1523 Wellington Way
CI* Of EAGAN Permit Na 1 M 61 Date: 6-2 7--8$ i
~
3830 Pilbt Knob Road B/P No: Date: 6-20--86
' P.Q. Box 21199 !
Eagan, MN 55121
Owner.
SiteAddress:I'` `Welilngton 4iay L;s BI '3rittony 9th
utAr nlu,r~~in~
Plumber
! MWCC: c50.oo?Zoning.
, City Chg: 0'OoF" No. of Units: 1
, Acct. Dep: 7_
P I agree to comply with the City of Eaqan ,
Permit Fee:
. lt~pjj
Ordinances.
Surcharge:
~ Misc.: By i
i i
SEWER SERVICE PERMIT j
- - :y
~ CITY aF EAGAN Permit No: 971pate: 5-27-88
38310 Pilol Knob Road AAeter No: 7V,0 Size: o
P.O. Box 21199 Reader No:6 Oate: /J-
Eagan, MN 55121
Owner. ";'°llefoon B2drs. I
Site Address: 15?3 ~e ington Way t ttany 9trk
Plumber. StAT PlUn&'i•"1' ~Conn. Chg: 550. 40nd Zoning: Ri
Acct Dep: 1 S. QOnd No. of Units:
Permit Fee: IQ - OOpd I
Surcharge: . 5i3nd I agree to comply with the CBy ol Ea9ae
Tr. Plant Orcji~r~nces.
Meter. / U
Misc.; s~ G
WATER SERVIC PERMIT
CITY OF EAGAN
~
3830 Oilot Knob Road, P.O. Box 21-199, Esgan, MN 55121
PHON E: 454-8100
BUILDING PERMIT Receipt
To be used for Est Value Yi 1I .umi Date L~': I-' ,19
Site Address OFFICE U8E ONLY
Lot Block ' Sec/Sub. i T A Y y l:f On SRe Sewaqe Occupancy MWCC 3ystam Zoning
Parcel No. On Site Wetl (Actual) Conat
c Name CitYWater f (Allowabie)
W PRY Requlred ~ of Stories
z Address
3 Booster Pump Lenpth
° City ~ Phone
Depth
, p Name S.F. Totel
~ ~ Address Footp?int S.F.
?a- City Phone APPROVALS FEES
~ W Engr./Assess. Permit
Name
~ W Planner Surcharye
Address ;
~ Z Council Plan Review .
W City Phone ~ .
eldg_ OH. SAC, City
I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC intormatlon is CorreCt and agree to comply with all applicable State of Water Conn.
Minnesota Statutes end City of Eagan Ordinances. Water Meter '
Signature of Permittee Road Unit
A Building PermR is issued to:_ ' Treatment P1 '
on the express condition that all work shall be done in accordance with all
applicable State ot Minnesota Statutes and City of Eagan Ordinances. Parks
TOTAL . .7i
Building Ofticial - ~
~
.
, Permit No. Psrmit Holder Oote TeIephone x
Plumbiny 4/
H.V.A.C. ~1fovl
Electric
d
Softener
lnsp.ctFon Dats InsP• Comments
Footings I 6 0
Footings II
Foundation
Framinq
a7 w C.t
Roofing
Rough Plbg. i _ y•~
Rough Htg. - -v
~ ~ • y
Flreplace
Final Hty. Final Plbg. 3
Bldg. Final
Cert Occ. , ~ ~er . L,
Temp. LP I
DeckFtg. f- 4 pS,
D6ck Final oa I Jt
Well df c-
Pr. Disp.
. . . , .
. PERMIT N
. ' PLUMBING PfRMIT RECEIPT #
Cltlf OF EAGAN ~
3a30 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTFiACT PRICE PHONE:154-s100
Site Address: BLDG. TYPE WORK DESCRIPTION
Lot ~ Block Sec/Sub Res. New
Mult Add-on
~ Name Comm. Repair
~ Address~ ~ F" Other
c Ciry 3"~ r Phone RE3. PLBG. ONLY - COMPLETE THE FOLLOWING:
~r~Bath FIXTURES 7OT4L ,
Name ~Water Ctoset - $3.00 $ - ` Tubs - $3.00
~ .
