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1801 Walnut LaneCity of Etall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink t ll".I 7 7,3?? Permit Fee: 090,a) Date Received: Staff: 2010 RESIDENTIAL BUILDING PERMIT APPLICATION, 6-°-t1 4t1' f- t4 Q Ct Date: 5- ' 3/' 11WeA11),./- j.62,4 so-oo Site Address: Tenant: Suite #: RESIDENT /OWNER Name: 'Jai/ �V OCO Phone: 9‘5%)1 '=Ve/ -4 �C%j g q Address / City / Zip: / gO / (/0011- -1 4' y ig(,c o� 72,--),46-5?c Applicant is: Owner X Contractor TYPE OF WORK Description of work: (3..A.990,(9,//)-2e7274/./Lkir J i / tk1-11tY2 ' de.e4C-' Construction Cost " 03/ 06 Multi -Family Building: (Yes / No ) CONTRACTOR Name: e(,t 'mfirnoLL/.@ J 4)e--, License #: 17Votead Cert N< Address: 14 ? i� OA. `s City: l/1 eriG) 27064.1 State: I I t i\ Zip: t0/ 4Phone: I/57 - 70 6, Vw Contact: dJ L4CI\i atrrro Email: COMPLETE In the last 12 months, has _Yes _No If yes, THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING the City of Eagan issued a permit for a similar plan based on a master plan? 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 CaII 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.orq 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. 0/71/9A Applicant's Printed Name x C7c.) Applicant's Signature Page 1 of 2 • Y , ti'_^•?Yt:=~`' . . _a. ~ .~,uy~..y.,~. ~,~=.~,Al~, _,.,..T--`^r__ x~.. PERMIT 0 MECHANICAL PERMIT RECEIPT N CITY OF EAGAN .S' -_1! ~X 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE y CONTRACT PRICE PHONE: 454-8100 For Office Use Only: Site Address - 4- 1 - " BLpG, nPE W4RK DE$CRIPTION Lot ~ Blockf Sec/Sub Res. ~ New Name Mutt Add-on 1 ~ m Address Comm. Repair 3 ~ ' - c City Phone ' FEES ~ Name RES. HVAC 0-100 M BTU - $24.00 c Addres3 ~ADDITIONAL 50 M BTU - 6.00 p City Phone -(RES. HVAC INCIUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA TYPE OF WORK COMM/INO FEE - i% OF CONTRACT FEE ForCed Air - M BTU APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPUES Boiler M 8TU MINIMUM RESIDEiVTtAt FEE - ALL ADD-ON 3 Unit Heater M BTU REMODEIS - 12.00 Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 Vent CFM (ADD $.50 S/C IF PERMIT PRICE C,OES Gas Piping Outlets # BEYOND $1,000) Other FEE - ~ -e SIGNATURE OF PERMITTEE S/C: TOTAL• FOR: CITY OF EAGAN ' . , ~ ~ ~ ~ ~ _ •,r.a,,,er.. , PERMIT # MECHANICAL PERMIT RECEIPT # CITY OF EAGAN i • 7 3630 PILOT KN08 ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE PHONE: 454-8100 For Office Use Only: A 5ite Address gLpr,. T'YPE WORK DESCRIPTION Lot Block S~/Sub Res. v New m Name Mult Add-on . - Comm. Repair Addregs ; c City r Phone ~er FEES Name RES. HVAC 0-100 M BTU - $24.OU c Addre33 ADDITIONAL 50 M BTU - 6.00 p Ciy Phone (RES• HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMin - 1.50 EA TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE ForCed Air M BTU APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE 8 CONDOS - RES. RATE APPLJES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00 Vent CFM STATE SURCHARGE PER PERMIT - .~0 (ADD a.50 S/C IF PERMIT PRICE GOES Qas Piping Outlets # BEYOND $1,000) Other i . FEE ~ S/C: SIGN I E t TOTAL• ? FOR: CITY OF EAGAN CITY OF EAGAN / 3795 Pilat Keob ReW Ee9an, Minneaote 55122 Phonr 454-8100 "iF.^"-'?? 5CF'!'F:1.'?'R _ PERMIT No. Dote: FBbnsasy 19, 1078 Receipt No.: 00039 Single ~ Site Nddrcss: 1805 Walnut LaAe Residential / 1 I Lot ?J Block Sub/$ec. G'- r Multl Res., Comm./Ind. Name C. Norquist New//Uter./Repair alteration ~Address 1805 Walnut Iane Cost cf Installation City Eagan PFwrx: Permtt Fee 5•00 Naffm Lindsay ~Aater Conditioninq ' Surchorpe .50 . ~ Address 4215 Cedar Ave. so. _ ~ Eaaan 55122 CIry Phone: Totol This Permit is issued on the express condition thot all work shall be done in eccordance witfi ell applicable State of Minnesota 5tatutes and City of Eagan ardinences. Buildir?p OFficiol INSPECTIUN RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: ~~t J Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 ~1 1 { ; . SITE ADDRESS: 1>' APPLICANT: . i i. : ~ 1 r,N~ i i:. 4, I i~r ~ ri~.?41 ~ ~ r~: ~ i~~.~a..... ~ . ~ ~ , . . , • c PERMIT SUBTYPE: TYPE OF WORK: . I ~ L~ ~ PwmR No. Permlt Holdkr Dab Talaphone # ELECTRIC PLUMBING HVAC hupwUon DoM Nup. Commwris FOOTINGS FOUND FRAMING ROOFlNG ROU(3H PLUM8ING PLBG AlR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST O- ' FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL I BSMT R.I. BSMT FINAL DECK FfG DECK FlNAL ~ ~ ~ _ IN-STEC'TrWN-R-KC(jRIY _ Y OF EAGAN PERMIT TYPE: 830 Pilot Knob Road Permit Number. Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS:' ' " 10 H a 4' - " `0 04 APPUCANT: lfir : :t t;t.uCh. - -r iiFslHUf IANF E ~ ~ t ~ ~ ~ i ; ~ r + i i , 1 1 . < , . • i , . 1 r ~ . ~ PERMIT SUBTYPE: TYPE OF WORK: . , 1 r~t~ r~ i ; , , + ~ tll., I. it I i i,tl r ~ .tfl; INSPECTION D. . D. I ~e_______________ _ _ 1 Permit Nolder Date Telephone !t PLUMBING HVAC Inspectfon Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GVP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HVDROSTATIC TEST BSMT R.I. E3SMT FiNAL 'OECK FTG li DECK FINAL CITY OF EAGAN Remarks nddicion -Wood ate 3rd Addition Lot 3 Blk 4 Parcel ~ Owner ~ Svneet 1801 Walnut Ln. State EaQan, MN 55122 .-Q ^ .~i.?lYn,v Improvement Date Amount Annual Years Paymen[ Receipt Date STREET SUiiF, 1977 158.89 3 7 STREET RESTOFi. 17~ GRADING 5 PAID SAN SEW TRUNK 1974 4 5 15 PAZD * SEWERLATERAL WATERMAIN * WATER LATERAL 1976 3 • WATER AREA 1976 3 STORM SEW TRK 1976 1628.80 542.93 3 PAID =STORM SEW LAT 1976 3 CURB & GUTTER SIDEWALK STREET LIGHT WATERCONN. 140.00 700 7-16-75 BUILDING PER. 7-16-75 snc 425.00 700 7-16-75 PARK CITY OF EAGAN Remarks nddit;on Wood ate, 3rd Addition Loc 4 eik 4 rarcei imicamism ~wner M creei~9.3 Walnut Ln. gtate Eaqan, MN 55122 g - U AU , ti ogayi 'Cajarft r,filwt. 4 i ga;JA~ 55W Improvement Dare Amount Annual Vears Payment Receipt Date STREETSURF. 1977 476.67 158.89 3 476.67 C00335 10-9-76 STREET RESTOR. -;'GRADING 1974 37.67 $7.53 5 PAID SAN SEW TRUNK 1974 $65.31 $4.35 15 PAID x SEWERLATERAL 1976 3 WATERMAIN * WATER LATERAL 1976 3 * WATEfi AREA 1976 3 *';-,STORMSEW TRK 1976 $1628.80 $542.93 3 PAID * • ~STORM SEW LAT 1976 3 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 700 7-16-75 BUILDING PER. 43715 7-16-75 snc 425.00 700 7-16-75 PARK 7QO 7-16-75 CITV OF EAGAN Remarks Addition WOOCl tB 3YC1 Addition Lot 2 Blk 4 Parcel Ow r Street 1805 Wd1riUt Ln. State Edgdn, MN 55122 Im p/IYY1L! Im ovement !-Date Amount Annual Vears Payment Receipt Date STREET SURF. STREET RESTOR. GRADING 4 $37.67 $7.93 5 PAID ,a~{I SAN SEW TRUNK 4 $65.31 $4.35 15 PAID * SEWERLATERAL 6 3 WATERMAIN * WATER LATERAL 1976 3 * WATER AREA 1976 3 *3" STORM SEW TRK 1976 $1628.80 $542.93 3 PAID *,jjqSTORM SEW LAT 1976 3 CURB & GUTTER SIDEWALK STREET LIGHT WATERCONN, $Z/-jO.OO 700 7-16-75 BUILDING PER, 7-16-75 snc -75 PARK 7-16-75 CITY OF EAGAN Remarks Addition WOOB ate 3rd Addition Loc 1 sik 4 Parcel Owner m Stteet 1807 Wd1nUt I,n. State Edqari, MN 55122 Improvement Dare K76 Annual Vears Payment Receipt Date STREET SURF, STREET RESTOR. GRADING 1974 7.53 5 PAID A'II SAN SEW TRUNK 1974 4. 35 15 PAID • SEWER LATERAL 1976 3 WATERMAIN • WATERLATERAL 1976 3 • WATER AREA 1976 3 •;I~STORMSEW TRK 1976 1628.80 $542.93 3 PAID +1'4 STORM SEW LAT 1976 3 CURB & GUTTER SIDEWALK STREET LIGHT WATEaCONN. $140.00 700 7-16-75 BUILDING PER. #371 7-16-75 snc 700 7-16-75 PARK O 700 .S jej/ ReQUes~ Oate FirB No. Fough-l Inspectlon PeqWretl Inspe on Other Than Fough-ln /C ~ (YOU Yes1 ~nspaclorB~ whay0reatly) peatly Ny lJ 9qtv/ I-lxy~NQUfylnspenar -1 ~ LI OataReetl Y- I icensed contrector ?owner hereby request inspection of above electrical work at JoE ALNrav (Street. Boa or Route No ) Q~Itwf )9 ~ Sectlon No. Tmvnship Name oe No. ' Renga No Counry r9 kla i 9 Occupent PRINT) Phone No. ~ Power Supplmr Atlaress A lZ,~~ / ~-Q /Vt/~• lactncal Contractor (COmpeny Neme) Convactor's License No. !l "Ti /a' L° o2.D `7Ll ilinB Aaaress (COniractor or Owne MaklnB Installeuon) I ,~.C P. S ~9 f) ~/1cfA~• tis~ Aulhonz naWre (ConVeclor/ ner eking InshllaAon Phona Number ~ ~ 8'9y MI ESOTA STATE B AqU OF ELECTHI Y THIS INSPECTION REOUEST WILL NOT fir rlpqs-Mltlwey BItl9• Aoam 5-128 BE ACCEPTED BY THE STATE BOARO 1821 Univorelty Ava., St. Peul, MN 53104 UNLE55 PROPER WSPECTION FEE IS Phone (6121641-0800 ENCLOSED REQUEST FOR ELECTRICAL INSPECTION ,4... L' ~~v'~ ~ See Insimctlans for completing Ihls farm on back oi yellow copy ~ { - "~X" Below Work Covered by This Request Ne Acfd" III p. Y Type of Building Appliances Wired Equipment Wired ;wl Home Range Temporary Service Duplax Water Heater Electric Heating Apt. 8uildin Dryer oad Management Comm /Industrlal Furnace Other Specd Ferm Conditioner Other (speaty) Cantractors fiemarks: Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Am s 0 to 100 Am s Transformers Above 200_Am s Above 100-Am s Si nS inspecror's Use Only. TOi Irrigation Booms S ecial Ins ection Alerm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspactor, hereby ROUgn-in oaie certify that the above inspection has pinei 777 oe baen made. -~D 'i OFPICE USE ONLV This request voitl 18 monihs trom ? OFFI E USE ONLY Thu reqoast mid 19 momhs ham volidanon dah pnnkd in thie box. 7 djyaeQ . PLEASE PRINT OR TYPE (N Request Dale f7 Rmgh-in imvenian reqmredY ~ o b[ No Inspection Olher Thon Rmgh-Inkeady Naw ~ WJI Call 3_3 / ~Yoo mosl mll Ihe impMOr when reody) Dare RvadyI, Iicensed coNmcfar ? owner hereby request inspedion of the above electnml work ah Job Addrees (Snxt, Bov, ar Rou1e Na ) Ciry Zip Code 5'0CU Latie. ~aqao 5512'L $aaon No. Tormship Name or No Range No. Fin N. Comry lydT~ O.wnt Phone No T~. k- / Y GC/ 7z Power Suppliar fddresa ~NC~ic ~ v! t~'i EI col Contmcror (Company Nnme~ CC.rantoo,C ns<No. Mmbr Lc No. (Plant Eled Only) 0 - II 7 Mailiig Mdmss (Canbon or Owner Performmg Inxmllolian) Ir-ildiCo Aufian naNre (Cont or or r Padorming s laoo Phone No . g D -GE7. EB-OWOlA-10 6/95 STATE OCOPY-SEEINSTRUC'f10N50NBl1CNOFYELLOWCOPY I IIII II III I II II I I I II II III I II I III I III III MEQUota Statoe e a dE~c ERI`C~A~INSPECTION I II ~ w 1821 Universiry Ave., Rm. 5-128, SL Paul, MN 55104 0 2~ L 1 7 5 1* Phone (612) saz-0eoo,3~j~~97 Home Duplex Apt. Bldg. Othcr; New Addn Comme¢ial Industrial Farm U'' C Remod Re ov Other: Air Cond. Hfg. Equip. Water Htr. Load Mgmt 11 D er Ran e Elec. Heaf Tem . Service 7C' abpve fhe work covered by this requesf. Enfer remorks in fhis space ond on the bock of ihe white topy only. Calculate Inspechon Fee - This Inspecfion Requesf will not be accepfed wdhout the correct fee: qher Fee M Service Enhonce Sae fee # Circuik/Feeders Fee Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps Sireef Lfg./Traffic Sig. Above 200 Amps Above 700 Amps Transformer/Generaror INSPECTOP'SUSEONLY TOTA~6 Sign/Outline Lfg. Ximr. Alorm/Remofe Conirol $wimming POOI I henb c.m ilwi I inspeaed the elecmrnl inzklkinon dexnbed hemin on the daka smted ~rtiga~ion BoOm Rough-In Dak Special Inspection Finol Oaie Invesfigative Fee THIS INSTALLATION MAY BE ORDERED DISC CTED IF WITHIN 18 MONTHS. 3-~-~ CI'1'Y OF i.AGtAN 3795 Pilot Knob Road Eagan, D'finnesota 55122 PERivffT NO.: 68A The City of Eagan hereby grants to Geo. Sedcrwic)c Heatin4 5 A/C Co. ef l001 Xenia Ave. So. a ucnmrntt: Permit for: (Owner) New Horizon - Woodqate 1785-87-69-91, 1778-80-2-E34, 1777-79-81-83,/1001-03-05-07, 1793=95-97-9Q and at17uF_an-on-4? waintiti ane , pursuant to application dated 6/11/75 Fee Paid: caan_no daCed this _13 day of June , 19 75 13. flf? s/c , Building Inspector e _ IYNIZ". ~+'S t^"'".•' . , . / O ~f~lo6~ G.~O G iL 4r. - w . G. Z~ CI'?'Y OF EAG2N 3795 Pilot Knob Road Eagan, Minnesota 55122 PERMIT NO.: 57a The City of Eagan hereby grants to ThQ,_gon riumhin¢m_ ef 12201 Minnetonka Blvd., Minnetonka 55343 a PLOMBING Permit for: (Owner) New Horizon - 4JOOdqate IiI 1778-1780-1782-1784, 1786-1788-1790-1792, 1777-1779-1781-17 3, 178 - 78 - 9-1789, - 77 95-1793-1797-1799 Wala ut~I,g3t~suant to application dated 7/18/75 . BO1 t803-1805-1607 Walnut I.nne Fee Paid: gepp_nn dated this _g; day of Julv , 19 75 12.00 s/c Building Inspector N,echanical Perrrits: Bid Total: VILLAGE OF EAGAN • WATER SERVICE PERMIT 3795"Pilot i(n,:b Rood ~ PEItLi1T NO.: 1779 Eagan.MN55122 ~pATE: - 7/21/75 Zoning: PUD No, of Units: 4 Owner: New riZOn = WOOdgBtE III ~ ~ . Addresr Sue AddresX.801-03-05- 7 Wal ut Lane Plumber. Thompsofl Pltnnbing Co.' " Meter No.: Connection Charge:560.00 pd , Size: ' t- Account Deposit Reader No.: Permit Fee: 10.00 pd 1 agrea fo comply wifh fha Villoge of Eagan Surchxrge: • 50 ~ Ordinoncas. Misa ChargB"---<~ Total: BY D.ite Paid: Date of Insp.: insp.: nuaae ov E?oaw SEWER SERVICE PERMIT 3795 Pilot Knnb Road PERMIT NO.: 2540 Eagan, MN SSlll DATE: 7/21/75 Zoning: -PfID Na. of Units: 4 Owner: New Horizon - Woo$g&tQ-jZI Address: Site Address: 1$Q.1-03-05-07 Walnut Iane Plumber: Thompson Plumbin4 Cb. I agreit ro compy ..itn rh. Villoga ol Eoyon Connection Chazge1700.00 pa Ordinonus. Account Deposiu Permit Fee: 10.00 pd Surcharge: • 50 pd By: Misc. Charges: Date of Insp.: Total: Insp.: Date Paid; ~j.? LL....,r ~60 D , d e O ~ /I ~ i L3 ys lf4 oto - 1~i i.~Oi /e o c /3_~Tli ~hfzu~• ~ i I i I ~ i ~ I ~ i i I ~ I I I ~ I ~ ~ I I ~ I ~ 1 I 1 ~ I I I ' ~ I ' I ' ~ I I ~ I ( ~ I I I ~ ~ ~ I I ~ ~ ~ I I 41 I I ~ ' ~ ~ I I ~ ~ I I I I I ~ ~ I 4 I i i i I I i ~ I I i t ~ ~ ~ pppp- PERMIT - CITY'OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 0 3 0 8 3 2 (612) 681-4675 Date Issued: 0 9/ 2 3( 4 7 SITE ADDRESS: 1801 WALNUT LANE LOT: 3 BLOCK: 4 WOODGATE 3RD P.I.N.: 10-84602-030-04 DESCRIPTION: `11 (GAS INSERT ONLY) Buil,di.ng `P>srmit Type FIREPLACE fAuilding Wo-rtq Type NEW Census Code 434 ALT. RESIDENTIAL F~ ~ ~ 5-11 REMARKS: FEE SUMMARY: Base Fee $50.00 Surcherge $.50 Total Fee $50.50 CONTRACTOR: OWNER: - Applicant - ST. LIC FLRESIDE CORNER INC 16332561 2009091 PERRIN TDM 2700 N FAIRVIEW AVE 1801 WALNUT LN ROSEVIILE MN 55113-0847 EAGAN MN 55122 (612) 633-2561 (612)456-9344 I herehy acknowledge that T'M'ave readth,i5 ap.p2icat3qn and,state tYrat tYte infiormation is carrect and agree to comp.ly with all applicable Stete of Mn. Statutee and City afi Eagan Ord°inance"s. ' ~ac~n 6111 mA APPLICANTlPERMITEE SIGNATURE ISSUED B SIG ATURE CITY OF EAGAN ~ 3830 PILOT KNOB RD - 55122 ~ 1997 FIREPLACE PERMIT APPLICATION 681-4675 ~ DATE: ~jlnZ ~ Z PERMIT FEE: 0.50 DESCRIPTION OF WORK: CONSTRUCT T W FIREPLACE ALTERATIONS TO EXISTING X INSTALL GAS INSERT ONLY _ INSTALL GAS LINE ONLY OTHER: STREET a,DDRESS: LOT BLOCK ~ SUBD./P.I.D. APPLICANT: (circle one only) OWNER CONTRACTOR I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. a PROPERTY Name: /[7 !i1'1 Phone 25- OWNER Signature: StreetAddress: f CL~ ~ 14 !4 kl c°- City: ~ Q. (7 (i I/\ State: Zip: ,[~'2~~ -tT 'np ~ - ~o33-as~( FIREPLACE Company: i P •jc~C~~~u'~hone - (5~gC-Y~ ?!2A INSTALLER ~ ~ Signature: Street Address: 3$'S('Nfi/ r~~~ License ~ City: G l~ Vl. S v r~e e State: 9& ~ Zip: -'L 3:~~;2 GAS LINE Company: cS Gl LYl P. /',t S (A b (1) J) ~ Phone INSTALLER Name: Signature: Street Address: City: State: Zip: PERMIT CIT'1( OF EAGAN 3830 Pilot Knob Road pERMITTYPE: euiLozrvG Eagan, Minnesota 55122-1897 Permit Number: 033571 (612) 681-4675 Date Issued: 10 / 0 2 J 9 8 SITE ADDRESS: 1801 WALNUT LANE LOT: 3 BLOCK: 4 WOODGATE 3RD P.I.N.: 10-84602-030-04 DESCRIPTION: _ T.O. & REROOF rv~~F~c B i`~lding,V'ermit Type -C~.). MISC. iYding W Type y3yREPAIR - ( C e n s u s C o d e 437 Ak~-~frFtii-ES . ~ t REMARKS: REPLACING ROOFS INCLUDING: 1803, 1805, AND 1807. FEE SUMMARY: VALUATION $15,000 Base Fee $224.75 Surcharge $7.50 Total Fee $232.25 CONTRACTOR: - Applicant - OWNER: SUBURBAN EXTERIORS 28818232 WOODGATE A3SOCIATION 9701 PENN AVENUE SOUTH 1801 WALNUT LANE BLOOMINGTON MN 55431 EHGAN MN 55122 (61:) 881-8232 (651) I hereby acknowledqe that T have read this application and state that the infarmation is carrect and agree ta comply with a11 applicable State oP Mn. ~ 5tatutes-and Gity dfi Eagan Ordinences. J APPLICANT/PERMITEE SIGNATURE SUED BV: SIGNATURE . ~ CITY OF EAGAN CFl.°.HSI"R; S TERMINAL N0: 775 DA'iEr 10/09/38 TIMF_: 08:34:53 ID= NAME: SUBUFRAN GROUF' INC 2155 9001 35.00 3210 300J. 1700 WOODGATE L 224.75 321.0 9001 1777 WFlI.NUT LAN 274.75 3210 9001. 1785 WALNUT LAN 274.75 3210 3001 1793 NiALNUT LAN 262.25 3210 3001. 180i. 14(aLNUT LAN 224.75 3210 3001 4444 IOFINNY CF: 274.75 3210. 3001 4452 JOHPlNY Cf: 274.75 3210 3001 4460 JOHNNY CF: 224.75 3210 3001. 4468 301-INNY CY 224.75 CR038293 CONTIhUE USEF. ID; NANCY ~.ty.c CONTINUE Yd:F~~.'nkY„~C~t~CYd~%~,YY,C;;c%c~CYd%~7k~ ~k~C)$K(~~~%X~:k~C7X:k~k7k7y~Y~Y7Y~c ~qxXq4;~~:Y,c~C~~c~Cn~C~CY,cXcY,t~c~C~crt~cgc~;cY:~c%c%cr.:~C~k CONTINUE CITY OF EAGAN CASHIER: S TEFMINAL N0: 775 DATEe 10/03/98 TIMF_: 08:34:54 ID: ' NAME: SURUkRAN GROUP INC 32 L0 3001 j. i i 8 PIALPlUT LN 262.25 3210 9001. 1786 WALNUT LN 262.25 , Total Receipt Amoun+,: 22873.75 Ck038233 USEfi ID: NANCY - ~ 1998 BUILDING PERMIT APPLICATION (COMMERCIAL) ' CITY OF EAGAN 681-4675 Submit following to obtain necessary permit Foundation Only New Construction Interior Improvement structural plans (2 sets) arohitectural plans (2 sets) architectural plans (2 sets) civil plans (2 sets) structural plans (2 sets) code analysis (1) " code analysis (t) " civil plans (2 sets) project specs (1 set) soils report (1) landseaping plans (2 sets) Key Plan project specs (1) code analysis (1) " energy calwlations (7) not aMays " Special Inspedions 8 Testing Schedule " soils report (1) Eleetric Power & Lighting Form (1) not always " SAC determination lettar from MGWS - SAC determination letter from MClWS - SAC detertnination letter Uom MCANS - tall 602-1000 tall 602-7000 call 602-1000 Special Inspections 8 Testing Schedule (1) " projeet specs (1) energywiculations (1) " Electric Power 8 Li htin Form 0^ " Contact Building Inspections for sample Food 8 Beverage or Lodging facilities: Plan must be submitted to Minnesota Department of Health. Call 2150700 for details. DATE: !-ZB WORK TYPE: _ NEW _ REMODEL DESCRIPTION OF WORK: CONSTRUCTION COST: TENANT NAME: SITE ADDRESS: l SS0IilI g03 1~ 0~0 *I SUITE LOT ~ BLOCK ~ SUBD. WOO ~ 9,ra~~ ~ P.I.D. # Name: wQCJ~1G~' ~ Phone PROPERTY Last First OWNER Street Address: ) D UST, 1CR U SU, KC-+ 1 Q4,0 Ci ~CQ 4~ h State: /L10 Zip: ---r-' ComPanY~ 5,J)PvYY4CL~ 00 Js Phone#: CONTRACTOR p, •-I.a 1 /L K~ A_~.,, 5• t~~ ~J 2 Street Address: L Y~ f`S"~ L01 License # City ~ / • State-A V"1 Zip: ARCHI7'ECT/ ENGINEER Company: Phone Name: Registration Street Address: Ciry State: Zip: Sewer 8 water licensed plumber (only if installing sewer 8 water): I hereby acknowledge that I have read this application and state that the infortnation is corred and agree to comply with all applicable State of Minnesota Statules and City of Eagan Ordinances. Signature of Applicant: Cl AA.O.Q A ~-~VNPJC0J1~- RESIDENTIAL BUILDING _ • ' Permit Application U City OfEagan 3830 Pilot Knob Road, Eagan MN 55122 i ~ ~a ~ Telephone # 651-675-5675 FAX # 651-675-5694 ~ O hew ConstrucUon Reauirements RemodeVReoair Reamrements Offce Use Onlv 3 registered sHe surveys showing sq. ft. of lot, sq. k. of house, antl all roofed areas 2 wpies of plan Cert of Survey Recd Y N (20% maximum lot coverage allowed) 1 set of Energy Calculalions (or heated add'NOns Tree Pres Plan Rectl Y N 2 copies of plan showing beam & wintlow s¢es; poured found design, etc 1 site survey for addihons 8 decks Tree P2s Reqd _Y _ N lsetofEnergyCalculaGOns Addifron-irtdicateifon-SResepticsystem Oo-sileSepticSystem _Y _N 3 wpies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detail Options selection sheet (bldgs with 3 or less uni4s Date / c3 0 l_Q3Constructian Cost 3 IDO,~ Site Address 1$ 01 WC-) Y11 Afi a Unit/Ste # Description of Work IX Ar i P Gk ' Multi-Family Bldg ? Y _ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner Wn~' )rd, ~0 Yti'lP n In)11 e-rS RSSO C Telephone ) Contractor . P+e,rs C S~ U CJf"I O Address a(7(p~,> "Y1Y1 17r City i'-1 O r L-o,k-P State MA( Zip ~,55'5 Telephone#((o1Z) S(o0 - 32(D(a COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Mumesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Enefgy Code Category . Residential VenUlation Category 1 Worksheet • New Energy Code Worksheet (dsubmissiantype) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone ) Mechanical Contractor T~~~pMorn~ef n~) ~pf~~(~~~!!~'~~; Sewer/WpterContractor ) elepho e#( III~I) II ~ SEP 3 0 2003 I hereby apply for a Residential Building Permit and acknowl ~Ige that the ormation is complete and accurate; that the work will be in conformance with the ordinances and-codes=of=the-Gity-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. Donna Rierson App]icanYs Printed Name ApplicanYs Signature OFFICE USE ONLY Sub Types , ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex O 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ent. Alt- Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Eut. Alt - SF ? 04 02-plex ? 10 OS-plex >l: 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? OS 03-plex Q 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_v or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement O 38 Demolish (Interior) ? 44 Siding x 32 Addition ? 36 Move Bldg. O 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDoors ? 34 ReplaCement 'Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MC/ESSystem Census Code L/ ~J y Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bidgs Length Fire Sprinklered Type of Const VN Width REQUIRED IN5PECTIONS Footings (new bldg) FinaUC.O. ~ Footings (deck) ~C FinaUNo C.O. _ Footings (addition) _ Plumbmg Founda[ion HVAC Dram Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ AidGas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Wmdows (new(repiacement) _ Insulation _ Retaining Wal1 Approved By Building Inspector - Base Fee Surcharge Plan Review MGES SAC City SAC 7 o ~ Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total . 6 ' ~ _ . „ ~ ~ , ~ ~a`•o", a a i , n ~ ( E ~ r ~ t ~ , ~ - - ~ r! OS --'v~ ; ic u v 7' L FJ AL L iU (J T L. r"V J ~ 1'rl v i' ~ Gs1 l5T t~'~ SC? S fvG ~ ce c frS Anf RESIDENTIAL BUILDING . • Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 o•c) v L+ Telephone # 651-675-5675 FAX # 651-675-5694 1b- (~-03 Nzw Consiruction Reauirements RemodeVReoair Requirements OKce Use Onlv 3 registered site surveys showing sq. R of lot, sq, ft. oi house; and all roofetl areas 2 copies of plan Cetl of Survey Recd Y N (20% maximum lot coverage allaxed) 1 set of Energy Calculalions for heated additions Tree Pres Plan Rectl _Y _ N 2 copies of plan showing beam & window sizes; poured found design, etc. 1 sile survey for additions & decks Tree P25 Reqd Y N 1 set of Energy Calcula6ons Add'rtron -indicate don-sde septic system Oo-site Septic Sys[em _Y _ N 3 copies of Tree Preserva6on Plan d lot platted after 711193 Rim Joist Detail Options selec6on sheet (bldgs wAh 3 or less unils Date a9 /30 / 03 Construction Cost '31DO Site Address 12)Jr \~ILY,l Y1 l.C.t 1Jv Uuit/Ste # Description of Work b(,( I 1CY1 n!3 del'~ Multi-Family Bldg ~ Y _ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner WQ ~ qGt~t6O')eQ I,(J/12rS ?-YSS(JG . Telephone ) Coutractor [ , &m TzIe,rSUn l~P'jn Sfr1,CG~161'1 Address ZD~oDS i-.VVIYI Dr- CityTy'10? L~~C_' State N} ~V Zip,7r6_3 -7 7 Telephone jo I Z) ~(,PO 3 Z D~p 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 (J submission type) Submitted Submitted • Energy Envelope Calculahons Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% pfan review fee applies. Licensed Plumber Telephone ) Mechanical Contractor _ T,eIeptwr~ne_#( ) Sewer/Water Contractor 1o' d ( ) II SEr . m ~ IIII I hereby apply for a Residential Building Permit and ac~owledge thaTVi mfo i ation is complete and accurate; that the work will be in conformance with the ordinancesYand.codescof_thecGity 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. %(.IJoY1w pe-feYSon) Qftlf~ Applicant's Printed Name ` ApplicanYs 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 EM. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF 9' 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 04 02-plex ? 10 08-plex ? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_v or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding y~ 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ~O 33 Alteration C] 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg) -Give PCA handout to applicant Valuation f/ co-O Occupancy ff-L--U-k MC/ES System Census Code ~ LT Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const ~ Width REQUIRED INSPECTIONS Footings (new bldg) FinaUC.O. t~ Foorings (deck) ~ FinaUNo C.O. Footmgs (addition) _ Plumbing Founda[ion HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ F[gs _ Air/Gas Tests _ Final _ Framing _ Siding S[ucco Srone _ Fu'eplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insula[ion _ Re[aunng Wall Approved By~ L , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S8W Permit & Surcharge Treatment Plant License Search Copies Other Total l 1 ~ ~ ~ 0 . ~ 7 5 el ~i ~ b I CIo-o`'} c~ ~ • I ; ~ ~ i ---r----- 1sra5 Fo~ ~ ~ I a.o-o a S W~ `c ~ v 7- L A) f~~ j 1N ALL NUr L. r~ q c. ~:;(;sT f r.. G c c K 6 ~,~CISr~IuG 1'jecKS ~/2~ La~~eV-. 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. oate 10 1 2 5 I6 `t Site Street Address 1<ec~n 5 LJQl/ZL'e.t Unit# Property Owner X77 f /'S Telephone # 00 ) 984 6 3~ ~C Contractod'LO'f~-b (7_00'7 4- Telephone# V,~rZ) /7///7 Z/~a Address Z~ /Zv(') 6~ ;~;/-S L City ~r'l~~' ~ I?kP State m/!/ Zip ~5 , The Applicant is: Y, Owner _ Contractor _Other Alterations to existing dwelling $ 50.00 _Add fixtures to rooms, excluding water softener and water heater _Septic System Abandonment _Water Turnaround (add $121.00 if a 5!8" meter is required) Other: i ;X Water Softener _ Water Heater $ 15.00 ~ replacement _ additional. Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00 State Surcharge $ 50 Total $ J$,SO I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approv (7 ` Applic nts Printed Name pplic nt,s Signature yU~ ~ I~l OCT 26 2004 uu By ~~C.K,a • N39Q0 e- 4393Y 2006 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Cons W ction RequiremenLS RemotleVRepair Requirements Q{fi~e'GSe 0 3 registered site surveys showing sq. ft. of l04 sq. ft. of house; and all roofed areas 2 copies of plan showing foo6ngs, beams, joisis CeA ofSwvey Recd '~Y"-"--~I (20%macimumlotcwerageallowed) isetofEnergyCaiculaGOnsforheatedadditions TreePre3'PI8`6(iCed.R'M Y 2 copies of plan showing beam 8 windmx sizes; poured found design, etc. 7 sile surveyfor additions & decks TieeYres,Reqpi[gti~~. .N ' lsetofEnergyCalculafions Addi6'on-lndicatedon-sdesepticsystem Dn-siCeSeutlc~;~"Y:sh[ 3 wpies of 7ree Preservatlon Wan if lot platted aRer 711193 Pom Joisl De[ail OpGons selechon sheet (buildings wiN 3 or less units) Minnegasco mechanical ventilaaon fortn Date~/ .A /_(aQr ,~^t ConstruMionCost / SiteAddress ~ p~s LJIJ(~,~~U~" ~ UniUSte # c Description of Work~( Multi-FamilyBldg ^ Y_ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner MAR rn{ . ts Telephone # (6~~ l OC(J - I RENEWAL BY ANDERSEN Contractor 1920 COLTNTY RD. "C" WEST Address ROSEVILLE, MN 55119 CitY State 651-264-4777 Telephone # ( ) LICENSE #20130983 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 (dsu6missiontype) Submittetl Submitted • Energy Envelope Calculations Submiried In the last 12 months, has ihe Ciry 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 # ( J Sewer/WaterContractor Telephone#~ J I hereby apply for a Residential Building Permit and acknowledge that the information is complete and aceurate; that the wark 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, an ork is not to start without a permit; hat the work will be in accordance with the approved plan i the case of ork hich requires a review and appro 1 ofplans. L RSvn pl canYs Printed Name Applican's S nature vvrve+e.v•s itiv tG.,~V f~ fOJ Df.~'~qtyD ~j~n.