1531 Wellington Way
~
CITY O~ EAGAN , Perrnit No: Z'~004 Date: 10-13~-8$
3830 Pilot'.Ynob Road Meter No: 'r S12e: a c I
P.O. Box 21198
Reader No: /dR Date:
Eagan, MN 55121 i
I
Owner. Tollef.son Bldrs.
, j SiteAddress: 1531 Wellington Way Ll B1 Br ttanp 9th
; P4umber Star Plumbin!.z
~
Conn. Chg: 550.00pd Zoning: RL
~ Acct Dep: 15. UOpd No. of Units: 1
' Permit Fee: • OOpd
k Surcharge:
.50pd 1 agree to comply with the Clty ol Eagan
204.
Tr. Plant 00pd
Ordinances.
Meter. 67. OOnd
, Misc.: gy
WATER SERVICE PERMIT
~
~ C1TY OF EAGAN. Permit No: Date: 10-I~-RR 3830 PJlot Knob Road B/ p No: Date:
P.O. Bof21199
' Eagan, MN 55121
Owner: TQllef son n}das.
SiteAddress: 1-1131 a °tpn ay L B Brittany 9th
Plumber, Star Plvmbiny '
MWCC: SSfl. Qopd Zoning.
City Chg: ~ No. of Units: ~
Acct. Dep: _ I agres to comply with the City of Eagan
Permit Fee:
Ordinances.
Surcharge: Misc.: By '
SEWER SERVICE PERMIT
. _";~T"_""^ -~"s'~'" %~'e'•" c •s . . '
` CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:454•8100 BUILDING PERMIT Receipt ~
To be used for ;j'-" . Est. Value A125,p000 Date SZPTAWk Z9 ,18ag_
Site Address 1-' `~"-:_~,•`:Tr;N WAY OFFICE USE ONLY
? 1 SilxTTAi~OY 9TT! On Sfte Sewepe Occupancy li--3 ,
Lot BIpCk SeC/Sub. MWCC System x toning g'i
ParCel No. On Site Weli
(Actual) Const Y"N
a Name TIDI+~~~ ~ILDIMS. YIIC City Water x (AllowaWe)
= Address 12617 FAIZC'fiEEN AyL PRV Required x of Stories
o CitY "PL@ VALLEYphone 1- i100 eooster Pump Length 7$ '
oepth 39'
a Name SAM S.F. Total
.o
~ i Address Footprint S.F.
~ City Phone APPROVALS FEES
ua Name Engr./Assess.._ Permit 6~•Q'%
W
= Z Address Planner _ Surcharge 62• -51-
UW = City PhOne Council PIan Review 3244C
m s BIdg.OH. _ SAC,City 100•el
I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC 53000,
information is conect and agree to comply with alt applicable State of WaterConn. _ 550•0,
Minnesota Statutes and City of Eagan Ordinances.
Water Meter
Signature of Permittee
4!
Roaa unic 325,
A Building Permit is issued to:_ 10=MW MLDaRSII_NC Treatmenf P1 304•o~
on the express condition that all work shall be ddne in accordance with aIl
applicable State of Minnesota Statutes and City of Eagan Ordinances. Pa?ks
Building official TaTAL
Parmft No. Permlt Nolder Date TeIephoM ~t
Plumbing - c 6"8
H.v.ac. t'),~~c /
Electric ~5
~~C~~ , • ~ ~t? ' (o
Softener
Inspoction pate Insp. COmments
Footings I
Footings II
Foundation
I u~ ar e «.E .
Framing f
Roofing
Rough Plbg. 6A0
Rough Htg. /0 s
IsuL ~/,311 ~
Fireplace W OS
Final Htg. aF. ~
Final Plbg. vo _
Bidg. Final ? ~ $
Cert Oca
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
`•,7. .
