1514 Wellington WayPERMIT
City of Eagan Permit Type:Building
Permit Number:EA128892
Date Issued:12/12/2014
Permit Category:ePermit
Site Address: 1514 Wellington Way
Lot:9 Block: 2 Addition: Brittany 9th
PID:10-15008-02-090
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Michael O Carroll
1514 Wellington Way
Eagan MN 55122
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(130) 651-2644 X777
Applicant/Permitee: Signature Issued By: Signature
~ CITY OF EAGAN WATER SERVICE P~MR
~ 38i0 Pid-c Knob Raad ~ r
~ P. D. $ox 21199 PERMiT NO.:
~ Epan, MN `55121 DATE: 0_ b
I Zanirg: Y` ; No. of Unih: 1
; pw,wr; Tol1eison lildrs.
Addnm
; Site /1eWroas: 1514 k'ellint.o-i w'aSl L9 n? Brj.ttaaly 9ttk
~ p~umber l,er12 -Ryaiz
Si?i?.OOpd
' Size: " o e.fC ~~I utll{~lfS 0p d
; Reods r 7No.: ' t~~+~. C~ ~ j
1~!~ h
wN6 tlo CNp 01 ~ 0 pd
~ REQii--- LAMMODd 71-1
,
, Totol: metcr
By Doh PeW: °
Dob of Intp.: If"p,; J
~
~ CITY OF EAGAN SEWBt SERVlCE PERMR '
3830 Pilot Knob Raad
P. O. Box 2'.199 PERMIT NO.: Eagan, MN 55121 pATE; ' - I Zonino, No. of Unlts: _ '
Qy~r i1.•-t~t;oT3 Vlcirs.
Addreas: ;
Sm Addroas: ~`I-`, S;e1~.~~Qton L9'sti ~a9 B~: SriCCany 9t.i s ~
, vlun+bsr, Cen;. ~ r,vun
4- :c i`• I00 . OQpd
1 Nm b*onIr wllb tM Clhr of imow Connwctlon QwW: 4 7 5 - QQitd
oAk.."L Aecaunt apair: 15_
' Permit Fw: 1'i _ n0~a
Su?elarge:
BY Miw. Chorom
DoM of leup.: Tatd:
Irop.: Dah Poid: I
OF EAGAN
T ~fl ~17~ u
r' o.'10. Box 21-199, Eagan, MN 55121 - ^ I
~ PHONE: 454-8100
~~IWT'rCF4M~T Receipt #
To be used ior ,SF DWG/GAR Est. value $132. 400 Date A.PRIL Zs ,19-$5 ~
SiteAddress 151A WAllinatQA Oft Erect CKY Occupancy R-3
Lotq Block 2 secisub. BRITTANY 9TFi Remodel ? Zoning R-~
Parcel Na. Repair ? Type of Const y
Addition ? No. Stories
5 Name TOi.LF~'SON BUILDERS, INC. MOVe ? Length 50
~ Address 12617 FAIRGREEN AVENUF Demolish 0 Depth
o Int Impr. ? Sq. Ft
City A. V_ Pnone 4 3I-11Q 0Install ?
~ Z o Name S1L'"1F Approvab Fees
~ Q Address Assessment Permit 513- n0
~ city Phone Water & Sew. Surcharge 66.0(~ -
Police Plan Review 7 S 6_ S(l
F W Name Fire SAC s7s.nrl
=
_ Address ~
~ a Eng. Water Conn. ~t) a- Q d
W
i City Fhone Planner Water Meter 3_ SO
~
Council Road Unit 290.0
Iherebyacknowledgethatlhaver,4adthisapplicatiqnand.state,jhatthe Bldg.Off. 4 J14/86 Tr.PI. 15G_00
information is correct and agree to.cW[?oy.-wffi aN.appEa61ettate of
Minnesota Statutes and City of Eagan Ordinances. APC Parks
\ ~ Var. Date Copies
Signature oi Permittee Total 21420 - 60
A Building Permit is iss, d to: TOLLF.Fi0i1 DUILnFRS, INC. on the express condition that
all work shall be done in accordance with aIl applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official '
PKmk No. Parmit HaidW DaN Tilephom k
PlumbUO ~C- - -
H.Y.A.C.
IEIOClft - ~
Soll~
Impactlon Oah Imp. CommNft
Footlnpsl
I Footlnys 11
I F°"^°'"°^ ~ r
~ FrnrArip
RoWkp
Rouph Plpp.
Roayn Nby.
. r
Insul. ~ a
Fbeplace
Final Htp.
r
' Fl" Pfbg. . w
&dp. FInM t r t~
44
CML OCC. L!~ ~ ~ ~^+~G
Doolc Ftq.
Dock Fnnp.
w.x
vr. aw.
