1821 Walnut Lane
' arY oF FA"N WATER SERVICE PERMIT
3795 Pila! iinob Rwd PERMIT NQ.; .
Eagen, MN 55122 DATE:
Zoning: "Z" No. of Units: '
OWfIQ?: - "nriagip 1'LlQ`7nn
AddfESS:
_ . . .
Slte Addrcss: ) p?1 ~,a].iiut I.~;i(- I'! ; 72 ^~.cien Adc'...
Plixrtber. _ " n? „7 , + *
Meter No.: Connection Charfle: 4 5`1
Sixe: Account Depostt:
Reader No.: Permit Fee:
1soree to oomolp wob Me City ef legon Surcharge: '
Ordiwenoa. Misc. Choryes:
Toto?:
BY Dats Paid:
Dote of Insp.: Inap.:
ciTr oF EAGAH SEWER SERVICE PERMIT
3745 Wlor d(nob Rosd PERMIT NO.: '
9090D. lUN1 $5122 DATE: ~
Zonirg:
No. of Units:
Owner: tT~.
Addrcss:
ite Addrass: ' t 1-;-~~ t^~
Plumber:
~nlr" M oomply wilh tM Gtr of EaOaA Connectlon Charne: I
Ordinenat, Acccunt peppait:
Permff Fee:
BY 5urchorpe:
Misc. Chorges:
Dote of Insp.: Tald:
I nsp.: Date Paa.
I
_ ~
CITY OF EAGAN
. ~ ~7!! Mfet K~ RMd Ea~ae, MN ss12! , ~ -
7~, J u
~HONL: ~54-~100
BUILDING PERMIT Recelpt # J ~
Te M w~d hr SF DWG/GAR Est. Value 563.00~ Oate Ar~1 2R 19 R"~
~y~ ~rc~ - 1821 WaLnut Lana Enct ~ Occuponcy _~_3
Ler 25 B~ock 2 Sec/Sub. Eden Adaition N~te• p Zontnp R_7 lpn~
pa~~ # 10 22750 250 02 Repoir Q Firc Zons ?se
Enlarps ? Type of Const. V
W ~yp~ ~dnttinstn Vang~an Mpve ~ # Stories
~ ~ddross~r33R N E.~iadiaan St~ Der„o~i~h ? Lengthl~8
C~ ~ p~~ 6rode ? Depth ~_Sq, Ft.
Narrk Chester M~ciaazeti AP~O"a~ F~
,~,~~e~ 16711 Dakota Street Auess?„e~~ Permit 33L
Ci Anoi~ 55303 phone 421-1814 ~Neter b Sew. Surcharye -3~±,_5A-
G~ Police Plon check 1~A . Sfl
~Z Noma Fin 511C - 5~ 5_ Il[l
Addreas Enp. Water Conr~,~,~Q,~_
~ W G pE~ Plonner Water Mete~ 6~ _ nn
Co~?,cn Rood u~~r ~5n ~n
I hercby ackrwwtedpe that I hnve reod this opplicetion ond state that Bidp. Off.
fhe informotion is oorrect ond agree 4o tompiy with oll opplicobk
Stott of Minnesota Sfotutes ond City of Eogon Ordinorx,es. ~ Total S 1 R^ 4 nn
Sipnotum of Permittee
A Build~ny Pennit is issued to: ~hester Maciaszek or, ff,. e~.~ss oa,d~ria, ~r,~,~
oll work sholl be done in aocordonce with all opplioobl~ SMte of ~r~ota Statutes ar+d Gty of Eopan Ordinoncei.
BuUdnp Officiol G.i .J
Pwmit Na Pnmit Holder Miw. Permit No. Holder
PiumWn9 0~ II~,~ T~ 5'17`
ri.v.,?.c. 3-7or~ pvwu
w.a.
Disp•
Swvw
El.ce.ic w&JqqGt( 3 wa EIFC~ (~-3--fs3 nK 77
~
Irapeitfon Daft Insp. Uthw
Footlnps -4s?
Foundation
rM 61-71-13
p. _ )1d3
Rouyh HVA
Insulation Fiml PIb4
Final HVAC '
Final
Wobr Ofteribe Loeatlon:
IMNI
Saww
Pr. Dimp.