.r: .F." . . . ,
PERMIT #
~
MECHANICAL PERMIT Sx'(~~ ~
' CITY OF EAGAN RECEIPT #
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE Z47- "
CONTRACT PRICE 7v~ PHONE: 454-8100
Site Address /ti__3 `d` BLDG. TYPE : WORK DES~RIPTION
Lot Block ~ Se~c./Sub Res. ~ New
'v Mult Add-on
m Name r--~ ~ - ~
Address ' Repair
s c City tiPhone - ~
FEES
Name RES. HVAC 0-100 M BTU -$24.00
c AddreS3 /'s+•fGC'ks-~C / ADDITIONAL 50 M BTU - 6.00
p Ciry f7- Phone 'J (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINiMUM - 1 PER PEFiMIn - 1.50 EA.
EE
TYPE OF WORK ^.AFE COMM. RAE APPLIES
Forced Air M BTU APT BLDGS. Z~ TOWNHOUSE 8 CONDOS - RES. RATE APPUES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
Unit Heater M BTU REMODELS - 12.00 -It 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 # s- BEYOND $1,000)
Other ~
FEE:
-f
S/C: SIGNATU E OF PERMITT E
TOTAL• ~
FOR: CITY OF EAGAN
. . PERMIT N
• ' ' PLUMBING PERMIT ~
• ' CITY OF EAGAN RECEIPT #
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ~CONTRACT PRICE PMONE: +5411-8100
Site Address ~BLDG. TYPE WORK DESCRIPTION
~ Res. New `
Lot Block 5ec/Sub
Mult. Add-on
m Name Comm. Repair
.g Address Other
c City Phone RES. PLBCi. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
Water Closet - $3.00 ~
Name Bath Tubs - $3.00
c Address Lavatory - $3.00
p City Phone • ~ Shower - $3.00
Kitchen Sink -,$3.00
FEES . ~ Urinal/Bidet - $3.00
COMM/IND FEE - 1% OF CONTRACT FEE Laundry Tray -$3.00
APT. BLDGS - COMM RATE APPLIES Floor Drains -$1.50
TOWNHOUSE & CONDO - RES. RATE APPLIES Water Heater -$1.50
MINIMUM - RESIDENTIAL FEE - $12.00 Whirlpool - $3.00
MINIMUM - COMMlIND FEE -$20.00 Gas Piping Outlets -$1.50
STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT)
(ADD $.50 5/C IF PERMIT PRICE GOES So(tener -$5.00
BEYOND $1,000.00) Well - $10.00
Private Disp. - $10.00
Fiough Openings - $1.50
SIGNATURE OF PERMITTEE FEE:
STATE S/C:
FOR: CITY OF EAGAN GRAND TOTAL• 'r
. • CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N9 15667
6~vD:S:
BUILDING PERMIT PHONE:454•8100 Receipt u O U
To be used for SF DWG/GAR Est. Value $125, 000 Date CEPTEMRER 29 J,1988-
Site Address 1531 WELLINGTON WAY OFFICE USE ONLY
On Site SewaBe - Occupancy R-3 M-1
Lot 1 Block 1 Sec/Sub. BRITTANY 9TH
MWCC System Zoning R-1
ParcelNo. OnSeeWell _ (ACtuaqConst V-N
City Water (Allowabla) V-N
m Name TOLLEFSON BUILDERS INC
z Address 12617 FA7RGRFEN AVE PRV Reqmred _ 4 of S~ories
° City APPLE VALLEYphone 431-1100 BoosterPUmp _ Length 78'
oevtn 38'
,p Name SAME S.F.TOtal
Oa AddreSS FootprintS.F.
