1839 Walnut Laner-
0
0
0
c
no
cv
CityofEaaaji
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
Date: - / - a0 / Site Address:
Tenant:
Staff:
INFLOW & INFILTRATION PERMIT APPLICATION
X Plumbing / Sewer & Water
Use BLUE or BLACK Ink
J d
Permit #: J 00/6
Permit Fee: - 03
Date'Recfived: 7--/9-11
Suite #:
/P39 1,0ALA'uy L4- E E4 &4,u, 5 5 /9Z,Z,
RESIDENT / OWNER
CONTRACTOR
TYPE OF WORK
DESCRIPTION
Name: J w PA Es p C.W)T / pL Phone: ta $ /'-o�3 ?" 9,jS/
Address l City / Zip: f 8 3 1r u L/O {, r Le five &9 6-f4 A) S
Name:
License #:
Address:
City:
State: Zip: Phone:
Contact Email
PLUMBING (Within the building envelope) SEWER & WATER (Outside the building envelope)
X Sump Pump Repair
Repair
Other:
Other:
Description of work: l ?EPLGE `200,81.E // ?/ ,v6 a ,7 / Gth
111'1106- ( i 4 Jvb t setfigkr b c s Se
FEES
$55.00 / Each (includes $5.00 State Surcharge) (Rev. 6- 30-10)
TOTAL FEE $ 6 *
*Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit Ul repair costs for
reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors
can be found by visiting www.citvofeaoan.com/inflow, or City Hall at 3830 Pilot Knob Rd.
CALL BEFORE YOU Old. Cali Gopher State One Call at (651) 454 for protection against underground utility damage. Call
48 hours before you intend loidig to receive locates of underground utilities. www.aooherstateonecallorg
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 l understand this is not a permit, but only an application for a permit, and w... ' = tart without a
permit; that the work will be in accordance with the approved plan in the case o \ work which requires - iew a �: approva plans.
Applicants Printed Name ` /
CITY OF EAOAN WATQ SERVICE. PERMR
3830 Pilot K nob Rosd 7 6 l?
P. O. Bo `11198 PERMIT WO.:
EsW, MN 58181 DATE: ' -
1.
ZordnQ: 1 No. of Units:
Ownw; .Tuc r!il-Le.r ConsL.
Addtim Sft Addr.a iTi t I te 1,79 ,1 Fc:en A('.dt..
Plun+ber. ; ~ i?_ ttier ?l
M~hr No • : 500. 0(Dci
Size: ~ r: ] 5 . pd
i . ~ . !111nd
Reodsr No.• ~Trll
~ !C„ LiF~i~~Ll~~
E ~
~ Totd: 63 _ 5npr1
By ~ 7p~. p~; renalty 1~~ nr,,,
Dah of Inrp.: . Inap.:
CITY OF EA(iAN srfm sUMCE 'LVMR
3830 Pilot Krab Rwd ; -
P. O. Box 2119A PERMIT NO.:
Eagan, MN 55121 DeATE:
Zoninp: Na of Units:
Owner. • t ; 1; , r .
Addron:
SH7 A1MIom P1um1leC ' ' -
_ . . ,
1"M NmowIr wrMO IM q!y of i"w ConrNetion Oaw:
aah....... A««,nr avorc:
Prrmif Fn:
Surdorp:
By Mlsc. CMp'ft ~ C
Dob of Insp.: Totd: -
In4.: Doh Psid:
. ' - - . - ' t - -
~ CITY OF EAGAN ~ ~ ~ $
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:454-8100
BUILDING PERMIT Receipt M
f To be used ta SF a~tfG/GAR EsL Va4ue $63,000 Date APRZL 3~ .19 -airi-
SiteAddress---183A WAI-ti[IT L.N Erect CIL Occupancy ti..3
Lat Z ti Block i Sec/Sub. Pn N ADDITION Remodel ? Zonin
Parcel-No. Repair ? Type of Const
Addition ? No. Stories
i a JOSE~H '~'l7LLE~ CONST Move ? Length 46
Name
= 1$13 3 C ED rsR AVE SO Demolish 0 Depth w e
o Address Int Impr. ? Sq. Ft
~ City FARMT!1(j)6j{dW 431 -2001 Install ?
a ' Approvab Fees
= o Name SAR7F
~-C Address Assessment Permit $ 322.00
Ciry Phone Water & Sew. Surcharge 31 50
Police Plan Review 161 • 00
~ W Name Fire SAC 00 '
~ n Address Eng. Water Conn. 500 - 00
i W City Phone Planner Water Meter 64- Sg
Council Road Unit 290• O l!