This request void
(zn
18monthsfrom
W 064964
Reques te Fire No. Rouph-in
7on,
/dRoady Now UI1V ufy. MsPec-
( U es ? No tor Wh n Heady
tLwner icensed Electrical Contractor 1 hereby requeat inspection ot above
electrical work inatalled at: : /4Sqr SU
Street ress, Box or Houte o. . City
L-~n ~a e
ecUon o. Township Name or No. Range No. Countrp y c cupant. INT) Phone No.
A
ower Supp er ~ Address
Elecvical ~ractoDany N~, Con ct r~ ~ o I
Mailinp T0&5's19Co trec or OwnerfAakine nstai ationl
&J l~/tJ~ ~ no~2 ss 30
Authorfzed Si ature ICo ctor Owner Making tnstallationl Ph i '
90
MINNESOTA ATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WI L NOT
GriD9s-Midwav Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARO
1821 University Ave., St. Peul, MN 56704 UNLESS PROPER INSPECTION FEE IS
- Phone (612) 297,2111 ENCLOSED. ~
REQUEST FOR ELECTRICAL INSPECTION EB-00001.04
_ ' See imtructions 1or compieting this fwm on back of yellow copy.
% w . 6
X Be ow 19 Mered by This Request
Now Add Rep. Type ot Building Appliancns Wired Equipmenl Wired
Home Range Temporary Service
Duplex Water Heater Lightin, Fixtures
Apt. Building Dryer Etectric Heatin
CommerCial Bldg. Furn2ce Silo Unloader
Industrial Bldg. Air Condrtioner Bulk Milk Tank
Farm lher peci y .thEr (SUer,ify)
t er .peci y t er Other
ompute lnspectlon Fee 8elow
N Fee ServicaEntronceSize # Fee Feeders/Subfeaders ~ Fee Circuits
U to 200 Am 5 0 to 30 Am 5 0 to 30 Am ]S
Above 20 _qrnps 31 to 100 Amps z 31 to 100 Amps
Swinxnfng Pool Above 100_Am s Above 100_.Am
Transdormers Irriyation Booms i Partial Other Fee
Signs Special Inspection $ liemnrks NN TAL
7
RouBh-in Dj)te y the Electrieal
Cj v~ Inspector, hereby
certity that the above
F1nal y 'nspection has been
mede.
Thle rsQUeal roid 18 moMha trom
Raoeipt ~MECHANICAL PERMIT Permit No. -7/ !
CITY OF EAGAN Fee
Fil1 in numberied s,naces S/C > f Type or Prini legib/y Tot.
"
1. Date ' 2. Installation Cost
3. Job Address LotBlk. ~ Tract
4. Owner
5. Contractor • _ Phone
6. Addreu
7. City State ZiP
8. Building Type: Residential ? Commercial ? Institutional ?
9. Work Description: New ? Add ? Alter O Repair ?
10. Describe Fuel Type `
11. No. Eauioment BTU - M. Ea. No. EQUiament CFM
Forced Air Air Handling:
Mfg.
Boilen Mech. Exhaust
Mfg.
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outleu
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for
Rough Final
Inspections: Date Insp. Date Insp.
This is yoix permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
I
Receipt PLUMBING PERMIT Permit No.
CITY OF EAGAN
Fse
Fill in numbered spaces S/C '
Type or Print ItgiWy Tot.
1. Date 'ti' 1 2. Installation Cost ~
, t, ~ ~
3. Job Address 1 U!;t i r? u" Lot~Blk. ~ Tract
4. Owner ~4 f' r1,-1U ~ VOt i 1.:~ ( ; - j;•1 n
5. Contractor Phone • % ~ ~r ~ 1"3 ~
6. Address ~~.7 d /f-ad-6.u~ Gr
7. citv ~`1`~.3.,r state zip
8. Building Type: Residential O Commercial O Institutional O
9. Work Description: New ? Add ? Alter ? Repair ? j
~
10. Describe ~
I
~
11. No. Fixtures No. Fixtures ~
- - ,
~ . Water Closet Cesapool/Drainfield
Bath tubs Septic Tank
Lavatory Softner
Shower Well -
Kitchen Sink . ~
Urinal/Bidet pttrer
~ Laundry Tray ~ •
Floor Drains ••f ~ ; , , ,
Drinking Ftn.
