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1795 Walnut LaneCityofEaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 1 Use BLUE or BLACK Ink Date Received: Staff: 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Li- 2 I! Site Address: 1 V) a IP %(4- La Yi e Tenant: Suite #: RESIDENT / OWNER Name: 1. ' 1 a r -z i ` e//phone: 6 I ? -nO 67- Address / City / Zip: 1 —7C75-V'1a in,, 1- I_c %kz.) 6573D Applicant is: Owner >5 Contractor TYPE OF WORK Description of work: loticrz, 6- lt1 1 hdat )- ex -7 S 42 ri j42--0'4 Construction Cost: '3 *. ®Q' d Q Multi -Family Building: (Yes / No CONTRACTOR Name: \i---, a `f\ (..L',- . _ --' ': License #:-� �� "r Address: I ' 1 1 ; City: -• _ ; ../_ State: <`\, Zip: x' Phone: Vs i >' ray �'' C- : Contact: ` --'``-: akf Email: COMPLETE In the last 12 months, has _Yes No If yes, THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING the City of Eagan issued a permit for a similar plan based on a master plan? date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One CaII 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.aopherstateonecall.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. x ane Sck -es ir. Applicant's Printed Name J Applicant's Sign Page 1 City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675-5675 www.ci.eagan.mn.us PERMIT City of En Permit Type: Permit Number: Date Issued: Permit Category: Building EA086895 10/15/2008 ePermit Site Address: 1795 Walnut Lane Lot: 008 Block: 004 Addition: Woodgate 3rd PID:10-84602-080-04 Use: Description: Sub Type: e-Windows/Doors Work Type: Windows/Doors-New/Replacement Description: House Census Code: 434 - Zoning: Square Feet: 0 Construction Type: Occupancy: Comments: Permit closed without required inspection(s). Letter sent to applicant on 4/15/09. (pf) A framing inspection is required when installing a Bay or Bow window or if the opening is altered required in all sleeping rooms prior to final Smoke detectors are Fee Summary: Valuation: 3,000.00 BL - Base Fee $3K Surcharge - Based on Valuation $3K $88.50 0801.4085 $1.50 9001.2195 Total: $90.00 Contractor: Crew2 Inc 2650 Minnehaha Ave Minneapolis MN 55406 (612) 276-1680 - Applicant - Owner: Dawn Lyons 1795 Walnut Lane Eagan MN 55122 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 Applicant/Permitee: Signature Issued By: Signature City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675-5675 www.ci.eagan.mn.us PERMIT City of En Permit Type: Permit Number: Date Issued: Permit Category: Building EA089254 05/19/2009 ePermit Site Address: 1795 Walnut Lane Lot: 008 Block: 004 Addition: Woodgate 3rd PID:10-84602-080-04 Use: Description: Sub Type: e-Windows/Doors Work Type: Windows/Doors-New/Replacement Description: House Census Code: 434 - Zoning: Square Feet: 0 Construction Type: Occupancy: Comments: Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: Valuation: 3,000.00 BL - Base Fee $3K Surcharge - Based on Valuation $3K $88.50 0801.4085 $1.50 9001.2195 Total: $90.00 Contractor: Crew2 Inc 2650 Minnehaha Ave Minneapolis MN 55406 (612) 276-1680 - Applicant - Owner: Dawn Lyons 1795 Walnut Lane Eagan MN 55122 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 Applicant/Permitee: Signature Issued By: Signature City of Eagan Eagan, PERMIT City of Eaan Permit Type: Plumbing Permit Number: EA104575 Date Issued: 05/30/2012 Permit Category: ePermit Site Address: 1795 Walnut Lane Lot: 008 Block: 004 Addition: Woodgate 3rd PID: 10-84602-04-080 Use: Description: Sub Type: e - Water Softener Work Type: New Description: Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments: Josh McGuire 1424 3rd St N Minneapolis, MN 55411 612-604-4285 Fee Summary: PL - Permit Fee (WS &/or WH) $55.00 Surcharge -Fixed $5.00 0801.4087 9001.2195 Total: $60.00 Contractor: Benjamin Franklin Plumbing 1424 N 3rd St. Minneapolis MN 55411 (612) 604-4285 X61 - Applicant - Owner: Dawn Lyons 1795 Walnut Lane Eagan MN 55122 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. Applicant/Permitee: Signature Issued By: Signature OF EAGAN Pilot Knob Road an, MFF 55122 Zoning: PUn Owner: New 8privon Wawa WATER SERVICE PERMIT PERMIT NO.: 1778 DATE: 7/21/75 No. of Units• 4 - 14roodgate III Address: Site Address: 1795-93-97-99 Walnut Lane Plumber: Thompson Plumbing co. Meter No.: Connection Charge 60.00 pd Size: Account Deposit: Reader No.: Permit Fee: 10.00 pd 1 agree to comply with the Village of Eagan Surcharge• Ordinances. Misc. Charges• By Date of Insp.: Or .50 pd Total: Date Paid• Insp.: VILLAGE `OF EAGAN SEWER SERVICE PERMIT 379k plot Knob Road PERMIT NO.: 2539 Eagan, MN 55122 DATE: 7/21/75 Zoning: pup No. of Units: 4 Owner: Nevi POrizttn acmes — 17eodgatft 111 Address: Site Address: 1795-93-97-99 Mallet Lane Plumber: balm numbing co. 1 agree to comply with the Village of Eagan Connection Charge170•00 Pd Ordinances. By: Date o Insp.: Account Deposit. Permit Fee: Surcharge: 10.00 pd .50 pd Misc. Charges: f Insp.: Total: Date Paid: ‘ick171 1-1°1‘t non, 1, 11 a1 Wath, L Cly of 3030 Met Knob Road Phone:awn Nsatm 571140711 Fe= (801) 075•5694 2013 RESIDENTIAL BUILDING PERMIT APPUCATION Unit s— um BLUE or BLACK hrk For Mee U k51033 Pannitik Prone Felt Date Receiver Site Adm: Addees t3 r baa F514,9 ,.;,3c-396508 tYe rNo___> cE.h1 `.tc tact y(1 tea►: Q phone: &5)---2-70-7.59.5 Load Certificate #: 147 5739 6 — t If file pmject is emaapt from lead certification. please achy: (see Page 3 for adri6onat colwt.ETE THiS AREA piAY IF CONSTRUGI NC A MILEMANS In the lest 12 moms, has the City of Eagan issued a motor a similar plias based on a master plan? Yes No dyes, date and oddness of master plan Licensed Plumber: tilechanieal Contractor: &i„�er,�r- �„ Sower_1 lfou gMftairs andL _itydit --- ainst tesiergraund day derange. Cell 48 c,i t- Ii;F-�9i�E,_ Cal OeeCan atWi ISS bails you held to dig to Weise locales d andel Weiss. ou&stai with the oid�enaee and codes of vle City of 1 hamar adawa ladpa that this ten $ en ie and i�oateahc $ and walk is deal the e a p ales ° we be in Eau=d that 1 with th understand Ns p not a pewit. but only at application a or review and approval drams. ovppedarwe wire the approved plate Ingle Casa oiwpkwhidr tequilas Slate Belida Code eaaet he cor�PMted witletn '18° Benda,* auarar 6r a wading p=er tamed le accede *5h the lateneede lOP et ponalt 1811111a011.x 94APIE- P W.1-64' PIA NV— Pape 1 of 3