1844 Walnut LaneCity of Evan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
Permit #: 6?1 %� C
Permit Fee: (/ - 0 c 1
Date Received:
Staff:
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 7`.- (' 7 Site Address: / W "V �C`'!c.if /n
Tenant: ti c (/ ''.(e7,). -
Suite #:
RESIDENT / OWNER
Name: J f( ( 0 ( 0-1 fre f/' Phone: 6-"--7 y? t vg
Address / City / Zip: /t( l4/0-(vc %-/ &., Z c c/1/r/' SS7ala
s_sG
Applicant is: Owner Contractor
TYPE OF WORK
Description of work: I? e- 5 ble.
Construction Cost: ,g- Multi -Family Building: (Yes / No )
CONTRACTOR
Name: Pic -5K' _g.P _ 2. S6, it License#: 67?Q6.Y
Address: FC) (o Kir,-I (��--r�City: ,5 g PC,- ( -
��f(C
State: /V Zip: ? aml'/` Phone: 4 C� ( 3 g5 -76((< -se
/Cf (��
�'
rs.
Contact: , J' Z'"(0-,'71?.' 2 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 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 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.
x
Applicant's Printed Name
x
Applicant's Signature
Page 1 of 3
i
~
CITY OF EAGAN wATM SEMCE pERM
3630 p'bt Knob Road
P. O. Box 2119$ PEitM1T NO.:
' Espan, MN 551 ~1
DATE:
! ~n0: ~ No. of Units: 1 Owner:
Lurr Oak rs.
Addmw
SiftAdd-a V344, a nut -Lane en Addn.
e runeau
' a
q~
j M.r.r W.: -72--1 s 13 • p
• P
9ze: S tzn T.,
O •
p
ttsod~r No.: ' I ~MN ~y etmwbs~"~: z. .
i O~INw~. . p
~E a~~: 63.50Pa
meter
i
By oaa Pokk
~
obr. 6f insp.: - iblq i-X ~ inw.•
i
CITY OF EAGAN SEWR SOVKE PERMR 'I
3830 Pilot Knob Rwd P. O. Box 21199 PERMIT NO.: i
Eagsn, MN 55121 OATE:
Zoninp: ' 1 No. of Units: 3 '
Own.r. I:urr Wt vldrs.
Addrm: - ~
Sitr /lddnas: !SG 4'+1 al'• u L Lar P I.1 ie r, C PIl tLc? r' : I
Plumb.r. Dale Brunfju
5-17-86 63042
1sow to wemlr wA& fV C!Y of ioom Conrwellan Cha'0e.
OrdbeeNN. ACOOtMk Qepodf: - r, ,~•~n ~
. PfeRlk FM: 1 (1 f!!1~
S1JtCh01"Qe: ~By Mhc Charom
Date of Irop.: Tidd:
Irup,: DoM Piald:
~ . . '
, . ~ , , . . ' . 74:'^, r~ . y^a'~`~`s~'_~.'i'_•"", , ' . M, . . . . • .
)
• ' PtRMIT # ~
MECHMIICAL PERMIT RECEIPT N C-V I 2
CITY OF EAGAN
3830 PILOT KNOB ROAD, EA(3IW, MN 55127 DATE
CONTRACT PRICE PHONE 454-8100
Site Ad ress g~,p~`,,, TypE WORK DESCRIPTION
Lot~ Blxk L- Sec/Sub
Res. New m Name Mult Add-on
~ Address ' Comm. Repair
c City ` Phone - Other
Name ' pEEg
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
ADDITIONAL 6 M BTU - 6.00
TYPE OF WORK GAS OUTLETS - 1.50 EA.
ForGed M BTU ' COMM/IND FEE - 196 OF CONTRACT FEE
Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00
Unlt 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
Gas Piping Outlets # BEYOND $1,000.00)
'
Other
FEE: i S/Cl. , ..i SIGNATURE OF PERMITTEE
TOTAL•
FOR: CITY OF EAGAN
CITY OF EAGAN Remarks " -
Addition Eden Addition Lot 1 a.Rik 4 Parcel #10 22750 010 04
Owner street 1844 Walnut Lane state Eagan Mn 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. ~ 19$2 2271.].rj 454.23 5
STREET RESTOR.
GfiADING O
SAN SEW TRUNK
~fl 1974 62.93 4.20 15
• SEWER LATERAL
WATERMAIN
~ WATER LATERAL
WATER AREA 1977 3
~ seMj.C@B
STORM SEW TRK 1982 48
f STORM SEW LAT 1982
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
~0 PNot Knob Road! P.O. Bo~GA
383 9, Eagan, MN 55121 12 013
PHONE: 454-8100
BUILDING PERMIT ReceiptM
To be used for SF OWG GAR Eat Value $57,000 pate MAY 27 19 86
SiteAddress 1844 WALNUT LN Erect 16 occupancy R3
Lot 1 Block 4 SeciSub. EDEPI ADDITION Remodel O 2oning R1
Parcel No. Repair ? Type of Const
AddiGon ? No. Stories
Name BURR OAK BLDRS INC Move O Length 7R
z 11473 GOLD~:dROD ST NW Demolish ? Depth
o Address Int Impr. ? Sq. Ft
City CWN R~WS 757-8157 Install O
o Name SAMF Approvak Faft
g Q Address Assessment Permit ' S
City Phone Water 8 Sew. Surcharge '
~ a Police Plan Review~~' ~
F W Name CRADIT 8 ASSOC Fire SAC ~
_ = Address • U
o ~ Eng. Water Conn.
<W city MtL-$hone 379-4947 planner Water Meter~' ~
CouncilRoad Unit '
I hereby acknowledge that I have read this applicat'on and state that the sidg. Off. Tf. PI. 15-6' 0
in(ormation is correct and agr8e to c ply h I applicable State of
Minnesota Statutes and Ciry of E ~rdi es. APC Parks
Var. Date Copie
Signature of Permittee TOtal , . ~
OAK BLDRS INC
A Building Permit is issued to: on the express condition that
all work shall be done in accordance with all applicable State of Minnesota Statutea and City of Eagan Ordinances.
Buflding Official
~
pW" 11u, PrrmM Meidor DsM Tilpha» N
?~r~ 7v c' c ` -E_/ '
-
M.V.A.C. ~ 2fZ
d.*ic
6a1b~eNr
InopocYon Osft Inrp. Comwnwnh
Foodng• 1
Fo~ ~1
Fourwgmbon
FnwNnp
Roo1,"q
Roupn Pbw .L .
Rou9h Hill.
Insul.
Fk*Plaeo
FMW FMp.
Flnai Plbp. `
Md0• FYMI ' 26~ I
CM.Oea ~ •
Dock Fro.
Doek Fmq. ~
LocsUon: •
YINN y
Pr. OMp.
il
II
_ . . . . _ 7 . +ilz~~""'~ . •:w- ^ . , . r _ r 'r a ~ g.,...
. . . , . _ . . . . _ `
, PERMIT ~i
' PLUMBING PERMIT RECEIPT # ~~2 yR-3 3
qTlf OF EA(iAN ~
3a30 PILOT KNOB ROAD, EA~iAN, MN 55121 DATE 7- L-'
CONTRACT PRICE PHONE 45"100
Site Addresa L '7 BLDG. TYPE WORK DESCRIPTION
Lot Block Sec/Sub az
Res. New
m Name ~-k IL- ~ ~ , z-z- Muft Add-on
Address " 3~ ~o•~ T!c.v /tComm. Repair
~ Ciiy Phone l Other
. FIXTURES TOTAL
~ Name Water Closet - 53.00 $
c Addresa ~-Bath Tubs - a3.00
p City Phone =L-avatory - $3.00
Shower - $3.00
-
FEES ZKitchen Sink - $3.00
COMM/IND FEE - 1% OF CONTRACT FEE Urinal/Bidet - $3.00
Laundry Tray - $3.00
MINIMUM - RESIDENTIAL FEE - 510.00 Floor Drains - $1.50
MINIMUM - COMM/IND FEE -20•00 lWater Hester - a1•50
STATE SURCHARGE PER PERMIT - •50 Whirlpool -$3.00
(ADD a50 S/C IF PERMIT PRICE GOES -7-Gas Piping Outlets - $1.50
BEYOND S1,000.00) SotOener - $5.00
Well - $10.00
Private Disp. - $10.00
=Rough Openings - $1.50
31C3NATURE OF PERMITTEE FEE:
3TATE S/C:
FOR: CITY OF EAGAN GRAND TOTAL:
This re9uest voia ~ y-~L 3
18 monlhs Irom
C U436 L r, B~,
Nequast O e Fire No. Rouph-in InsVer,UOn y~
p NerXqu~"ren~ ?Ready Novf(J Will NoUty InSPec-
~ s ?No mr Whun Ready
~ llcensetl Electncal Convactor r 1 hareby request inapection oi aEove
Owner electricel work inslolled etStreet Atldress. Boa or Route No. Crtv
~ (.OA UQI-A7 L lJ
ecuoii o. Townshiv Name or No. Ran9e No. Cow ty
OccapantlPRINTI Phone No.
Power Svppber Address
~ 436o a ao '71"`
Elecvical Conbactor ICOmuany Namel CanVar.tor's Lucense No.
IQ -~l ~-I llv Iv ~
Mailin0 AdJress ICOnVaclor or Owner Making Instaila[ionl
C.~ Gv .~2 O~l 2 Q ui
AuNonzed SiBnamre (Co acl /Owner Makine Instu Iabon) Phone Number
MINNESOTA STATE BOAflD OF E CTPICITY THIS INSVECTION flEQUEST WILL NOT
Grigps•Midway Bltlg. - Noom N-191 BE ACCEPTED BY TME STATE BpARD
1821 UnversitV Ave., St. Veul, MN 65104 UNI.ESS PFOFEP INSPECTION FEE IS
Phnnw 16121297-2111 ENCLOSED.
Pf ~ ~ REQUEST FOR ELECTRICAL INSPECTION ee.oacw~+"
See instraclions lor completing this lorm on beck o/ Vellow coOV. ~
C 3 A36 "X'' BelaW Work Covered by This Request
~
F an~ neo. ~ Tvoa oi e., imna Appliances WireE Euuiumem wiren
Home Rmige TernpOrary Service
Duplex Water Heater Liyhtiny Fiztuies
Apt. Buildin~j Dryei Electric Heatinc
Convnercial Bldy. Fumace Siio Unloader
InAustrial Bldg. Air Co~itioner Bulk Milk Tenk
Farm Oin~•F aeci v 0ber lSnecilyl
t.r ucu Y t er Oih~;r
ompute lnspection Fee 8elow
p Fee ServmeEntrenea5ize h Fae Fextle,s/SubleaAers N Fxa Cvwrts
/ 0 to 200 Am s 0 to 30 Am ps 7 CIO 0 tn 30 Am s
Above 200 qrnps 31 to 100 Amps 31 to 100 Am s
Swinviung Pool Above 100-Amps Above 100-AmPS
TranStormer5 Irriga[ion BoOms d Partial.'Other Fee
Signs Speciallnspection
$ S~ TOT L FE
Nem~~ks ~ faU
T
RouBh, 4r e
~D e Elecvi
Insp , ereb~
cerlity Ihat the bovB
Final , O^lef ` ~ spect'on has been
3 `1~/~j ea.
ThIS ropuasl voltl 18 monlln Irom
CITY OF EAGAN ' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N2 12013
PHONE: 454-8100
BUI4DING PERMIT Feceiptq
Tobeusedlor SF DWG/GAR Est.Value $57, 000 Date f4AY 27 1986
SiteAddress 1844 WALNUT LN Erect Occupancy R3
Lot 1 Block 4 Sec/Sub. EDEN ADDITION Remodel ? Zoning Ri
Parcel No. Repair ? Type of Const. yn
Atldition ? No. Stories
W BURR OAK BLDRS INC Move ? Length-3
Name $
z 11473 GOLDENROD ST NW Demolish ? Depth4
o Address Int. Impr. ? Sq. Ft
citr cooN RA?nbR~ L57-sis7 In5tall ?
x SAME Appravals Fees
o Name
a.ddress Assessment Permit $ 304.0
~ City Phone Water 8 Sew. Surcharge 2$' S
Police Plan Review 152 . 0
` CRADIT & ASSOC 575.0
F W Name Fire SAC
Address Eng WaterConn. 500.0
aW Ciry !!!I'SPhone 379'4947 Planner WaterMeter 63.5
Council RoadUnit 290.0
Iherebyacknowledgethatlhavereadthisapplic ionandstatethatthe gldg.ON. 5/27/8 Tr.PI. 156.0
information is correct and agT.m rt all applicable State o(
" L
Minnesota StaWtes and Ciry of ~ ces APC Parks
Var. Date Copies
Signature of Permittee Total ~~Z' ~
A Building Permit is issued to. OAK BLDRS INC
' on the express condition that
all work shall be done in accordance with all a~p lica/p'J{g S'tate of Min esota 5 tute and Ciry of Eagan Ordinances.
BUiltling Oflicial ~
OfYKU~aar~ .r
~
~
1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
HOTE: ALL CONTRACTORS MUST BE LZCENSED WITH THE CITY OF EAGAN
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
57000
To Be Used For: _~>~titi~ ? Valuation: 4Q~ Date: ar? IYI ~
Site Address: (.J,'-rLNUr c~,.e OFFICE USE ONLY
Lot: ~ Block y Sect/Sub FJCN Erect ~ Occupancy es
Remodel _ Zoning yQL_
Parcel 1! Repair _ Type of Const IrX/
Enlarge II of Stories
Owner Move _ Length 56
l Demolish Depth L/c,/
Address Grade _ Sq Ft
City/Zip Code Cs>, /e..,a~dS . Na~ 632133----------------------------------
Phone APPROVALS
Contractor Assessments Permit 4041
/ Water/Sewer Surcharge Zg,T-a
Address Police Plan Review 152
Fire SAC 57f
City/Zip Code BlD Et OAK BUILDE Engr Water Conn 540
11 73 GOLDENROD STREET Planner 1Jater Meter 63.S-6
Phone C ON RAPIDS IYi Council Road Unit 21D
~/J Bldg Of-f-E.T-tl Parks
Arch./Engr. ~ `'1-Q7$S0" APC Treatment Pl
Variance ^
Address h'!y (S TOTAL
~
City/Zip Code
Phone I! 32 y - It yv:2
Certificate for: •
, "I'im Jz,wor
. +11461,Golden Rod Street
' Coon Rapids, Mn. 55433
' . DElSU4VR W. SCW V4iwYaZ ~
- UNO SURYEYORS iNC
AIO~SIIrM UnOer L.IY'! nl TIP Ctllle M MinneS(,IT .
16750 SOUTH ROBERT TRAII fiG5LPA0UPJT, klIWqE30TA 55088 GlIDNE 814 623-1789
SliW1PEtlOR'II CERTIFICA7E ~
jo ,
Drainage & utility
easement
` Y
`V
~ SCALE: 1 inch = 30 feet +
~ C) Denotes proposed e1ev.
from development plan, i.
r. ( G
~
i i
F
3 ~ ' ~ is- ~
30, /o' y ~ Y
, T- •
~z.o 9i. . ~p•~lti~ /ul 89 - ~ o-db
lQ`% +
I hereby certify that this is a true and correct representation of Lot 1, Block
4, EDEN ADDZTION, according to the recorded plat thereof,••Dakota County, Minnesota. ,
,
ir Also showing the location of a praposed house thereon.
i
Dated: May 12, 1986
`i. (J ~
e~. • .
~y
MINNESOiA REGISTRATION NO 8625
~
.
y
. , 37s.4947
~ . ,
,
credf - ~
. 1 3 e..oa.b., uw. ;
` M~ ~ YON! n.~. ^W.. whm. fNf!
ding omw "
~ . .
EI(T'KIOR &NVELOPS &VERAGS "0" COMPDTATIODI -FQo~.t'f" ~pI.IT
OWNM PLAN N0. 0~ l.a~
SITFi ADDRFSS DATE °
coNTxacTOR ~v~ ~A~ BuiL~~as PxaNs
1)etermine xorking square footage of eaoh
1. Total exposed wall area...... 7~ sq.ft. x,L = , o
~ 2. Total roof/ceiling area...,:.. 105 eq.ft. x•OZSO=
3. Total floorlCSAt. • 8I'08 - 8Q .ft• 7C
Total ezposed xa12 ares above f2oor Jogmhoo
8• Total xall virrlow 8I'98.......... '..4 1(0,45
-
C• TOt.61 dl~~ g],$S3d002' BT68.............~~• ~
• •
d. Total Yireplace wall area
e. Total xall framing area (average 10%)........ ~
P• TOt.3S S19t WBlZ 8D98 8ZMV9 flOOT*
g• Total rim joist area.......................... 150
Total ezposed fourdation area -~7.1 _
h. Total Pouxxiation windocr area
i. Total net foundation area above grade........
_ Determine ^II" value of each Wall segment
a. (O . 46 z "U" 3,
b. ' x "U" 1,140
00 E MII"
d . x "II"
e. O. x "Q" _
f. ~
B.Ps 195 z x "^U"
II" _ , -
h* x "U" - -77 1. . Z x °U" 10,
4 . Totam /p2f item #4 is the sama asq or less than item #1: y'oli-have met
the intent of SBC 6006(0)2.
~ .
. . ' - .
. ...h n . i . .
~ ' Total ezposed roof/ceiling area
T•" . . • ' • . -
3. Total skylighL area '
k. Total root/ceiling lraming area (aver. (.10916"0/0).....
(.0625924^0/0)...~
1. Total net Snsulated roof/ceilirsg area ~
Uetarmine "U" value for eaoh root/ceiling seenent
x
. k.~ x "U" ~ ~!O
1. a "U"
5 . ....:.................................a. Total
If total of is tha same as, or less than #2p you have met tshe
. intent of SBC 6006(0)'1.
- Total exposed floor%oant. area -
m. Total floor/cant* framing area (average .10'~)..-........
n. Total net insultad Plcant: area
Determine "II" value for eaah floor/oant. aegment
m. x "II" -
n. z "0" _
6. Total a ~
If total of #6 is the aame as, or less than $3, you have met the
intent of SBC 6006('0)3.
xLTERNATE BUIIDING fNVELOPE DESIGN
To utilize the total envelope system method, the values established
by the sum of items $4, #5 and $6 ahall rLd be greater than the sum
or items #1, #z a»3 #3.
i. ~3 z. ZZ .I7 3. = G^ , 0
5• ~~ITiV 6•
~
Pi'9p82'9d bp 4
-
Date
_ . ~
`~f~9$q 32'UD " }4 . Air - .6-8, . THtQ ~9~. KALL It~L. Air
. .
68
;'x/•s.s. a smieia . 1/90 s.R., sa. sm~a i/z• s.R. .r,s ~
scm ; (0,o~'is
~~.DO ,
; 25/32p sil,a. 2.06 ' 25/32• Bsl.d. 2.06
- - • ,SS°.iug . - ,(07 slaseig (07
Hxt. Air . hi,17 - IDct. 41r ~.17_
' Total "R"
. TOtil w$o m 'LZ,rO~
A- 1/R °"0° ~ •O~IL : 1/R ~ wQw e~O
• THRO R]M Int. Air .68 THtO CONC BLOCB
Znt. Air .68
JOIST ~e. ' -
C.B. ( " ~ . Z~
Opt. 9tyro.
Opt. Ioa. -r'j r O -
1 1/2n WOOd I.89 e. Pxt • Air .17
25I32" B11d. 2.06 . Opt. S.R.
'
3idin6 (OI / ~ .
Opt. 3!d
Ext. Air .17 e Total "R" =
Opt, Briek 1/g = ¦0" ~ ~
• O
xotal "R» _ ~f 47
i
i/A = "D. =
- ~
-
THItu cLC. Int. Air .61
rHELo cLC. ~t. Air .61
~ s.a. a) , rr~so~xioa S.R.
,S~
Clg. Memb.
~ L}~S ' Zns. ( `fi°o
; ~l(l~ R ) • ~3,~
stitl Air
'i stitl Air
~ { !
61 ZL
1/x Total _ 1 ~ 7°O
Total •R• _ ?j~• C~ ~
1 /8 = "p" _ . D Z O
=pp~=
~s ' _ _ _
• • i ~ • • • ~ • i ~ • • i~• • u .
• •a• • • a~ ~ ~i ~ • •
c
f
~ CITY OF EAGAN
APPLICATION FOR PEFtMIT SESJER ATID/OR WATER CONNECTION
1)
(
PROPII2TY ADDRFSS: Pl/¢GsIJlJT
r•xz;Ar• DESQtIPTION:
(Lot Block Subdivision or Tax Parcel I.D. Number)
IF EXISTING STR['C7YJRE, DATE OF ORIGINAL BUILDING PERMIT ISST-IANCE:
(Nbn Year)
PRESENP ZONING/PROPOSID USE: rR 1 SINGLE FAMILY
2 DCPLEX ('IWo C~nits )
3 'IC)W NHOOSE (Three + Lnits) ( Lnits)
4 APARTMENP/COPIDOMINIC'M ( Onits)
CONA'IEF2C IAL/TtETAIL/OFFICE
IAIDL'STRIAL
INSTI'lY)TIONAL/GOVEE2NNNIENT
2) ~
N71ME: . evn.v
ADDRESS: am - tY/i11 AVE N.W.
ANOKAi •
CITY, STATE, ZIP:
PHONE:
3) • i: For City L'se
Nt+ME: .Q~GE ,~'i//U-PC w
Plimbers Licens(
ADDRESS: /Jil°G-, ZA) Q Active
CITY, STATE. ZIP: '~j1~(JTf1 /1J//J Cf Expired
PHONE: MASTER LICENSE # Z8'51M O Not Recor(
Staff Initial
4) • • ~
N11NIE: (Y/4,e_5
tDnPXss: 111L73
~oLDE~v.N~
ciTr, STATE, ziP:
PHONE: /S7 -IJ~S ~
5) i~ • • a•
GV-CO:VMDCTION TO CITY SEWII2 W-05RNECTION 'Ib CITY FMTER
Q OTHER (Please Describe)
6) i~ • i
c,~~~ , 1~'} ? PLEASE HOLD APPROVID PERhffT FOR PICK-C'P BY ONE OF ABOVE
0_~_P E MAIL APPROVID PERMIT TO 1, 2, 3, 4, ABOVE
CYA -(Circle one)
7) ~
- - ' •
~ ~ .
F O R C I T Y U 5 E O N L Y V
PER^1IT ISSUED
F 76J 7
FE`3S: $ S-Z) SE:'!LB PEBMST (I`ICLvDE SU?C:?.3Gc) '
WATER PEIUtIT (Ii:CiuDc. SiiRCHARGL)
$ WATER METER/COPPFRHORN/OUTSZDE READER
$ WATER TAP (ZNCLUDE CORPORATIO:] STOP)
$ SE:dEF TaP
$ /.S«d =Ccci;_i'?' ~?4SI'= - ,:_..'c3
$ S_- a-.1 ACCOliNT DrPOSIT - S•IATER
S ~704, O`D WAC
$ Gj 7~ U~) SPC
$ TRG?]K NATER ASSESS'r?E;iT
$ .4."T.FZ~li:9!N SE:IER ASSESS:•IE?iT
fyTAd - On
$ ' • ,fI~Ff4'£'P.:,L HEi•IEFIT/TRU?IK Sc:iER
S LATcRr1L BENEFIT/TRU.]K THAT°R
$ 'a- v WATER TREATMENT PLANIT SURCHARGE
$ OTHER:
S TOTAL
$ ~3el r.rl oU ::T PAID/,g~ P ~Sz'
y6 r 3 ---~Z:
DOES UTILITY CONNECTION REQUIRE EXCaVATION IN PUBLIC RIGiiT OF WAY?
YES ZF YES, THEN ;y "PERDIIT FOR WORK WITHZN
PUBLIC ROADWAY" MUST BE ISSUED BY THE
0 NO ENGINEERIrIG DZVZSION. LZST AS A CONDI-
TION.
SUEJECT TO TkiE FOI•LOSJING CONDITIONS:
APPROVED BY:
TZTLE:
DATE:
CITY USE ONLY
L / BL /L RECEIPT#: C~ 1S I
SU80. CP ~L~ RECEIPT DATE:
1997 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 6814675
Please complete for: . single family dwellings
~ townhomes and condos when permits are required for each unit
~ backflow preventer for underground sprinkler system
FIXTURES EACH TOTAL
Shower 3.00 x =
Water Closet 3.00 x =
Bath Tub 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x =
Hot Tub/Spa 3.00 x =
WaYer Heater 3.00 x
Floor Drain 3.00 x =
Gas Piping Outlet • minimum - 1 3.00 x =
Rough Openings 1.50 x =
Water Softener ' for dwellings under construction 5.00 X =
Water Softener ' for existing dwelling 20.00 x =
U.G.SpfinklBf 'fordwellingunderconst. 3.00 =
U.G. Sprinkler ' for existing dwelling 20.00 =
Altefatl0n5 ' to axisting residence 20.00 =
Water Tum Around 20.00 =
Private Disposal System ' oak cry iic. 75.00 =
(new and rafurbished systems)
Private Disposal Systems `neandonment 20.00
STATE SURCHARGE .50
TOTAL LS0
I hereby acknowletlge that I have 2ed this application, sfate that the infortnation is correct, and agree to eompty with all applicahle City
of Eagan ordinances. It is the app6wnPs responsibiliry to notify the property owner that tha Ciry of Eagan assumes no liability for any
damages caused by the City dunng its nortnal oparational and maintenance ectivkies to Me facilkies constructed under this pertnR within
Ciry property/right-of-way/easement.
SITE ADDRESS:
OWNER NAME:
INSTALLER NAME: TELEPHONE
STREET ADDRESS:
ciTV: J27/2 STATE: 17'112 ziP: ~
~
, in.~v
SIGNATURE OF PERMITTEE
i~
II
p
I Foi Office U"se ~
City of ~apn j Permrt# j
I Pertnit Fee. % ~
3830 Pitot Knob Road
Eagan MN 55122 ~ Date Recerved: ~
Phone:(651) 675-5675 i i
~ Fax: (651) 675-5694 I Staff: I
20Q~,%8 RESIDENTIAL BUILDING PERMIT APPLICATION I
Date: ~ "V SiteAddress: /lt"( I /'w?T~Z(~
Tenant: Suite
RESIDENT / OWNER Name: Phone:
Address ! City / Zip.
Applicant is: _ Owner ontractor
TYPE OF WORK Description of work:
Construction Cost. Multi-Family Bwlding (Yes_! No,>Z~)
CONTRACTOR Name: License#: 2U~ a 631~
Address-70 TA~T f_M
City: IhI7~ y(/o, S[ate: APJ Zip:
Phone:65-/ - ~0 T-ContactPerson/KLr
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672
Eneryy COde . Residential Ventdation Category 1 Worksheel • 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: Phone:
Mechanical Contractor: Phone:
Sewer 8 Water Contractor: Phone:
NOTE: Plans and suppoKing documents that you submit are considered to be public information. Portions of
the information may be classified as non-public iT you provide specific reasons that would permit the City to
conclude thaf the 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 permit, but only an application for a pertnit, and work is not to start without a permit, thal the work will be in
accordance with the approved plan in the case o( work which requires a review and approval of plaV
x ApplicanYS Printed Name ApplicanYs Signature
Page 1 of 3
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1844 Walnut Lane
Lot: 1 Block: 04 Addition: Eden
PID:10- 22750- 010 -04
Use:
Description:
Sub Type: e- Windows/Doors
Work Type: Windows/Doors - New/Replacement
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Fee Summary:
Valuation: 3,000.00
Contractor:
Minnesota Rusco
5558 Smetana Dr
Minnetonka MN 55343
(952) 935 -9669
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
- Applicant -
Construction Type:
Occupancy:
Owner:
Jill T Omalley
1844 Walnut Lane
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Comments: Permit closed without required inspection(s). Letter & remarks sent to applicant on 6/9/09. (pf)
A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are
$88.50 0801.4085
$1.50 9001.2195
$90.00
Building
EA086365
09/24/2008
ePermit
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply
of Minnesota Statutes and City of Eagan Ordinances.
h all applicable State
Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA133214
Date Issued:09/29/2015
Permit Category:ePermit
Site Address: 1844 Walnut Lane
Lot:1 Block: 04 Addition: Eden
PID:10-22750-04-010
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Jill T Omalley
1844 Walnut Lane
Eagan MN 55122
(651) 666-0020
Standard Heating & Air Conditioning
130 Plymouth Ave. N
Minneapolis MN 55411
(612) 824-2656
Applicant/Permitee: Signature Issued By: Signature