Slop Sink -
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : T ~~4,)- - / for
Rough Final
Inspections: Date Insp. Dete Insp.
This is your permit when numbered and approved.
Approved • CITY OF EAGAN 464-8100
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: f++s~ i
3830 Pilot Knob Road Permit Number: t•,l 1 ~
I
Eagan, Minnesota 55122-1897 Date Issued: , ~ ~ ' ~ • '
(612) 6$1-4675 !
SITE ADDRESS• APPLICANT• I
' ! I . .'t, tct u~ ~ • I
~ . 1 N11'f t AMF
~
PERMIT SUBTYPE: TYPE OF WORK:
~ r•i t ~ ~.J ~ i i :k i ~
INSPECTION D• P • D, i
l_~ ~
Permit HoWer Dete Telephone #
PLUMBING
I HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING VA00 AW5
i ROpFING
I ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPIACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL 9rY JVU
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
corvoucTivirr
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
OECK FINAL
CITV OF EAGAN Remarks
Addition Eden Addition Loc 25 eik Z Pareel #10 22750 250 02
owner K 'y 1,9/ , sveei 1821 Walnut Lane siace Eagan DN! 55122
Improvement Date t524.22 Annual Years Payment Receipt Date
STREETSURF. ~S"D 1982 454.23 5 1362.69 A012154 5-4-83
STREET RESTOR.
GRADING (c ) 1982 104.84 31 .5 A01215 5- - 3
SAN SEW TRUNK SEWER LATERAL 1982 754-30 5 PPAP - Qn it it
WATERMAIN
~ WATER LATERAL 1982
WATER AREA ~
• Services 1982
STORMSEW TRK 7, 1982 487.61 97.52 5
~ STORM SEW LAT 1982 5
CURB & GUTTER
SIDEWALK
STREET LIGHT
2 0.00 1551o.' 4-28-8
WATER CONN. 450.00 to it
BUILDING PEfi. 7956
SAC it ti
PARK
' • CITY OF EAGAN N~ 7956
3795 Pilot Knob Rood Eegan, MN 55I12
PHONE: 434•8100
BUILDING PERMIT Receipt #
Te ba und }ar SF DWG/GAR Est,yalue $68,000 pate April 28 1983
Sire Address 1821 Walnut Lane
25 2 Eden Addition Erecr ~ OccuPancy R-3
Lot Blotk $ec/Sub. Alter ? Zoning R-1 (PD)
Parcel # 10 22750 250 02 Repoir ? Fire Zor+e NA
Enlorge ? Type of ConsL V
W Name NoxmBri VdRQOn Move ? # Stories
; Address 4338 N.E. Madison St. De,,,olish ? Length 48
0
Ci Mpls. 55421 phona 788-6144 Gmde ? Depth Z$ Sq. Ft.-
o Name Chester Maciaszek Avmorals Fees
OU Address 16711 Dakota Street Assessmenf Permit 337.00
Cit Anoka 55303 phone 421-1814 Woter 8 Sew. 5urchar9e 34.50
Police Plon check 168.50
~wZ Name Fire $AC $2$.00
F
x3 Address Eng. Water Conn4 50.0(1
Ci Phone Pionner Woter Meter 60 . 00
Council Rood Unit 250.00
I hereby ackrwwledge thot I have reud this application and state thaf Bldg. Off.
1he information is wrrect and agree to comply with all opplicoble $1s25.~~
Sta1e of Minnewlo Statutes and Cify of Eogan Ordirwntes. APC To1al
Sipnalure of PertniMee
A Buliding Permil is issued to: Chester Maciasz ek on fha express condifion thoi
oll work sholl be done in atcordance wilh all op[p/ l~icoble /S~qte~ ,ry -innew-ta Stafutes ond City of Eogan Ordinances.
