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1804 Walnut Lane03/07/2011 MON 14:54 FAX 6514378831 €ity tif Ea�RII 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 l 003/003 Use BLUE or BLACK Ink -t Permit #: I Permit Fee: ` 0f Date Received: Staff: 2011 MECHANICAL PERMIT APPLICATION Site Address: 18'04 1Na Ina Lane AdarnGon Suite #: RESIDENT / OWNER Name: 1 iJtiC Pane: f/�t log -Olni sljj,,'(�� Address / City / Zip: I D walnut - t d eq fSJ 12. CONTRACTOR Name: one uff a , License e : r (^ Address: Nog i t fI t i(j i/ f If. City: as-nnacs State: MI) i Ziip::: Phone:.,,, Qi�j(t II iji 7 Jf f 9 V �) �� / � t� g�� p r tT� Contact: Janie t+ W' 'Email: `t1 tor'de�1t��L9�!i •ee- TYPE OF WORK New /Replacement Additional Alteration Demolition , Description of work: (�i,(� r1' /* 17t r re/ DOTE ttaof mounted and around mounted nechgntpat equipment is required to be careened bar City+ Code Please contact theechanibai:i,rt spector for information on permitted screening meth• ods, PERMIT TYPE RESIDENTIAL Furnace COMMERCIAL New Construction Interior improvement Air Conditioner Install Piping Processed Air Exchanger Heat Pump __._.. Gas Exterior HVAC Unit Under / Above ground Tank ( install / Remove) Other ---Marshal ** When installing/removing tank(s), call for inspection by Fire 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) PI • $5.00 State Surcharge) $ a1,./ TOTAL. FEE $95.00 Fire repair (replace COMMERCIAL FEES: $75.00 Underground tank 855.00 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 Permit Fee is less than - If the Permit Fee is > $10,010, Fee = $ Surcharge (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. Call 48 hours before you intend to dig to receive locates of underground utilities. www,000herstateonecal€.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approyed plan in the case of work which requires a review and approval of plans. Hei mid X Applicant's Printed Name Appll nt's Signature x darn ~.,:,;-r_. • AGAN WATER SERVICE PERMIT 't~b Road PERMIT NO.: 3425 7 ; Eayan, MN 53121 DATE: Zoning: R1 No. ot Units: 1 F , Owner. Addresa: Site Addess: 1 R(14 h'a 1 ntit T ane i 7 RC F~Pn Plumber. ~ 500 00 Meter No : S~ S ection Charge: Size: cco ~n,it ~osit: 1~• i - 10.00 Reader No.: , 5o I sqn'to °°'nply wHh ordinanc n 63.50 meter i j~t~-t•i', ~Q~ 00 By Date Pald: ' Daie Dllnsp-, ~ Insp» i CITY OF EAGAN SEWER SERVICE PERMIT 3830 PilM Knob Road ~ ~ 7 ~ ~ P.O. Box 21199 PEAMlT NO.: 2~ 12 T Eagan, MN 55121 DATE: ' Zonin9: °1 No. oi Units: 1 ~ Owner. Bvrr nAk ; i Address: , S1teAddress: 1804 h'almct Lane 1.2 BS Fden Plumber. I.Rkeside Plb 11/24/96 6RS44 100.00 1 agree to comply wlth ihe City d Epan Connection Charge: 47S S_ 0 il] Ordlrunces. Account Deposit: Permit Fee: 1(1 O0 Surcharge: - c n By Mlac. Charges: Date of Insp,: Total: Date Psld: ~ Inap.: i: , I ~ , CITY OF EAGAN e~ ` 3830 PNot Knob Road, P.O. Box 21-199, Eagan, MN 55121A1 r~2j 12908 PHONE:454-8100 ` . BUILDING PERMIT Receipt M ro be used tor SF DFlG/GAR Est value $57,000 oate NUV: irlBER 28 19 $ 5 SitaAddress 1804 WALwUT Lv Erect Occupancy R3 lot 2 Block 5 SeciSub. EDFtV ADD Remodel ? Zoning Rl Parcel No. Repair ? Type o1 Const jL Addition ? No. Stories Name BURR OAK IILDRS INC Move O Length ~R 11461 GOLDENROD ST NW Demolish ? oepm A A o Address Int Impr. ~ Sq. Ft city COON RA~,b~S 452-2906 insrau 0 o Name SAME Approvaft Fam Address Assessment Permit $ 3 i? . 00 50 City Pnone Water & Sew. Surcharge 28. Police Plan Review~~~ I W Name CRADIT & ASSOC Fire SAC 575.00 Address 9TIi d~ ~IISSISSiPPI RIVER Eng. WaterConn. 500.00 , i~ City RELS Pr,one 3 7 9- 4 9 4 7 Planner WaterMeter 6T.- 50 Council Road Unit 290.00 I hereby acknowledge that I have read his application and state thatthe Bldg Qff 112 8 8 Tr. Pi. 156.00 information is correct and agree [o mply wi all applicable State o} Minnesota Statutes eri~Ciry of n Os i nces. APC Parks ~ . ~ Var. Date Copi ~ Signature oi Permitt ' Total $2, . 