• "
• ~ ,
PERMIT CITY OF EAGAN FEE G v
` PLUMBING PERMIT
RECEIPT # 454-8100 S/C
MINIMUM RESIDENTIAL FEE -$10.00 + s•SO TOTAL
DATE MINIMUM COMMERCIAL FEE - $20.00 + s.50
1. Bldg. Type: `Res_Y_.~_ Comm Inst 2. ;New S, Add Alter Repair
3. Total Bid Price 4. Job Address
Lot Block Sec ~ 7 r-~ • 5. Owner
6. Contractor z1~v/rir/ ,~~/7`/~ ~a .lr.,he/~s 7i~~1. ~ ~c,Se"~~ v?~l?
(Name) ~r (street) (CrtY) _ .r RjP>
7. Contractor Phone # ~ j~~- U
NO. FIXTURES NO. FIXTURES NO. FIXTURES
"71 Water Closet - $3.00 -/-Laundry Tray - $3.00 -Well - $10.00 Bath Tubs - $3.00 __LFloor Drains - $1.50 -Private Disp Syst - $10.00
~VShower Lavatory - 53.00 ~Water Heater - $1.50 ~Rough Openings w/o
- $3.00 • LWhirlpool - $3.00 Fixtures - $1.50
ZKitchen Sink - $3.00 -/-Gas Piping Outlets - $1.50
_Urinal/Bidet - $3.00 -Softener - $5.00
COMM./IND. RATE - 1% OF TOTAL BID PRICE PLUS =.50 STATE SURCHARGE FOR•fACH $1,000 OF FEE.
Signed_ tor
Approved Inspections: Date Rough Insp. Date Final Insp.
~~cz c.:r~c•-~ < ti~„~•; . ~*`!!S,:-n ~ v"~ at T:fi FB, ~ ~yfir t„~ r ;'_T~+F ,r• ~!'~~+1+ ;:~k
~
PERMIT # ~
PLUMBIN(i PERMIT RECEIPT #
C1TY OF EJIG/W
3990 PILOT KNOB ROAD, EAGAN, MN 55121 DATE L- '
CONTRACT PRICE PHONE 4544100
SiEe Addreas ` BLDG. TYPE WORK DESCRIPTION
Lot ' Block Sec/Sub ~
)Rea ~New
m Name Mult Add-on
~ Address Comm. Repair
c City . ~!hQ118 Other
NO. FIXTURES TOTAL
~ Name Water Closet - $3.00 :
c Address ' Bath Tubs - $3.00
p City Phone `-1 - i C, Lavatory - $3.00
Shower - $3.00
Kfthen Sink - $3.00
FEES
COMM/IND FEE -1% OF CONTRACT FEE Urinal/Bidet - $3.00
Laundry Tray -~3.00
~ MINIMJM - RESIDENTIAL FEE - $70.00 _Floor Drains - $1.50
I MINIMUM - COMM/IND FEE -20•00 Water Heater -$1.50
, STATE SURCHARGE PER PERMIT - •50 Whiripool - $3.00
(ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets - $1.50
BEYOND $1.000•00) ' Softener - $5.00
Well - $10.00
,
Private Disp. - $10.00
.j . ,
Rough Openings - $1.50
SIGNATI jRE OF PERMITTEE : • FEE
8TATE 8/C
FOR CfTY OF EAGAN (iRAND TOTAL:
~
`SNO=UT-ILITX - SERV-J~a ~ot KnLob Road! F.O. Box 2G-A1 9, Eagan, MN 55121 N- 11796
BEF~O.tRE 7/30/86 pHONE:454-8100 l~ ~,Jfq
,6UrCDIIVGMIT Receipt& -
Tobeusedior SF DWG/GAR Estvalue $132,000 Date 7+PRiL 75 19 85
SiteAddress 1514 W llington Way Erect mX Occupancy R-3
Lot 9 Block Z Sec/Sub. BRITTANY 9TH Remodel ? Zoning R-1
Parcel No. Repair ? Type of Const. V
Addition ? No. Stories
W Name TOLLEFSON BUILDERS. INC Move ? Length 50
3 Address 12617 FAIRGREEN AVENUE Demolish ? Depth
° cic A.V. Phone 431-1100 Int.lmpc ? sy.Fc
r Install O
o Name CaMF Approvals Feea
ir
Addres5 ASSESSmBnt Permit S 7~_ 00
i- Ciry Phone Water 8 Sew. Surcharge 66 _ 00
Police Plan Revie w2 Sfi SO
w w Name
~i Fire SAC 575_00
Q Z5 nddress Eng. Water Conn500 _ 00
a w Cny Phone Planner Water Meter F 3 S 0
Council Road Unrt 2QO _ 00
Iherebyacknowledgethatlhavereadthisapplicalionandstatethatthe gldg.Off.4/14/86 Tr.PI. ISF,_fl(1
mfoimallon is correct and agree to comply with all applicable State of
Minnesota Statutes and Ciry Y g ~-an Ordinances ~ APC Parks
~ Var. Date Copies
Signature oi Perminee
Total 2,420_00
A euilding Permit is issu d to: TOLLEFSON BUILDERS, INC. on the express condition that
all work shall be done' accordance with all applica6le Minnesota S tutes n C' ol Eagan Ordinances.
Building Official
.-y
^ ot5o
2005 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675 Please complete for modifications to existing residential dwellings.
Date 073105
/ ~CARROLL, MICHAEL ~
'i 1514 WELLINGTON WAY UI71t #
Site Street Address ~ EAGAN, MN 55122
j (651)452-8908 ~
~
Property Owner ` felephone # ( )
NORBLOM PLUMBING CO.
contractor Telephone ?
Address City State Zip
MINNEAPOUS, MNp540
The Applicant is: Owner ontrac or _Other
Alterations to existing dwelling $ 50.00 !
_ Add plumbing fixtures (excludes water softener and/or water heater--complete next
section if installing these appliances).