Buildinq Officiol
ST~@ . ~~Pf
L/G OF EAGAN Include 2 sets of plans,
7Q~ 1 site plan w/elevations &
ff_~~NG PERMCT APPLZCATION 1 set of energy calculations.
To Be Used For SF valuatior(,/.ort~ /1 Date ~112
.
Site Address: _IS'Z / (.c/q / NA `r L~4N iF- OFFICE USE ONLY
i.ot 2,f sioctc 2 sec./sub. C4N 5M Erect occupancY
Parcel so O~ Alter Zoning
Repair Fire Zone
Owner: ~O//11liN Enlarge Type of Const. i
~ Move # Stories
Address: /m,ac/<s e.o ir DPmolish Fmnt ft.
City/Zip Code: Grade Depth ft.
~ Phone # : P,PPROVALS F'EES
Q~
Contractor: Assessments Pexmit
Address: Water/Sewer Surcharge~~
Police Plan Check
City/Zip Code: Arvo/%f Fire SAC S~
Phone zJ12,( Eng . Water Conn. ya-o -
Planner Water Meter
Arch./Eng.: ~)Qw 14 i1 C/qSL-QIT Council RDadUnit a(~
Bldg. Off. ~
Address: APC
City/Zip Code: A.va/fij-
Phone -?s~f ~Sl ZCYI'AL - ~~a~ ~ O 0
AOBE ' ' ' .
PflWINC(RING `~LANHtAi i~A [AMDiUAVtyOAf
COMPANY, ING. %.....~1000 Wt 1491h fTl1[[T, lU11N3VtLL[, MINN[SOTA 53337 ?H 432-3000
cc,l
LOT 251 13(_OCK2, EpEN ADDI'rIO1J, DAKlJTA C,CdaNN,
• M INNESO TA.
N~904e, Z,NE
/VORTN
SCALE I "=q0" 'HEARINGS SHOWN ARE ASSUMEG
J'e
p
~
5.
(004
o0_
\ ~
O\ y`i'~
PROPoSe.0 GARA6E EIEVMT1UNs
(93z 14 6 ~NE
DENOTES DIFtECTiON pF
SURFACE DR4fNAGE
~
2hertbr certity that thi.r is a true ind coz7vot reprotentation ot a traot ot
1& d as shown'and Cdascribed h*rson.,, A# prop4red Dy fie on thie e.r ot
r i V • ~ 1 ~ W . . .
M f w w 7 n• tlo 600
.
. ~ 17XTFRi(1R F.NVFi.pPF AVF.RAr,q 'stT" (Y1Mpi]TATION .
owxFR_
srxFFr
OnNTRA('!C)R i7ATE _PfiONE
netermine cvorking aquare footage ef each.
1. Total. expeaed wa11, area..... -izk_sq, ft. x•19 _ 2''j 40
Tntai roef/ceilinR area..... sq, ft. x'04 ~}7•D
•Tetal. expoaed wal.l area above fl.oor
A. Total wa11 window area
R, Total. Aoor ar.ea..
C. Tota/. aliding Rlase~tonr area:~{
n s:........
. Tota1. firepl.ace wa11 area.... t . . .
E. Total wal.l framinR area (averaql07'.)
F. Tntal. net wall. area abeve fino................ DU143-
Total rim ioiet area..........
Total expoaed fou ation area - 'a
H. Total foundation window area...~.:,.....,,,,,,. '7,/L
I. Total net feundation area above grade........ e6.Z Z•
Aetermine "U" value of each wall aegment.
A./~M,. (~7 x "U" `5 5-
B.R "Urr ~
C. g nUn ~
D. x "Un ~
E. IIL x "TJ"
F. ! 008 x nUn 07 0+ X
-AOL 3~z
x n1Jn ~0(. •
H. 7.17- a"U" .y5
~
i~
3 .;.;........Total ~ 1 44,~ Z
If Item #3 is the eame ae, or leae tItem #1, qou have met the•intent of SBC 6006(02. •
, ' ' '
• r , V~
°f • ' •:y , . , . ' i 4 •.'k'
:
~
Total exposed roof/ceiling area ~ II7 ~
J. Total akylight area -
K. Total roof/ceiling framing area (average~l0'L),
L. Total net insulated roof/ceiling area......... 1o S B,.4-
Determine "U" value for.each roof/ceiling aegment.
