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:
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Cly of
3030 Met Knob Road
Phone:awn Nsatm
571140711
Fe= (801) 075•5694
2013 RESIDENTIAL BUILDING PERMIT APPUCATION
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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:
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