00 A Building Permit ls issued to: BURk OAK BLllRS I.iC on the express condition that all work shall be done in accordanc ith all applicable Stat"i Minnesota 5fatutes and Ciiy of Eagan OrdinanCes. Buildfng Official ~ tirmit Na PM" Moldw DeM Toplam # ~ vkwa" H.V.A.C. Saftner Inspsetlon DaM Irup. Commv N Footln~ 1 Foo4NW II FoundNioe F..nd" fox~ .8,f[ Roolinp R«ugh Plbg• -AL Bouqh Mq. Imul. FInpWm FMaI iHy. Final Pbp. Bldp. Find Cort.Oec. Dock F1q. Dock Fmq. YYdI Pr. DNp. I ~ , .--~"~?~'r'.' .Y...-a-'T.?T--. v......-,--,....r.~q„~,•.y,R~R'.Oy~ . . . . , c , . ' . PERMIT N ~O 7(p PLUMBING PERMIT qECEIPT It CITY OF EAGAN /~,7 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE PHONE: 451-8100 Site Address iwu ~ ~vf, BLDG. PE WORK DESCRIPTION Lot Block ~ SeciSub Res. ~ New X, - ` . Mult. Add-on ~ Name LL Comm. Repair m ~ Address ~ S 3~ w ~ Other c City 4~0,4f'/Jj ~t"1A-4 Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NQ. FIXTUHES 1-Water Closet - $3.00 = ~ Name Bath Tubs - $3.00 3' ~y 3 Address 49 :TLavatory - $3.00 p City Phone Shower - $3.00 ~Kitchen Sink - $3.00 3 • FEES Urinal/Bidet - $3.00 COMM/IND FEE -19b OF CONTRACT FEE ~Laundry Tray -$3.00 3• APT. BLOGS - COMM RATE APPIIES -LFloor Drains -$1.50 TOWNHOUSE & CONDO - RES. RATE APPLIES -LWater Heater -$t.50 MINIMUM - RESIDENTIAL FEE - $12.00 Whirlpool - $3.00 MINIMUM - COMM/1ND FEE -$20.00 =Gas Piping Outlets -$1.50 • S STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMin (ADD $50 S/C IF PERMIT PRICE GOES Softener -$5.00 BEYOND $t,900.00) Well - $10.00 , Private Disp. - $10.00 ~Rough Openings - $1.50 • S I SI(iNATURE OF PERMITTEE FEE: ~ STATE S/C: I FOR: CITY OF EAGAN GRAND TOTAL• 2 N~~~ ~,,r.~j l~fi~` ,T.r .,J.'~T?7 : zi!ri~w~~~T3;. i , ~T. a , PERMIT # ~ r~ ~ • MECHANICAL PERMIT RECEIPT # CITY OF EAQAH 3690 PILOT KNOB ROAD, EAGAN, MN 55121 DATE CONTRACT PRICE PHONE 454-8100 Site Addresa BLpG. TYPE WORK DE8CRIPTION Lot ' Block Sec/Sub Res. New k. m Name ' Mult Add-on ~ Address Comm. R c Cfy Phone eRair Other N8fT1@ FEES ~ c Address RES. HVAC 0-100 M BTU - $24.00 p City Phone ' ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 TYPE OF WORK ADDfTIONAL 6 M BTU - 6.00 GAS OUTLETS - 1.50 EA. Forced Air M BTU COMM/IND FEE - 1% OF CONTRACT FEE Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00 Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00 Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50 VeM. CFM (ADD $50 S/C IF PERMIT PRICE GOES Gas Pipinfl OutleAS # BEYOND $1,000.00) Other FEE ' S/Q- , SI(3NATUFiE OF PERMITTEE TOTAL• FOR: CfTY OF EAGAN , . _r. . _ . , - . ~ „ - . , . ~ PERMIT # PLUMB4NG RERMIT RECEIPT # J ~ CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ~ CONTRACT PRICE PHONE: 454-8100 Site Address ' BLDG. TYPE WORK DTRIPTION tot 8iock Sec/Sub Res. _xNew Mult. Add-on m Name ' " ~ E W ' ^ CONDITIONING Comm. Repair ~o Address Other c Ciry uGAi..• w;fim 55242 RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Water Closet - $300 $ _ ~ Name Bath Tubs - $3.00 ~ Address _ ` Lavatory - $3.00 p Ciry Phone Shower - $3.00 Kitchen Sink - $3.00 FEES Urinal/Bidet • $3.00 COMM/INp FEE - 1°rb OF CONTRACT FEE Laundry Tray -$3.00 APT. BLDGS - COMM RATE APPLIES Floor Drains -$1.50 TOWNHOUSE 8 CONDO - RES. RATE APPLIES Water Heater - $1,50 MINIMUM - RESIDENTIAL FEE - $12.4fl WhirtpooV - $3.00 ~ MINIMUM - COMM/IND FEE -$20.00 Gas Piping Outlets -$1.50 STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT) (ADD $.50 5/C IF PERMIT PRICE GOES i-Softener - $5.00 • BEYOND $1,000.00) Well - $10.00 Private Disp. - $10.00 < < % Z Rough Openings - $1.50 SIGTVIft~E OF PE MITTEE FEE: ? sraTe sic: ~ ~ r FaR: CITY OF EAGAN GRAND TOTAL: - . ~ • INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: i 3830 Pilot Knob Road Permit Number. Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: i ri4rn 1lral NiI1 I iirf, 1~1 141 '.