~ WM & ELLEN STANDING Move ? Lan9th
i Name SAME Demolish ? Depth
o Address Int. Impr. ? Sq. Ft
city phone 452-2669 Install ?
= r Name SAME Approvals Fees
$a Address Assessment Permit $50.50
~ City Phone Water & Sew. Surcharge 2.50
~ ~ Police Plan Review
W w Name Fire SAC
~ = Address
u Eng. Water Conn.
<w ciry phone Planner WaterMeter
` Council Road Unit
'Iherebyacknowledgethadhavereadthisapplicationandstatethatthe
information is correct and gree to comply with all applicable State of gld9. Off. Tf. PI.
' Minnesota Statutes and i of Eag Ordinances. l APC Parks
Var. Date Copies
: SignatureofPermittee Total $53.00
WM & ELLEN STA G
ABUilding Permit is issued to: on the express condition that
all work shall be done in accordance with all ble te of Minneso Stat a d Ciry of Eaqan Ordinances.
Building Otticial
..un~hs from
0 o s7J ~ 3;8 ~.~~I_ ~ac 9
Reques[ Date Fire No. PouBh-in InsVeciion
R pu' ee? eatly Nuw ~ Will Nolity Ins'peo-
es ?No tor When Neatly
?,l1cn setl Electrical Contrector 1 hereby request ins0aclion of ebove
Ownar . elachicnl wark installed et:
Street Atldress, Boa or Route No. Citv -
1696 h U~ (---,0Ur._V}.- I ky)
Uon o. iowns p Name m No. ango No. Covn.y Y]~
V 1 ~
OccuDantIPRINT7 Phono No.
znd.;re~ G 5 ~aa~C~`
Po~^'er Supplier i Address
~ j . t C.Cr
4J
J
ElecGical Conv etor tCompany Nnme) ' Conhactor's license No.
Mailing AdJr Con r or Owner Makinp Instailationl
Aut'- rized 5~0^ature ICo vactor/Owner Making Insi. Ilation) Phonu Nomber
MINNESOTA STATE BOARD OF ELEC7RICITY THIS INSPECTION qEQUEST WILL NOT
Giriggs-Midwey Bldg. - Room N481 BE ACCEPTED BY THE STATF BOAHD
7821 UniversitY Ave.. St. Paul. MN 55104 UNLESS PftOPER INSPECTION FEE IS
Phona1612) 297-2111 ENCLOSED.
CITY of EAGAN N~ 3223
BUILDING PERMIT ~
Own~s 3795 Pilo! Itaob Road '
~
Eegan, Minnewta 55124
~ prasen!) 3:~ ~f!..^........ S'J'-'~ Y~3
Addsecs ( 454-8100
Suildar ~
~51_ /G- _75c
Dete
Addreu
DESCAIPTION
B-losi~t~I To Ba Vsed Fos Fron! Depih Hsighf Esl. Cw! Perm!! Fea Aemsrb
I I I8
LOCASION ,s'6 ~So
3lseel, Roed or olhes Deseripiion o[ Loeelfon I Lo! Slock Addttion os Tsed
7-i3 S
/-S G
This permit doas not aulhorise the usa of slreaL, roads, alleys or sidewnllca aor doee it giva ffie owner ot LL aqent
the sighf !o creefe mp aifuation whieh is a nuisanee or wh5eh pressnls a huud !o the heelfh, safelq, coavenioen end
genezal weliaza !o anpone in ihe eommunilp.
THIS PEAMIT MUST BE KEPT ON TAE PREMISE WHILE THE WORK I3 IN PAOGRESB.
~ ThA ia !o cestifp. y..(.~(ccr.r..a......---.hss permlaion !o ueot a..-°~ . r-~-..-,..`.'.~/ . • • .---•••d'•••-............... -apoa .
the above described premise subjeci So the pxovisions of all applicable Ordinances for the Citp oY Eagan.
~ :
. ~4......... Pei .
'
Ma r ,~j Supdiny Impeelor
~
CITY OF EAGAN
3795 Pilot Knob Road .
Eagan, Minnesota 55122
PERNIIT NO.: 481
The City of Eagan hereby grants to c~. cedqyick H.sati.±Q s 7y/c cn.