.
J. ' x
R. x"U" . OZ Ob
L. 5 x !'U" .OI off 19_
4 ..........Total
If total of #4 ie the same ae, or less than #2, you have met the intent
of SBC 6006(c)1. j '
.
Alternate Building Fsnvelope Deaign
e~
+ s.
44-
3. IC+. qZ + 4. Z 1, O~
,
~ .
~
'
d . . . '
, ` d,y . . . . ' . . . . .
PERMIT
CITY OF EAGAN
3830 Piiot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 0 3 2 3 2 7
(612) 681-4675 Date Issued: 0 6/ 2 6/ 9 8
SITE ADDRESS:
1821 WALNUT LANE
LOT: 25 BLOCK: 2
EDEN
P.I.N.: 10-22750-250-02
DESCRIPTION:
egress window
Building Permit Type SF (M2SC.)
Building Work Type ALTERATION
Census Code 434 ALT. RESIDENTIAL
,
r
/
,l ~ ~ , ' - . ; ~
.
REMARKS:
PLAN REVIEWED BY JOE VOELS.
FEE SUMMARY:
VALUATION $500
Base Fee $21.00
Surcharge $.50
Total Fee $21.50
CONTRACTOR: OWNER: - Applicant -
STIEBNER TIM
1821 WRLNUT LANE
EAGAN MN 55122
, (612)452-7435
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicable 5tate of Mn.
Statutes and ty of Eagan Ordinances.
APPLICANT/PERMITEE SIGNA7URE IS UED B: 4AT E
Z~ 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITIt OF EAGAN
V 3830 PII.OT KNOB RD - 65122
681-4675
New Construction Reauirements RemodeVReoair Reauirements I~
? 3 registered site suneys ? 2 copies of plan
? 2 copies ot plans (inGuGe beam 8 window sizes; poured fid. desipn; etc.) ? 2 site surveys (exterior addRions & dedcs)
? 1 energy plculations ? 1 energy calwlations ior heated addkions
? 3 copies of tree preservetion plan M lot plattad after 711193
required: _ Ye No
DATE: Ll'f~98 CONSTRUCTION COST;
DESCRIPTION OF WORK: ~~SS ~~~LdOW
STREET ADDRESS: I
\.~T: ~ BLOCK: ~ SUBD./P.I.D. ~GTeLi / 114k,
I ',I ~r~ /I 7 1
Name: S]`1 GJher ! t (/Vl Phone
PROPERTY l.ast First
oWNER
Stree[ Address:
City ~ State: V Zip: ~~~a~
Compan
Y: PhoneH:
CONTRACTOR
Street Address: License #
cib State: Zip:
ARCHITECT/
ENGINEER Company: Phone
Name: Registration
Street Address:
City State: Zip:
Sewer & water licensed plumber (new construction ony): . Penalry applies when address chang
and lot change is requested once permit is issued.
I hereby acknowledge that I have read this application and state that the iniortnation is correct an a e o comply with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applican :
OFFICE USE ONLY RECEIV D
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required BY:
S x •
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ~Basement Finish
? 02 SF Dwelling ? 07 4-plex ? 12 Multi RepaidRem. ? 17 Swim Pool
? 03 SF Addition ? 08 8-plez ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-plex ? 14 Fireplace . O 21 Misceilaneous
05 SF Misc. ? 10 = piex ? 15 Deck
WORK TYPE fer s c..<;
/
? 31 New O' 33 Alterations ? 36 Move
O 32 Addition ? 34 Repair O 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MC/WS System
(Allowable) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code.
