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1681 BoardwalkParcel Files Cover Sheet Unique ID: 1938 1681 Boardwalk 103190045002 ti CITY OF EA Knob WATER SEJVICE PERMIT 3830 Pitt Knob Road $106 P.O. Box 21199 PERMIT NO.: 10_2 - 6 Egan, MN 55121 DATE: Zoning: Rl No. of Units: 1 Owner: Frontier Midwest Address: Site Addess: 1681 Boardwalk: L45 B2 Hampton Heights Plumber: Star Plumbin- Meter No.: -376 8 rwa, c ,_00.00pd Size: %$?l f ocfC Ac to t?5.00pd Reader No.:O 2O 1,?sGG? a, 1 00 pd I agree to comply with the City of?t!!xc ar e: . 50 d Ordinances.g 156.00pd TP ,??Qal: ?3 50Pd met-Ar t c Date Paid: Date of insp.: 87 Insp.: CASH RECEIPT CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 ff DATE 19 AMOUNT -& _DOLLARS loo ? CASH ? CHECK /az aUNB COPE AMOUNT ,F Think Y. I 6-77 SS Wh+tE-Payers Copy . - ?'?I1aw-PoSt?n?"COPY BLDG. PERMIT NO. 01-3210 Bldg, Permit- 01-3422 Plan Check 01-3445 Surch./Adm. 01-3446 SAG/Adm. 01-2155 Surcharge 17-3860 Road Unit jO 20-2275 SAC :1./77 . S 20-3865 Water Conn. SUt/ "` 20-3868 hater Trmt. r% 20-3716 Water Meter 20-2252 Acct. Dep. 20-3713 Water Permit /G . 20-3743 Sewer Permit w c-c" 79-3866 Sewer Conn. 11-3855 Park Ded. TOTAL CITY OF EAR AN ' ,78 N -2, 12799 3830 Pilot Knob Road, 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for SF DWG/GAR Est. Value $64,000 Date OCTOBER 23 t 9 Site Address 1681 BOARDWALK Erect Occupancy R3 tot 45 Block 2 Sec/Sub. HAMPTON HTS Remodel ? Zoning R1 Parcel No. Repair ? Type of Const. y Addition ? No. Stories Name FRONTIER COMPANIES Move ? Length 40 ?' Depth 3 Address 3908 SIBLEY MEM HWY, BLDG E Demolish ? ? S S I Ft . Ft qq. ntaall ll O City EAGAN Phone 454--0433 Install ? o Name SAME Approvals Fees I z Address Assessment Permit 325.00 City Phone Water & Sew. Surcharge 32 •00 ¢ Police Plan Review 162.50 w W Name Fire SAC ? 575.00 Z (j x - Address Water Conn. Eng. 500.00 W City Phone Planner Water Meter 63„50 Council Road Unit 290.00 I hereby acknowledge that l have read this application an.St" ethatthe„?Sldg. Off. L 0//S Ti. Pl. information is correct and agree to comply with all ap is le State 9 156.00 Minnesota Statutes andCdy-,ufEaga yf" " ,• APC Parks var. Date Copies Si nature of Permitted-° g $2, 104 .00 ao Total ABuilding Permit is issued to: FRONTIER COMPANIES on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official i Permit No. Permit Holder Date Telephone # Plum g O <C C? H.V.A.C. Electric Softener Inspection Date Insp. Comments Footings) Footings II Foundation Framing Roofing Rough Plbg. -9- f7 / - /7 74 Rough Htg. '> / Insul. /} f Fireplace Final Htg. Final Plbg. /-,j Bldg. Final Cert. Occ. ; " rf Deck Fig. ?- o ? E ?? t ?6i iT ?1 A 4 A w • •IS 1 %?? 7 Deck Frmg. Qy m { 1' . ls" rI'rwr? o Well -/2 -FIFE ` fl Pr. Disp. PERMIT # . r? PLUMBING PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: •?? PHONE: 454-8100 CONTRACT PRICE: Site Address A Block Name L Z C 0 Address 0 1 f{T /L1 city - Sec/Sub i/JL_ ve e Phone a'Jr- Name "k' 1^0/lJ7`i.?