c Address• TLavatory - $3.00
p City . r=%=~~ ?i'.~~~.6~ !r'Phone ~je~.3
'e- 1 Shower - $3.00 _
~_Kitchen Sink - $3.00
FEES Urinal/Bidet - 5100
COMM/IND FEE - 1% OF CONTRACT FEE TLaundry Tray -$3.00
APT. BLOGS - COMM RATE APPLIES TFloor Drains -$1.50
TOWNHOUSE 8 CONDO - RES. RATE APPLIES --J-Water Heater -$1.50 MINIMUM - HESIDENTIAL FEE - $12.00 ~Whirlpool - $3.00 - '
MINIMUM - COMM/IND FEE - a20.00 ~ Gas Piping Outlets - $1.50
STATE SURCHARGE PER PERMIT - .50 (MINIMUM -1 PER PERMIT)
(ADD a50 S/C IF PERMIT PRICE GOES Sottener -$5.00
BEYOND $1,000.00) Well - $10.00
Private Disp. - $10.00
_ • / Z-Rough Openings - $1.50 -
SIGNATURE OF PERMI ' EE FEE: STATE S/C:
FOR: CITY OF EAGAN GRAND TOTAL•
_ - - ~
.~.-r..._.~-., . ~ . a
PERMIT # f'
MECHAHICAL PERMIT RECEIPT # '7
' CITY OF EAGAN
3830 PILOT KNOB ROAD, EA(3AN, MN 55122 DATE ~~Y ~ I r
~
CONTRACT PRICE PHONE: 454-8100
Site Address 1523 3 " • n lfty gLDG, npE WORK DESCRIPTION
Lot 3 Block 1 Sec/Sub Res. XW" New XXXXX
BRI'.tfil1NY X 9TH ADDITIDN
~ Name Gew.-Ryan p Mult Add-on
Sou R ert Tra Comm. Repair
~ Address
c Ciry Rosemotlnt, liN Phone Z- 4 `
ssosa
Tollefson Huilders inc,. FEES •
~ Name RES. HVAC 0-100 M BTU -$24.00
c Address 12617 Fattgreen Avernxe ADDITIONAL 50 M BTU - 6.00
0 Cityppple Valley, l~iphone 431-1100 (RES. HVAC INCLUDES A/C ON NEW
55124 CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PEkMin - 1.50 EA.
TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE
Forced Air 120 M BTU 24.00 APT. BLDGS. - COMM. RATE APPUES ,
TOWNHOUSE 8 CONDOS - RES. RATE APPUES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 ~
Unit Heater M BTU REMODELS - 12.00 ~
Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00
Vent CFM STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # 1 l. 50 BEYOND $1,000)
.
Other
FEE 25.50
S/C: • 50 SIGNATURE OF PERMITTEE
TOTAL• 26.00
FOR: CITY OF EAGAN
INSPECTIUN RECORD^~~T~
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: 4 f N
Eagan, Minnesota 55123 Date Issued: ~
(612) 681-4675
SITE ADDRESS: APPLICANT:
I r?N 6dAY
i i ! «r•~ ~ ~ I tl , , ~ . i
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION ,
~ ~
aem,n No. wmn ?wkaK oate relephone «
S/w
PLUMBING
HVAC
ELECTRIC
ELECTRIC
1mpoctlcn Oab hap. Commmts
Footings I
Foundation
Framing
Floothip
Raiph Plbg.
Rou9h Ftt9•
Isul.
Fifeplace
Fnel Fltg.
Orsal Tes1
Flnal Plbg. Plbg. InapeGOr - Notihr Plumbef
Corst. Meter
EngrJPlan
Bft. Finai /s~9 y t~
Dedc Fig•
oeak Rnai
weii
Pr. Disp.
( I
l ~
CITY OF EAGAN N°_ 1 5 2 0 3
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
c7 4 ~35
BUILDING PERMIT PHONE: 454-8100 Receipt # z
To be used (or SF DWG/GAR Est. Value $111,000 Date JUNE 15 1 g 88
Site Address 1523 WELLINGTON WAY OFFICE USE ONLY
Lot 3 Block 1 Sec/Sub. BRITTANY 9TH on Site Sewage _ Occupancy R-3 M-1
Parcel No. MWCC System X Zoning R-1
On Site Well _ (ACtuap Const V-N
a Name TOLLEFSON BUILDERS Ciy Water _X (Allowanie) V-N
= Address 12617 FAIRCREEN AVE PRVRequired _ #otStories
° City APPLE VALLEYPhone 431-1100 BoosterPump _ Length 86'
Depth 281
a Name SAME S.F.TOtal
.o
zi-
oa Address FootprmtS.F.
~ City Phone APPROVALS FEES
Engc/ASSess. Permit 610.00
ww Name
t z Planner Surcharge 55.50
xa Address
r?w City PhonO Council PlanReview 305.00
BIdg.Ofl. SAC,City 100•00
I hereby acknowletlge Ihat I have read this application antl state ihat the Variance SAC, MWCC 550.00
intormation is correct and agree to compy with all applicable State of water Conn. 550.00
Minnesota Statutes and Cily f Eagan Ortlinance5Water Meter 67.00
Signature of Permittee Roatl Umt -325.00
A Builtling Permit is issuetl ta TOLLEFSON BUILDER$ Treatment P1 204.00
on Ihe express condihon that all work shall be done i n accordance with all
applicable State of Monnesota Statutes and Ciry of Eagan Ortlinances Parks
Builtling OffiCialf.hu RJA-I,~~ `L TOTAL 2.766.50
,
I.
•a
1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN •
SINGLE FAMILY DWELLINGS 15 ~ 03
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOB CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE W[iICH ADDRESS
IS DESIRED. NO CHANGES WILL HE ALLOWED ONCE HUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF SNERGY CALCULATIONS
CONIMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
To Be Used For: Valuation :14"'Date: (v -13 '?R'
Site Address v oL.) _ OFFICE USE ONLY
Lot ~ Block _L On site sewage_ Occupancy
MWCC system Zoning R-I
Parcel/Sub~~,,, On site well Actual Const V,N
City water ? Allowable
Owne PRV required _ Ik of stories
Booster Pump _ Length d6'
Address Depth
S.F. Total
City/Zip Code Footprint S.F.
Phone 3/ -//(J D APPROVALS FEES
Contractor Engr/Assess Permit (D/o , o 0
Planner Surcharge SS1 5*12
Address Council Plan Review 305•oJ
Bldg. Off. ~SSAC, City !Od .U0
City/Zip Code Variance SAC, MWCC
Water Conn vu
Phone Water Meter ,60
Road Unit Z,,pu
Arch./Engr. Treatment P1 Zo41 au
Parks
Address Copies
I TOTAL ^ ~ I,,, , n)
City/Zip Code
Phone Ik
~/A-t,.tA710N . , 1
GARACrE ,.3 °
. j-• .
`
3Z xz6 = gsz .
1 X /3
BI~/X 1`I = l14 (ob
SyXZ~: Ict 65~
W ouy~
asml ~SrZ
I~13-_ r3
Is s~`~~- ~y~ZS
Li sec.sr.`r'oR~t
12X1y > !GS X3a- 0 q o
IIDBe~
~
, .t. KCgO tDERS
ENGfNEE(~ING rLnI+l+Ens ana tnHO 3unvEVz
~.OMPANYI INC. 9
1000 UlST (461h STREET, BURNSVILLE , ~IIIIIE:OIA 55337 Cc°'"Zl ZACCLze o SZLT"'~e
l.e~a~ ~e.JCr~pc~icrt; LoT BcoGe i, BRiTTqNY 971.1 AODiT/oN
DAKorA r.DV,VTy MiNNESoM
dENOTES EX/ST/tiG ELE?.4T/ON
< 96/.5 ) pENOTE PROPOSED ~cEV47-1,qN
lND/CATES O/RECT/ON OF SURFACE DRq/n1,46E
98143 = F/N/SHED GAR,4GE" FCDOR EGEI/A7-ION .
G124/A1966 A.vD
UT/L17y E4SEMF.,.t/T N 89 ° 22' 24"E
~82,v 9Z. OD
~ - - - - -
5~ lJ L-v l~~ 1 I5
1 LOT .3 ~
1 ~ ?
r~. v.
J q H ;r, V
. v ~97B,o~ I O tl,
' 9i~s,s I o N 30,
7.7Ba>
ee.oo •
$49
~ HousE !
iaoo N I 6A.Q,q6`c M I J
/i 54.00 ~l ~ I 1
51
~98~.5> ~ n~ 32.on 30' FiP~I/T 9~//LO/N6
~9ij~ S~o 9B/,e3 ~ SETB•9GK L/NE
L
o° S 48.45 APPROV D
(~T`dn Z
~ 0$25"E SB 71 R_ 14%.00 B ~
y- -
`976.bj1¢ 1 i9' 35" Date-
EAGAIV ENGIIVEERING DEPT.
, _ YY'9Y .ao i~9_65>
7s
I heT+by certify that thie ie n t^ue and correct repreeentition o[ a tracL o[
land aa shoxn' and deeoribed hereon,• Ae Eirepared by me on thi¦ ~/3'" day o!
~un/E ~ 19 88 . .
Ho. /Go6s
11inn. Rgde
CITY OF BUILDINCi DEPARTMENT
EXTERIOR ENVII,OPE AVERAGE °U 'l C0I4PUTATION
(To be submitted with building permit application)
One or Two Family Dwelling Owner
All Other Site pddresa 1q2 3 Q. '
D W
Contractor TuSoW l7Ktexs :7;;'~ e, ~ Date Phone 1,41 LINEAL FEET G - - - - -
EXPOSED 67ALL ft. above grade = ~a8~•Op~
TOTAL r,X°OSED IVALL ARc^.A SQ. FT.
0?&QUE INE:LL COP;STRU"TIO17 : "Ull Value x Area
Detail liUll 'C43 X a(j. FT. /4LO .D - & • (II)(A)
re:erence GoAYe, "U"_ • 098 x SQ. FT. 1o4.5z= lo. z¢ (U) (A)
from Rim SO67 "U" • d40 x SQ. FT. 129.48= 5.17(U)(A)
attached "U" x SQ. FT. _ (U)(Q)
sheets ifUll X SQ. FT. _ (U) (A)
"U" x SQ. FT. _ (U)(A)
WINDOWS: "Ull Value x Area
riake & TYPe 1uiU94• Cy.a'T °oll .4S x SQ. FT. Z. 0= 58•I (U)(A)
u j]u
n n _
x SQ. FT. _ M(A)
ii n "1J" x SQ. FT. - M(A)
° u nUn x SQ. FT. - M(A)
AOORS: "Ull Value x wrea
DIace & Tyge ~7E,EL //VSVL• °U'l .14 x SQ. FT. 47,OD = .`(U)(p)
PAM o flUit .48 x Sq. FT. z, = p. (U)(A)
n n njJu _
X SQ. FT. _ (U)(A)
u n njJu _
_ x SQ. FT. M(A)
TOTALS 185Z.0o SQ. r'T. 07 (U)(A)
AVERAQE IIU"
TOTAL (U)(A) VALUES I(pI•07
_
. O S!o
DIVIDED BY TOTAL 4'JALL kREA 185Z.00
AVF,Rp(}E r less for 1&2 family dwellings
ROOF/CEILINa:
TOTAL AREA: 13Z3.012-
Detail reference IVUll •OZ~ x SQ. FT. Z3 = 7•7 M(A)
from IIUII s SQ. FT. . (U)(A)
attached sheets. "Ult x SQ. FT. = (U)(A)
Describe onenings IIUII x SQ. FT. - (U)(A)
in roof. 'tIIll a SQ. FT. - (II)(A)
TOTpL M(A) VALUES DIVIDED BY 7-7 7g _ T7AtI.e~ 13Z3 27,7$ CVtYA>
TOTAL R005'/CEI ~G AREA 13 Zsj •bZ~
AVERAGE " .025 £or ventilated roofs.
G~ EXPcS~D w~c~ -
_ 9 so X (.*3 +48 -r3o-~ _ l4gz • oo _ _ - -
5.0o X( z,4 -r24 + z&~ = 3~0. o0
- i~ssz.do
Co^1e., - - - - -
.~~x (4 st-48-r 3o t;d~ = lo¢. sz ~
~iM T=rsT--- ~
•g~X~48t9-St3ofi3~~ _ /Z9•48~-'
I~x~ = 4.o X z= B.oo
ZaX3fo=_S.o X 4- Zo.oo - - -
X z= /Z•oo
20X&0 = S•~ x 4 = S3,z47
Z4X4b = 910 X lo = ~S.a.-:::>
• /Z/• zo-~-'
~oo~s
ST(.• WrS,L. = ZS•oo
Z ~ 57L• SE2 = Z/,Op
(p~ p~c?tO = 4Z,OD -
- ~ 9/-~-~-- . -
~eT C-XP',--15~ WAt_z- Er.jvALS op~
OAI~L /BsZ.on Z~X zlo = (oz4
G~ss cv,ve. Z'g-C Z8 - &7Z.
n R~~ /z9.4-s 13.S X Z= 27
1,40(0
.08~
--WALL SECTIOH--
Determining IO0" values at Roof, Wall, Rim, And Conc. Block
ROOF/CEILING R VALUE
5
1.) Interior Air r•ilm 0.61
2.) 5/811 ayp. Ba. .56
3.) Insulation 45.00
4.1
5•) Exterior Air Film .61
~ 2 3 (STII.L )
C (n nUu - 1/R= .OZI iOTAL (R)=14.7$
~
l
~ WALL R VAI,UE
9 6.) Interior Air Film 0,68
7.) 1" Gyp. Bd. .45
8.) Insulation ~9,00
9. ) %h'' ~7E t•44
10,) 1dASOnite Sidins ,p']
l0 71.) Exterior Air Film ,77
11
npu = 1/R= .OQ'3 TOTAL (R)=23.0+
I'L RIM (R) VALUE
ti
12.) Interior Air rilm 0.68
13.) Insulation 1q,00
14.) 211 Fir Rim Joist 1,8$
Is 15.) h" $~i(.?-P,'TF 2•0
16.) Masonite Siding .6~
, 17.) Exterior Air Film ,17
_ o
, • . . np" = 1/R= TOTAL (R)=Zd.4A
CQ
~ FOUNDATION (R) VALUE
18.) Iaterior Air Film 0.68
79.)
21 i7° o. q 20.)
n gzt.) 12" Concrete Block 1.28
' e n 70 22. )jelIvIA JAJSt1G• g.Da
z3 °b 23.) Exterior Air Film .17
e L~° • (~o . upn = 1/R= . O`]g TOTAL (R)= IO.I77
.
PERMIT Ck a3 ;1- Q
CITY OF EAGAN q -ag -9`-)
3830 Pilot Knob Road PERMIT TYPE: B u z Lo i rv c
Eagan, Minnesota 55123 Permit Number: 0 2 3 4 7 0
(612) 681-4675 Date Issued: g q/Z g /g q
SITE ADDRESS:
1523 WELLINGTON WAY
LOT: 3 BLOCK: 1
BRITTANY 9TH
P.I.N.: 10-15008-030-01
DESCRIPTION:
Bu~ilding Permit Type DECK
Building Work 7ype NEW
~
.
~
i. A`~' 1~ ~'j;: ~ ;A~._~~•, A-.~
REMARKS:
FEE SUMMARY:
Base Fee $30.00 COPY $.50
Surcharge $.50 Total Fee $31.00
Subtotal $30.50
CONTRACTOR: OWNER: - Applicant -
JUST MARY
1523 WELLINGTON WAY
EAGAN MN 55122
(612)451-5117
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicable State ofi Mn.
Statutes and City of Eagan Ordinances.
APPLICANT/PEP/ ITEESIGNAT E - 1 UEDB SIG ATURE
l
CITY OF EAGAN v ~
.0
Z3410 1994 BUILDING PERMIT APPLICATI f~
681-4675 •
131 Ct~
0
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 cop~~ nergy
calcs.
CQMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date X/_ / 2 7 Val uati on of work
Site Address:_ 15 ,ac,y
STREET SUITE M
Tenant Name: (commercial only)
LOT ,L SLOCK SUBD. P.I.D. M
I
Descri tion of work:
The applicant is: Q Owner O Contractor ? Other (ue:«+be)
Name 4- ! ti~ 1Phone 6B%- 930G,
Property LAST „R5T
Owner
Address I523 0z f I a,~~ 'b„~ y f'
STREET STE #
City ~~--~State Zip
Company Phone
Co ntractor Address License # Exp.
City State Zip
Architect/ Company Phone
Engineer Name Registration #
Address '
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply 11 appli ble St~at of Minnesota Statutes and City of
Eagan Ordinances. J;2~,
~
Signature of Applicant: `
.:o~ .
...SM} ~
~ • 7bufFSu vic.~EKS
. . • n! B
~o B e ~ /549. o/
cotlsU~.Tt~lo allOlliftns gooe SL
~N~ir~EEni~r~ p~~~~~1E115 ond IAIIG 3UflVEVOflS
PA~ b9
CnnnPffliY, iNC.
1000 CAST 14601 STflEEI, BUNISVILLE, u11111ESOTA 563j7 PII 1=2'3000
C4C --r-ZcaZ e
1 R al .1Cr'~P~1c~t: / aT 3, BLOCJC l, BR/tIFLc/)' 9TN AO.O/T/O~t/,
n-= pVIKaTA (00N7-Y) M/titi/ESOTA
Ug:2) UENOTES EX/ST/NG ELEVAT/OA/
<9B/•5 ) UENOrE.= PROGOSED ELE1~/~T/ON
IN01C1qT6S O/RECT/ON OF SURFACE ORA/n146E
9B143 = F/N/SHED GARAGE FLOOR ELEI/AT/oN
Gi~?q~ti/,9G~ AND
uTIu7Y 64Sc,w,!FAvT N 89° 22' 24"' E Cy~¢• ~
91?. ao
-
- , ,
' ~IIr
1 L_ LoT ~ ~ 1~
~ ?
p„
9
41 ! I \,7SiSE Q Cy7B,o~ ~98/,n~ I 1~ ~
ae.oo
1 HouyE ~D 1 H~ I
iaoo ~ j 6AR96E m
sz.00 30' FRo,VT Bv/[ D/NG
5 I~y8i 5~ r,~ ~ SETBAGe L/NE
I s~ 98i, e3 a.
C17, ~ L ° e~, s
7J. 3~ Y
0 48. gs o 5~fs~ z~ A P P R. 0 D
p S~o° os' S6 7i
m 25 R= i4%.oo 'I
a-
~976~bi) I /9' 35_ DCItc:_----Y~
~ EAGAN ENvINLER1NG DEPT.
~ _ WAY ~c.do /`9`gJ)
c f
I her.6y certlfy tliat t1~1e ie a onU° Aed~ rapared t~yPmeeonttl iin~ daY o~
]and aa thoun' and dcecribed hera
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
J CITY OF EAGAN ~t-n-
3830 PILOT KNOB RD • 55122
651-681-4675
New ConshucNon ReauhemeMs . Remodel/Reoair ReauhemeMs
? 9 regisfered sRe suneys showing sq. H. of bt, tq. H. o} house 4 coples ol plan
and all roofed areas f20% maximum lot eoveruae allowed) 1 set of energy ealculaHOns for heated addHbm
D 4 coples of plans (show beam 6 wlndow sKa; poured Ind. design; etc.) 7 sHe survey lor exfedor addlllons 6 decks
? 1 set of energy calculvllons
D 3 copies W hee preservation plan Y lot plaMetl after 7/1/93
DATE: CONSTRUCTION COST:
DESCRIPTION OF WORK:
STREETADDRESS:/~ Y?~1~/-,.-~r/~Io/'v' ~~/r~y. ~-/,~r'~Jh'. Iti~l1,°
LOT: ~ BLOCK: SUBD./P.I.D.
Name: ~ tJ S i ?t/J G~ I/~ Phone k:
PROPERTY Last Ftrst
OWNER
Sheet Address: /-'~'~--3 ~ L...~, i N' ~'I`n P.~ GV Y~
CNy State: MlV Zip:
Company: Phone k:
(area code)
CONTRACTOR
Street Address: - llcense # Exp.
Ciiy State: Zip:
ARCHITECT/
ENGINEER Company: Name:
Telephone area code ( )
StreeT Address: Regishation M:
Cffy Sfate: Zip:
Sewer 3 water Ilcensed plumber (reaulred for new consiruction onlvl:
PenaMy applles when address change and lof change Is requeafed once permN Is Issued.
I herebN acknowledge that 1 have read this applicaHon, state that the InformaHoo-ISCortect, and agr to comply wRh all applicabl
State of Minnesota Statutes and City ot Eagan Ordinances.
Signature of Applicant ~~V • ~ %Q~
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
y"
APFLICATION FOR PERMIT ~N=: pAV4ENr OF FM AT TIME OF ~
. ~ APPLICATION OOFS N3P CONF *
~ SfI1Ll1E APPRCVAL OF PIIUIIT. ~
C1~ SEW ER ANC/OR WATER CONNECTION i INSP?CfION OF SETd]t ND/IXt yIA1S~g ;
~ ; xrsraccr.TioKS wna. riar ee scm(n,m ;
~ S i[!NPIL PIItt~IIT HlIS HFES] APPROVID. '
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city oF eagan
(P E PRINT
1) PROPII2TY ADDRFSS: '
r.Fr;ar DESCarrriotv: 9--' .
(Lbt/Block/Subdivision or ax Parcel ID
IF EXISTING STRL'CTCIRE, DATE OF ORIGINAL BLILDING PERMiT ISSUANCE:
Mont Year
PRESENT ZONING/PROPOSID USE:
Q COP9lIERCIAL/RETAIL/OFFICE SINGLE FAMILY
Q INDL'STRIAL E-1 R-2 DLPLE:C ('Pwo C'nits)
Q INSTITUTIONAL/GOVERNNN]ENT Q R-3 TOWNHOL'SE (Three + Units) ( Onits)
Q R-4 APARTmENP/COAIDOMLLNIUM ( Onits)
2) NP,h'!E:
ADDRESS: `p ( C! 1^ LC c v 1/ ~
CITY, STATE, ZIP:
PHONE: y ~ 11 b O
3) ~yE; For City Use
PlLiiE re:
ADDRESS: v y,Il I~ Active
I Expired
CITY, STATE, ZIP: Not recorded
PHOPIE: ~ ~ ~ MASTER LICENSE !Z St Initia
4) NAME:
ADDRESS:
CITSt, STATE, ZIP:
PHONE:
5) s~• • w~~• uiii'm~'~f"~ii~'el;eTa'~~ i1~9~ a~
CONNECTION TO CITY SE.WER b2'(.06NNECTION TO CITY WATER a pTHER l
6)
y
F************************* ****k*******************************************f********************i
F ~
r THE GOLD COPY OF 7HE PERMIT WIIS, BE SENi' DIRF)CPLY TO PUffi,IC WpRKS Tp FACIISTATE METII2 PICK-CTP.
F PLE7ISE ALTAW 2W0 WpRKIN, DAYS FOR PROGESSING. SOHEpNE FRpM Zg~,c CITY WILL OONfp.CP YOU IF 7lE:RE
F ARE ANY PROBLETIS. *
~***,~,+***r.***+*~*~**~:*+**************:**~**+**++~****+*#***+~**+**********+*w+**+**~*~*,r**+t~*,.~+*~
FOR -CITY USE ONLY
PERMIT # ISSUED
~
Pd w/Bldq. Permit FEES:
$ $ /C>. 52 SEWER PERMIT (INCLUDE SURCHARGE)
$ $ /O WATER PERMIT (INCLUDE S[)RCHARGE)
$ ~/'o n $ WATER METER/COPPERHORN/0UTSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ $ ~S~• Cn~ ACCO[)NT DEPOSIT - SEWER
$ $ ACCOL'NT DEPOSIT - WATER
$ •Lr-6 $ WAC
$ •c' d $ sAc
$ $ TRUNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
S --CO VefJ 6 $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ I ~i e) $ ~ U L> TOTAL
- /L1jl 3
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
Q YES IF YES, THEN A"PERMIT FOR WORK L4ITHIN PUBLIC
Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
`
APPROVED BY:
TITLE:
DATE: ~/J~7 Z F-e
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1523 Wellington Way
Lot: 3 Block: 1 Addition: Brittany 09th
PID:10- 15008- 030 -01
Use:
Description:
Sub Type: e- Reroof
Work Type: New
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Amek Construction
9555 James Ave S
#228
Bloomington MN 55431
(9523 888 -1200
If there is no ice protection inspec
acceptable in lieu of inspections.
Permit expired without required inspections
Applicant/Permitee: Signature
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total:
PERMIT
City of Eaan
- Applicant -
Construction Type:
Occupancy:
on prior to final, you must meet inspector with ladder and flat bar. Pictures are not
8/31/2009 CE
$88.50
$1.50
$90.00
Owner:
Philip & Mary Just Rev Trst
1523 Wellington Way
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
0801
9001
Building
EA087259
11/03/2008
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:EA178915
Date Issued:09/09/2022
Permit Category:ePermit
Site Address: 1523 Wellington Way
Lot:3 Block: 1 Addition: Brittany 9th
PID:10-15008-01-030
Use:
Description:
Sub Type:Air Conditioner
Work Type:Replace
Description:
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
210-0754.
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:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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 -
Philip & Mary Just Rev Trust
1523 Wellington Way
Saint Paul MN 55122--279
(651) 399-8869
North State Mechanical
1444 14th Street W
Hastings MN 55033
(612) 207-0345
Applicant/Permitee: Signature Issued By: Signature