u
~ City Phone APPROVALS FEES
a En r./ASSess Permit' 656.00
ww Name 9
~i Address Planner Surcharge 62.50
i -
City Phone Council PlanReview 328.00
m a w Bldg OfL SAQCity 100.00
I hereby ecknowletl9e lhat I have reatl this apOhcatron and state that the Variance SAC, MWCC SSQ. 00
information is correct and agree to comply with all applicable Slate of Water Conn. --515_Q.QD
Minnesota Statutes and City ol agan Ortlinances.J
WaterMeter b].QO
Signature ofPermittee ~lG~r-I(
Road Unit -3.2 5.«00
A eudding Permit is issued to:_TOLLEESON_BllILDERSy_INC rreatment Pi 204.00
on t he express cond ihon that all work shall be tlone m accordance with al I
apphcable State ofinnesota S"tal"u~tes and City of Eagan Ortlinances. Parks
Builtling 70TAL 2,842.50
~ ~ ~
* qO /
- - - - - - - - - - - -
I FOf OffiCR U58 ~
I
City o1 T Eapn j Permit #
I I
I Pertnit Fee:
I
3830 Pilot Kno6 Road
Eagan MN 55122 ~ Date Received: 7~ID j
Phone: (651) 675-5675 Fax: (651) 675-5694 I Staff: ~i I
I - - - - - - - - - - - - - - - - - - I
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: < Q "~SiteAddre ss:~,y~~/C//
Tenant: ' Suite
RESIDENT/OWNER Name: Phone:CP.J~
Address / City/ Zip:
Applicant is: Owner _ Contractor
!
TYPE OF WORK Description of work: -
Constructi n Cost. / (/C~f/• Multi-Family Building: (Yes Z, No ~
CONTRACTOR Name: Licse
Address. ~i [l e / •
City: State: /1L_ ' : ~
Phone: `75OI _4/W ! 15_~_Contact Person: ~
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
Category Submitted i Submitted
submission type) • Energy Envelope Calculations Submitted/
In the last 12 months, has the City of Eagan issued a-pertnit~milar plan based on a master plan?
_Yes _No If yes, date and address of-ma t res plan:
Licensed Plumber: / Phone:
Mechanical Contrector: Phone:
Sewer 8 Water C ntractor: 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 if you provide speci(ic reasons that would permit the City to
conclude that the are trade secrets.
I hereby acknowledge that this informahon is wmplete and accurate; that the work will be in confortnance with the ordinances and codes of the City of
Eagan; thal I understand this is not a pertnit, but only an application for a permit, and work is not lo staR without a pertnit; that the work will be in
accordance with the approved plan in the case of work which requves a review and approval of plans.
x X
ApplicanYs Printed Name Applicant's Signature
Page 1 of 3
RESIDENTIAL
BUILDING PERMIT APPLICATION
~ CITY OF EAGAN
3 f v 3830 PILOT KNOB RD, EAGAN MN 55122
851-881-4675 _Dl~
New Constructlon Heaulremente HamodeVPaoair Heaulrements
• 3 regisYered site surveys showing sq. tt. ol l06 sq. fl. of house; antl ~II rooled areas • 2 copies of plan
(20Ya maximum bt coverage albwed) . 1 set of Energy Cakulatqns tor heated aad'Aions
. 2 copies ol plan showing heam & window sizes; poured lound design, etc.) • 1 sAe survey lor exlerar addHbns & Aecks
• 7 set of Energy Cakulatbns • Indicate tl home sened by septic system for addiiions
• 3 copies ol Tree Preservation Plan A lot plattetl aker 711193
• Rim Joist Detail Optqnsselection sheet (Dltlgs wAh 3 or less units)
DATE 2- VALUATION 1~3~ 6~xX
SITE ADDRESS /s 3/ l/VE-//, n5 foi'1 t'?r?y MULTI-FAMILY BLDG _Y _ N
TYPE OF WORK 'TTA2 o,CF 9E R-:: FIREPLACE(S) _ 0_ 1_ 2
APPLICANT 6I'¢351c- x7tj`
STREET ADDRESS ( yO6U /z '4-'4E s CIN &ensu,11e_ STATE /"'lU ZIP Ss93'7
TELEPHONE#9S2%SSpzi~ CELLPHONE# 612(-d3- 013 o p,qX# 9S'z V3'92 74,
PROPERNOWNER A^1 C'9t1150A) TELEPHONE# 65-? y5 Z/° 37
COMPLETE THIS SECTION fOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MIA'NFSOTA RUL.ES 7670 CATEGORY 1 MINNFSOTA RULES 7672
submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Conhactor: Phone #
Plumbing system includes: Water Softener _ Lamm Sprinkler Fee: $90.00
Wa[er Hea[er No. of R.I. Ba[hs
No. of Baths
Mechanlcal Conhactor: Phone N
Mechanical system includes: Air Conditioiung Fee: $70.00
Heat Recovery System
Sewer/Water Conhactor: Phone M
JUN 0 6 2002 ~
I hereby acknowledge That I have read ihis application, state that the i formation Is cor ect, and agree to com y
wlth all applicable State of Minnesota Statutes and City of Eagan Ordi anc y
Signature of Applicant
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updaled 4I02
1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN '
SINGLE FAMILY DWELLINGS I .9
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WEIICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS !I OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
CONQIERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 7 SET OF ENERGY CALCULATIONS
To Be Used For: Valuation:Y/l~. 'f Date: 9~a7' 8,F,
Site Address ~ OFFICE USE ONLY
'Z6-Oov
Lot ~ Block ~ On site sewage_ Occupancy R-3 M-I
M47CC system Zoning R-1
Parcel/Sub ,Ap;-4q,il'/ On site well Actual Const V-N
City water ? Allowable V-N
Owner PRV required fl of stories
Hooster Pump _ Length ~
Address Depth 3 8
S.F. Total
City/Zip Code /a Footprint S.F.
i
Phone M APPROVALS FEES
Contractor 1702 Engr/Assess Permit ~SG,dv
` Planner Surcharge L2. Sv
Address Council Plan Review av
Bldg. Off.4?jd 9 ZB SAC, City Ino,ou
City/Zip Code Variance SAC, MWCC O,tw
Water Conn SSO,oo
Phone Water Meter 0.)
Road Unit 2s o o
Arch./Engr. Treatment P1 L04,uo
Parks
Address Copies
I TOTAL a~8q I-p
City/Zip Code
Phone 7l
VALUATKoN\ r, .
6ARAGE
z~x zy ~ Zy - .
s x 7 ~ <3 s
Sg9 X I ~I =
13SM
~G )c3~ _ ~do
Z2X lv = Z2~
I L X 31
4 X zG = ~o~
5 x~ - 3s
1'1 x Z 2-7 t 1
{I o.~.sE
$X2 = 1G
/
1 ~~3~~9 = ~G 3r)
i ix«t = l~~Y Lio; G720
12y°L`~
R O R e T
c?iisu~Ti~io e~ioinECns,UIIV EY OfiS
ptnu?+Ens ond LI1HG ~soni
BUIL..l~IERS
ENGINEE(~ING ,
COM(~flNY, INC. 1780'°~
L 1000 EltST 146th S711EE?, BUf1115VILLE, VIIIIIESOIA 55337 PII 4:2'j000
z}'z c a. ze c~ Sz~~- Ye
;~~~a I.17es c r~,0 2 i c~ t: LOT 1, BLfJCK l, 3R17TqNY 977-1 ADD/71AN,
DAKOTA COUMY, MINNESOTA
~ 979.6 ~ UENO-IES EXIST/NG ELEN/A77Ow
1xCj,10r&s FAoF-U3w EI-EvAnoN
1NDICA'7"ES D1PEC770/V OF SURFAGE. UW'+INAGE
9Bl 8;' ~ FIf•1 GNElJ GAFtAGG FL-DOR C.11-.`\1A'rI0N
30' FR0W7"" 6IJ11..DlhJG
SETSACK uNE
300 ~917J~ l+~ 99 ° LQ' Z4" E. ~977.7)
Ni1°5q•1~ E . (971.5) 124,9~1 ~977.1)
_ ,o ~ 1LOT 1,, 15
o;~ ~ ~s>e:3~ ~ .
o. ~ 1.. ` .o 9>8.5~ 9i3
081.e) o ~ C97B.5) ~
u ~ ~o ZR.o v 25.0 »4~ .
24.p / ~ , `~1•
~O, ~ ~1 _ qppGbSep
4- n 4 rv oRORPq_3C % o io~t
. 4C/ ~j (9ai.g) ~ zr..o
yo i . o ~aa 'O. h
u
a
o~ x`h 6) `"•H. J ~ 1 h
sJ ~ ' (983.5) I
~971,65~ ct N6/3 9l? ~ (gd$o) '
~
U n UE-.,as NI'r"
~V
L"I
ci
• • (9)5 bl)
I hereby cnrtify tliat tliie ia a t:ue and cornct repnetnLation of a trtet of
land aa shovn'and deecribed tiernon.• tia preparad by me an thii _ 26 'day of
S~T: , 19 88 . •
n ~ Ho., i36oo
, • CITY OF BUILDING DEPARTMENT
EXTERIOR ENVII,OPE AVERAGE "Ulf COMpUTATION
(To be suhmitted with building permit application)
One or Two Family Dwelling Owner
All Other Site Addresa _L.I B~ ~Q~7TAN~~
~ 9TH ADDN.
Contractor _IZ-,-,OAJ Zv/(,625 .-fMQ., Date Phone
LINEAL EXPO EDFE~E~OF ~EE "OoP-< !~?t~ I ET " ft. above grade = ~j (p 3¢, OD
TOTAL r,XPOSED WpLL ARc.A SQ. FT.
0?AQUE WE;LL COP;STRU:TIOti: "U" Value x Area
Detail rKRMi;~ "U" . 043 x Sa, FT. O 3.3s- J(e,
reierence Cowc. "Ull .098 x Sq, FT. 1/5-Z4= 1/•Z9 (U)(A)
from ~l m °U" • 040 x SQ. FT. 14Z•7(o = 5.7I M(A) attacned ifUn X S@• FT. _ (U)(Q)
sheets "U" x SG~,,. FT. _ (U) (p)
nUn x SQ. FT. _ M(A)
'++lInTDObVS: "Ull Value x Area
Make & TYPe We,,;G. .mlr ~loll .48 x sq. FT.
n u 124.~5~(u)(a)
uUu
u x SQ. FT. _ ~U)~A)
n nU n _
ft „ x SQ. FT. - M(A)
nUn x SQ. FT. - MW
IYJORS: "Ull Value x Area
:twte & TYpe 5~~sve., ~~Uff .14 x se. FT. 56 .oo= 7
~ RTeivN, ~ AT~~ ~~U11
u 1/Z _ S3•7(o ~U)(A)
n .48 x SQ. FT. ,00 - fluff
n n _ nUn x SQ. FT. _ (II)(A)
TOTALS /(D39:00 SQ, r-T._ 185. o/ M(A)
AVERA(3E I~
TOTAL (U) (A) VAI,UES
DIVIDED BY TOTAL 1'JpLL pREA ' II3
AVERA(3E flUff , ~ t5 r less for 1&2 famil ew llinga
ROOF/CEILINCi:
TOTAL AREA: I74'9
Detail reference VIUll •Oz1 x SQ. FT. 17¢9 = Z(U)(A)
from nUn x SQ. FT. ~ (U)(A)
attached sheeta. itUti x SQ. FT. _ (U)(p)
Describe onenings flUff x SQ. FT.
- (U)(p)
in roof. nIIn x S@. FT. _ (II)(A)
TOTAL M(A) VALUES DIVIDED BY ?)~-1z = TT L4j ~749 N,~ 3(o-7Z C~~~>
TOiAI, R005/CE , ~A 14 9 • Oz
AVERAGE "Ul ,025 r ventile,ted roo7Ps. ~
, .
. li WoR~ ~7J~E~7
~XPa~,sD wA~-
9.5oX (48-r9-S t 3st38) = J, (0 34,00
Cowc,
.(P7 x ~48 -r 4S t 38 t30>)
L,w Yoa,T
• 8~ X ~4$t48 t3gt3$~ =
DocaS
2oX 3/v = S.a~ X)= S.oo
3'/a = 9,av X 1= 9,00
3lo4
48 x~~ _ lZ,oo X 1= I Z, o~
2ox 48 = X z= 13,~3
21x 48 = S.o° x 4= 3z,oo
?.ox 60 = 83~ X 4= 33.3Z.
L4Xlpo = IO.OD X Z = LO.Da
De,op~s / Zg. (oS-~--
3°sk~
Z$ sTL• se,e- = Z!. o0
SQ A79lvm a 7- ~ 70, o0
(p= PAT1o = 42, o0
1 0 4-
1ET L~tyo~~ uL4r..c. Eav,q~.S o0
&,eoss wqtL 3Z x 48 = ~s~ ~
oo ~X L~ _ ~38
1.E5,5. caA,e., !lv 3f
/'S.z4
~ 9 = 59
„ wpw'S /Z4,mS -SSD l~S zX ~v = / Z
" 'Lboz'~ 1lo8•cn Z~cz. = 4
• . .
, --WALL SECTIOH--
Determining "II" values at Roof, Wall, Rim, and Conc. Block
ROOF/CEII,ING R VALUE
5
1.) Interior Air r'i1m 0,61
2.) 5/81, Gyp. Ba. .56
3.) Insulation 45.00
4.)
5.) Exterior Air Film .61
~ 2 3 (STILL)
nUu = 1/R= •C7Z/ iOTAL (R)= 7(P•78
y~ WALL R VAI,UE
9 6.) Interior Air Film 0.68
7.) GYp. Bd. .45
8.) Insulation 19,00
- 9•) ~,r P~uR-T-1~TE Z.o~}
10. ) ldrzsonite Siding .057
to 11.) Exterior Air Film .17
11
nUu = 7/R= .Oq.3 TOTAI. (R)= z7i.0j
RIM (R) VALUE
12.) Interior Air r'ilm 0.68
13.) Insulatioa 1Q,00
1 ~4 14.) 211 Fir Rim Joist 1,88
15 15.) h'' ,gawL.T~RrRE Z. 04
16.) Masonite Siding .67
17.) Exterior Air Film .17
. • ~a
p tiUll = t/R= .67,10 TOTAL (R)=Z¢ 44
~ FOUNDATION (R) VALUE
18.) Iaterior Air Film 0,68
21 • 19.)
n L)° bo. q zo.)
21.) 12" Concrete Block 1.28
' n n ~u 22.) R1foID IIu40G, g.oo
z3 b 23.) Exterior Air Film .17
o '
Ljd . nUa o 1/R= .O~J$ TOTAL (R)= ID•/2
APFLICATION FOR PERMIT :NOTE= PAYMETr OF FEE AT TiME OF
. i APPLIGiTION DOFS NJT NM-
D*~illtl SfI7ST1'E APPR6JAL OF PEMIIT. SEWER AND/OR WATER CONNECTION IcvseBrr~aN oF s~ nra/oR wA~ irasrn[.urxotas wna, rxm ee ~=r.nr.n UM'IL PIItMIT HAS APPROVID. ~L V / J
satVoF (mg-an
(PLEASE PRINT
1) PROPERTY ADDRFSS: s Z' ' U Q\
LF7GAL DESCRIPTION:
Lot B ock Sub i ision r Tax Parcel ID )
IF EXISTING STRCCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSOANCE:
Mont Year
PRESENT ZONING/PROPOSID CSE:
Q COP'A4ERCIAL/RETAIL/OFFICE R-1 SINGLE FANLiLY
Q INDDSTRIAL ~ R-2 DCPLEX ('it,o L'nits)
Q INSTI'ItiTIONAL/GOVERNMENT Q R-3 TOWNHOC'SE (Three + Dnits) ( Units)
Q R-4 APARTMENT/CODIDOMINIUM ( Units)
z) ~ NAME: 1c SG4 146 V{1e~
ADDRESS:
CITY, STATE, ZIP: f~?~'Z V~l t~/ S'.5~t;~
PxorrE: 93 1 116 0
c ` For City Use
3) NAME: I/i*. ~-C Pl ru[n s License:
ADDRESS: ~ ~ V/IGCJYL 1 ~~l^I~tL ~L~~ ExActive
pired
CITY, STATE, ZIP: VL Not recorded
PHONE: MASTII2 LICENSE #01
3~~ Sta Initia
4) . . . ~ i~.
NAME:
ADDRFSS:
CITY, STATE, ZIP:
PHONE:
51 ~ w •a~• i ~a~~
E3/6ONNECl'ION 'iO CITY SEWER Q.LONNECTION TO CITY WATII2 O OTHII2
6'~
fl+k**Y(ir*#*trxtr*it*kirir*# w# +kt#***#*#*###*tkk:Fkfk#ir**rttkk***firt#*++t+***#iF*+ir*f:t++*ir+irkk*#**#i#*rir*i
*k THE GOID COPY OF 74iE PERNffT WILL HE SE[1P DIRECPLY TO PUSLIC WORKS RO FACILITATE MEPEE2 PICK-IIP. *
*k PLEASE ALL,OW 1FA WORKING DAYS FOR PROCESSING. SONIDONE EROM T(IE CITY WILL CO6TI'ACT YOC~ IF ZSME
* ARE ANY PROBLFMS. *
~
*,r********+*~,tr~******+***+*~,t**r**r~+*****~r~*****~*r~++*r*~r*r+**~****~,t*~**~*+*r*+*~~t+~+,t++*t+i
. FOR CITY USE ONLY PERMIT # ISSUED ~ODO ~
Pd w/Bldg. Permit FEES:
$ $ /Q SZ SEWER PERMIT (INCLUDE SURCHARGE)
$ $ /0-SZ WATER PERMZT (INCLUDE SURCHARGE)
$ L-7 , G-7} $ WATER METER/COPPERHORN/OOTSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ $ AfC, ACCOUNT DEPOSIT - SEWER
$ $ ACCOC'NT DEPOSIT - WATER
$ 5-G o-2 $ wAc
$ ~v 5-6 - U-zv $ sAc
$ $ TRUNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BEN°FIT/TRUNK WATER
$ $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ ~ 7 $ J ~G Zi TOTAL
~ ~ 6F G S
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATZON IN PUBLIC RZGHT OF WAY?
~ YES IF YES, THEN A"PERMIT FOR WORK tVITHIN PUBLIC
ROADWAY" MLST BE ZSSUED BY THE ENGINEERING
~ NO DIVISION. LIST AS A CONDITION.
SCBJECT TO THE FOLLOWING CONDITIONS:
i
APPROVED BY: ~iC 6-ytew O-Z~-~~~?
TITLE:
DATE :
Date:
C!ty\of Ea�all
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
SEP 3 0 ``i1
.a50417
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee:
Date Received:
Staff:
2011 RESIDENTIAL BUILDING PERMIT APPLICATIONC(131
_
-56i/ Site Address: { Gr+ Unit #:
lo -11-11
TYPE OF. WORK
Name: /Q47 ;/4eft
Phone:
Address / City / Zip: /ST3/
Applicant is:
Description of work:
cr.
Construction Cost:
Owner Contractor
Move 15.`'
GeV
,61.4 cke,k.
"Ice 6,144-
1
Multi -Family Building: (Yes / No rl )
Company:
Address:", 4
/4 Ah S `Yl
State: /,1 Zip: ��..� / Phone:
License #:
Contact:
Z4-144 City:
e
Lead Certificate #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
LI 78' (161W)
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 A/No If yes, date and address of master plan:
Licensed Plumber:
Phone:
Mechanical Contractor: Phone:
Phone:
Sewer & Water Contractor:
)TE: Plans and supporting documents that you submit are considered to be public information Portions
e information may be classified as non-public if you provide specific reasons that would permit the City;
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.
x 1Jr 6k., : e�, C x .
Applicant's Printed Name Applicant's Signature
Page 1 of 3
ONO I1
DDON T WR O � INE
1 O/c/6
SUB TYPES
Foundation
Single Family
Multi
01 of _ Plex
Accessory Building
WORK TYPES
New
Addition
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
Fireplace
Garage
Deck
Lower Level
Interior Improvement
Move Building
Fire Repair
Repair
(25%_ 100°)y )
Census Code
# of Units
# of Buildings
Type of Construction
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: Ice & Water Final
Framing
Fireplace: _Rough In Air Test Final
Insulation
Sheathing
Sheetrock
Porch (3 -Season)
Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Reviewed By: J J
Siding
Reroof
Windows
Egress Window
Storm Damage
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Demolish Building*
Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building - give PCA handout to applicant
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC Gas Service Test Gas Line Air Test
Other:
Pool: _Footings Air/Gas Tests _
Siding: _Stucco Lath Stone Lath
Windows
Retaining Wall: Footings _ Backfill
Radon Control
Erosion Control
, Building Inspector
Final
Brick
Final
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
70)(((-
Page 2 of 3
A
EnROBE
ENGINEERING
COMPANY, INC.
1000 LAST 146th 5111EET,
Cn11SUL11110 titoiltuns
ptltliliEAS and LAND 5UI1VEYO1115
BUri lSVILLE, 11111IIESOIA 55337
Cerz�z}�zcaze
c g' cr- o2icrt:
(,)
9 ) DENOTES
(91.5 ) D NOrl s
INDICATES
P1i 43Z-3QOa
LOT 1, BLOCK 1, DRI7TANY 97N
DAKOTA COUNTY, MNNNF5OTA
ADD/T/AN,
EXISTING ELEVATION
r- O EL) Et..EV4710N
O/ BUTTON 01=' SURJAC.E UMII'JAOL
981.8:.' FIN ISNED GARAGE-". FLOOR 1;1.,1:..:VA 70N
(91444) 300
!,
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(977.7)
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30. FRC:Air //7bUI LDI NG
5ETSACIC LIN E
99 2.2' 2(1 E.
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I hereby certify that this is a true
land as 'halm' and described hereon..
-, 19 st� .
1
5
3
•
M O�
SCAL..E
DRAlNAGE AND
UTIIJiY CAS WIEN'
028.45,-)
20.0
0
m
(9%),)
and correct representation of a tract of
ale prepared by ma on this .24 ' day of
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA156725
Date Issued:07/16/2019
Permit Category:ePermit
Site Address: 1531 Wellington Way
Lot:1 Block: 1 Addition: Brittany 9th
PID:10-15008-01-010
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description: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 -
Paul Tstes R Carlson
1531 Wellington Way
Eagan MN 55122
(651) 452-1037
Bonfe's Plumbing & Heating
455 Hardman Ave
South St. Paul MN 55075
(651) 228-7140
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA178311
Date Issued:08/10/2022
Permit Category:ePermit
Site Address: 1531 Wellington Way
Lot:1 Block: 1 Addition: Brittany 9th
PID:10-15008-01-010
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the
water damage.
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Paul R & Gloria J Tste Carlson
1531 Wellington Way
Eagan MN 55122
New Life Contracting Inc.
9050 Highview Lane
Woodbury MN 55118-5512
(651) 336-9966
Applicant/Permitee: Signature Issued By: Signature