/, /1/Ci/7cS C Address y D 4s'+ ?'' C rnt°?x /r cu p City f' Phone " O9 FEES COMMAND FEE - 1% OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE - $10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) SI NATURE OF PERMITTEE FOR CITY OF EAGAN BLDG. TY E WORK DESCRIPTION P X N Res. New Mult. Add-on Comm. Repair Other N9. FIXTURES OTAt? Water Closet - $3.00 0 a Bath Tubs - $3.00 3,00 D Q Lavatory - $3.00 ' - $3.00 0 = Kitchen Sink - $3.0p =Kitchen 3,0 Urinal/Bidet - $3.00 -Laundry Tray - $3.00 - - -3100 Floor Drains - $1.50 7 / ? - 56 Water Heater - $1.50 ,Whirlpool - $3.00 / Gas Piping Outlets - $1.50 Softener - $5.00 Well - $10.00 Private Disp. - $10.00 ..Rough Openings - $1.50 FEE o? CSC) So STATE S/C: GRAND TOTAL- '? ` ..y.:' PERMIT # ?G? MECHANICAL PERMIT RECEIPT # ?D CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: 12/19/86 CONTRACT PRICE: $1600.00 PHONE: 454-8100 Site Address 100. Lot 4 BI7 Sec/Sub Name rv Ii1vLL' L 1'1L' l+rI L a ?.taL Address 3600 Kennebec Drive c City Eagan Phone 452- Name c Address p City Eag< r Lompanies bley Memorial Hwy. Phone 454-043 TYPE OF WORK Forced Air Boiler Unit Heater Air Cond. Vent. Gas Piping Outlets # Other 80,000 M BTU M BTU M BTU M BTU CFM 24.00 . FEE: 25-50 S/C: .50 TOTAL: $26.00 BLDG. TYPE WORK DESCRIPTION Res. XX New XX Mult Add-on Comm. Repair Other FEES RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 ADDITIONAL 6 M BTU - 6.00 GAS OUTLETS - 1.50 EA. COMM/IND FEE - 1% OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE - 10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) SIGNATURE OF PERMITTEE FOR: CITY OFEAGAN CITY OIL EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road R x 8106 : PERMIT NO P.O. Box 21199 . 10-28-36 Eagan, MN 55121 DATE: Zoning: Rl No. of Units: N Front ier Midwest Owner: Address: ' Boardwalk L4 A 5 B2 Hampton Heights Site ddess: Star, P uib1n Plumber: 500.OOpd Meter No.: Connection Charge: pd . Size: Account Deposit: 0 10 .OOpd Reader No : Permit Fee: . ' )Opd I agree to comply with the City of Eagan Surcharge: . OOpd 5 Ordinances. Misc. Charges: tal: T 63 S?Ipd meter o B Date Paid:- y Date of Insp.: Insp.: CITY OF EAGAN SEWER SERVICE POW 3830 Pilot Knob Road 9258 P. O. Box 21199 PERMIT NO.: 10-2846 Eagan, MN 55121 DATE: Zoning: i No. of Unlts: 1 Owner: Frontier. Midwest Address: Site ;Address: 1681 Board lk °> B? Ra ?tota Ileighto Plumber: Star s lur Bing 10-27-86 67785 1I agree to Goap1 with the Cit7 of Eagan Connection Chou: Ordkisnces. Account Deposit: Permit Fee: Surcharge: By Misc. Charges: Date of Insp.: Total: Insp.: Data Paid: F This request void 18 months from C 6 9 6 01, Reques ate Fire No. Rough-m specuon Regvir OReady Now Notify Inspec es O No tor When Ready Licensed Electrical Contractor I hereby request inspection of above 0 Owner electrical work installed at. Stre t A dr Box or R No. .I City « Section No. Township Name or No. Range No. County Occu ant ( INT i[1 PhoW6 No. Power Su Address Electrical Contra tbt Ma Nam A T it wry, Contractor's License NO, Mailing Addre ( t v? E?kiIns LLr x ? 10'1 ?j C' r' ? r} Authorized Signature (Contractor/Owner Making Installationl Phone Number MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT 3riggs-Midway Bldg. Room N-191 BE ACCEPTED BY THE STATE BOARD 421 University Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS hh,ine (612) 642-0800 ENCLOSED. J REQUEST ECTRICAL INSPECTION es 00001-os See instructio lets' ng this form on back of yellow copy. X" Belo overed by This Request P--7P. Type of Building APP lead Equipment Wired Home Range T porary Service Duplex Water Heater POolighting Fixtures Apt. Building Dr Electric Heating Commercial Bldg. --Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm then (Specify) Other (Spo,,fy) Other (Specify) Other Other Omoute Inspection Fee B#Inw # Fee Service Entrance Size if Fee Feeders /S ubfeeders # Fee Circuits 0 to 200 Am ps 0 to 30 Amps 0 to 30 Am s Above 2 0 0 31 to 100 Amps 31 to 100 Amps Swimming Pool Above 100_Amps jon_ Above 100_Am s Transformers Irrigation Booms Partial "Other Fee signs special Inspection $ ./ o TOTAL' Remarks ? ?d Rough-in Date the ? ??^ ?j E inspector, hereby certify that the above Final 1 =1??r inspection has been c ? .L I7 This request void 18 months from LILJA/LIETNER 1986 BUILDING PERMIT APPLICATION CITY OF EAGAN STAFFORD NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN COMMERCIAL SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS & STRUCTURAL PLANS, 1 SET OF 3 CERTIFICATES OF SURVEY SPECIFICATIONS AND 1 SET OF 1 SET OF ENERGY CALCULATIONS ENERGY CALCULATIONS $2,000 LANDSCAPE L-AjCzXD To Be Used For: Single Family Valuation: Date: 9-26-86 Site Address 1681 Boardwalk OFFICE USE ONLY Lot 45 Block 2 Erect ? Occupancy Remodel Zoning 9.1 Parcel/Sub Hampton Heights Repair Type of Const Addition # of Stories Owner Lilja, Rick & Leitner, Barbara Move Length 40 Demolish Depth 41 Address 6301 Lyndale #11 Int.Impr. Sq Ft Install City/Zip Code Mpls, MN. 55423 --------- Phone 869-4285 APPROVALS FEES Contractor FRONTIER COMPANIES Assessments Permit 7-5, j., ! ey Memorial E Water/Sewer Surcharge 32, Address E,e MN 55122 . Police Plan Review 1(02. Fire SAC 515, City/Zip Code Engr Water Conn Soo Planner Water Meter (?3• Phone 454-0433 Council Road Unit Z?1C? Bldg Offk122SG" Treatment P1 115 Co, Arch./Engr. APC Parks Variance Copies Address TOTAL City/Zip Code Phone # NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. CITY OF EAGAN p 3830 Pilo!, Knob Road, P.O. Box 21-199, Eagan, MN 55121 N 12799 BUILDING PERMIT PHONE: 454-8100 Receipt# / /3 ///// To be used for SF DWG/GAR Est. Value $64,000 Date OCTOBER 23 194-6 1681 BOARDWALK Erect 99 Occupancy R3 Site Address Lot 4 5 Block 2 Sec/Sub. HAMPTON HTS Remodel ? Zoning R 1 Parcel No. Repair ? Type of Const. V Addition ? No. Stories FRONTIER COMPANIES Move ? Length 40 Name Demolish El Depth 47 z Address 3908 SIBLEY MEM HWY, BLDG E Int. Impr. ? Sq. Ft. City EAGAN Phone 454-0433 Install ? z o Name SAME 0 s Address ~ City Phone w w Name z x a Address w City Phone Fees Assessment - Water & Sew. Police Fire Eng Planner Council I hereby acknowledge that l have read this application d ate that Bldg. Off. 10/22/8 information is correct and a e to with II pl' able f Minnesota Statutes an of Ea di nce APC Date Signature of Permittee i Permit $ 325.00 Surcharge 32.00 Plan Review 162.50 SAC 575.00 Water Conn. 500.00 Water Meter 63.50 Road Unit 290.00 Tr. PI. 156.00 Parks Copies Total $2,104.00 A Building Permit is issued to: FRONTIER COMPANIES on the express condition that all work shall be done in accordance with all applicableJtate of Minne ota tutes and City of Eagan Ordinances. Building Official SURVEYING SERVICES 3908 Sibley Memorial Highway Eagan, Minnesota 55122 Phone: (612) 452-3077 SIGMA HO SE CERTIFICATE FOR: HOME PU4OERS LAND DiVELOPFRS NNW REALTORS FRONT E COMPANIES MODEL: 5 t FFORD 4 ALE: l'=4a? 0 LOT4S W x N7 N of &.1ve A0 coo Tr`.? \ / ?f x 63V p mz'o C' G D E-0 --LEQEN0 Denotes Iron Monument Denotes Woad Hub Set x Sy?'d Denotes Existing Spot Elevation Denotes Proposed Spot Elevation Denotes Drainage Direction -PROPERTY DESCRIPTIpV- LOT r2 , BLOCK `Z HAMPTON HEIGHTS according to the recorded plat thereof, Dakota County, Minnesota PROPOSED GARAGE FLOOR ELEVATION= $K5,7 PROPOSED Top of Block ELEVATION- 0 9o•4 PROPOSED BASEMENT FLOOR ELEVATION- S LIo NOTE: Verify all floor heights with Final House Plans. .51J 'EYORS CERTIFICATICN- I hereby certify that this survey, plan or report was prepared by me or under my direct supervision and that I am a duly Registered Lard Surveyor under the laws of the State of Minnesota. I ne Date: / rf___o Wayne D. Cordes, Minn. Reg. No. 14575 `t _XT_ l [OR V VE1 OPC AVCit, n StT'c ACCRE.SS - CONTRACTOR: 11" 0MI-1171ATT1014 * r,1Tr L.5 --? rtiQNc Oetermine working square footage of each Z. Total exposed wall area..... ft. X . t ; _ 2. Total roof/ceiling ..... 42 ?dl :u. ft. x .026 Zj?_ I Total exposed wall area above floor=- a. Total wall window area ............... ......................... ? ? b. Total door ... area..... . , ., C. Total ........ .... ... sliding glass door area......... . .. ?.. d. Total . ..... ............. fireplace wall area..... .. 7 + e. Total ............. ............... . . . . . - wall framing area (average IOC) ? '-" f. Total . ............................ .... - .... rim joist area. q g. net .. ........ wall area above fioor E :w ?< ........ ?? h . ... ..,. ..... .. . wall area above floor . . i. .. ......................... wall area above floor ......................... ......... J• _e _wall area ac cur,damson ................................... Total exposed foundation area= _ k. Total foundation window area . 1. Total ........... net foundation area above grade ............. Octermine "u" value of each wail s_ument (e.g. window, door, each separate-wail section) • a. 1 ZS X b. G? ? X X d. X • e. kcv, X • f. 1-20 X g. :?7 ie) 1r X • h. X 'i. X .s. X it U 4-0 „u,. .4S = it u ,.u" SCE E? "u" U? _ f S . 7 ".U" 0. 3 flun Nun "u" _ X "U" _ l• s X "U" c5 1.75 ................................. If item 43 is th as. or less than 11, you 'have net intent Of SBC..5O •a . +;si ?/ ..? .. ....V ..i .. .. .. ..yc a •......t..r?.,wLisl ragQ z QJ a Total c.Ytic cd roof/cci.:ng arc C f (G ra. Total skylight area ............................ n. Total roof/ceiling ==arcing area (average lOt) ... 1 01 . Co o. Total tier. insulated roof/cci i nq area ........... 4 Determine "U" value for each raof/ccilinq segment M. X "UN n. ICI . Ca X ,.V.. C Z._r 71,44 o.14?? C7 cz=T 4 .......................... Tota1Z ?i total of 14 is the same as, or less than 92, you have net the intent of S1C 60Q6 (c) 1. Alternate Building Snvclone Design To artilize the total envel.oee 'system method, the values established by the sz= of items #3 and #4 shall not be greater than the sum of it=s uI and #2. 1. 2 J( CC +2. Zlc. 41 = Z4Z,S 3. 1ca?. 67'1 + 4. Z0, 73 SCJ _ ?:-? l;t• ?r s•t•att.tr? til nrrt Cut ' :..-'.?'•---- = '' GYP.. .Q `? ., g_s 7- --- I> ?:C. 1 TOl'V i'c:.? OF ?TFAlL'•_ FrAI1, Fttt'rr;c?t:_Z.tt•. i (m ._._...-..?. (3.f,li R' ._.? 4•..?:.._.._ Ex 0. 1*1 Q. (M ItV ln- A LV, i:" I I I ? :: ? 1 ?. f`' • ? ?-j i.• - ? ? , G . f:x t h t- l : :e t_ i i F m 0. I.7 Zlff t .. off- ' _- Q o75 air f. o. 6A Z C. . .__t j J. _ L' S. +.. ... .. ... d_ ._.-- ?. • 2;. ` •a: -0 ' . .PLter.ra +?.. B TL;P . -= r 'rz' ?,' ?? ,•? ??? G. l:at.:ris•t_?`:_.::.s'„_ U.t7 5t.AI' (fl t, U L3l 1 jrt ? ri •? .46 eV - M Ill 44 t -•- ? ? 1 F. IntCi.: FCtFIwCC.: t.y•.•:. •??,'• !•.titit:. :1QSi:F1 /ttSCt I o t ` t ".- • • :i.t:rrt.:• of it, .,'..llirta. 1 , ! • .. . • :mac: lc a _ - ,? j/ Con3t;csc`ran R-u.Zuc • ??'?''? 1. • Intc_ia, si= .iZ? - 0' 1.. ---------------- IF 7 7p-- .j- rXCCrJOr 13._ f..Z (still) 0. mil j(! li l?' lr, i To caL.L ?* 7,17 11 ?.ted ?eaC fLa? 1. Interior air fiL= 0.61 1 7- 2- 67 ?3D • 4. m:ct?cio- i Li In (s?:..il) t a1 • r. C o.t. S?rR Le C r/ s z%? J 3. l i;l i? ?sl rs i? ?( Total 1 2 3 LT - 2- Inside air fi1 r 0:61 s` 2 yaZ_ :Iav vp • , •veated 3' 4. - . - ' S. outside air _i11 o. L7 • ..F=G_ i 6 :. _ . • _. _ : • - Total 3 ' v 3._ Inside air filet 0' 61 • •&t , . • rte`-:%' i,?` - 0/ cu dc air E.1s To =-L • •`' Vote: Use addiZiot i --:tee= i5 -more stet • __ 30r'-Q='... - - aecded for de - ' z a calculat:.:: 8cn is WA %:. r:-, ; ;.?• 1 . r1..r. ? ?° U r ?,t' eC c-tlntlua '+a1L aces :ar t .-r: •::-im' QLtt.:t ••ttCt tCJt1 Cuat.t t t:wc ir.. t?w.z .tt:.. •'.. S. rtt:"::_rM. I t •-i .,t` . » . ?.- U. 17 Q L= .3G? ' y ?IC ? TGi7VZ1:If CF F*ill;•; i4AGl;' ittCrrtctr :lit : i I,r it; h1 i 6. E7.'t3 ai: Cilia Tv La I ?!i'-j- "' ?------1? • ' Jtttat flt,n ???-.teas ..t `? - -t:J 6. zxcc Lor nirCi,r. -0 ta ... nt::_irc t::crt:t•ic:: _?c._. i i ?rt U. i t ?? •:?' - i ?• G Stj\ft CIM GRADE tzi nrl 14 '= r e LL ill tt'/! ( '- 'Lcr.•:?.. i 417 ' : , ??' utrrL' Irti,:atd Wt •' . "?" valute, tirs?tti'.artd ' PLA L -u- C.. i &-c L FT, E.C. oSc p `N ? ,4LL ?LoG? GSt .l.1 It 130 ;:UL.L lpr- .00 Scz . ?T? ???os?? WALL AREA SLOG" ', C,S 1 ,S = SZ•5 ?.? ?. ; t- 30 x Q 0 7VC ?:uLL1 -T-o -rA Lr S Ft. I wOW-5 Z4Wo s Co = 20{;c.''= 7- so GO 1:?*`4P05ED GEt Lf:Uq I v go Lei 3G sS ZS l? ooQS ±.4Z ?yt7rxtxxxarxxxxxxxa:ariaaaaaaaaaaxxaaxaop A G A i NOTE: PAYMEITP OF FEE AT TIME OF CITY OF L ` . APPLICATION DOES NOT OAb TITUI:E APPROVAL OF PERMIT. APPLICATION FOR PERMIT ,? IlJSPDCTION OF AND/C t WNM ` TNiG'PATT A'r'TONS WILL NOT ME SCKM_ SEWER AND/OR WATER CONNECTION ULM U"TIL PmaT HAS BEEN APPROVED. ************************************ (Please Print) 1) PROPERTY ADDRESS : 1681 Boardwalk, Eagan, MN. 55121 LEGAL DESCRIPTION: Lot 45 Block 2 Hampton Heights (Lot/Block/Subdivision or Tax Parcel ID #) IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: (Month/Year) PRESENT ZONING/PROPOSED USE: 6 Q CCMMERCIAL/RETAIL/OFFICE R-1 SINGLE FAMILY Q INDUSTRIAL,.. Q R-2 DUPLEX (Tao Units) Q INSTITUTIONAL/GOVERN MENT R-3 TOWNHOUSE (Three # Units),( Units) • , R-4 APART! NT/CONDOMINIUM. .. ( Units). v 2) NAME: FRONTIER MIDWEST HOMES CORPORATION ADDRESS: 3908 Sibley Memorial Highway Bldg. E CITY, STATE, ZIP: Eagan, MN. 55122 PHONE: 454-0433 3) u ?: ?• For City Use NAME: -STAR PLUMBING Plumbers License: ADDRESS: 1018 Mound Springs Terrace Active CITY, STATE, ZIP: Bloomington, MN. 55420 Expired Vot.recorded PHONE: 884-4149 MAS'1 LICENSE# 3329 Staff a .1. 4) •a ';??f?: -:MME: Lilja, Rick & Barbara Leitner ADDRESS: 6301 Lyndale 411 CITY, STATE, ZIP: Mpls, MN. 55423 PHONE: 869-4285 -5) '? v ?• • ?• : a a - ?? CONNECTION TO' CITY SEWER CONNECTION TO CITY WATER Q OTHER 6) '0 • r PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE Q PLEASE MAIL APPROVED PERMIT -70 1, 2, 3, 4, ABOVE (Circle one) 7) r. r• u• ?-?. : -FOR :CITY USE ONLY PERMIT # ISSUED ?--fir--? Pd w/Bldg. Permit FEES: $ $ SEWER PERMIT (INCLUDE SURCHARGE) $ $ WATER PERMIT (INCLUDE SURCHARGE) $3 5 L.` $ WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ } $ ACCOUNT DEPOSIT - SEWER $ $ ACCOUNT DEPOSIT 7 WATER $C(,C $ WAC $ 7 $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK-SEWER. ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $-: $ LATERAL BENEFIT/TRUNK WATER WATER-..TREATMENT PLANT SURCHARGE OTHER: TOTAL RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? YES -IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE-ISSUED BY THE ENGINEERING U NO DIVISION.. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE: 2000 FIREPLACE PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD - 55122 12 19-ao 651 681-4675 Date: k1l Description of Work: Construct new fireplace ), Gas Masonry Alterations to existing Install as insert only Install gas line only Other Job address: Lot: Block: __ _ Subdivision/P.I.D. #: fi e Applicant (circle one only): Owner o tracto Permit Fee: $60.50 Name: Phone #: PROPERTY Last j/ OWNER 61/ I St e t Add Firmest f 4 C ? _ r e ress: Cit State: Zip: y Company: /AJ('2-' Phone #: (area code) FIREPLACE 72,0k- INSTALLER Street Address: city State: Zip: Company: Phone #: (area code) GAS LINE INSTALLER Street Address: City State: Zip: 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 Statut d City of Eagan Ordinances. signature OFFICE USE ONLY BUILDING PERMIT TYPE ? 16 Fireplace WORK TYPE ? 31 New ? 33 Alterations ? 39 Gas Line 0 41 Wood Stove ? 32 Addition 0 34 Repair 0 40 Gas Insert GENERAL INFORMATION Census Code 434 SAC Code 01 REMARKS Chimney/flue must be inspected before concealing. PERMIT City of Eagan Permit Type:Building Permit Number:EA176895 Date Issued:06/06/2022 Permit Category:ePermit Site Address: 1681 Boardwalk Lot:45 Block: 2 Addition: Hampton Heights PID:10-31900-02-450 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 - Nicolas Vasquez Ramirez 1681 Boardwalk Eagan MN 55122 Minnesota Restoration Contractors Inc 12252 Nicollet Ave Burnsville MN 55337 (952) 479-7131 Applicant/Permitee: Signature Issued By: Signature