o£ inm xa.,i. Ave. Se_, Mnls. 554116
a HEATTUC Permit for: (Owner) New aorizon Homes
1655 Walnut Ianer
at 1,Qa-4-4~TPa1 ,nut ~ 4 w v Pursuant to application dated 1/20/74
Fee Paid: $80a0 dated this _y,q_ day of 8p,-41 2.00 s/c
Building Inspector
Mechanical Permits:
Bid Total:
~
~
HOUSE HEATING TEST RECORD D-21035ZI~-//-/ ~G
nDOReSS •1698 Walnut Ct. Eagan
Har C Denisou APT. -~eB00R CITY SUBURB
OCCUPANT ~ OWNER
HEAT LO55 DATE HTG. INST. GAS C0. METER BADG~
SOLD BY INSTALLED BY bfigwick g.-
Elecfrical Work By Gas Line By
TYPE OF HEAT GA _ FA X HW _STEAM -SPACE HTR. -UNIT HTR. -OTHER
GAS DESIGN CONVERSION
MAKE WillismsOL MAKEOF BURNER
Model 1117-107 Model
Sarial 7412097 Max. 8TU Raring
INPUT 100,000 BtllMAKE OF FURNACE
Model
CONTROLS
THERMOSTAT m 260 Heat Pluq Vent Size u
VO1Ve M,H, V8VOC KIND OF LINER Alllm. SIZE 6 NONE
Limit Robehaw Rr'L 750n Drafr Hood Vertical Regularor
Limir Setting 200of Filters Size 1611 x 25" Numbsr 1
Fan Setting 90o£ & 120 f Chimney Locarion inside Yes Outside
Pilot Type COllple Chimney Conatrucfion Metalbestoe
Pilot Make
Pilot Model Smoke Bomb Wiring
Pilot 7iming 65 Seconda 0.aFt OK Test Tog YQe
L.W. Cut Off Door Pressure Lighting Inst. Ye8
Preasure 4,3uO.C.percantCO2 8•0%Data Tested 9 5 74
Inpuf CFH 99 O Pereent OZ 7."~Ng Compony Testing C bastion 8C7.8].t1Q8
Stack 7emp. `1'80 f Percent CO 0•0Lj9 Name of Tester
~
Form 235
YILLAOE OF E4GAN WATER SERVICE PERMIT
3795 Pil•,t Knob Rood PERMIT NO.: 1481
Eagan,MN 55122 DATE: 5 29 .
Zoning: R-1 No. oF Units: 1 Owner: NeW HQrizon H
Addrese:
Si[e Address: ~C4.5_ WllIIIIt_ ^^CZ
Plumber: Thompson Plumbing Co.
Meter No.. ~Z~p eLcC,:~- Connection ChazgA30.00 Pd 3/18 Size: Account Deposit:
Reader No.: Permit Fee: 10.00 billed 5/29 9
I agree fo comply with fhe Village of Eagnn Surcharge: .50 billed 5/29/9
Ordinancas. Misc Charg
Total:
gy C,t-...-- lrZ12.o--- DatePaid:
Uate of Insp.: lnsp.:
YILLAGE OF EAUAN SEWER SERVICE PERMIT
3795 Pilot Knsh Road YERMIT NO.: 2239
Eagan, MN $5722 . DATE: 5/29/74
Zoning: R-1 No. of Units: 1
Owner: _Slgur yn=iZrm H^mPG
Address:
Sire Address1696k69fl walnut Lane
Plumber:q`hnmpsnn Plumhirl4 Co. ,
1 ayrae ro camplr with the Villaga of Eogan Connec[ion Chazge 00.00 pd 3/18/4
O.dinances. Account Deposit
Permit Fee: 10.00 billed 5/29/9
Surchazge: .50 billed 5/29/9
By: Misc. Chazges:
Date of Insp.: Total:
Insp.: Da[e Paid:
. ~ r .
1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS MUST BE LICENSED iIITH THE CITY OF EAGAN
COlQ1ERCIAL SINGLE FANILY DWELLINGS
INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS
& STRUCTURAL PLANS, 1 SET OF 3 CERTIFICATES OF SURVEY
SPECIFICATIONS AND 1'SET OF 1 SET OF ENERGY CALCULATIONS
ENERGY CALCULATIONS '
$2,000 LANDSCAPE BOND
To Be Used For: ~-~Pa hnP~'~'h Valuation!~LLOLOL) Date: /
Site Address 96 vi? 1/1 tj-t (~m= OFFICE OSE ONLY
Lot ~ Block ~ Erect ~ Occupancy
Remodel Zoning
Parcel/Sub ~ 8-8-~~ ~`~''°C • Repair Type of Const
Addition X U of Stories
Owner Move C.ength
Demolish ' Depth
Address J~~',(,~lj-,,,~W `U,{'~ Int.Impr. , Sq Ft
Install
City/Zip Code n7 `~S7 IA';~
Phone APPROVALS FEES
Contractor ~-P Assessments Permit 502
Water/Sewer i Surcharge 2 ~
Address Police ~ Plan Rev3ew
Fire SAC
City/2ip Code Engr Water Conn
Planner Water Meter
Phone Council Road Unit
/Bldg Off 1 Treatment P1
Arch./Engr. APC Parks
Variance Copies
Address TOTAL