_Septic System Apandonment
_Water Turnaround (add $125.00 if a 5/8" meter is required)
Other:
Water Softener ~ Water Heater $ 15.00
_ new ~ replacement
Lawn Irrigation _RPZ `PVB _new _repair _rebuild $ 30.00
$ •50
Total $ I S. 50
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete
and accurate; that the work will be_in conformance with the ordinances and codes of the City of
Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approv
1V0'fWVM ~
ApplicanYs Printed Name Appiic Ys Signature ~ ~ v(7 n
~ ~ t,UG ~ F 70f1~
~
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EACAN
. 3830 PILOT KNOB RD, EAGAN MN 55122
651•681•4675
New Construction Reuuirements RemodellReoair Requirements
• 3 reqislered site surveys showng sq ft. of IoC sa, ft of house; and all roofed areas • 2 copies ot plan
(209'o macimum lot coverage allowed) • 1 set ol Ener9y Calculatwns for healed addiUCns
. 2 copies of plan showmg 6eam 8 window ;ixes, pourea found design, etc ~ • 1 site survey lor extenor additions 8 decks
• 1 set of Energy Calculations . Indicate if home serveC Oy seDtic sys[em for adtlitions
• 3 copies of Tree Preservation Plan il lot platted after 711193
• Rim Joat OetaA Opbons selection sheet (bidgs with 3 or less uniLS)
DATE I ~~2S I4 2 VALUATION
SITE ADDRESS 15 /Y W e Ikn I MULTI-FAMILY BLDG _ Y _ N
TYPE OF WORK -'I em o~~ FIREPLACE(3) _ 0_ 1_ 2
APPLICANT 5c;s~
STREET ADDRESS Ia~C3 ~N\9et CITY ~STATE ~ZIP 5~.33
TELEPHONE #9S2 4p?A600 CELL PHONE FAX # n75%-~~~6~? !
P RO P E RTY OW N E R ~ ~S C0.rU\ TELEPHONE#
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MIVNI?.ti0"1"A KUI.ICS 7670 C:\'CLGORI" t b(I\VESO'1'.\ RCI.LS 7672
(J suhmission rype) . Residential Ventilalion Calegory 1 Worksheet Submittetl • New Energy Code Worksheet Submitted
• EnergyEnvelopeCa7culationsSubmitted ~
Plumbing Contractor: Phonc ff
Plumbing system includes: NVater Sof[ener _ Lawn Sprinkler Fee: 590.00
Water Heatcr No. of R.I. 13aths
No. of Baths
Mechanical Contractor: Phone #
Mccliwic.il m'stcm inclu(IcS: :1ir Condiuoniiig Pcc: 570.00
- Hcal Rccovcry Systcm ~ - '
Sewer/Water Contractor: Phone # P' ) ,
~~I~~ GC1 0 t LL'~'L
I~ ~ v
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Sfatutes and City of Eagan Ord'rnances.
Signature of Applicant
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
~ ~ .
i~
~
1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
Sr 6~~ 1 SET OF ENERGY CALCULATIONS
To Be Used For: aluation: Date:
Site Address: OFFZCE USE ONLY
r C
l.ot; ~ Block ~ Sect/Sub ! Erect ~ Occupancy a-3
Remodel Zoning 77
Parcel ll Repair _ Type of Const g
Addition of Stories
Owner Move _ Length So
~ Demolish Depth ~
Address Lu . Int.impr, _ Sq Ft
' Install
City/Zip Code % .
Phone APPROVALS FEES
Contractor Assessments Permit
Water/Sewer Surcharge
Address Police Plan Review 2 5-6,~
Fire SAC
City/Zip Code Engr Water Conn S'~l
Planner Water Meter ~ 3
l oad Unit
Phone CounLff
Bldg re
atment P1
Arch./Engr. APC parks
Varianc Copies
Address iOTAL -2 4~/od
City/Zip Code
Phone,0
~ ~
! .
' , . CITY OF BUILDINa DEPARTMENT
' • Y;xTERIOR ENVII.OPE AVERA(lE IIU II CAMPUTATION
(To be eubmitted with building permit application)
One or Two Family Dwelling ' Owner T+~"F f` Plll -I~c I~
All Other Site Addreee
Contractor fOLLEF'15cm gllll.I~EI~S Date Phone 454-00"7?~
LII7EAL FEET OF
EXPOSED 6'1ALL it6 above grade = a.~.aa
TOTAL EXPOSED WpLL AREA SQ. FT.
0?AqUE WI:LL COP?STRU;TI01IS "Ult VaLue x Ares
Detail ~RaMti glUts .D43 x sQ. FT. IGa9.- n - s~Z•9G(U)(A)
reference oot\lG °UII .pqpS x SQ. FT. F35•-76= F; •4,0 (U)(A)
froro 12IM flUll .p4Q x SQ. FT. IR7•4:~= - 6 (U)(A)
attached itult x 3Q. FT. = tU)($)
sheeta IIUII X 3(2. FT. c (U) (A)
foUll x S@. FT. _ (U) (A)
'11IND0`NS: "U" Value x Area
P1AIce & Type TAzGC-•06M7- uUn 4A ' x SQ. FT.44, kpC ~;j 1. 41_(U)(A)
n flU° x S@. FT. _ (MA)
u n vUn x 8Q. FT. _ (U)(A)
n u npn Y.SQ. FT. v (U)(A)
DOORS: "Ull Value x Area
Hake & Tyne .6TLTNS x 3Q. FT.41- =~•~h (U)(A)
° n Ps7 -nO aUn .4~ s SQ. FT. E,4 y (U)(A) -gq n n npn S SQ. FT. ~ (U)(A)
"11" x Sq. FT. _ (U)(A)
TOTALS -JaRD•a~SQ. !'T._Il~(o•~/ (U)(A)
AVERAQE "U"
TOTAL (U)(A) VALUES /L(~ ,A/ a . 01
DIVIDCD BY TOTAL 17ALL AREAa3~~-aa
AVLRA4E "U" (~i15 r lesa for 1&2 family dwellinga
ROOF/CEILINa:
TOTAL AREA: 1-7 , 'J
6'-t'
Detail reference IOII° •D~a x SQ. FT. E449_(U)(A)
from loUll x SQ. FT. . (U)(A)
attnched sheete. foUlt x SQ. FT. ~ (U)(A)
Describe oneninge IIUII x SQ. FT. ~ (U)(A)
in roof. IIUtl Z SQ. FT. - (U)(A)
ToTAL (U)(A) VALUES DIVIDED BY l-7.6¢ 9 ,L2•I(,UYA>
'i'0'CAL R00F/CEILIIid AREA
AVERAaE tfUlf ,025 for ventilflted roofe.
~
i
~ ss ExRDG~D Wl4U,
q.50 X (30 -~~ttE-:~D + ZO) = IIQ?•OD
8 g3 x~a8 + 3~ ze~o t ze) -1I03 . zZ _
l
a3~•~~
38 + ~O i- Fj 5. "U-,
I /
i ~iM ~o~sr
I
sz +-s4 }s-z-D _ sg
.w X56 = S.DO X;Z", ~ 1 O. 00
a0 X'70 ~ 6.O X I = 8•h
a~l-Xl~D = ID•D K ~ - ?O.0
I a4 x46= 8.o x a~ = 16.C)
44-.~0
~,~L~co25 Ner' ExFOSED wx+c.- EczuALS
a° sr~ w~s~ = zg.aD ~~oss wA-zc- z,38o. zZ
zB zi .o0 LE-,,-G CC)uC-. eS.~~
6° o~-no x z ~4.ov 2IM «r:~3
I
-450 94
,
I D002S 133GU
i
~
ill
~w
~NGINEERING PLANHEfl1 ond IAND iURCOMPANY, INC,
' N432-3000
~1000 U5T 146tl~ STpEET, BURHSVILLE. UINNESOTA 65337 PN ceP-JF
i}'i cajz Sur-Ye y :
Z444t .DCJCf"LOZIOTt: LOT 9, ELOCK BRITTANY 9TH ADDITION~
DAKDTA CoUNTY, MINNESOTA
4 WELLlN6TON ~ WpY
- (~i~
$
•oz se r N89°2v 27"f m
L. 78.06 R• 1506.00 30.04
L9s!+.3J 9 'Q ~9B8.J
.p+ S89, o~
5F
30' FRoNT @UILOIN6 1q0,1 991e .7)
SETBACK UAIE fgq¢47 22,0
p4e,'U~ °6AR.
3.~ ~
IJ d'0 o N20PO5ED ~ / ~ Ho~x,6 qo' ~
URTH r~ so,o
SCALE SO
I ~o,~ (990.,)
I~? / ~eb~ i
DEA/OT155 ~Xl57/~16 ~LE~AT/o,t/ r3 I I ~
N I LOT 9 I N;~
l'IR>•<•) DENDTLS PROYOSED ELEVA77011 m d I I~ m
N
INnICA7E5 olRfcT/uA/ vF 1~/ SI I~ o r~
SU~PFAt'E ORAIAlA6E I; ° C J
r~
F/N/SNED 6ARA6E FLOOR
FLEVATJOAI
oRAINA6E AlJo
UTILITY EASEMfJ.IT
l.,-~ L_ l1 I.,., X C~
-
rl
`J
'J
5 g//09. So
E-
I hareby certify that this ie a true and correct repraeantation ot a tract.ot
land as shoxn'and deecribed hereon.. Ae prapared by ma on thi¦ _7n/ day of
?finn. lteg. No. /~OF's-
CI'1'2' L'SE ONLF
PEWAIT~: '~H39S RECEIPTDATE: VISI DI
~
RF-SID£NTIAL MECHA1VICAL PURMTT :hPf'LICATION
' CTT'Y Of £AflA,4
3850 PILOT KP09 RD
E.4@AN HN 55122
651-6$I-4675
Please complete for: : single family dwellings
townhomes and condos when permits are required for each unit
Da[z: '71 LD, C-) ~
SI7E ADGREz_zS: ) Ll WCXX_I f~ t'~ I A'1
OWNER NAME: TELEPHONE J~ yCJZ -~~1 O~
(ARE4 CODE)
INSTALLER NAME. ,&PJll7. - TELEPHONE ~,(EA_ ~ 77 "H
(AREA CODE)
STREET ADDRESS: (01y'"--p ~ YCcvi_YJ T-
CITY: STATE: ZIP: SC_~~ il,O
Place a check mark next to tfie permit work type
New residential dwelling unit under constructionand not owner/occupied S 70.00
~ Add-on, modification or alteration to existin dwelling unit S 50.00
• fumace replacement
• air exchanger
• air conditioner
• other ~
Nature of work: 1&0Q k la ,r:) I
State Surchar e S 50
50
Total $ ~ -
Rentii:der: Cal! for iiispectiais. nn
7
SIG~. OF PER 4ITTEE
, Cpcaced I/01
C I T Y O F E A A f~ PAYMtTIi' OF FFE AT ~r~ or »
* APPLICIITION DOFS NOT QOI1SiZNiE *
e~ , ` - • ,*F APPROVAL OF PE2hIIT. *
APPLfCAT10N FOR PERMIT
ZNSPDGTION oF sEWER ArID/OR cATFR ,*t
I2ISPALLATIONS WiIS. NOT•BE SCIIED- *
SEWER AND/OR WATER CONNECTION ~~M UWM PER1'IIT HAS BEEd
' . • * APPROVID.
~
* w
r "
•f*:~t::*++**..*,r**~r::~+:**tti3f*,ti
, P ease Print
~1) PROPERTY ADDRESS:
LEGAL DESCRIPTION: ~ a N JI&C Lot Block Subdivi on or Tax Parcel_ID )
IF EXISTING SiRC'CiURE, DATE OF ORIGINAL BL'ILDING PERMIT ISS[.'ANCE:
i
PRESENP ZONING/PROPOSID USE: (Mon YearT
~ COMT7ERCIAL/REPAII,/OFFICE ~R-1 SINGLE FAMILY . . .
0 IDIDC'STRIAL Q R-2 DL'PLEX (Tko C~nits) .
INSTI'IL'TIONAL/GOVERN,tiENI, ~ R-3 ZUWNHOL'SE (Three + Units) ( Units)
• R-4 APARTNffNP/CONDO11I,yIUN1 Units)2) ~
E77SO.J
ADoREss: a k• vc .
cizy. STATE, ziP: l9l ojw S?
PHONE:
3) • u For City C'se .
NA6E: GENZ-RYAN PLUMBING AND HEATING Plumbers License:
ADDRFSS: 14745 South Robert Trail Active .
CITY, STATE, ZIP: Rosemount, 2IIV 55068 ExPired
Not recorded
PHONE: 423-1144 MASTER LICENSE# 1849M
St I711t1d1
4) •:.i o, wa: . . . .
61AME: _ ADDRESS: , .
CITY, STATE, ZIP:
PHONE: ,
5) ~i ~ d• - a• •
•t-~ • al' Y45~
~ CONNECTZON TO CITY SES+]m ~ CpNNF]CTION M CITY WATER ~ pTHER . .
6) PI,EASE HOI.D APPROVFD PERMIT FOR PICK-UP BY ONE OF ABptlg
PLE'11SE MAIL APPROVID PERMIT 1U 1, 2, n 4. ABOVE
(Circ3e one)
00, 7) r r u•~-
.i ~~~~7~~~~
. ~ ti: ~ na: aa ' n~Y~.Ci ni_: e• r. eer -t~ ia• ~ ic:r • x, iu • 1• v: v~~.e~r
ui~.•i. , e:i::r:•~' .J..':7' ~ 11 vta ee _ _ p
. FOR CITY USE 0NLY PERMIT # ISSUED
77 0
Pd w/Bldg. Permit FEES:
$ $ /D~SC SEWER PERMIT (INCLUDE SURCHARGE)
$ $ 10-S~ WATER PERMIT (INCLUDE SORCHARGE)
$ lc 3- S~ $ WATER METER/COPPERHORN/OC'TSIDE READER
S $ WATER TAP (INCLL'DE CORPORATZON STOP)
$ $ SEWER TAP
$ $ d__o ACCOUNT DEPOSIT - SEWER
$ $ 15"4-o ACCOC'NT DEPOSIT - WATER
$ S O 0. D Z7 ' $ wAC .
S r,`7S•~~ S sAC .
$ $ TR[JNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
. $ $ LATERAL BENEFZT/TRUNK SEWER
, $ $ LATERAL BEN°FZT/TRUNK WATER
$ $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
S_ $ TOTAL
. . / C ~ I 72
lRECEIPT RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
F__j YES 'IF YES, THEN A"PERMIT FOR WORK WITHIN POBLIC
Q ROADWAY" MUST BE ISSC~ED BY THE ENGINEERING '
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWZNG CbNDITZONS:
APPROVED BY: r(_;~ A'ZU41~2
TITLE: • ~ /
k`DATE:
1~- 15QD;K -cq 0- p~k
SPECIAL ASSESSMENT AGREEMENT
THIS AGREEMENT dated this (eTN day of October, 1988, between THE
CITY OF EAGAN (hereinafter called "THE CITY") and WILLIAM and J. J.
WENBERG (hereinafter called "OWNER") of 1514 Wellington Way, Eagan,
Minnesota.
WHEREAS, THE CITY had by public project planned, developed and
constructed local improvements through Public Improvement Project No.
45R, benefiting the property held by the OWNER; and
WHEREAS, upon the completion of the improvements, THE CITY
levied assessments based on a five-year assessment spread against the
property; and
WHEREAS, the OWNER, in the process of purchasing his home
located on the above-described address, did pay through the purchase
price an amount sufficient to pay the levied special assessments; and
WHEREAS, through a set of circumstances still under
investigation by the County Attorney's Office, the closer involved in
the sale and purchase of the above-noted address collected funds in
escrow but has failed to pay the special assessments as they became
due; and
WHEREAS, the OWNER in conjunction with six other property owners
have filed suit in the District Court in the County of Dakota, State
of Minnesota styled sames M. Bratulich anci Nanc}~ J. Bratulich, et al.
Plaintiffs v Valle,y ClosingG et al DefendantG, Court File No.
C7-88-3195, wherein the Plaintiffs have been awarcied a Summary
Judgment in the amount of $75,394.97 against the closer, Valley
Closings, an assumed name; Valley Closings and Development, Inc., a
Minnesota corporation; and Valerie A. Connor, aka Valerie A.
Connor-Johnson; and
WHEREAS, on October 6, 1988, the Eagan City Council did take
action whereby the Council approved a 20-year assessment respread for
the assessment against the OWNER's property with the understanding
that this Agreement be executed by the GWNER.
NOW, THEREFORE, in consideration of the foregoing facts, the
parties hereby agree as follows:
1. The OWNER, for themselves, their successors and assigns, does
hereby covenant with THE CITY that should it recover any amount of
money from the litigation commenced in the District Court of Dakota
County, styled James M Bratulich et al v Va11ey.Closings et al,
Court File No. C7-88-3195, that it will remit any and all sums
received to THE CITY as a prepayment of the special assessments.
2. The OWNER, foz themselves, their successors and assigns,
waives any and all objections to THE CITY's right to re-assess the
property for Public Improvement Project 45R including any further
notice which may be required in the future regarding the assessments,
if for whatever reason the OWNER's payments thereof do not remain
current. Further, the OWNER waives any and all objections to the
present re-assessments agreed to herein and the proceedings related
thereto.
3. By execution hereof, THE CITY does agree to re-assess, over a
20-year spread, the assessments due against the OWNER's property,
pursuant to Public Improvement Project No. 45R at the same interest
rate originally set out in the adopting Resolution.
-2-
4. The OWNER hereby agrees that this Agreement may be recorded
at the Dakota County Recorder's Office and the OWNER shall execute
any and all documents necessary to implement the recording of this
Agreement.
5. The OWNER hereby agrees that this Agreement shall run with
the affected land and binds the heirs, successors and assigns of such
land.
The undersiqned have read and understand the above Agreement and
hereby bind themselves to it in all respects.
OWNER: THE ITY OF EAGAN
~
r~
WILLIAM WEN ERG
Its: Mavor
ATTEST:
. WENBERG
Ats: Clerk
STATE OF MINNESOTA)
) ss.
COUNTY OF DALe)A
On this 5 u day of ~ber , 1988, before me a Notary Public
within and for said County, personally appeared VICTOR L. ELLISON and
E. J. VanOVERBEKE to me personally known, who being each by me duly
sworn, each did say that they are respectively the Mayor and Clerk of
the City of Eagan, the municipality named in the foregoing
instrument, and that the seal affixed in behalf of said municipality
by authority of its City Council and said Mayor and Clerk
acknowledged said instrument to be the free act and deed of said
municipality.
MhflItYN L WIICHERPFENNIG
ESOTA ' - /
0 NO7ABY FUBUL
DAKOTA TY otdr PUb1iC
`Y>~~ My Commission 8. 1993
STATE OF MINNESOTA)
) ss.
COUNTY OF DAa%ay
On the of October, 1988, appeared before me, a Notary
Public, WILLIAM WENBERG and J. J. WENBERG, who did sign the foregoing
instrument.
i~a
Notary Public
R. ,4NDERSf3N
THIS INSTRUMENT DRAFTED BY:
th?-;~~. NHer.ncoin Cceni, Y.,ir,a ~
McMENOMY & SEVERSON, P.A. ~~^:~•T.~,r,;J b415510NCXPIRES i
7300 West 147th Street NE 9, 1990
P.O. Box 243
29
Apple Valley, Minnesota 55124
(612) 432-3136
MG D
DAKOTA COUNTY MINNESOTA
RECEIPT FOR PAYMENT OF PUBLIC IMPROVEMENT ASSESSMENTS
DATE RECEIPTNO.c _
NAME.
ADDI2ESS.
l~•~ ~ .
DESCRIPTION:
2- ~
OISTqICT n PL AT /~OC' PARCEL NO. T `
~ HECK DIGI
111.131 fi<.IB) 'AUNICIPAIITY ~
i~e.zu iz C
z-z3i 1zG~ G'G'~!<[~ . /
~
IMFRpVEMENT ~
D'P /+UD . INT,FROM TO ORIGIN<L:.MOUNT PAwCiPtiL WTEREST '
TOTAI PAID I
77l'. J[1 r ,
7!•, ~ h, f27-361 13~-<01
ICI.501 I51-601
Paio Belore CertiRCahon C (77=4) Piepayment L. (77- 5) Paid in Fuil 08= 1 -
I PaiUal Paitl , (18 = 2)
PREPARED BY NORMA B. MqRSH, COUNTY AUDITOR BY:
PREPARED BY MUNICIPALITY Of~
BY.
Il payment is made by check, this is not a~alid receipt untll check is ' c I
paid.
This Receipt does mm include
(NAME) the instollment certi{ied to
ihe 19 taxes. POSTED B1', DATE
2005 RESIDENTIAL BUILDING PERMIT APPLICATION ~ 101 00~
~ CityOfEagan 3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Consiruction Reovirements RemodeVReoair Reouirements Otfice Use Onlv
3 registe2d s0e surveys showirg sq. 8. of l06 sq• tl of house; and all roofed areas 2 copies of plan Cert of Suney Recd _ Y_ N
(20% maeimum lot coverage allaved) 1 set of Energy Calculations for heated addilions Tree Pres Plan Recd _Y _ N,
2 copies o( plan showing beam 8 window s¢es; poured found design, etc. i sfle survey for additions 8 decks Tree Pres Required Y _N
lseto(EnergyCalcula0ons Adddion - indicateif onsitesepticsysfem On-sileSepticSystem _Y _N
3 copies a( Tree P2servation Plan if lot platted afler 711193 Rim Joist DetaB Ophons selection sheet (buildings with 3 or less units)
/
14.
Date /0) Construction Cost 2vJ -
Site Address y L51, u 1PJ1i P.C1 UnidSte #
jj
Description of Work (k352kl~ 1\~-) 0SL~L(~ (N'jp yvz:,J-L> EQ,Sox_~
Multi-Family Bldg _ YX, N Fireplace(s) _ 0 1 _ 2
PropertyOwner lpw~s Telephone#(~j~ ) 4CZ't45Z6
- ,
Fireside Hearth&Home
Concractc 14399 Huntingtor Avenue
Addr' Savage, MN 55378 Ciry
~ 952.736J761 i
State~ Telephone # ( )
, License #20512060
;
, . ~
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
In ihe lasf 12 monihs, has the City of Eagan issued a permit for a similar plan based an a masfer plan2
_ Y _ N If yes, date and address of master plan:
Licensed Plumber Telephone J
Mechanical Contractor Telephone )
Sewer/WaterContractor Telephone#( )
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; 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 appr d plan in the se of work which requires a review and
approval of plans.
Applicant's Printed Name App icant's Signat e
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1514 Wellington Way
Lot: 9 Block: 2 Addition: Brittany 9th
PID:10- 15008- 090 -02
Use:
Description:
Sub Type: e- Windows/Doors
Work Type: Windows/Doors - New/Replacement
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 2,000.00
Contractor:
Sela Roofing Remodeling
4100 Excelsior Blvd
St. Louis Park MN 55416
(612) 823 -8046
PERMIT
City of Eaan
BL - Base Fee $2K
Surcharge - Based on Valuation $2K
Applicant/Permitee: Signature
- Applicant -
Construction Type:
Occupancy:
Permit Type:
Permit Number:
Date Issued:
Permit Category:
If altering the opening size, a framing inspection is required. Smoke detec tors are required in all sleeping rooms prior to
final inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required Bat tery operated types
are acceptable if the wall/ceiling finish (i.e. sheetroc k) has to be removed to install a smoke detector. Brenda Van Sickle
00 Excelsior Blvd St Louis Park, MN 55416 952- 915 -7226 brendav @selaroofin g.com
Total: $70.00
Owner:
Michael 0 Carroll
1514 Wellington Way
Eagan MN 55122
$69.00 0801.4085
$1.00 9001.2195
Building
EA074900
08/28/2006
ePermit
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.
Issued By: Signature
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1514 Wellington Way
Lot: 9 Block: 2 Addition: Brittany 09th
PID:10- 15008- 090 -02
Use:
Description:
Sub Type: e- Windows/Doors
Work Type: Windows/Doors - New/Replacement
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Pella Windows & Doors Turnkey Sales
15300 25th Ave N #100
Plymouth MN 55447
(763) 745 -1400
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Applicant/Permitee: Signature
- Applicant -
Construction Type:
Occupancy:
Permit Type:
Permit Number:
Date Issued:
Permit Category:
A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are
required in all sleeping rooms prior to final
inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are
acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector.
Total: $90.00
Owner:
Michael 0 Carroll
1514 Wellington Way
Eagan MN 55122
$88.50 0801.4085
$1.50 9001.2195
Building
EA087150
10/28/2008
ePermit
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply with all applicable State
Issued By: Signature
4111'
City of Eaaan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
Permit #:
Permit Fee: % C/ �✓
Date Received:
Staff:
2011 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit #:
RESIDENT /
OWNER
Name: \ C II+Aitl-- C -AA / Phone: (j5/-4�✓a ` e G%!,
r
Address / City / Zip: L q. I 0 i.A/ et.- L / PIJGTZtJ (Ai YA
Applicant is: )1. Owner Contractor
TYPE OF WORK
Description of work: C. A WAC t (i)d G it
Construction Cost: Multi-Famil Bu' ding: (Yes / No
CONTRACTOR
C
Company: hi I L -I --t I 04/ C 1. Contact: t n1gZ G 6 cAtT -
Address:
r
0. (
State: Zip: Pho
License #: Lead Certificate #:
Does this project require Lead Remediation? 0 Yes 0 No (see Page 3 for additional information)
If no, please explain:
In the last 12 months,
Yes No If
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information maybe 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 e»rmit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approy f f plans.
x I ( i4 i LL
Applicant's Printed Name
x
Applicant's Signature
Page 1 of 3
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Date:
City of Eap
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #: ( q
Permit Fee: 1 �'
Date Received:
Staff:
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
ws).
Site Address: (A.p-
_2_ ,`f
Unit #:
Resident/
Owner
Name: W=1«- (�v'rd
Phone:
11 L"� t 4-2 //
Address / City / Zip: m
Applicant is: Owner X. Contractor
Type of Work
Description of work: ec-wwv-e - 1270 t"� ` s: a4
Construction Cost: (2, Gvo f— Multi -Family Building: (Yes / No
Contractor
Company: ?4 tl v, tctq cs Cu,.stv ,•`(-,(-1's,--Contact: -P�A"--
Address: Zt-t % t 1---`-^'•{ �rr--(e City:
State: W ° Zip: SeSF2_ Phone: BIZ- 4C9_9
License #: Lead Certificate #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
[
In the last 12 months,
Yes No If
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
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.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
xGt FVZe -
Applicant's Printed Name
x
Applicant's Signature
Page 1 of 3
Use BLUE or BLACK Ink
r
For Office Usei PA
Cityof Eaall Permit#: I h
v,,,; (, �.r�' Permit Fee: �07' :3to
3830 Pilot Knob Road
Eagan MN 55122 Date Received: c-I'('7
Phone: (651)675-5675
Staff: F[/)s7
Fax: (651)675-5694
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit#:
11 . j /fName:
Phone: L6 7.2 3 y44 71
lt/ /3--/y
/y4'e/// ?4ii7r-'-Kfrll ' /Zip:x OW :: Address/City
coe
•
'� tr Applicant is: Owner Contractor
Description of work: /eon av e /r +;`7% /% c7 L /�jl2 rv,
Construction Cost: / 6O Multi-Family Building:(Yes /No )
s Company: )k!�!e ��r�t/�Pri^1°. ac, Contact: �e�' "/t/r-
Address: 37yS Di e c (4 ii7i . City: <i c y
., CaACtO
State: ��Zip: � /, 3 Phone: d�.1� �6�6�d� Email: kN/igIAIa,J I.ire 9�f�rl,lur
M License#: I,C�(?f$4// Lead Certificate#:
If the project is exempt from lead certification, please explain why:
cLd:\
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
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&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOE Pens an d supporting ► cur at ®dsubmit s r o be public in rmati P e ry off'
th0;1:410: ormation .* aclassified as non-p d, it if •�, }® . ' peer e s .s t ould perms
:., conclude that are tradevsecrets.
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 oif
Eagan; that I understand this is not a permit, but only an application fora permit, and work pisnot to startwithout 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 lans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance. f
x Xe A, ///L x .--4.47 .i
-4
Applicant's Printed Name Applicant's Signature
Page 1 of 3
J31"-/ G() JIl'it ,-0/1 1Occ1i DO NOT WRITE BELOW THIS LINE izi,?4
SUB TYPES
_ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
Single Family _ Garage Porch (4-Season) _ Exterior Alteration(Multi)
( Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Miscellaneous
01 of Plex Lower Level Pool Accessory Building
WORK TYPES
New _ Interior Improvement _ Siding _ Demolish Building*
_ Addition _ Move Building _ Reroof _ Demolish Interior
Alteration Fire Repair Windows _ Demolish Foundation
Replace Repair Egress Window _ Water Damage
Retaining Wall *Demolition of entire building—give PCA handout to applicant
DESCRIPTION
Valuation 0 Occupancy 014,4 MCES System
Plan Review Code Edition j ,," SAC Units
(25%_100% 1 ) Zoning iee' City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction 6�',/ Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings(Deck) Final/C.O. Required
Footings (Addition) Final/No C.O. Required
Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test
Roof: _Ice &Water Final Pool: _Footings _Air/Gas Tests _Final
X Framing )G 30 Minutes 1 Hour Drain Tile
Fireplace: Rough In Air Test Final Siding: _Stucco Lath Stone Lath Brick_EFIS
Insulation Windows
Sheathing Retaining Wall: _Footings_Backfill Final
Sheetrock Radon Control
Fire Walls Fire Suppression: _Rough In_Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: Ips , Building Inspector
RESIDENTIAL FEES
Base Fee
frilf
Surcharge6
Plan Review o`
MCES SAC
City SAC
Utility Connection Charge r'"
S&W Permit&Surcharge /6 5y ,0 _,..„
o 0
0
Treatment Plant
Copies
TOTAL
Page 2 of 3
Use BLUE or BLACK Ink
r
For Office Use
4* Permit 11.7-74� (`
City of Ea aIl ,�}
Permit Fee: �r/ -i 6
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 Staff:
Fax: (651) 675-5694
2017 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 5/lL�J" Site Address: PP"( Lam&LL ,�iyz ' ,'
Tenant: // / Suite#:
Resl n fOwraar Name: CIAG/� (47.12) CC Phone:4/ Z 72 -Z)6.90
Address/City/Zip.
i t !
Name j Ate / p `" L License#:j7 /
Contractor
Address;„f 3`Se-las / r%p/JL6L 7't�. riez.
State: 1.7 Zip: 6-el/Z./7Phone: 7ke5 SS/-Qs
Contac ,,.1 1/ Email
,lc‘,
Type of Work —New _Replace ' —Repair Rebuild .Modify Space if_Work in R.O.W.
Description of work: �iv V IIJ C / 4 � b/1-
RESIDENTIAL
r' Water Heater
r ;
Lawn Irrigation ( RPZ/_PVB) Water Softener
Permit Type Septic System 1/ Add Plumbing Fixtures(Main/_Lower Level)
l
New Water Turnaround
Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge)
$60.00 Lawn Irrigation (includes State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround*(includes State Surcharge)
*Water Turnaround (add$280.00 if a 3/4"meter is required)
$115.00 Septic System New(includes County fee and 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.qopherstateonecall.orq
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.
"" 1/0‘,/ iti4
kpplican s Printed Name App is Signatur
,OR OFFICE USE Reviewed l6 Date.
teq;ufred Inspections _Under Ground Rough-4n • Air Test _Cas Test Find.
Neter Related Items: Meter Size Radio Read Manometer Staff:
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA156838
Date Issued:07/19/2019
Permit Category:ePermit
Site Address: 1514 Wellington Way
Lot:9 Block: 2 Addition: Brittany 9th
PID:10-15008-02-090
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
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.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
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 -
Michael O Carroll
1514 Wellington Way
Eagan MN 55122
(612) 723-6693
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature