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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