City/Zip Code
Phone 0
PERMIT
CITY DF EAGAN
3830 Pilot Knob Road PERMIT TYPE: e uI L n z n1 r
Eagan, Minnesota 55123 Permit Number: 0, 0269
(612) 681-4675 Date Issued: 01 / 2 9; 9 3
SITE ADDRESS:
7.h95 WYiI.NUT Cl"
LDT: 0003 f3lOCK: 0006
1,1000GAl"E 1S7
10-84600-030-06
DESCRIPTION:
GAS LSNE
r~nuilciicqj Pe:rmit Typea 1=IREPLA(;E
t3ui}.ding~Woi-k Type ALTERA'I'ION
i
~ ';C'V ~ r'.. ~,1 ( ? ~ ~ ~ I', i C'r~`}
\
REMARKS:
.ctCE.TP, # lZll
FEE SUMMARY:
Base Fee
JOtii,l i C+P_ .~p7J.5 0
CONTRACTOR: OWNER: - Applicant: -
SlJAi'dSDP! & SCFIIA6ER 18890023 STANO'CN6 6JILLIAN
9E30.9 LGCIFVIV AVE 5 :1.(5 96 WALPIUI' CT
BLOOMiNGTOPI MN 55'I81 EAGIN id MN 55123
(61.2)452-2663
Thcareby ac!<nowJ.er#ye tha1, S Piuve read tihLs app].icatinn and stato r.hat. Ctie
i.nFormati.on is correct and agree i:o comply w7th all applicable Si:aCe aY Ilne
Statutc:s und City of Eaqan Ordiiiances,
L -
APPLICANT/PERMITEE SIGNA7UFiE ISSUED 8Y: SIGNATURE
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: B u r L o T N r,
3830 Pilot Knob Road Permit Number: 0 ^0 2 E 4
Eagan, Minnesota 55123 Date Issued: ~L 7 j 20/~)~i
(612) 681-4675
SITEADDRESS: APPLICANT:
LO.re @003 Bi O,;,, rn00
1 -F96 WAINUT Cl' STAiVDIN6 WILLIAhI
WOODGATE 1ST (612) /d5;-2669
PERMIT SUBTYPE: TYPE OF WORK:
FTR£S'LACF., ALTERAT701V
DESCRS'PT7;ON C3flS LCNG
INSPECTION . D•
~-rN t) G.
REMARKS: RECEIPI
~
~ -
REACTIVATE _ CITY OF EAGAN
PERMIT # 1993 BUILDING PERMIT APPLICATION c:,?,s. S(7
. ' a 0a 681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architecturat & structural plans, 1 set of
specificatians, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date Valuation of work So C-)
5ite Address: ~Cv 5 (c LJo//h o u r't
STREET SUITE #
Tenant Name: (commercial only)
1AT 3 BIACK q SUBD.~pv-Q.~Q P. I. D. k
0
Descri tion of work: ~as ihe X %re L6
The applicant is: ? Owner Contractor ? Other (oeg«;be)
Name diLG~ ,`//iC~ w\ Phone
Property FIRST
Owner qddress q4P LUa 1/n~.~~ eoC& +"fi
S7REET STE Y
City State rnf1 Zip S
Company i4< z W r- Phone e8'/ -DU a3
Contractor Address Ga'a l Lol'a ro ~uP.S License # Exp.
City ~GDo?niYrGo~x State ~'J74 Zip SS `1-3(
Architect/ Company Phane
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this applicatiort and state that the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Appl icant:
4o d0 ZLi -7 cPg
~ ~
j Permit
Clty of EalaIl
I Permit Fee:
3830 Pilot Knob Road
E2gan MN 55122 j Date Received: j
Phone: (657) 675-5675 i Starr. ~
Fax: (651) 675-5694 I
2008 RESIDENTIAL BUILDfNG PERMIT APPLICATtON
Date: I~ 0 Si[e Address: f r0 ~~D ( LR~-'nv Cour
TenaM: FiqL,/L 9 suitex:
RESIDENT/OWNER Name: !~_tlen s~a'Jrn-q Phone: &51<<{SZ
Address / City / Zp: lb~(n U)"tn'u ~ CorJ!' f
Applicant is: _ Owner ZContractor
~
TYPE OF WdRK Description of work: G~A. ' r00
Conshuction Cast: Lf, 799. SO Multi-Family Building: (Yes No ~
CONTRACTOR Name: a License#: dV~R9 LIS-1
~
Address: n~l LV
City: c3T1 )l '[KyXJf Ci _ State: Zp: S00EQ
Phone:ContactPerson: kQ._
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Cateaory 1 Minnesota Rules 7672
Energy Code • pesidentlal Ventilation Categary 1 Worksheet • New Energy Cade WoAcsheet
Category submined submitted
(J submission type) • Energy Envelope Calculations Su6mitted -
In the IaSt 12 months, haa the City of Eagan issued a pertnk for a simitar plan based on a master plan?