Depth Footprint sq. ft. SAC Code o/
Census Bldg /
Census Unit ~
APPROVALS
Planning Building Engineering Variance
Permit Fee ~ Valuation: $
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Pertnit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122 S (~c 0, S v
? ~ ~d (651) 681-4675
~ e! OI
New Construction Requirements Remodel/ReDair Reduire n~ 10'
? 3 registered site surveys ? 2 copies of plan
• 2 copies of plans (indude beam & window sizes; poured fnd. design, etc.) ? 1 site surveys (extenor additions & decks)
? 1 energy calculahons • 1 energy calculations for heated additions
? 3 copies of tree preservation plan rf lot platted after 711/93
required. _ Yes/ o /
DATE: CONSTRUCTION COST;
DESCRIPTION OF WORK: &5-0ktCk
STREETADDRESS: ~So2' (Jci IGlt,tl tsivl12-.
LOT: ~s BLOCK: a SUBDJP.I.D.
Nar„c:_ Pi S-
f -
PROPE2TY
l)WV LR Slicet Adilrcss:---p~ ~v9_LL---------
-
C,L> sc,«: m - - iil):
- ~
---JfA8 - -sia
Cump:uq':-------------------------------------- Phuuc 9:
COX'fR:1Cl'OR
Strcc[ Address:-------------- - [rccnse X
Cii}' State: %ip:
ARCHITECT/
GNGINEER Cumpauy:---------------------------- Plloitc
\5unc:------- 12cbristration
Strcct Address:------
Ciiy Statc: 7_ip:
Sewer & water licensed plumber (new construction only): Penalty applies when address
change and lot change is requested once permit is issued.
I hereby acknowledge that I have read this application, state that the information is correct, and a r mply with all applicable
St:ie of Minnesota Statutes and City of Eagan Ordinances.
, Signature of Applicant: `
OFFICE USE ONLY
Certificates of Survey Received _ Yes K No
Tree Preservation Plan Received _ Yes k No ~ Not Required ~ Z'~9~
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging 0 16 Basement Finish
? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
_b]~'05 SF Misc. ? 10 _-plex O 15 Deck
WORK TYPE
? 31 New -b<'33 Alterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. Census Code t-13 I
(Allowabie) Main level sq. ft. SAC Code ol_
UBC Occupancy sq. ft. Census Units I
Zoning sq. ft. Census Bldg U
# of Stories sq. ft. MCNVS System
Length sq. ft. City Water
Width Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Building (S6 Engineering Variance
PermitFee 60.50 Valuation: $ 1200
Surcharge _
Plan Review ~ License I
MCNVSSAC 'S ~1'--R'4-,M1. pC^ 73^
City SAC t"M
Water Conn. ,
Water Meter
Acct. DepOSit I Npt'-'a T?PtOTHY J. ST?F'+\~R
S/W Permit ~
S/W Surcharge 32t0 ?Cp2 ;R:R ; N1AiNul _IJ ( 7.c3 ~
Treatment PI. , 2- S~ 9001. i.6?+. WPd.NU 1 L.r!
Park Ded.
Trails Ded. , ~ .
Other
Copies ~
Total: 60. S
% SAC
SAC Units 'n~:;21 RECecP" ~ec•_,'... t~~ -
CR•~i,9gr9
i' I.ISE:F% Ua JAN
~ CITY USE ONLY
L BL 14- RECEIPT il:
SUBD. RECEIPT DATE: L'd CJ
PERMIT#
2000 PLUM$INH PERMiT (ii£SIDENTIi4L)
crrYoF ewswx
3830 eaoT Kxoa sn
gwsnN, aac+ 5512E
651-681-4675
Please complete for: > single family dwellings
? townhomes and condos when pertnits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES EACH # TOTAL
Alterations to e isting dwelling - minimum fee
Describe: 0.AQ:W`x~,~ v~i S~ $ 30.00 U!\
V
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas i in outtet ' minimum - 1 3.00 x = $
Hot tubls a 3.00 x = $
Kitchen sink 3.00 x - $
Laund tra 3.00 x = $
Lavato 3.00 x = $
Se tiC S St0f1'1 new/refurbished ' re uires MPC Ilc. 75.00 X = $
Se tic S stem aoandonment 30.00 x = $
RPZ new installation/repairlrebuild 30.00 X = $
Rou h o enin 1.50 x = $
Shower 3.00 x - $
Under rounds rinkler ifdwellin isunderconscn,ction 3.00 x = $
Under round s rinkler ifexisun dweuin 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $
Water soRener if dwelling under construction 5.00 x = $
Watersokener ifexisNngdwelling 30.00 x = $
Water turnaround 30.00 x _ $
State Surchar e .50 $ .50
Total S 30 -
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
I hereby acknowledge that I have read this application, slate Nal the information is wrtect, antl a9ree to comply with all applicable Cily of Eagan ordinances.