~ I hereby acknowledge that I have read this application and state that the 9
gld . Off. 9I3 0I 8 Tr. PI. I`-~ 6- 0 0
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances. APC Parks
` Var. Date Copies
I E Signature of Permittee k'e TOtal $21099• U U
A Builing Permit is issued to: 'JOSEPH .lILLER CONST on the express condition that
all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Otticial
PannN Mo. PwmN Holdw OeN TMphen~ M
noun6ma 7
N.VA.C._
EleaMe ~ I
Solhmr
Iropeclioe DaM Insp. Commwb
ll
Fo~ , k
F..~,*,q
R~ yti ur-,¢
Rouyh ~ep. R«ua~ F+a. i~i. ~ fa,
Fkepla"
Final Hlp. ~
i Flnal Plbg. _
' Bldp. FMuI
CM. Oet.
I~I Doek Ftp
I Dimk Frmq.
11YN1
Pr. W~p.
~
PERMIT # ~
, . . • ' PLUMBIN(i PERMIT
CITY OF EA4AN RECEIPT #
9e30 PILOT KNOB ROAD, EAGAN, MN 55721 DATE
CONTRACT PRICE PHONE 454-8100
Site Address i"-7 ~ BLDG. TYPE WORK DESCRIPTION
Lot-00 Block Sec/Sub 'J -
Res. ~ New m Name ~ Mult Add-on
Address Comm. Repair
~c° CRy Zf _ Phone Othe?
~ NO. FIXTURES TOTAL
Name . 'Water Closet - $3.00
3 Address Bath Tubs - $3.00
p C i t y "h - P h o n e ' Lavato ry -$3.00
Shower - $3.00
FEES Kitchen Sink - $3.00
COMM/IND FEE - 1% OF CONTRACT FEE Urinal/Bidet -$3.00
MINIMUM - RESIDENTIAL FEE _ $1p,pp ~~undry Tray -$3.00
MINIMUM - COMM/IND FEE _ 20.00 ~F~oor Drains -~1.50
--L-Water Heater - $1.50
STATE SURCHARGE PER PERMIT - .50 Whirlpool _~00
(ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets - $1.50
BEYOND $1 A00.00) Softener - $5.00
wen - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
31(3NATURE OF PERMfTTEE FEE
STATE S/C: FOFt CITY OF EAGAN GRAND TOTAL:
PERMIT M
• ' . MECHANICAL PEAMIT RECEIPT # C)
' CITY OF EAGAN
~J 3630 PILOT KNOB ROAD, EAGAN, MN 53141 DATE
CONTRACT PRICE PHONE 45"100
Site Address ~ rt r . • . •
BLDCR. TYPE WORK DESCRIPTION
Lot Block Sec/Sub
~ Res. ~ New `
m Name Mult Add-on
~ Address Comm. Repair
c City' Phone pther
Name' FEEB
3 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
ADDITIONAL 6 M BTU - 6.00
TYPE OF WORK f, . GAS OUTLETS - 1.50 EA.
Forced Air M BTU COMM/IND FEE - 1% OF CONTRACT FEE
Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00
UnR Heater M BTU MINIMUM - COMM/IND FEE - 20.00
Alr Cond. M BTU STATE SURCHARGE PER PERMIT - .50
Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES
~ BEYOND $1,000.00)
Gas Piping Outiets #
Other
FEE
S~~ , SlGNATURE OF PERM EE
TOTAL•
FOR CITY OF EAGAN
CITY OF EAGAN Remarks
Addition Eden Addition Lot 29 eik 1 Parcel #10 22750 290 01
Owner ~ Street 1839 Walnut Lane State Eagan NW 55122
Improvement flQ22 Amount Annuel Years Payment Raceipt Date
STREET SUFiF. 2271.15
STREET RESTOR,
GRADING ' 040 1 24.22 ].Qh. S4
SAN SEW TRUNK -a J
i SEWER LATERAL -
WATERMAIN
f WATERLATERAL 1982
WATER AREA
0 Services 1982
STORM SEW TRK - 182 [487.61 97.52
* STORM SEW LAT 1982
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
? INSPECTION RECORD j
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued: ' •
(651) 681-4675
~
SITE ADDRESS: , „ f . APPLICANT:
, kIOr I AMr•
• . . ~ , , i . ~
PE,RMIT SUBTYPE: TYPE OF WORK: ~
INSPECTION . .A
I
~iJ
~!illl,ll 1 N I'I Fli. I N f,t I
r11'i ? I'~' I i t,l 1(I t: f I.1 11 i' N t 1<+ I I 1 f 1,'
.tVfRATE PFkMII k?'001 I"tF11 InH ANY F'IIIMN1Mii WikF
~ ~ ~
I SEWER/ Pwn11t Holder Dats TebphoM
~ WATER
I PLUMBING
I HVAC
i kwPoc*m Dow kwP. Commants
I FOOTINGS
~ FOUND
I
~ FFtAMINC3
i ROOFING
~ ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
I ~ T VC
~
I INSUL
GYP BOARD
~ FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG ~I
FINAL HTG II
ORSAT ~
TEST
BLDG FINAL '
OOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONOUC7PATY ~I
TEST
HYDROSTATIC I
TEST I
BSMT R.I. I
I
BSMT FINAL I
DECK FfG II
DECK FINAL I
-
~ CASH RECEIPT ~
• , , CITY OF EAGAN
. 3795PILOT KNOB ROAD
EAGAN, MINNESOTA 55122 i
DATE 19
! .J
RECEIV6O
FROM
AMOUNT $ ~
5~. Cf U
& DOLLARS
+eo
? CASH ? C CIC
POR
~ ~ `
G
Funo wwiaunr
~ 7 7 C ~
2 ~ I
S
~
.
Thank You
~Y~~
_ 63$78
° ~ f
White-Payen Copy
Yellow-Posting Copy
Pink-File Copy
JT~ y~g~ REQUEST FOR ELECTHICAL INSPECTION r EB-OUOOlA9
~ Sea inshucbons for camplebn0 this Iorm on beck ol vellow copy.
~G~~S
" •.9816 X'" Below Work Covered by lhis Request
stinfAdd XeO. Tyoe ol Bmltling Aoolmncea WneA Equiumenl Wved
Home Range Temporary Scrvice
Duplex Water Heater Ligh[inp Fixiures
Apt. Buildinc7 Dryei Electnc Heatin
Commercial Bldy. Pumace Silo Unloader
InAustrial Bldg. Air Conditioncr Bulk Milk Tank
Farm Otnrr oen v, 1her Isi~c~ ~iN
TF-F., ucc~ v th(. 0 1 nur
ompute lnspection Fee Be/aw
p Fee ServiceEntrencaSize b Fee Fexders/SUbiextlers a Fee Cvcwts
f' AO 0 to 200 qmps 0 to 30 qm s 77, ~ 0 tn 30 An•)s
Above 200 Amps 31 to 100 Ainps 31 to 100 qm s
Swimming Pool Above 100_Amu Above 100_Amps
Transrormers Irrigation Boorris Par[ial.'Other Fee
Signs Speciallnspection 5
so ToTA f~
Pem~rks
~
RouBh-in I. the ~cal
lnsoectoq he,oby
Findl 01 D:~te cer41V thatthe above
7 _;Ar inspaction has been
made.
mis repuast voiE 1B monlM Imm
;5 e4 e od
18 nnmhs /mm S_y•*% 0.7331` E 8-816 ",/Veh
Hequest Date Fire No. RouPh-in InsVer,bon
/ ReQprted! Ofieady Nuw ~ Will Nolify, Insoec~
~g(p Ye5 ? No lor When ReatlV
Licensed Electriwl CoNractor I hereby reauest inspecbon oi above
Owner 3 electncal work installea et:
$veet Atlilress, eon or Route No. Cny
q:?#3° L? rl ~CZOO {'1
ection o. Township Name of No. Ranye No. Coon y
~kot~
OccuunM (PRINT) Phon No.
Joe Mi1(er ~'an t - aoo /
Po er Suooi~er Atld ess
/~.ko-~a- Elec-Fr~G ~ rm~r~ fov~
ElecVical ConVactor ICOmUany Nemel I Conlrbr.tnr's Licunso No.
M~dlovcd EIec.fric.
Mallinp AtlJress ICOntractor or Ow er Makinti Ins 'lationl
/367 ~e~-r ~C(C1 cl~ cQ ki
AuNOri ea SiBnature I onvactor Ow r Making Insta latinnl Phone Number
94 *5~7 ` S-6, a-Q
MINNESOTq STATE BOAflO OF EL THICITY THIS INSPECTION REQUEST WILL NOT
GrigBS-MiEwey 91tl0. - paom N-791 BE ACCEPTED BY THE STATE BOARD
UNLE55 PflOPEfl INSPECTION FEE IS
1021 UniverSitY Ave., St. Peul, MN 55104
Phnnw 16121297-2711 ENCLOSED.
CITY OF EAGAN N p 11868
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT ' Receipt a
7oheusedfor SF DYiG/GAR Est.value $63,000 Date APRIL 30 1986
SiteAddress 1839WAiNUT LN Erect L~ Occupancy R3
Lot 29 Block 1 Sec/sub. EDEN ADDITION Remodel ? Zoning Rl
Parcel No. Repair ? Type of Const. V
Addition ? No. Slories
a Name JOSEPH MILLER CONST nnove ? Len9th 46
3 Address 18133 CEDAR AVE SO oemolish ? oepth 45
° 431-2001 Intimpc ? Sq.Ft.
Ciry FARMINCPIr~ Install ?
a
o Name SAME Approvals Fces
$a nddress Assessment Permit 32 .00
m
Ciry phone Water & Sew. Surcharge ' S~
Police Plan Review0 0
Fw Name Fire SAC 575.00
~z
a nddress Eng. WaterConn. 500.00
aw City Phone Planner WaterMeter 63.50
Council Road Unit 290.00
IherebyacknowledgethaUhavereadthisapplicationandstatethatthe gldg.on. 4/30/86 Tr. Pl 156.00
information is correct and agree to comply wrth all apphcable State ol
Minnesota Statutes and Ci~y of Eagan O~ inapces. APC Parks
SY Var. Date Copies
Signature of Permittee Total ~ . 00
A Building Permit is issued to: JOSEPH MILLER CONST on the express condition that
all work shall be done in accordance with all app " ble State qf-mi-n'rtqsota Stawtes and City of Eagan Oidinances.
Building Official
1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS MUST BE LICENSED HITH THE CITY OF EAGAN
COt41ERCIAL SINGLE FAMILY D'd£LLINGS ~
INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS
& STRUCTURAL PLANS, 1 SET OF 3 CERTIFICATES OF SURVEY
SPECIFICATIONS AND 1 SET OF 1 SET OF ENERGY CALCULATIONS
ENERGY CALCULATIONS '
$2,000 LANDSCAPE BOND
To Be Used For: 1(~),6Lx) Valuation: ~ Date: D7
1g3`'>
Site Address OFFICE USE ONLY
Lot ~ Block ~ Erect _ Occupancy /1-3
Remodel Zoning
Parcel/Sub Repair _ Type of Const ~
Addition ll of Stories
Owner Move Length q/
Demolish DePth
Address 3 &e~~ az-ej6 Int.Impr. 1 SqFt
Install
CitY/Zip Code
Phone ~00 / APPROVALS FEES
Contractor Assessments Permit 3Z2. Water/Sewer Surcharge Sp Address Police Plan Review ,~W
Fire SAC
City/Zip Code Engr Water Conn
Planner Water Meter Phone Council Road Unit 7yD
Bldg Off-7~Treatment P1
Arch,/Engr. APC Parks
Variance Copies
Address TOTAL 0
City/Zip Code
Phone 0
lz X GL " ~~~Z /z ~
~ ~,~D
' : ~ 3~~~ • ~ ~ X j~j = S ~U~~o
i
YRI-LAND C0. SURVEYING SITE PLAN FOR ~
SERVICES :
4655 NICOLS ROAD JO CONST~U~CTEON, I NC .
EAGAN, MINNESOTA 55122
~
~
1 , I
N81054'52"w . ; SCALE:I"-30
s~ - r , 155,57 ,
~ w
~ Z
\ Q
\ (»i~Jl I ti
: ;~-r ~ .a, + ~ ~ NM ? F-
- o
~
~ I MM ~
O
J
0
Z y iyp
l M
~ ~ ,?,s \03 O~ Qp° E
00
%
PROPERTY DESCRIPTION
LOT_, BLOCK I
EDEN AODITION '
aeorcfinq fo fhe raeaded plot thereof `
DAKOTA cowy, Minnesota "
,
LEGEND
o pENOTES IRON MONUNENT PROPOSED GARAGE FLOOR ELEVATION= 104.70
o pENOTES WO00 F1U8 SET PROPOSED F9RST FLOOR ELEVATION =/osr-i-n
DENOTES EXISTING SPOT PROPOSED BASEMENT FLOOR
ELEVATION ELEVATION ~
DENOTES PROPOSED SPOT ELE'1/ATION NOTE ~ VERIFY ALL FLOOR HEIGH7S WITH
~ DENOTES DRAIMGE DIRECTION FINAL HOUSE PI.ANS
;
I Mr~ wrtity tAat ihfs survsy,plon or
report ras preporsd by tm or under my
dirsct supervidon and that I am a duly 8radloy %0</Srenson, Mn. Raq. No. 15235
Rspisfered Land Surveyor undw the
~ Lawa of tM State of Minnesota. DOTe •V191&
CITY OF BUILDItJG llEPAR11•;ENT
• ~ E;CPt;RIOR ENVtI.OPE AVt:RAGE "Ulf C011PUTATION
(To be submltted wlth bullding pcrmlt eppllcntion)
One or Tva Famlly Uwclling Ovmer
All OCher Site Address
Contrac[or Sat~.F_Pl{ E'L l.CkIST Date Phone
~~S-loo
LI1iEkL ;'EET JF ~
EK:''O:;ED 1':ALL SEE <<,aPx ~iffEET, Ct, above gradr.
TOTAL c:;C.°OS=J :7e1LL Ak::el SQ. F-T.
. J.`n':,US: :'li.LL CJ1:3,fr0 YCIJI:: "U'l Value X Ai'eH
• Getail ANIE "Ulf .04 3 x :;Q. FT. /(o 52 Z0. 7/•04- (U)(A)
re; erence Ccrve - "U" . 07(o x:;2. FT. 9(v 48= 7.3:; ( U) (A)
trom '~~'n "U" .040 x SQ. FT. Jl`J•SL= -1•ii> (U)(A)
attacned 'lull x S2, F'T. - (U)(!t)
sheets U., x 5:;, r'T. _ (U)(A)
"U" x SQ. FT. - (U)(A)
'.7I1'DO";15: "U" '/alue x f.rea
t•ta'te & TyPe 1dsLL• Cs»l'T "u" x sQ. FT. l•oo =43- (o8 (U)(A)
- „ x sa. rT. = (u)ca>
"U" x S2. FT. - (U)(A)
~ u uult x SQ. F"P. - (U)(A)
fOORS: °[I" Valuc x rr; ;i •
:iL:ce & Ty,oe ~iTc. ~-un .~4 . .x SQ. FT. 47, oo = (0 .8fn (U)(A) ' -
- u YflTio nUu
•47 x S:Z. FT. Z•oo =/7-74 (U)(A)
n n nUn x SQ. FT. - (U)(A)
ii It _ "U" x S!j. FT. - (U)(A)
TOTALS zo`"pg.oo SQ. t'T. /5_ 3•43 (U)(A)
" AVERA4E "U"
ToTai. (U)(A) vr,r.uES
- .073
DIVID:;D BY TOTAI, '.l/.LL ARr:A Zapg_no =
aVk;kaaE t'Ul~ .115 r less for 1&2 family dwellinge
ROOF/CEILIN(3:
TOTAL AREA: JOOZ rh
Detall reference •oz/ x SQ. FT, fOOL = z~•o4- (U)(A)
from x SQ. FT. . (U)(A)
attached sheete. x SQ. FT, ~ (U)(A)
Describe onenings "Ut,
x SQ. FT. (U)(A)
ln roof. ~~p~~ x S@. F.T. - (U)(A)
TOTAL (U)(A) VALUES DIVIDED BY 71 6, T7Ak~~7 100Z Z1•~ CVyA>
~
'PO ; LL ROO?/CEI Ii:G ;,1;~A 1OO Z, pp - ~Z f
AV~;F;,GE "U ,025 for ventilr.ted roofa. -
f
ll I/
VoRK SWLET
14. So X~ 38 t38 + 34+34~ = Z o8B
Co~e.
.~7X ~38+38t-34t39-~ = 9(0.~8
rtn TorST
. SSx (38t38t34r34~ ~ ~)9.SZ ~c-
1~1r1Dow~
lbx~= 4•o X 4= 1(0.00 -
Zo x 3(, = s, o x(o = 3 0. o0
04)(3&_ (o•o x 4= zg.o~
z~x4s - ~.T x
Z4x 48 = g•o 4= 3L, oo ,
/28• 80
D~P-S
3° sim.
Zg STL. SE2 = Z!. o0
/o= PAT/o - 4Z.oo
9l oo
I~eT Eavw-s
(~Ro~~S ~Au Z,aBB. ~o Z4 x 3 S- qiz
1E55 Co~lc. qb.¢g 9 x!o = 9~
1t /?1 • 119• S Z
wDw's 1zg.So -435: So 1,ooz.00
rDc~orY s 9l • oo
. ' --WALL SECTIOE--
Determining "Ull valuea at Roof, Wall, Rim, and Conc. Block
ROOF/CEILIN4 R VpLU:
S
1.) Interior f.lr rllm 0,61
z.) 5/81, ayP. aa. .56
3.) Insulatlon 4¢,00
4.1
S-) Exterior Air Film .61
(STILL)
~ 2 3
, I 6 uUn = 1/R= .02.~ aOTAL
O 'NALL (R VF.LUi
~ 6.) Interior Air Fila 0.68
7.1 1" GYP. Bd. .45
8.) Insulation 1q.c>o
9. ) $uu.T-'R17E Z,~
10.) Mrasonite Sidino .07
11.) Exterior ~lr rilm .17
"Ult = 1/R= . O¢3 TOTAL (R)=23'O/
~f -V4J . RIM (R) Vf.LUE
QD •'~3 12.) Interior 61r r'iliu 0,68
13.) Insulation 19.6o
14.) 2" Fir Rim Joist 1.38
IS 15.) Zs/Z~ 2,o4
16.) Maeonite Siding .67
17.) Exterior Air Film ,17
. . ioplr = 1/R= .04d TOTAL (R)=
V 0° .
~ FOUNDATION (R) VALUE
18.) Interior Alr Film 0,68
2l . . ~g 19.)
. zo. > ~-II 5tP-IP~A ll.oo
n J°J° 9 21.) 12" Concrete Block 1.28
22.)
23.) Exterlor Alr Film .17
~
npn = i/R= .O7& TOTAL ~R)=I~:I3
U
. *1*!**f##**!****t*+*}*Y}**!**#***#*#
C I T Y O F E A A N *~ramr ~FSFtvo °E' : comnTLM
. APPROVAL OF PERNSIT. -
APPLICATION FOR PERMIT *
* irtsPDCriorr oF sEWM Arm/ox Mkmm ;
~ ,*F rnmrAr.ramroNS WIIS, f102 SE SmIID- ;
SEWER AND/OR WATER CONNECTION * U, UMM PmMIT BM BEEN ;
x APPF20VID. ~
r ,
r ,
~ *##'k##i **#**'R!'R*tf *'!`4f***R*f f'Rf
, P ease Print)
1) PROPERTY ADDRESS:
LEGAL DESCRIPTION:
Lot~'Block Subdivision or Tax Parcel ID )
IF EXI6TING STRCCICRE, DATE OF ORIGINAL BUILDING PERMIT ISSCANCE: .
' PRFSENP Zp,yING/PROPOSID C'SE: (Mon Year) -
C0~''A'IEFtCIAI./REI'AIL/OFFICE rM R-1 SINGLE FAMILY '
~ IIv~DCSTRZAL Q R-2 DCPLEX (TAo L~nits)
n ZNSTZ2L'TIONAL/GOV~g,'NT CD R-3 TUWDII-IOT-ISE (Three + Linits) ( Units)
~ R-4 APARTDIEN'p/CONIDOMINIOM ( Units)
2) NAb1E:
• ADDRESS:
- ~
CZTY. STATE. ZIP:
PHONE:_
3) u NAr F-- For City Use .
Plumbers License:
ADDRESS: Active
CITY, STATE, ZZP: Expired
Not recorded
PHONE: y~ ~ MAS'IER LICECISE# ~S~ rj yyF
Stai Initial
4) • ~ i~tsaME: `
. ADDRESS: •
CZTY, STATE, ZIP:
PHONE: .
.5) ~ v ~ r: • : ou • o~ a~
ED CONNECl'ION 'IC) CITY SEWII2 CpNNEL'tION M CITY WATER ~ p7~ ' r'•-:' .
6) •'p PI.F.ASE HOLD APPROVfD PERMIT FC)R PICK-IIP BY ONE OF ABOVE
~ PI.EASE MAIL APPROVID PEI2MIT 10 1. 2. 3. 4, ABJVE
/
7) (Circle one) r. r. p•. -
, • • ti: ~ Nr. ~ ~ u : • r • ~r ~ ia• . n r u~~•~ ~u ' . • a•
• . • n ~ > r:n •.aa~ ~ ~ ~ - : a• ~ •r s• ~ i • ~ ~
. FOR CITY USE ONLY ~ PERMIT # ISSC'ED
G/ 7 ~n/zg ~6
• Pd w/Bldg. Permit FEES:
$ $ SSEWER PERMIT (INCLUDE SURCHARGE)
$ $ WATER PERMZT ( INCLODE SL'RCHARGE ) .
$ $ WATER METER/COPPERHORN/OC•TSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ U ACCOUNT DEPOSIT - SEWER
~ S
$ $ ~ 4 L' ACCOC'NT DEPOSIT - WATER
$ $ ~ WAC
$ -1~7 7 4;-• $ SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRC'NK SEWER
$ LATERAL BENEFIT/TRUNK WATER
$ /~?•.~>/1 $ WATER TREATMENT PLANT SURCHARGE
$ $ C OTHER:
- i
4/1
$ I' S Z~ $ •~7 'OZ1 TOTAL i /
~z0 2-S~ 6 • 7If
RECEIPT RECEIPT
DOES UTILITY CONNECTZON REQUIRE EXCAVATION IN P[JBLIC RIGHT OF WAY?
Q YES IF YES, THEN A"PERMIT FOR WORK LJITHIN P['BLIC
Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY: '72,;7_,l
TITLE:
DATE : (L'/~ 4 ej.n
- PERMIT
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: H u 1 i u i. r,
Eagan, Minnesota 55122-1897 Permit Number: 6 i 1 57 s .
(651) 681-4675 Date Issued: 02) 2 6/ 9 9
SITE ADDRESS:
1839 WAI NU'f I ANF
LOT: 29 BLOCK: 1
EOEN
P.I.N.: 10-?2750-290-91
DESCRIPTION:
, ~
Bu,i-1, I i n,~-'permit TVpe BFlSEMLNI' FINSSH
Bli', d i iia tJi A,k Typo ALTERFITION
F. i,us Code ~ 434 AlT. RESIC)ENiTFlL
i
`
N',
A
REMARKS:
NI-ll,V RfyI'i-Wf'0 f3Y WAYNE MILLER.
SEPEHAIE PEHMIT REOUIRE[J FOR ANY PLUMBING WORK.
CALL (612) 445-2840 REGARDTNG ELECTRTCAL PERMII ANO INSPEC n nA;
FEE SUMMARY:
Baae Fee $60.00
Surcharpe $_50
Total Fee $60_50
CONTRACTOR: - ApPlzcant - sr. Lrc. OWNER:
ANOcHSLN & MICHflELSON 6LD 14143179 20136747 CHAPLEY JIM
" 9 OA1< RIDGF DR 1839 WALNUT LFlNF
AEWPURT MN 55055 EAGAN MN 55122
(612) 919-3174 (651)456-0931
i hur-l,V ,icLna„:irdqo l.i. i I h.vs J t:I i~ j0nl iI oii <.,Yio . t., L. ili:i .
~nirm.•~.t~~ :0r1- :C I iri oqi'~r ic, (.nmt) I v wll.l~
tY
,
/1'11 APPLIC NT/PERMITEE SIGNATURE I ED BY SIGNAT RE
,
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
(651) 3830 P ~OB RD - 55122 ~ G(~ . 681-4675
New Construction Reauirements RemodeVReoair Reauirements
? 3 registered site surveys ? 2 copies ot plan
? 2 copies of plans (include beam 8 window sizes; poured fnd. design; etc.) ? i site surveys (exterior add'Rions 8 decks)
? 1 energy calculations ? 1 energy calculations for heated additions
? 3 capies of trea presarvation plan if lot platted aRer 7!1193 reQuired: _ Yes _ No
DATE: 2'Z'~J - 9~ CONSTRUCTION COST: 15 d a ' d~
DESCRIPTION OF WORK: 1-u i Shc L-'6J ~-~-eYYYI ~-C~~
STREET ADDRESS:
LOT: 0i BLOCK: I SUBDJP.I.D.
Name: 3H ~ ~~z-~~ j / ?b-\ Phone Z-15'!!~ - O 9 -3)
PROPERTY Last First
OWNER
Street Address: 9 c 1 / ti
City 14--) State: Zip:
Company>~.1~0E7CC`E Ju t /se .j R/04S. i,u c. Phone tk: 6/ - 3/ 7
CONTRACTOR 3 C f n 3k31 l~~
Sveet Address: ~
K~ bQr O~ License # ZO136 7H 7 Exp. 3- 31
-
Ciry (VCC9_J CC?2 I M.U State: /P/U Zip:
ARCH[TECT/
ENGINEER Company: Phone
Name: Registration
Street Address:
Ciry State: Zip:
Sewer 8 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 i orrect, and agree t comply with all pplicable
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
RESIDENTIAL
BUILDING PERMIT APPLICATION I13.-] .S
( CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Conatrudion ReauiremeMS RemodellReoair Raouirementa
• 3 registered site surveys showirg sq. ft. of IoL sq. ft. of house; aM all roofed areas . 2 wpies of plan
(20% maximum bt coverape allowed) . 7 set of Eneyy Calculatbns for heated additions
• 2 copies of plan showing beam 8 window saes; poured lound design, etc.) . 1 sile survey for exlenor atlditions & decks
• 7 set of Eneigy Calculations . Indicate if home served by septic system for addNOns
• 3 copies of Tree Preservatbn Plan H bt platted after 717/93
. Rim Joist Detad Options selection sheet (bldgs vnth 3 or less units)
DATE 1T,- Ip -6, VALUATION
SITE ADDRESS \q3cilli MULTI-FAMILY BLDG _ Y XN
TYPE OF WORK 7~Co-,r- a~~c C o c-~ FIREPLACE(S) _ 0_ 1_ 2
APPLICANT A f
STREETADDRESS I~a~~ CITY~V,STATEWW ZIP&M17
TELEPHONE {ON~tELL PHONE # FAX #
PROPERTY OWNER TELEPHONE# SL S- 3
COMPLETE THIS SECTION FOR "NEW° RESIDENTIAL BUILDINGS ONLY
Energy Code Category MINNISOTA RULES 7670 CA'1'EGORY I MINNIEU I s.'-I7fi7 n
(J submission type) . Residential VenGlation Category 1 Worksheet Submitted • New g ~CaTe Wo hdet S-, i Iltt d
• Energy Envelope Calculations SubmiKed JUI 1 V e 200? I
I ~
U
Plumbing Contractor: Phone #
P1umUing systcm includcs: Watcr Soflciicr _ Lawn Spnnklcr - - ~e -
Watcr Hcatcr No. of R.I. liaths
No. of BaQis
Mechanical Conhactor: Phone #
Mcct~aniril systcm includcs: Air Conditioning Pce: $70.00
_ Heal Recovery Systcm
Sewer/Water Contractor: Phone #
I hereby acknowledge that I have read ihis application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinance
~~~`~YI~c.C1K1 1~
Slgnature of Appllcant
- - - - - - - - - - - - - - - - - - - - - - - - - - - - _ ° - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ° - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City OT Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete (or. single family dwellings & rowmhomes/condos when permits are reqmred for each unit
Da[e~/ /'s /0
Site Address (141,4 L-n Unit #
f p
Praperty Owner ~ Telephone S r~!~
Contrac[or _ J I XryUNNU f1tH I IIY17 & HIT LUI1vr ,,,,.,,,,T,nuN rn
street Address 410 WEST IAKE STREET
City
State 812'824'20" Zip Telephone # ( )
Bond €I: Expires:
The Applicant is _ Owner A"Contractor _ Other
Add-on or alteration to existing dwelling unit D $ 30.00
~ furnace _Additional XReplacement
~
air exchanger
~ air conditioner _New Xeplacement
_ Ofh2f
Q ~
< r~
State Surcharge $ .50
Total $ -?,it) S(D
I hereby apply for a Residential Mechanical Permit and )adt'pproval edge that [he information is complete and accurate; that the work will
be in conformance with [he ordinances and codes of the Eagan and with the Mechanical Codes; tha derstand is is not a
e
permit, but only an application for a it, and work star[ without rmih, that the wormzz
approv d plan in the case of w rk wV uires a revieof ans.
Applicant's Printed
Name pplicant's Sig
F-----------------
~ For O_ff_ic_e lJs' _ ~
City of Ea~a~ ~ Permit # ~~OS~`S ~
'
~ Permit Fee: J
~
3830 Pilot Knob Road
E8g8n MN 55122 j Date Received:
Phone: (651) 675-5675 Fax: (651) 675-5694 ~ statt:
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
oate: SiteAddress:
Tenant: ~4 Suite
RESIDENT/OWNER Name: ~~/h.a-S V, Phone:
i
Address/City /Zip:-/6'.~`~ L-c+a~ 0'1(11
Applicant is: _ Owner X'Contractor
TYPE OF WORK Description of work: / Sir~r~vL.P
Construction Cost: Multi-Family Building: (Yes No _~~j
~
CONTRACTOR Name: /-'rl lr i,? SPr, License ~Q
Address: ~G/C%
Ciry: & l ~~r rt state: ~ zip S.5O7~
Phone: CS% ?S' f~ Contact Person: /'y/~
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheel • New Energy Code Worksheet
Category Submitted Submitted
(4 submission type) • Energy Envelope Calculations Submined
In the last 12 months, has the City of Eagan issued a permit for a simllar plan based on a master plan?
_Yes No If yes, date and address of master plan:
Licensed Piumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: . Phone:
r
NOTE: Plans and supporting documen s? af you submit are considered to be public information. Portions of
the inlormation may be classified as`.'on-public if you provide specific reasons that would permit the City to
~ conclude that the are trade secrets.
~
I hereby acknowledge that this information is complete and accurate; ihat the work will be in conformance with Ihe ordinances and codes of the City of
Eagan; ihat I understand Ihis 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 appmval of plans. _
/ <7 "T
~~cy7 _
x 116e
ApplicanYs Printed Name Applicant's Signature
' Page 7 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA117962
Date Issued:10/24/2013
Permit Category:ePermit
Site Address: 1839 Walnut Lane
Lot:29 Block: 01 Addition: Eden
PID:10-22750-01-290
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 8,000.00
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 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 -
James Chapley
1839 Walnut Ln
Eagan MN 55122
Prestige Construction & Remodeling Llc
1510 English St
St Paul MN 55106
(651) 775-7551
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA123097
Date Issued:05/29/2014
Permit Category:ePermit
Site Address: 1839 Walnut Lane
Lot:29 Block: 01 Addition: Eden
PID:10-22750-01-290
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Tony Boerner
2090 County Road 42 W
Burnsville, MN 55337
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
James Chapley
1839 Walnut Ln
Eagan MN 55122
Tony's Appliance
2090 County Road 42 West
Burnsville MN 55337
(952) 435-2442
Applicant/Permitee: Signature Issued By: Signature