~i} ANPI f VA! 1 t lNi PERMIT SUBTYPE: . TYPE OF WORK: INSPECTION DA • rA , p;tNt, ~ ill .lli .,i I11PJ 11111,11 i N rdr;i I I , it1 MAIrf.',. Al`NF;tlll F+i;t 01Vht1,1 t4 1111, AN1` I I 1_?WlttNo il{( 1.Ltftta{t.AI W1l14t. ~ ~ . r ~ - Permit No. Permit Hokler Deft Talephone • S/IN _ PLUMBING S C~ -3 (A HVAC ELECTFiIC ( ELECTRIC I kispectlon Dats Msp. Commanls I Footings l Foundetion Framing ~ Rough Plb9. _7 Rouflh Ht0• Isul. Fi?eplace Fnal Htg_ Orsat Test Final Plbg. Plbg. Irrepedor - Nofih' Plumber Con6l. Meter EngrJPtan Bldg. Finei Dedt Ftg. Deck Final Well Pr. Disp. j~ T N~ 5 ~ *.e- &412j?• i.~sP ws. J INSPECTION RECURD ~ CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: ~,,,.,i 111,11raIIi i nrii t r~~i •.in~ ~ r~~,ri: a~ PERMIT SUBTYPE: TYPE OF WORK: INSPECTION .A . r. I I ~ - • Permit No. Permlt Holder Dets TNaphone # . S/V4l , PIUMBING HVAC ELECTR oj(19 ELECTRIC Inspwtlon Dih Inep. Com~ Footings 1 . FoundaNon Framing Rodin9 Flaqh Pb9. Raigh FIt9• Isul. RMPIKO Q Na G~s l~ $'9 a-~ o_ FKW Mg. Orsat Test Firol Pbg. Plbg. Inspector - Notily Pwmber Const. Meter ErqrJPlen Bldg. FkW Deck Ftg. DeCk Fn81 Well Pr. Disp. _..vNN Remarks Addition Eden Addition Lot 2 Blk S parml #10 22750 020 OS Owner 'I" ~C' r1 SVeet 1804 Walnut Lane State Eagan hN 55122 Improvement Date Amount Annual Vears Payment Receipt Date STREETSURF. 19$2 2271.15 454.23 rJ STREET RESTOR. GRADING (fyo 19 2 52•'ZZ 1~ . 5 SAN SEW TRUNK SEWER LATERAL 1982 1. 0 754.30 5 WATERMAIN ! WqTEF LATERAL WATER AREA ~ q,~ * Servicea STORM SEW TfiK v 17C1 1 82 4 97.52 5 M STOflM SEW LAT 1 82 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 9UILDING PER. SAC PARK *a nYF-X 3 4: 2 4 a ReQu st Date • Fire No Rough-ln InOSectan Reawretl Inspection Otner Tnan iiaugnln (VOU m~us~ il inspec~or when reatly) 0 Reaay Now ? WJI NoUy Inspector I ~ QQ Ves ? N. DateReaEy I)K,Censed contractor ? owner heieby request inspection of above electrical work at: . Job Atltlress (SIreeL Bon or Route Ni Ciry O N - Sedon N. Townsni0 Name or No Renge N. County ~ OccuOam IPRINTI PM1One No 2. S A ~ 02 ' 60 Power SupPLer Atltlress Elecincal o ractorlC pany Nam~ ConVa[tor's License No 1 I Y ~ ( MaJing Atltlress ICqnlrac or or Pener Ma ~ng Inscall0llon) ~q K Fo ` La_kv," o Am eo Sign ure iC ~acronOwner Making Instdllalion, . Pnone Number qAl- MINAESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REOUEST WILL NOT Grigge-MiCway Bltlq. - Room 5413 BE ACCEPTED BY THE STATE BOARO 1821 Universlry Ave. SL PauL MN 55104 UNLESS PPOPER INSPECTION PEE IS Phone (612) 6a24800 ENCLOSED REQUEST FOR ELECTRICAL INSPECTION ~~FsaL- p. See instmclmns for complebng Inis form on pack ol yellow copy. "X" Below Work Covered by This Request ew AddRep j TypeoFBmlamg App6ancesWired EqmpmeNWired Home Range Temporary Service Duplex Water Heater EIBCtriC Heating AInspe pt. Building Dryer Load Managemenl omm./lndustriai Furnace Other (Specify) arm Au Conditioner lner ~s4eafy) ConVac r5 FemaAS ' rm Compute ctio n Fee Below: ~ ~ ~ d Other Fee # Service EntranceSrze Fee # Circwl5/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps hansformers Above 200 _ Amps Above 100 _ Amps SigpS inspettor's Use Onty TOTAL Irrigation Booms ~ Special Inspection Alarm/Communication THIS INSTALLATION MAV B RDE SQONNECTED IF NOT Other Fee COMPLETED WITHIN 18 HS. I, ihe Electrical Inspector, hereby Rouqn.d 44q~ Q re/r, certd lhat the above ins ection has ~ r Y P Finel oate been made. OFFICE USE ONLV ~ This reQUest voitl 18 montM1S Irom Thrs re0uest void 18 monihs Irom Request Oate Fire No. Nouph-,n InsVecUOn ~ R rted, Ready NowW-II Nnufy. Inspec- ~ Yes ?No mr When qeaOY ~ Licensed Electncal ConVactm I hereby ropuaet inspeclion ol above ? Owner elecVical work installetl aC Sveet Adtlre . Boz or out No. n Cuv ectwn o. Townsnip Name or No. Rrnge No. Cow y / Occ uantIPPINTI Pnane No. ~k Power Supplier Adtlress ,bako4a, /ee_ 4300 aa0`04,1 Elal Contractor ICompany Namel Conhar.lor's License No. Xdiawd elec4-,~ 4~~~o-a~ Mailin0 AtlJre55 (Contractor /or / Owner MakinB ln~s1tatlatmn) ~ a~j`DO w Ld ~ 7a' ~llV7'+6 Vl Au[hor¢ed SiBnamre IContractor Owner MakinO Installationl Phona NumDer Po - 96 i I MINNESOTA