It is the applicant's responsibility to notify the properry owner Ihat the Ciry of Eagan assumes no liabiliry for any damages caused by the City during its nortnal
operaUonal and maintenance aclivities to the facilities consWCted under this pertnil within City property/nght•of-wayleasement,
SITE ADDRESS: 0,2I '^)4I41u~ ~A~e--
OWNERNAME:: ~bvl 'F STI&V1e1- TELEPHONE#: rOS Z15, -713-S
AREAC DE)
INSTALLERNAME: 11m S~~ite-? (I'w~'HPbW~P,~ TEL HONE#:
STREET ADDRESS: Ihuf zl~~ he- (AREACOoE)
CITY: fGSTATE: Vv' N ZIP:
.
SIGNATURE O PERMITTEE
I ----------------i
I For Office Use
City of Eapn ~ Permit#
4k
I PermitFee. ~
3830 Pilot Knob Road
i
Eagan MN 55122 i oate Received: " i
Phone: (651) 675-5675 Fax: (651) 675-5694 I Starr f. I
i ' i
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: ~ ~ / ~ ~ ~ ~ ~i ~ ?L~
Tenant: Suite
RESIDENT I OWNER Name: r?1 i Q 4~ Y1,P !c Phone:
Address / City / Zip: ~G 4 ln n VV) /\J
Applicant is, _ Owner _i~`Contractor
TYPE OF WORK Description of work: /A inn'Si~C ~
Construclion CosC Multi-Family Building(Yes _ I No_~e_l_j
CONTRACTOR Name: Le V,~ )-JC C.(Inc/rucb D dV License#: aO
Address: 3 )
Cify: O)IJ Stale: Zip: SSL/
Phone: /S/)-~ Contacl Person: -k
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilahon Calegory 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
(V submission type) • Energy Envelope Calculations Submined
In the last 12 months, has the City af Eagan issued a pertnit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: P/ans and supporting documenfs thaf you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons thaf would permit the City to
conc/ude that the are frade secrets.
I hereby acknowledge that this information is complete and accurete; that the work will be inconfortnance 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 requves a review and approval of plans.
X Z el/d, ~ X ,
ApplicanYs Printed Name ApplicanPs Signature
Page 1 of 3
,
City otBakan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
1
Permit #: 4713 0
Permit Fee: ``? b
Date Received:
Staff:
2010 RESIDENTIAL PLUMBINGPERMITPERMIT APPLICATION
Date: 41I LD 110 Site Address: /Ca ( � htti4 Lane, / S/?
—gym S--jebt�
Tenant:
J
Suite #:
RESIDENT /OWNER
Name: �.---I } ✓t, 9t�Yten Phone: G51--.2490-S63V
_i
Address / City / Zip: IfQ.1 (.1 v1L-tT 4,HR__ Eq.Qq V\ /6 2 0�
CONTRACTOR
Name: License #:
Address: City:
State: Zip: Phone:
Contact: Email:
TYPE OF WORK
_ New Replacement Repair Rebuild Modify Space Work in R.O.W.
_X _ _ _ _
Description of work:
PERMIT TYPE
RESIDENTIAL
Water Heater Water Softener
Lawn Irrigation Add Plumbing Fixtures
( RPZ / PVB) ( Main Lower Level)
_ _
Septic System Water Turnaround
New
_
Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation
$50.50 Add Plumbing
*Water Turnaround
$100.50 Septic System
$90.50 Fire Repair (replace
(includes $.50 State Surcharge)
Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge)
(add $166.00 if a 5/8" meter is required)
New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
TOTAL FEES $
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.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 . a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans
Applicant's Printed Name
FOR OFFICE USE
Required insi
Applicant's Signature
Reviewed By:
gtti-In _„_,,Air T