_Yes _No If yes, date and address of master plan: ~
Licensed Plumber: Phone:
Mechanical Contractor: Phane:
Sewer & Water Contractor: Phone:
w2
. . . - _ . . - - I hereby acknowleUge t 1ds info atlo is camplete antl acai2te; that ihe work will be in coMortnance with the ordinances arW codes W the Ci1y of
Eagar+; that I uMers[ his is rw[ rtnit, but only an applicaUOn tor a pertnit, and work is not to stM without a pertnit: that the work will be in
accord wiih the ved pl i t casa of wak which requires a review and approval ot plans.
pppl nt's mte Na e ApplicanYs Signa ure Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA126759
Date Issued:09/09/2014
Permit Category:ePermit
Site Address: 1696 Walnut Ct
Lot:003 Block: 006 Addition: Woodgate 1st
PID:10-84600-06-030
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
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 by law in ALL single family homes .
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
William J Standing
1696 Walnut Ct
Eagan MN 55122
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(130) 651-2644 X777
Applicant/Permitee: Signature Issued By: Signature
JJP 651-437-6043 p.2
r ' /'
� I,(�(,Q.� C�.: ���'��'��1 C{�(/('l(�- �'G�,(..G�, �' �i
Use BLUE or BLACK Ink
-----------------�
� Fv�Offlce Eise
Ul�� Ol 11Q � i Perm�t�: �G�S�I �
� � / �}
3830 Pilot Knob Road � Pem�it Fee:_ /�v `Q�
I �
Eagan M�155922 � DaleReceived: �
Phone:(651)675-5675 i �
� S�aff: �
F�z:(657�675-5694 L_______
���.������J
201� RESIDEN'�'IAL PLUMBING �ERi�nlr aPP�ICarion�
Date: !�'� Site Address- �
Tenant:
Suite�:
ResidentlOwner Name: �( �� J I� l�I Phane: ��`'-�J z- z��
Address/Ciry J Zip: �,�,' �� � ' " �,j j 2�
Name:��� { ^ � �.J � ✓<<'�License#: �� v(�/7T`f"(G
Contractor Address: ��33 �ji GL"e5 _�;�y;�__s��----
state:�zip: Ssa33 Phone: c1%�1 —.�3�—���7
contact: GSI.a33 3�137 Emal: �d�� � �6 S�f �
� S�
Type of Wo�k ��ew _RepJacemenf ,Repair ,_Rebu id �Modity pace _yyaAc;n R.O.W.
�escripElon of work:
RESIDEN�'IAL
Water Heffier
v LaHm Itrigation(_RPZ/ ✓PVB) —�ater SoRener
Permit Type —
_Septic System �dd P��mtring Fixtures�Main/_lower level)
_Nev�r _Water Turnaround
AbandonmenE
RESIDENTIAL FEES:
E60.00 Water Heater,Water Saftener,or Water Heater and Softene�(inciudes 35.00 State Surchar�e)
$60.00 Lawn Inigation[mcluaes$5.00 minimum Slate Surcharge)
$60.OD Add Plumbir�g Foctures, Septic System Abandonment,Water Tumaround*(includes$5.00 State Surcharge)
'Water Tumaround(add$200.00 if a 5/8"meter is requNed)
$115.00 Se�lic Svstern New($10.00 per as built)(tnGudes Caunty fee and 55.00 Slate Suroharge)
TOTAL FEES$
CALL BE�'ORE YOU DIG. CaN Gopher State One Call at(657)454-0002 for pmiedion against under�ound utilityr damage.
Call 48 hours betore you intend to dig to eeoeive locates of underground ut�ities. wwvu.aoahersiateor�ecall.org
f hereby acknowle,tlge that this i�om►ation is complete and accwale;tha!the woAc v�n31 be irt confortnance w�1h the ordi�ances and codes o�the City o(
Eagan;that I ur+dersland Ihis is not a permil,but only an application for a permit,and work is not to staK withouf a permil;Ihat the work tWl be fn
aa:ordanoe wilh the approved plan in 1he case of woiis which requres a reuiew and approval of plai�s.
x /J�i�2K GJ�-rr X���L�.�l�
Applicant's Printed Name ApplicanCs algnature
FOR OFFIC�USE Reviewed By: Date:
Required Ir�spection�: . Under Gro[md . Rough-ln Air T�esk Gas Test Final .
Moter Related:Iterns:. , Meler S¢e__;,� .Radio Read Manomeber. Staff: �
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA147412
Date Issued:01/05/2018
Permit Category:ePermit
Site Address: 1696 Walnut Ct
Lot:003 Block: 006 Addition: Woodgate 1st
PID:10-84600-06-030
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
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 -
William J Standing
1696 Walnut Ct
Eagan MN 55122
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature