1479 Woodview Ave ECity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1479 Woodview Ave E
Lot: 006 Block: 010 Addition: Surrey Heights 2nd
PID:10- 73001 - 060 -10
Use:
Description:
Sub Type: e - Furnace & Air Conditioner
Work Type: Replacement
Description: Fumace & Air Conditioner
PERMIT
City of Eaan
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Mechanical
EA075299
09/28/2006
ePermit
Comments: Questions regarding electrical permit requirements should be directed to Mar k Anderson, State Electrical Inspector,
952- 445 -2840. Cindy Lilienthal 2 1210 Eaton Ave Farmington, mn 55024 651- 344 -4253 cilienthal@controlledai r.net
Fee Summary:
Contractor:
Controlled Air
21210 Eaton Ave
Farmington MN 55024
(651) 460 -6022 X253
Surcharge -Fixed
ME - Permit Fee (Replacements)
Total:
Applicant/Permitee: Signature
- Applicant -
$0.50
$30.00
$30.50
Owner:
Donald W Rollefson
1479 Woodview Ave E
Eagan MN 55122
9001
0801
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
h all applicable State
Issued By: Signature
From:ALLSTAR CONSTRUCTION 19529427464 05/07/2014 10:15 #166 P.026/037
Use BLUE or BLACK ink
~ For Office Use I
j Permit 122 `tom j
City of Eafil~d ' 11.1b'
~ Permit Fee: I
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651) 675-5675
Fax: (651) 675-5694 I staff. CJ I
I I
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: 1'-1"15.1`4_1'1 114-A l 11`-1$1 NOdiVIM C(i i 1 I'00
Name: S►AYYtLI HtAQVTI~ CID: ban Compavim Phone:
Resident/ 1) 11 1 J
pp
Owner Address/City/Zip: ug; CI /j W, PDlrkyyObyl Fdtih aI'Glll'It~ MN 5 3'-1`-1 I~
Applicant is: Owner X_ Contractor I'
Type of Work Description of worts: 7ea~r cf I Re- Ro~f-
1, Construction Cost:. ~ 2I t 1~0 ~ b Multi-Family Building: (Yes X / No
4 Company: Alls t COhstrNrhDn M haQl_o1P,lmtnt, LV, contact. tayle mtgyaoln
Address: 5195IWASIdal I 110?s City: Map(t Plain
Contractor I
G State: N1 N Zip: CJ~- Phone: - Email: _ dare k 0111 1Y.IDL
License WAP 1G-15 Lead Certificate N 6T- 24AV`1- p
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) -
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: I
t
I Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE. Plans and supporting documents that you submit are considered to be public information. Portions of i
the information may be classified as non-public if you provide specific reasons that would permit the City to i
~-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.cioi)herstateonecall.org
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~3 jl lea MCI~e~ YY10 x
Applicant's Printed Name Applicant's Signature
Page t of 3
09/8/2014 07 : 53 T0: 16516755694 FROM:61Z3544154 Page: 2
Use BLUE or BLACK Ink �
� ForOHiceUse----------� ��
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Cit of�aUa� ��'��i��� � Pennil#: I �(!"/!/� �
� 6 14 j Permil Fee: /�cX. �� j
3830 Pilot Knob Road 5�� i� � �Q I I
Eagan MN 56122 � Date Received: �
Phone:(651)675•56T5 � �
Fax:(651}6T5-S694 � StaK: �
L------- ---------�
2014 RESIDENTIAL BUILDING PERMIT APPLICATION ' �I��
Da • SiteAddress: ��ff���,�lJc_I_XV�C/�'�-� � 1v�--� _.__.__Unit�l: ,����"'`
� �.,�y
� Name: 6l�T " Phone; (!�)� (D� �t"�� � �
Resident7 �� ����, n-, �C( J
' add�ess t c' i zi �,ta/ ►�V�P� C
Owner �v p� � ��j
� ` Applicant is: ' Owner Contractor "'
_ ;... ;.-:._ -.r:__.� —
��$S r �
�� p�ion of work: �n i
Type ort WQrk�;
�� ConsWction Cost: � �– Multi-Family Bulding:(Yes_/No�
Cwnpany: �"� �r� ��1f' Contact:'TIC���1►"iu t�.�
- ir �r�''�
' � � Address: `'�l City: ����4�./
Contractor <
� � p�^ hc �c.d�--�
= '•� State:�Zip:����,� Phone: 2 m il: '��..FY��
,� License#+�,��i.,_X�� Lead Certificate#: �� �
If the project is exempt from lead certificatfon, please explain why: (see Page 3 far additional information)
� _
COMRLETE THIS AREA ONLY IF CONSTRUCTING A PIEW BUILDING
In the last 12 mo s,has the City of Eagan issued a pertnit for a similar pian based on a master plan�
_Yes _No If yes,date artd address of master plan:
Licensed Plumber. Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
NOTE Plans and supporting documents that you submlt aie.considered to 6e publlc.fnformation. Portfons af.
the lnformat/on�may be classJfled as non publlc if you�provlde speclfic reasons ttiat�would peimft!he City to
, .. . ,
: . .. ..:.'.___. _..:.. ..:r�z, .�. _::,. ;con,clutle.:that;the :are;trade secrets. .. =�: , - � ; ,
CAI.L BEFORE YOU DIG. Call Gopher State Ona Call at(651j 4540QQ2 for protectian against underground utility damage. Cetl 48 hours
before you intend lo dig to receive locates of underground utilities. www.aooherslafeonecali.ora
I hereby acknawtedge that this IRfomiation is Complete and accurete;that Ihs work will be in confortnance with the ordinances and codes of the City of
Eagan; that I understand fhis is not a petmit, but ony an application for a permil, and work is not to slart without a permik that the work wiil be in
accordance with the approved plan in the case of wak which requires a review and approval of plar�s.
Exterlor work authorizad hy a buitding pertnit issued in accordancs wtth the Minnesota State Building Code must be compteted withln 180
da s of pertnit issuance.
x
� (� • �r x , QQ�i�_ c','t,�
App IcanYs Printed Name Applicant's Signature
Page 1 af 3
09/8/2014 07 : 53 T0: 16516"755694 FROM:6123544154 Page: 3
r � �
l�f�� ODc�U�� � I� /���1�
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundatian Fireplace _ Porch(3-Season) _ Exterlor Alteratton(Sfngle Family)
� Single Family _ Garage _ Porch(4-Season) _ Exteriar Alteration(Multi}
_ Multi _ Deck _ Porch(Screen/GazebolPergola) _ Miscellaneous
_ 01 of_Plex _ Lower Level _ Pool _ Accessory Building
{NORK TYPES
_ New _ Interiar improvement Siding _ Demolish Building*
_ Addltion Move Building �eroof Demulish Interfor
_ Aiteration _ Fire Repair fedows _ Demolish Foundation
_ Replace _ Repair � Egress Wlndow _ Water Damage
_ Retaining Wall 'Demolltion oi enttre building—give PCA handout to appiicant
DESCRIPTION /
Valuation (��c� � Occupancy �� MCES System
Plan Review Code Edition Lc�n7 MJ��— SAC Units
(25%_100%� Zoning ��� CIty Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Sprinklers
Type of Construction ���L Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings(Deck) Final/C.O. Required
Footings(Addition) � Final/No C.�. Required
Foundation HVAC Gas Service Test Gas Line Air Test
Roof:_Ice&Water _Final _ Pool:_Footings _AidGas Tests _Final
� Framing _ Drain Tile
_ Fireplace:_Rough In _Air Test _Final _ Stding:_Stucco Lath _Stone Lath _Brick
Insulation Windows
Sheathing _ Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Controi
Fire Walls Erosion Control
Braced Walls Other.
Reviewed By: � .Bulldtng Inspector
RESIdENT1AL FEES
Base Fee v��k���y�
Surcharge �c�rYS`� W►h��i� C�' 1 �
Plan Revlew -�"""
� r�nut.
MCES SAC
Ciry SAC
Utflity Connection Charge
S8W Permit&Surcha�ge
Treatment Piant
Copies
TOTAL
Page 2 of 3