~ . . tf~@lYUt5tta7t4f( ` • ~Q1uU re - - City of Easa : 3836 PiIof gaob I~d • " ~5~, MN 55122 To Wryam 7t MyY Concern: Elder7ones is anthorig,r,d tA Eidcr Iongs to Provide thisp~ b~~g ~its forRe,setival by Andeisaa Ptease alIow b scrvicc for us in qltiR euth . date cyond yY 61610 1: until a ~ga,aj otizecitm is vaiid for eny to theciry- Andrasaa manapra express1y revakes it in wiitiag I raPest this autTiofiiatiaII be a' ovr baiidinS P~Ymib au ~Pted-axpedidously, av W uot delay in the praccssittg of cont~cbcd at'~63-5 Y~rtficr. Plcasc caII mc if thcca arc nay qncst[ons.. I can Ue r OZ-47Q6. . . Your immgdiatc attcnt[on ta ttifs mfftter is fl • eted. YmondR, Rau ' tistallation ivianager Rcnowai by Andascn CorForativn C'r.: Karn-A1dsr7nne~ . . . y C~H D ` ~ ~ . Received Time 1~07PId 2006 RESIDENTIAL.MECHANICAL rERMiT nrrLicAZIorr - City Of Eagan ' 3830 Pi1ot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 . Please complete for: single family dwel lings & townhomeslcondos when pcrmits are required for each unit . ~ Dete i I ~ t 3 ~ o~ Si[e Address I(~~ ~ I/V~1 ~Y) 1i1t ~ G11~LQ _ Unit # Property Owner ~)(i1U ,-Hn VV IOGK. Telephone #([q 'Jr~ ) yb&-,?37L1 nI ~ Contractor C-i el ' col C 6 Street Address (T~VQ IN GI V Itd mz ~ City V ~1 r1/1 S?l State 1V1 !V' Zip Telephone# (95,4) 7e; 7 -IObO soRa Expires: The Applicant is Owner _ Contractor _ O[her ' Add-on or alteration to existing dwelling unit , $ 30.00 Iz fumace _Additional ZReplacement _ New i _ air exchanger • ? ~ ~i ~ air conditioner - heat pump other ~ / State Surcharge $ .50 Total $ 31). 50 I hereby apply for a Residential Mechanical Permit and acknowledge that the information is comple[e and accurate; ihat the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that ] understand this is not a pectnit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance wi[h the approved plan in the case of work which requires a review and approval of pl _ " hC ~ Applicant's Printed Name Applicant's Signature - 4 - U9C ~ ~ FOf PertnitOfFCO# City of Ea~~n 3 ~ I I Pertnit Fee: 3830 Pilot Knob Road I r/ ~ Eagan MN 55122 ~ Date Received: Phone: (651) 675-5675 i i Fax: (651) 6755694 I Staff. I - 1 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: / o 6 Site Address: I U 6~ N/ a Ir) A L' / Tenant: Suite RESIDENT I OWNER Name: VVOO ojcy Ame ow e vS phone: `S •T~ ~/0/~ Address ! City / Zip: Applicant is: _ Owner _ Contractor TYPE OF WORK Description of work: _V C~ 1* sa V /q ~ h M'S Construction Cost 7J 6 , Multi-Family Building: (Ye No ~ CONTRACTOR Name: ~ e e ~C~ License O 7 Address: 02 O~ w L n n v i VC.' • City: rv 1 d V F!I StateN. (p i Zip: "5"%L Phone. Contac[Person: ~ voJ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted (4 Submission type) • Energy Envelope Calculations SubmRted In the last 12 months, has the City of Eagan issued a pertnit for a similar plan based on a master plan? _Yes _No If yes, date and address of tecpV Ya~: 11 n IS u v ~ Licensed Plumber: Phone: JUL 0 2 2008 Mechanical Contrector: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Poriions oi the information may be classirted as non-public if you provide specific reasons that would permit the Cify to conclude that the are frade secrefs. I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and wdes 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 th case of work which requires a review and approval of plans. X Lr~K ~y 0~~e ApplicanYs Print d Name ApplicanYs g ature Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES ? Foundation ? 05-plex ? 16-plex ? Accessory Building ? Pool ? Single Family ? 06-plex ? Fireplace ? Porch (3-season) ? EM. AIL - Multi ? 01 of _ Plex ? 07-piex Garage ? Porch (4-season) ? Ext Alt. - SF ? 02-Plex ? 08-plex ,l~l Deck ? Porch (screen/gazebolpergola) ? Multi Misc. ? 03-Plex ? 70-plex ? Lower Level ? Storm Damage ? 04-Plex ? 12-plex ? Miscellaneous WORK TYPES ? New ? Interior Improvement ? Siding ? Demolish Building' ? Addition ? Move Building El Reroof ? Demolish Interior ? Alteration ? Fire Repair ? Windows ? Demolish Foundation A Replacement/Z19/L- Oy~ ? Egress Window ? Water Damage ~ ` Demolition (entire building) - give PCA handout to applicant ~ DESCRIPTION: OO' Valuation Occupancy Alc 1 MCES System ~ Plan Review ~ Code Edition P111, SAC Units - (25°/a_ 100% ~ Zoning City Water - Census Code Stories ~ Booster Pump ~ # of Units / 09E~T Square Feet ~ PRV ~ # of Buildings Length ~ Fire Sprinklers ~ Type of Const. ~ Width ~ REQUIRED INSPECTIONS Footings (new bldg) SheeUock Meter Size: Footings (deck) FinallC.O. _ Footings (addition) ~ Final/No C.O. Foundation HVAC Drain Tile Other: Roof: Ice & Water _Final Pool: _Footings _Air/Gas Tests _Final Framing Siding: _Stucco Lath _Stone Lath _Brick Fireplace:_R.I. _AirTest _Final Windows Insulation Retaining Wall - Reviewed By: , Building Inspector RESIDENTIAL FE . Base Fee 36 ~ Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies Total Page 2 of 3 ~ (f ti - . ~ 771-:45.00 , a ~ ~x GVY. V 0 700,00 Y ~r ~ ` f Q~ . ~ rrr ~ C ~ Q-r ' Q ~ ~z : , y * ~ 'Y r LO i - - - - - l 7Lc 15,42 rz-~ Iri i~ ~ ~ ~=$~~~r~ jt, ~ ' • ~ , , ~ . . Cb ~ {r~~~~~ s ~ A Q~ • CI N 4 73,1 ~ ~~,9 ~ ~ , ~ : 0%9 .04F . ~ ~ CD J, ' C; r&\ ' j* ? I ~ FoF;Offic'e Use City of EapIl j Permit# ~ I Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 ~ Date Received: Phone: (651) 675-5675 Fax: (657) 675-5694 I Stafr: I 2008 RESIDENTIAL BUILDING PERMIT APPLICATION (f&&d Date: ~ ~2, 0 VSite Address: a' nuT L~ Tenant: Suite RESIDENT / OWNER Name: d elot e' 0~t :~WnPhone: `Si- 33' 7~ Address l City 1 Zip: Applicant is: _ Owner _ Contractor TYPE OF WORK Description ofwork: v C E/ ~ pS Q v~ q ~ N~I J Construction Cost: -70 O' Q a Multi-Family Building: (Yesk / No CONTRACTOR Name: C) e e vt o h M License 0-154 Address J4! CO / Lyn~1 V 1~ City: ~ 6 V L ke State M I N I') Zip: ?63 72. Phone: /S2 y ~O -/g / 7Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted (4 submission type) • Energy 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 master plan: Licensed Plumber: FglJ E Phone: MechanicalContractor: I 1 ~11 0 o gnR Phone: Sewer 8 Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. PoRions of the information may be classiiied as non-public if you provide specitic reasons that would permit the City fo conclude that ihe are trade secrets. 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 pertnit, but only an application for a permit, and work is not to start without a permik that the work will be in acwrdance with the approved plan in the case of work which requires a review and approval of plans. x cAgR y p-etayso?i X ApplicanYs Pri ted Name Applican['s Si ture Page 1 of 3 ? DO NOT WRITE BELOW THIS LINE SUB TYPES ? Foundation ? 05-plex ? 16-plex ? Accessory Building ? Pool ? Single Family ? 06-plex ? Fireplace ? Porch (3-season) ? Ext Alt. - Multi ? 01 of _ Plex ? 07-plex ? Garage ? Porch (4-season) ? Ext. Alt. - SF ? 02-Plex ? 08-plex X Deck ? Porch (screenlgazebo/pergola) ? Multi Misc. ? 03-Plex ? 10-plex ? Lower Level ? Storm Damage ? 04-Plex ? 72-plex O Miscellaneous WORK TYPES ? New ? Interior Improvement ? Siding ? Demolish Building' ? Addition ? Move Building ? Reroof El Demolish Interior ? Alteretion ? Fire Repair ? Windows O Demolish Foundation ~ Replacement /'?A/i. p1Vr~~ ? Egress Window ? Water Damage ' Demolition (entire building) - give PCA handout to applicant DESCRIPTION: 4 Valuation ~ Occupancy nG MCES System - Plan Review Code Edition OOG SAC Units (25%_ 100% ~ Zoning _OL_ City Water Census Code Stories Booster 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) FinaI/C.O. _ Footings (additlon) ~ Final/No C.O. Foundation HVAC Drain Tile Other: Roof: Ice & Water _Final Pool: _Footings Air/Gas Tests _Final Framing Siding: _Stucco Lath _Stone Lath _Brick Fireplace:_R.I. _AirTest _Final Windows _ Insulation Retaining Wall Reviewed By: Building Inspector - - - - - - - RESIDENTIAL FEES: Base Fee Surcharge Plan Review ~ MC/ES SAC City SAC Utility Connection Charge S8W Permit & Surcharge Treatment Plant Copies Total Page 2 of 3 ~ 775. D0 ~ ~ ; co ~ R C-3 0.00 5 r ~ r (y} I ~ . ~ rn CII) , ~ r o? ~ 1~J ,7 ~ r ~ ~•'~~~~[f ~ fc,~ ~ f 0.30 dp s ~ ~ ~ ~ N a; . r ~ J~(}~ ~ ~ Y ~ ~ ~ ~ ~ ~ ~-t ~ ~3o.~` ~ s~ ~ ,L r w • . • - ~ OD ~ -~Zn, ' ~ ~ . ~ ~~y , , ° ~ ~ 1 + , - ~ . - C) G, a'~ ` D i ForOfficeUse ------~.~_I Fermit o: ~ ~ I I I City of Ea~ ~ ' n2^ C°T ' ~ 3830 Pllot Knob Road ~ z, I Permlt Fce: ~ L CJ ' c~ ; I ~ Eagan MN 55122 ~ oaze Received: j PhOne: (651) 675-5675 i i Fax: (651) 675-5694 1 statt: ~ I ~~--J 2008 COMMERCIAL BUILDING PERMIT APPUCATION narte: a-2-:~''(q site adaress: tA` ~C~ Y1 Q. Tenant Neme: (Tenant I: New /_Existlng) Sulte PROPER7Y OWNER Name: phane= Atltlress / Gity / %wmner Appticarrt is: _ Contracto 7YPE OF WORK Oescription ot work: 1 Corrstruction Cost: 0 CONTRACTOR Name: TYTMEp CTINC' license u: Lc~~ t~ L 1 3141 qdd,ess: BROOKLYN P MN ANNA CitY: State: Zip: Phone: Comact Person: ARCHITECT / Name: Regishation A: ENGINEER Atldress: OdY'-- - State! Zip: Phone: CoMad erson: Ucensed plumber irutaOing now sewerMrater servi : Phone n?orF: vraRS and suppa.Ov aocurmen hat you suAmM are conslderetl to be publ?c IMomistion. Ao.non$ or the inNOmfaNon mey be dass!/led as n-publlc it you provlde specific' neasona that wou/d perm/t fhe Clry to tf+at IfieVare trade secrefa -irde i hereby dCknowledge Mat [hi6 iMortnation is cpmplg(e aritl aa~rate: IAaR ihe work wdl be irt coMOmiance with the aqinarrces and coAae ot tire Ciry of Eagan; ihet I understand this i5 not a perrnit, hut oniy an application for a permit, and vrork is rrot to slart wfthoul a permit; that the work wi11 6e in aOCOMence wnh the spproved plan in the case W work which requires a review and approval of planc. ~O ~0 : .t _ App Ica s PriMetl Name APpI s Sigrtsture Page 1 of 3 9E/90 39Cd 0-10-1J t1NNF7 LEbEE09E9G 80:LL 800Z/4L/60 ~ FaOlfitoUse ---------i Pe~nit A I ' i ^Il City of Ea611. j Pertnit Fee: I 3830 Pibt Knob Road ; oaia Receivea. Eagan eur 55122 Phone: (651) 6753575 Fax: (651) 675-5694 J 2008 COM ERCIAL BUILDING RMIT APPLICATION ~ loaft: a-2z--a~ 5Iftwo AM d rme: W(K\nut TeneM NSme: nam Is: New! _ EyisNng) Sulte A: PROPERTY OWNER Name: - Pho"8: Adaress / City / Zip- Applicant is: _ Owner ontractor r' TYPE QF WORK Description ot work: Construction Cosi: CONTRAC70R Name: TyniER CON c'nNG Uc81SB Aadrecs: Bii00KLYN P RK. 61N 55M City: State: ZiP: Phone: Contact Pe n: ARCHITECT / NAme: Regisvation u: _ ENGINEER qddress: Gity: State. Z-1p: Phone_ ~ Cordad Person: Llcensed pfumber installing new, sewerh+ater se Phone Ho7E: Prans ene auppoMng aocumenfs yau submrr Hre conaidered ro be puorJc;nromli0on. Poruons of the lmomianoR may ne CIassrrrea 88 noM vak n you pmridB apec;nc reasons not wourd aermn the cnr tO concluae aret the are rraae aec.Bes. 1 herBdY aikrowledBe tt+at this irAOrmaion Ls canpete and xcurata; that tlre wMk will be m contormance wim the m111nances ar+d codes ot the CRy af Eegan: th3t 1 untlerslBM this i5 rtot a pCiinii, dlt oMy an applscatan fw e permit, srw work is not to sran without fl permit: thst the wdlc wi11 bE in accorAgnCe wilh the apprwed plan in the case of work whlCh requiies a review and approval of planb- x ~.S~ T`~ \~~0 x nppl Slgnature s 7can{'s PriMed-Ila page 1 of 3 0i/90 30Gd 0-10-1J t1NNl7 LEV££0SE9L 6L:LL 800L/EZ/60 faNDERSON 2008-70-06 19:48 ANDERSON 6513881098 » 651 675 5694 P 1/12 - - - - - - - - - - - - - - - - City of Ea~aIl P~°.: ~ 3830 Pllot Knob Roed IL I Permtt Fse: j Eapan IIIN 55122 i pVA PAO~: ~ Phone: (651) 8755875 i i Fex: (651) 675-5694 14A~~ . i ssm: ~ I cP Z - 2008 COMMERCIAL BUILDING PERMIT APPLICATlON o.": l° tVt SRO8o1~?so~, $0-7 vV~,vr ranam ?ame:. (TenaM New / Efttlnp) sroo t: ~ PRorerrrr owNER Nwm: _ an«~: • 6 [ 2 - 3as- 41 Aadresc r aty / zw: Alf!r1 wbt70 e4T~~~ Appllcant Is: _ ownar K- com.ect« 7YpE OF WORK Dsscriptim of work: Constrwdlon Coat: 3 . ~ CONTRACTOR Nama: S~ &J N t V[I.G_ romAg License s: 40 -4. • Addreas: LJ~_Wftbi Cdy: SWte: Zip: - Pho,066 ConlactPeBOn: AMIA46 C'~'"t ARCHITECT / Name: RaqisVation 0: ENGINEER Atldress: . Gry` . - Stete: Zp' - Pfione:, Contact Person: „ LJecnted Plum6er irwtaqing ppg sewedwater seMca: Wwna I: NOTE: P/ans and supportbrg documants ffrat yote stebmlt ers cons/dsrod to Do pubMa InlpimsXOn Pardme ol tho bilwmaNOn may Ae cAaaal//sd ea non-ptib/M M you proWds epeo/Re iaaaons thst would psnMf fhs CHy to tonCfude fhN fha at+b trsds seerota. 1 Mreby edknowlatlpa Mal Mia iMomlefion K campbts end aoanata. Ihtt the wark w+n b9 In CpnlormanCa Nlnoncea uq oodei M Mis G1y ef EaW, tlhat I urWaeten0 thro b na e parmM, eut my an appca4on la e pamk ane not to sn a pami= " aaonlsncr wlh the epPrw6d pleh ln tl+B esss d wak nqui+p a review and d Y 11~K2Q~1 anA~if2s'i+~ AOVllornt's WMibd Nama AVWkent'e 81qnaWro Psge 1 of 3 2008-10-06 19:48 ANDERSON 6513861098 » 651 675 5694 P 2112 ANNIOM FAMILY• Aroerican Family Insurance Group ,.,....m.K, m,.... W OODGATE_III_HOME028 Buliding Exterior Rooting Uescrlptlnn BaseService Repiaccment AcWalCaah Qt9 Uoityrice Cnarysr T+uea Coet'1'otal Deprecirtioa Vahe The jpllpwlrog lfems r4Jlsc1 nplacemeu oJrDOf an fhis slrudare. Irtsursd 1reCltated rooJii approximalrly JD yepn olA. Bwed on msragr canQ4lou and fj(e rxprdancy nf 30 yean, 33%drpndatfow liaa besn aqp7itd Pncs includer debrls nmovaL I- Rcmuvc Tear off, hsul end dispoac of comp. shingles - 3440 ytar • 46.57 SQ 550.96 $0.00 S0.00 E2.373.21 -f783.16 (3396) S1.590.05 2- Replace Raoftng felt - 15 Ib. 46.57 SQ $19.71 $16.46 $18.34 $952.69 -530M')5 (339F,) b643.14 3a - Remove AUditional chaMe for high ranf (2 stories or groater) 46.57 SQ , $4.43 E0.00 .f000 T20631 468A8 (334n) $138.23 ' 3h - ReplaCtl AJdi[ional charge for high tOOF (2 s[aries or greater) 46.57SQ E1139 59.52 $0.00 $53995 -S175.04(335b) S364.91 4- RePlact Ffashing' Pipe jack ' . 4.00 EA 52119 S1.66 S1.57 S9599 -S31.13 (33N6) 564.86 5- Aeplace Roof vcn[ - lurtle type 11.00 FA 536.05 $7.11 $9.41 $413.07 -5133,97 (33`.F) b279-10 6- Replace Ezhaust cap - Ihrough nw£ 4.00 EA S64.98 S4.67 b8.64 $273.23 -SN8.62 (339F) . $184.61 7- Rcplace [ce c@ water shfelA 1,337.00 SF E1.35 $3237 551-211 E1.888.60 •5612.55(33%) $1.276.05 8- Rcplacc Flashing, 14" wide 30.00 LF S2.68 .41.92 $340 S11252 -336.50 (3376) $76.02 4- ReplaCe Rcwf vcnt - eur6ine rype 6.00 EA 57fLI8 $3.04 E11 IU $296.06 -$96.31 (339F.) $200.55 10 - Repluce Chimncy Fliching - average (32" a 36") 3.00 EA $20972 $11 28 8821 S641i.65 -$210.33 (33%) 143932 11 a- RemOVC Exlerior cover fOr venHlelion duct, 5" or 6" 2.00 EA 526I $0.00 $000 S5.22 -S1J2(33%) f3.50 11 b- Replace P.xICCiOf Cover fm ven[ilation duct, 3" or 6" 2.cMlEA $43.35 E3220 $2.99 .f121.89 429.59(33%) 39230 12 - Replace Laminated - 30 yr_ • comp. shingk r(g. - w/wd &It 53.67SQ E149.09 E144.10 $237.85 38,415.81 -E2,729.66(33%) S5,686.15 13 - Replaee RiJge cap - composition shingles 176.75LF E3.15 $7.73 56J5 Saa5.24 -F14438(33%) $300.86 Tuta4 $274.06 4359.54 $16,789.24 -f5.449.99 511,339.25 Fascta wOODGAT'E III HOtNEOwNERS 00311284531 7/19/2008 Poge: 4 .4SSOCIATIONS FRi)t9 APiER ICAN aRE I TFpT I ON 1. 27. 1599 12 ~ 42 ' P. 2 ARSITRATIC1:~' THIBU:tiAX,S of the Ari1EItICAN Ak13I1'ItAT10N ASSU(.:1ATIVN Tn the Mrtirt ol thc Arbitrotion bthreen ~r?+~ ~ Z' , :.g y't .}~1„ .4 •~.Y i , '3 1 b c l ;k: , . ; iF I'EGrLL UIl THE STnTE oP • : f. qV.A.. ~ ~ ~ ~t ~ c~?`- ~ a c'~ ~v r~ 8~ C ("O\TMR1.L? Y Oi: , !h~t p}~ ~•.~c ~ dnd f • ._iSs 1):in+ :,~;d Ca~h GZ yOl: appCdf aTid , Arbitratnr(6) , 1 " tk_ duy o[ Z7 aG o'.lock, 1M, . . 4: _ . e , „ t;.,~t~_ . '~c c~. i ,x •A cr.11}.r,`. j,nrtic9, ; ;:~G~1 . . i A[bitfl!ot ;s ' . . ~ ` L: ~V'k'~ • R.,,; q~.., l`'~-~tL.sLE~`'~'~ t-t~A7" w~lK~'hZ . ~ it t Cr- ~~J , -r t+ ~ ~ ?nn ,f,i n-~ A 1ACCf3 . Ziil Ct r ~Ti F' 0 0. tkt A-T l 0 l-) ~E G Pr f1 0~ nJ f~ SPwc'rc . . . . ~ ~ N~ . ~ _ 1 . '.ti . ' _ ' , .s..~...+~ . ~ _ . . _ i`1T t RECEIUED FRaM 612 3422334 01,23.1989 2:48 _ r. 2 . i ,,,..e / .._ 12. IF . / LI) (P US9 W w or BLACK Ink , t1 b FaW. 333@ pjw Kmb load ;Dais jamms"n PboW. (M) 97845M I Step FM= (M) 20'13 RESIDEN17At- gU11..~NG PERMIN SO A dd 1 urr~ DRAW ptMOM L J ' ,yam' T - 4 NOW f~ -NJ Addrass ! C&y / 2. 4 ow"Or } p~ption of wnnc ~F ~ i ~ x TYPe 11ilorEc ~otplam \er I` ]~y~esGj/ )y-~ _A21 Vic 5 i A21 Vic 5) contact CDMPNW- 156-31 P Addm -5 9 651 -7-7 5 contractor -2 1 In. 12 ~Vc ~5~5'e-D- - 9-~ Lead W (we ~ 3 for add~MM kdor ) bew pao ptflan le®d cam. P OW, If the pco1W 0n LETE THS AREA ONLY IF CONSTRUCTMG JIMAMM ' d a penpitFor a ~r pim based on a maetar i~r9 has the t~ lowe { in the 1ra* 1z msnlha, Yes No p yes. daft aed address d masisr plan: . ptaxw. UceandPkwdwr. 3 Phone: ^ God= phaim Sa1NSr - ~ P**0M & Vftkm COIF - g #1'Ih+CKM~SILI~ penl* L .•a~ ~ ARE 1~DU o1G. c~ ~ are ,a tB6tt ~ a a "'d°'pr°u"a um ~°t' c~ll4a Irorrta, bela+t Vou i m Il 1D dfg toreooi n foc@W d sullies. w4xk "or e in b to w 2* aFdIr8fODi and Coda Otto I WOW aacnowled9e tw tins bibanrtlos b amnpieb aM aonrdx aW a a* SW wYhant s peMM go urs worn ,rte bCity of VA& the appavedd 00 in to Gass ofvomk,-. h WA qwrmd of 0l EMdVrwork by s buidao poa+vAb9Md baseoo~~ f1w m200 1s e~ ~ Iw coaUiefed VAN" Igo a" of Pte NUUML ._2jqff 31 ~ p~afs Si~► 5