STATE BOAXD OF ELFCTflICITY TMIS INSPECTION FEQUEST WILL NOT Grippa•Midway BId9. - poom N•191 BE ACCEPTED BV THE STATE BOAHD 1821 Universitv Ava.. 5t. Peul, MN 56100 UNLESS PflOPER INSPECTION FEE IS Phene16121642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION JM EB-00001-05 If Sea imducirons lor completinp this torm on beck ol Vallow coPV. "K" Below Work Covered by Ihis Request FAd Reo. TVOe oi BuiltlinB Aoohontea Wved Eqmument Wired ome Range Temporary Service Duplex Water Heater LighLny Fixtures itFarm Bwldmc~ Dryer Electnc HeaUn ;ci al Bldg. Fumace Silo Unloader al Bldg. Air Conditioner Bulk Milk Tenk mrr oei:' y mf, ts nc~,rv1 eu v otne r oine. ompute lnspeclion fee Se/ow p Fee SarviceEntroneaSixe b Pee Fex1ars/5ubieaders b Fee Grcwts OD 0 to 200 Am 5 0 to 30 qm s co 0 tn 30 Am Ahove 200 qm ps 31 m 100 Amps 31 to 100 qm s Swinvning Pool Above 100-Am s Above 100_Am s Transiormer5 IrrigaLOn BoomS a Partial.'Other Fee S~g~s Special Inspeaion 5 Q TOTAL FEE Aertv~rks ~ flouph-in ~ Da~e ~ ~pe Elacbicel l^a~47 Insoac~or, heraby cerbfV Net the abova Final r e insDection has Dean ~5'3 mae. TMS rspuast volE 18 monllu Irom CITY OF EAGAN 908 3830 Pilot Knob Road, P.O. Box 27-199, Eagan, MN 55121N2 q BUILDING PERMIT PHONE: 454-8100 Receipt p ~ 7obe usedtor SF DWG/GAR Est.value $57,000 Date NOVEMBER 28 19 86 SiteAddress 1804 WALNUT LN Erect ~Ll Occupancy R3 Lot Z elock 5 Sec/Sub. EDEN ADD Remodel ? Zoning RI Parcel No. Repair ? Type o1 Const. Ij Addition ? No. Stories m Name BURR OAK BLDRS INC Move ? Length '49 z 11461 GOLDENROD ST NW Demolish ? oepth-rr o Address Int. Impr ? Sq. Ft. Cily COON RAp~~° 452-2906 ~nstan ? o Name SAME Approvals Fees $a nddress Assessment Permit $ 304.00 Ciry Phone Water 8 Sew. Surcharge 28.50 Police Plan Review 152 . 00 ~ W Name CRADIT & ASSOC Fire SAC 575.00 uz F, address 9TH & MISSISSIPPI RIVER Eng. WaterConn. 500.00 a W Ciry MPL.S phone 379-4947 Planner Water Meter 63.50 Council Road Unit 290.00 Iherebyacknowledgethatlhaverea [hisapplicationandstatethatthe gldg.Ofl.11/28/8 TcPI. 156.00 iniormation is corre agree o ply wyA all applicable State of Minnesota StaWtes n Crty o di ~nces APC Parks Si namre or Permitte Var. Date Copies 9 Total $2.069.00 A Bmlding Permit is issu d to: BURR OAK BLDRS INC on the express condition that all work shall be done in,accordanc with all apphcable Stat f Minneso ta an Ciry of Eagan Ordinances. Building Official *OAKWOOD I* 1986 HQILDING PERMIT APPLICATION - CITY OF EAGAN BOTE: ALL COATR6CfOHS MOS'f BE LICENSED i1ITH THE CITY OF EAG6P SINGLE F94IILY DWELLIIiGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS MULTIPLE DiiELLIAGS - RESIDENTIAL RENT9L i1NITS FOR S6LE QNITS INCLUDE 2 SETS OF PI.ANS, CEATIFICATE OF SIIRVEY - CHECB WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS CONAlERCIAL ` INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 7 SET OF SPECIFICATIONS AND 7 SET OF C ENERGY CALCULATIONS, ~ $2,000 LANDSCAPE BOND cj1i 0Et7 To Be Used For: Single Family Valuation: Date: 11/21/86 Site Address 1804 Walnut Lane OF£ICE IISE ONLY Lot ? Block 5 Erect ? Occupancy Remodel Zoning Parcel/Sub Eden Repair _ Type of Const ~ Addition # of Stories Owner Burr Oak Builders, Inc. Move _ Length 30 Demollsh Depth 4¢ Address 11461 Goldenrod St. N.W. Int.Impr. _ Sq Ft City/Zip Code Coon Rapids, Mn. 55433 Install - Phone 452-2906 APPROVAIS FEES Contractor same Assessments Permit 304. Water/Sewer Sureharge 28. 4-0 9ddress Police Plan Review -Ti~ 2, Fire SAC s15• City/Zip Code Engr Water Conn S0D. Planner Water Meter (03. Phone Council Road Unit 29 O. Bldg Off Treatment P1 ISIo• Arch./Engr. Cradit & ASSOC. APC Parks 9th & Mississi i River Variance Copies Address PP TOT9L 2oco 4, City/Zip Code MP15., Mn. Phone 4l 379-4947 AOTE: ADDSESSES FOR CORNER LOTS - CONTRACTOR/HONEOANER MDST DESIGNATE WHICH ADDRESS IS DESIBED. 80 CH6NGFS NILL HE ALLOHED ONCE BOILDING PERHIT IS ISSIIED. GZaK 1v,l~tRs a~~E 1 63~ PA~ ~4 SUL71H0 !Na N![fIS COH NGINEE(~ING pLpNNEAS ond IAHD iUNCOMPANY, INC. NO .1000 GST 146N STREET, EURNSVILIE, MIHHESOTA 55337 PH 432'3000 Cer~z}"f ca~ z-e y ~4CQI .pCJC7'kP220sL: LOT 2. BLOCK EDEN ADDITIUN DAKOTA COUNTY, MWNG.SUTA ~ WALNUT _ LANE --k- x-- 4s,0,i i94b.oi O O EAST 65,00 ~,`~S•~1 0 . o S5~ 5 ~I46,5~ ~ o (9 s) M C9~9s> 30 FRONT BUILDING Q8~ (9f9,83 i2¢9 SETBqCK L1NE Sc,nLe : 1'=30' 79.5 p 220 13.5 I m ~ . 1~949.5~ ~ GARAGE N _4.0 PROPOSED o (9¢95~ N n HOUSE N O W Z 1J. g~~~ ,95z=z~ 27 _ (9~y~-) DENO-'ES EXISTING ELEUATIUN (p99s) I (949s ) pEfVOI"ES PRUPOSED ELEVATION I Z~ LOT~2 I ~I INDICATES DIRECTIUN UF SURFACE DRAINAGF FINISHED GARAGE f=LOUR sl - EtEVATiON ~ I ~ s \ I ~60 \ F \ I ~ Jy DRAiNAGE ArJU UTIUTY EASLMFNT &44, z) . I her.by certify that thie ia a true and correct repreeaatation of a tract ot land as sho+m'and deecribed hereon.. As praparad by me on this /7r1 day of ",4 _ G1~,r; /r/`~....f )1inn. los. Ho. /40925" fL~ • - • ~ 579-4e47 . asdll 8 etwc~sne, Ine. } ea s aw.r •....wi.. w...n~ u ' I ; j "amNtoelurol tloWCnen ol w41n ; , • ~ I , . ' . . ~ 1 ~ EKTiMIQR ENVELOPE dVFdtAGE "II" COMPOTATION ; OWNEt PLAN tio. `~3 03 0v . sirE nDnxsss naTE MAI~? I~ 19~~ ~CoN18ACTOR f5URR OAiL Ph)!LUC.R`D PFIONS ~ Detesmine working'square footage of eaoh ~ 1. Total esposed wall area...... sq.ft. x,X3 2. Total roaf/ceiling area...... sq.ft. x~= 3. Total floyyr/cant. area....... eq.ft. x.10_ Total exposed wall erea above floor t, 1 < • ' 8• TOt.81 W8l-I Wi7l3ffd 8P68......... I ..a......... 19, 0 . b. Total door 82'98.....~~~~~~~~~~~~~e~~~~~~~e~es ` c. Total sliding glass door area................ ~y Lv ~ d. Total fireplaoe srall area 0 s TOt.81 Hfill fr8miI1g 8PB8 (average 10%).e..a e o o ~ f• Total l19t W811 8Y98 8t1079 fl00leoo.eeo~~~~~ae ~ a ~ 1+ ' gs Total rim joist area.......... o .......e.....e t~1~ F Total exposed foundation area 4s' tle Total fouudation window arsa .............oee. ~ ` i. Total net fouulation area above grade...... 7-0 Determina "II" value of each wsll segment ' m g. 119.0 x NII'l ,35 = 41~05 11 L ~ ~ x _ O• ~U x d. x "D" f x "II" e•~ x nII„ ~ ~ g. I :b,o x °0" .241 - ' S h. x t00" i. ~ O Z"U" q 4. TotaL If item #4 ia the same asg or less than item $1, you have met ~P? the intent of SBC 6006(0)2. F; ; . ~ . ,,.y . . _ . . . T13R0 3TUD Int. Air .68 TffiiII INS. WALL Int. Air .68 ~I wl S.R. & SIDIDIG 1/2" S.R. ,45 v/ SR. & SIDIbTG 1/2W S.R. .45 stvd G.£SFS Ci p Ina. 19,v 25/32" Hild. 2.06 25/32" Bild. 2.06 ~ . i ~ Siding ,(09"~ " 3lding ~I bct. Air .17 ! Ecct. Air •17 Total "R" _ Total "R^ = ; 1/R=QiTp= 0~'y 1/R="D"= •0~ THRU R7M , Int. Air ,68 i THRD CONC'BLOC% Int. Air ,68 , v. JOIST Ins. I`Jv ~ C.B. (12 1,2~5 ' Opt. Styro. Opt. Ins. i ~ 1 1/2" Wood 1,89 a• 8ct. Air •17 J ~ ' 25/32" B11d. 2.06 e, opt. S.R. siaing opt. sid. li I Ekt. Air e17 ~ Total °R" _ ~ l1J Opt. Brick I 1/R ="II" _ ,ll Total Oxp = 1 /R = ^u° _ , 74 ( ' ~ THRU CIfi. Int. Air .61 THRII CLG. Int. Air --.61 .MF2~BER S.R. (Skn) . 51~o INSUL4TIODi S.R. (5/?) S(o ~ Clg. Memb. 4,!~5 Ins. ( -,qS,O I Ins• Sti11 Air .61 - Still Air e61 Total "R" ' J . 'I Total °R" 1 /R = "D" _ , 02 ~ I 1/R = "II" I ~ *~***+#+#i#+~*~**f*ft*~**+*#++#**#* x C I T Y O F E A A iV *~~vL, ~F~ ~~,ITIME F APPROVIIL OF PEE2hIIT. . APPLICATION FOR PERMIT : * 11,1SPncrioiv oF sF.qM arm/Ox FuWM ,*F TuSmAr.raTrONS WII.L NOT BE SC]m- SEWER AND/OR WATER CONNECTION *~m uwm PmmIT HAs~ * APPRuVID. * . w » *~**:~~#:t:,tx*xkix,t*r*:*::***+*::***~ P ease Print 1) PROPERTY ADDRESS: 0 CcJ L " LEGAL DESCRIPTION: Lot Block Sub ivision or Tax Parcel ID ) IF EXISTING STRCCIL~RE, DATE OF ORIGINAL BUZLDING PERMIT ISSL'ANCE: : ) PRFSEDTP ZONING/PROPOSID C'SE: (M~n Year ~ CO=CIAL/RETAIL/OFFICE ~ R-1 SINGLE FAMILY 0 IDIDC'STF2IAL ~ R-2 DCPLEX (74,o Onits) f-I INSTIIS.'TIONAL/GOVERnmu ~ R-3 'It7WNHOLiSE (Three + Units) ( Units) _ q R-4 APAR2T'lEN'P/C011vU0MINICTi9 ( Units) 2) NAME: ZH-z~ ADDRESS: /,J 4fZ 9 Z.- CITY, STATE. ZIP:1y t~'L"' _ T3-37~ PHONE:_ 7 ./o C> 3) • u i:~• For City Use ~ME=~.o.~r Plumbers License: ADDRFSS: ACtiVe Ekpired ~ CITY, STATE, ZIP:tf gz:~?.? A Not recorded PHONE: Q`~~/-7L n n MASTER LI(EIISE# dGa~A7 /~to ~al 4) • i i~- NFME: BG~~ o019-~ . ADDRFSS: Ag;e ~-5 CaX Si I'I (J.J CITY. STATE, ZIP:S:5n an ~,r i. ~.~5 ~Z ~S~-i PHONE: S) i i«: . o~ u- tiu~~ ~COD]['TCPION 1C7 CZTY SEWEI2 CONNEC'I'ION Tq CITY WATER ~ OTFIFI2 ' 6) PIETtSE AOLD APPROVID PERMZT FOR PICK-C~P BY ONE OF ABOVE rV( PLEASE MAIL APPROVID PERMIT TO 1. 2 4, ABOVE (Circ e one) 7) ':r7: • u• ~'r w ~ u- • i • 'ta i n r ~ i u ~ ~ o• ~ ~ o ~ ~~1 ~.r. 1 ..r M.1.~yi~ 1 1 1 : 91: • • 1: 11 1 ~ Y' ' .-FOR -CITY USE ONLY PERMIT # ISSUED y~S Pd w/Bldg. Permit FEES: $ $ /v S~ SEWER PERMIT (INCLUDE SURCHARGE) $ $ /Q SU WATER PERMIT (INCLUDE SC'RCHARGE) $ $ WATER METER/COPPERHORN/OC'TSIDE READER $ $ WATER TAP (INCLC'DE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOUNT DEPOSIT - SEWER $ $ /S• Od ACCOL'NT DEPOSIT - WATER $ D~ • D2~ $ WAC ~7S ~ U $ SAC . $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ /S~ . ZJU $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: S j I• 6 U TOTAL RECEIPT RECEIPT DOES LTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? F__j YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE ENGINEERING 1:3 NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLL0WING CONDITIONS: APPROVED BY: TITLE: DATE: CITY OF EAGAN FOR CITY IISE ONLY 3830 PIIAT KNOB ROAD EAGAN, ?IN 55122 PERMIT # PHONE: (612) 454-8100 RECEIPT # ftCilANZCl4T,; pERMI't DATE: R.ESSDENTIw'. PLEASE COMPLETE DPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS STkiEN PERMITS ARE REQUZRED FOR EACH UNIT. WORK DESCRIPTION FEES NEW CONST ADD-ON MINIMUM 15.00 ADD ON ~ HVAC 0-100 M BTU 24.00 REPAIR _ ADDITIONAL 50 M BTU 6.00 GAS OUTLETS - MINIMUM 3.00 f OWNER NAME: DGrG~ Q,y{t ~6-t't, OF 1 PER PERMIT SITE ~,DDRESS: SUBTOTAL: $ 'So0 STA:E SURCBARGE: .50 LOT: BLOCK _ SUBD. TOTAL: $~S• D INSTALLER: I,Ou/UkrS :~SM46~j e-) A?DRESS: SI NATURE OF PERMITTEE CITY: AZI42 ~QU ZIP: PHONE 3I'7~ COMMERCEAL/INDIIST'RTAT„ PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS, APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMZTS ARE NOT REQUIRED FOR EACH DWELLING UNIT. ° s CONTRACT PRICE: FEES OWNER NAME: 18 OF CONTRACT FEE. STATE SURCNARGE _ $.50 FOR SITE A?DRESS: EACH $1,000 OF PERMIT FEE. PROCESSED PIPING = $25.00 LOT: BLOCK _ SUBD. $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 18 $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) FOR: . CITY OF EAGAN . PERMIT m5fo-51 CITY OF EAGAN 3830 Pilot Knob Road PERMITTYPE: BuiLoZNs Eagan, Minnesota 55123 Permit Number: 0 2 4 8 5 2 (612) 681-4675 Date Issued: 11 / 16 / 9 4 SITE ADDRESS: 1804 WALNUT LANE LOT: 2 BLOCK: 5 EDEN P.I.N.: 10-22750-020-05 DESCRIPTION: ~ (GAS) BU~ilding,permit Type FIREPLACE Building Wa,rk Type NEW ra p~ Uqov ~ QRu W REMARKS: FEE SUMMARY: Base Fee $25.00 Surcharge $.50 Total Fee $25.50 CONTRACTOR: - Applicant - sT. lIC. OWNER: FIRESIDE CORNER INC 16331042 0001068 ADASON TODD 2700 N FAIRVIEW 1804 WAI.NUT LN ROSEVILLE MN 55113 EAGAN MN 55122 (612) 633-1042 (612)688-0471 I hereby acknowledge that I have read this application and state that the infiormation is correct and agree to comply with all applicable State ofi Mn. Statutes and City of Eagan Ordinances. L APPLICANTlPERMITEE IGNATURE ISSUEDBV: IGPATUREYT~ INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: B U I L D I N G 3830 Pilot Knob Road Permit Number: 0 2 4 8 5 2 Eagan, Minnesota 55723 Date Issued: 11 / 16 / 9 4 (612) 681-4675 SITEADDRESS: Lor: 2 BLOCK: 5 APPLICANT: 1804 WALNUT IANE FIRESZDE CORNER INC EDEN (612) 633-1042 PERMIT SUBTYPE: TYPE OF WORK: FIREPLACE NEW DESCRIPTION (GAS) INSPECTION . ROUfiH-IN FINAL F - ~ L ~ 14450t CITY OF EAGAN 1994 BUILDING PERMIT APPLICATION 681-4675 ~ 16 5D SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 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. rate Valuation of work ~O 0n e Address: STREET SUITE # Tenant Name: (commercial only) LOT BLOCK ~ SUBD. P.I.D. it ~ Descri tion of work: Vew-- O.s Y wLc_e_ The appl i cant i s: ? Owner Ipgontractor ? Other (Describe) Name Phone Property LAST fIRST Owner qddress ~9_04 ~--Qh~-~--~ STREET STE # city State r-f`r--~ Zip sal~)aa Company Q~'\`kGa Phone e°l0 Contractor Address Z~-J'_C7 N-21~-~t'v~~ License # 1D1-8 Exp. Cit,y State Zip Architect/ Company Phone 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 apPlication 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 Applicant: PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55123 Permit Number: 0 2 4 8 8 3 (612) 681-4675 Date Issued: 11 / 2 9/ 9 4 SITE ADDRESS: 1804 WALNUT LANE 2~! LOT: 2 BLOCK: 5 J"1 C(L 3l 6 P.I.N.: 10-22750-020-05 EDEN ~ DESCRIPTION: Bu-ilding~Permit Type BASEMENT FINISH B~uilding Wo,~k Type ALTERATION Construction~T, pe V-N Q REMARKS: SEPARATE PERMITS ARE REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK FEE SUMMARY: Base Fee $35.00 Surcharge $.50 Lic. Search Fee $5.00 Total Fee $40.50 CONTRACTOR: - Applicant - sT. l.IC. OWNER: GENE'S OF APPLE VALLEY INC 14232471 0008092 ADAMSON TOD 17705 KINGSWAY PATH 1804 WNLNUT LN LAKEVILLE MN 55044 EAGAN MN (612) 423-2471 I hereby acknowledge that I have read this application and staCe that the infiormation is correct and agree to comply with all applicable State ofi Mn. 5tatutes and C9.ty of Eagan Ordinances. - . ~ ~s _q~t- jocpa 11~21 APPLICANT/PERMITEE SIGNATURE ISSUED 8. SI ATU INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: B U I L D I N G 3830 Pilot Knob Road Permit Number: 024883 Eagan, Minnesota 55123 Date Issued: 11 / 2 9/ 9 4 (612) 681-4675 SITE ADDRESS: Lo r: z B L 0 C K: 5 APPLICANT: 1804 WALNUT LANE GENE'S OF APPLE VALLEY INC EDEN (612) 423-2471 PERMIT SUBTYPE: TYPE OF WORK: BASEMENT FINZSH ALTERATION INSPECTION D. . FRAMING INSULATION OUGH IN PLBG FINAL REMARKS: SEPARATE PERMITS ARE REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK F - -1 L _ -_J CITY OF EAGAN 1411 1994 BUILDING PERMITAPPLICATION ~ 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered sit =plans, f energy calcs. COMMERCIAL 2 sets o f architectural & structu specifications, 1 copy of energy 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 "t~ aOp Site Address: _ 0g (.tJB'F)n/u+_ L!? STREET SUITE M Tenant Name: (commercial only) LOT BIACK S SUBD. ~fC~ ~,~JI1 P.I.D. oc ~.c;• ~C ( Descri tion of work: bCiS~2 rn e 64 y) j S k The applicant is: O Owner G&Contractor O Other (Describe) Name _ACq?1M5bsJ -r-C eV Phone Property LAST FIRST Owner qddress L?14/ rJu+ STREET STE fl City r=74C'E'VV State ~ K) Zip ' Company Ua,c0ljo I )A 1 jm.. Phone 092-DQfa0 L ContraCtor Address lS'w.VV~c.~ ,w. "~NdtLicense # $0q2 Exp. City L14-kavmp State IAA~ Zip Company Phone Architect/ Engineer Name Registration # Address ' City State Zip Sewer & water licensed plumber (AJiISitrvn L i Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply wit all applicable State of Minnesota Statutes and City of Eagan Ordinances. ~ Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE " ~ , - O 01 Foundation O 06 Duplex ? 11 Apt./Lodging X16 Basement Finish ? 02 SF Dwg. ? 07 4-Plex O 12 Multi. Misc. ? 17 Swim Pool ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory 0 18 Comm./Ind. ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace 0 19 Comm./Ind. Misc. ? OS SF Misc. ? 10 Multi. Add'1. 0 15 Deck ? 20 Public Facility ? 21 Miscellaneous WORK TYPE ? 31 New jW33 Alterations ? 35 Tenant Finish ? 37 Oemolish ? 32 Addition 0 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) ~^f Basement sq. ft. MWCC System (Allowable) lst F1. sq. ft. City Water UBC Occupancy 2nd F1. sq. ft. PRV Required Zoning Sq. Ft. total Booster PumP # of Stories Footprint Sq. ft. Fire Sprinkler Length On-site well Census Code y3 y Depth On-site sewage SAC Code a i Census Bldg i APPROVALS Census Unit d Planning Building Assessments Engineering Variance REGIUIRED INSPECTIONS O.Site ? Footing ? Framing cid'Insulation ? Wallboard ,~MFinal ? Draintile O Fireplace Permit Fee vaim:;m: g Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % SAC Units ....,........,..,:.r,:.r~.,<..:::..,.........,....,~.,_ . . . ~>..,~..~...,<.....>:~r>....:. . ; ....,...,r>,..r~,. ~.~~;y.. E.. H:~:;~<. • : ~ : . ~i : ..........:...::...::><:,.<;:;::::•;;:~:,::..... . . .....~:rv c~G4.`:1`?' ~ . . . . . . . . . '~:....a... . . .1 . ...._..:..r..T.,, ~IL j } . . ..a.. r. ...~a::.'_:..>.a.....,...r....:..::~:.~ . ,:,':.:L . . . ..n...'..' ......:::_.v.... '::}~.:1':: 3.~ . : . . . . . . . . . . . . . . . . . . .:..::'o.::....;y'~::'... . . ~ _ v. a. . . ...:.!....a...i~ ~ ...:...:..cc..:...~..:e:.:.... . ...w.,......._. . ......<..w... e ..........:.:.......:.:::c,~..._. ..:>....o-........... ._Y..... ....:.:ae~::i; . . c < . . . . . .~':'~:'.~a::`c..'.Ii;i`y:s'f: . . . ....~...{.~t ...r:::.:....,,:.....,:.r,..,.,r..s..... .::p.:_....,~.<_.:..<o«oj...,......,..........~:. . . . : ~ . . ......_n... ~ ~ ~ ,......r...... t~ .~,,.::,..:~A~.:• ::x:<:. . . .........s.. ...a ......................s......s....~.w..a.m.:............)A:.v.b`:il$......A........ta~..nG:f::3.::.i3).a:ay.xn3q3.5)d: ci..n+n...wn.~~~~.........w` ..s....:>:.:.v.:4'f i•u:~:... _•i..~~.:: i~ a.:.. 1994 PLUMBING PERNIIT (RESIDENTIAL) ~ CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMTTS ARE REQUIltED FOR EACH UNIT. - - - NO. FIX1'URES EACH TOTAL SHOWER 3.00 WATER CLOSET 3.00 s. rro >e- BATH TUB 3.00 LAVATORY 3.00 3. rs-a KTTCHEN SINK 3.00 LALJNDRY TRAY 3.00 HOT TUB/SPA 3.00 WATER HEATER 3.00 FIAOR DRAIN 3.00 _LX GAS PIPING OUTLET • minimum - t 3.00 3. u-v ROUGH OPENINGS 1.50 WATER SOFTENER 5.00 PRIVAT'E DISP. • netay. uc. 20.00 U.G. SPRINKLER • nome Maa ONSG 3.00 AL'TERATIONS • to ctsun8 20.00 WATER TURN AROUND 20.00 STATE SURCHARGE .50 TOTAL: 'ac .Sv SITE ADDRESS: ~O `f (J~-~ • O WNER NAME: ~D CP ~ ~Q GGL cS~ C} ~'L INSTALLER: . ADDxESS: I3(a- C Cko G)p . crrY: r3 CA rf ti~~ u- i~ l~ sra?TE: 111kV ZIP CODE: .5 S~ 3 7 PHONE ( (pc 2 ) SIGNATU OF PERM E I Fo-r Office Use ~ 11 p~7 C~~~ OT L'Q~(]n j # 7J ! V~l(/ j Pertnit ~ La aii I Pertnit Fee: 3830 Pilot Knob Road I 7 ~ Eagan MN 55122 ~ oate Received: Phone: (651) 675-5675 Fax: (651) 675-5694 i Staff: 2008 RESIDENTIAL BUILDING PERMIT APPLICATION ~ Date: ~/°~i Site Address: _ ~f10 ~ W4 ~ ^ Tenant: Suite RESIDENT I OWNER Name: Phone: AddresslCitylZip: ~ Applicant is: _ Owner X Contractor TYPE OF WORK Description of work: Construction Cost: V700 Multi-Family Buiiding: (Yes No ~ CONTRACTOR Name: 6w~nr«,. ~~nr~roc~ia^ License#: ~0s`l~a-/~O v Address:_ q70 11?0^/r^°nd City: S~- PA.-, I State: Mu Zip: S9I4 Phone: +5~L109- 3) 3 e) Contact Person: A COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672 EnCfgy COdO . Residenhal Ventilation Category i Worksheet • New Energy Code Worksheet Category Submitted Submitted 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: Phone: Mechanical Contractor: Phone: Sewer 8 Water Contractor: Phone: NOTE: Plans and supporting documents that you submiL are consideied to be public information. Portions of the information may be classified as non-pubiic if you provide specific reasons that wouid permii the City to conclude that !he are trade secrets. I hereby acknowledge that this infortnation is complete and accurate; that the work will be in confortnance 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 permik that the work will be in accordance with the approved plan in the case ot work which requires a review and approval of plans. i x ItIA',t, X ApplicanYs Printed Name ApplicanYs Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA146190 Date Issued:10/12/2017 Permit Category:ePermit Site Address: 1804 Walnut Lane Lot:2 Block: 05 Addition: Eden PID:10-22750-05-020 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 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 - Todd G Adamson 1804 Walnut Lane Eagan MN 55122 (651) 503-3546 Window Store Home Improvements 2924 Anthony Lane #115 St Anthony MN 55418 (612) 353-5780 Applicant/Permitee: Signature Issued By: Signature