4681 Alta PtCASH RECEIPT .
CITY QF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
19
wEcEIvec
FROM
AMOUNT $ I
Bt DOLLARl
I oo
? CASH ? CHECK
1rOR Z/ / 'B_ &
Z c ? .
White-PeYen CoPY
Yellow-Postinq Copy
Pink-File Copy
Thank You
?f ?
?-?( , ?, B Y
? ?
CI7Y OF'19AGAN WATER SERVICE PERMIT
379,5 Pilot Knob Rood PERMIT NO.:
fagan, MN 55122 DATE:
Zoning: No. of Units:
Owner: _
Address:
Site Address: '
Plumber:
Meter No.: Connection Chorge: ?r
Size: Account Deposit:
Reader No.: PermiY Fee:
I agree !o eomply with the City of Eagan Surcharge:
Ordinances. Misc. Chnrges: '
Total:
By Date Paid:
Dote of Insp.: Insp.:
CI7Y OF ykAGAN
3746 Pilot Knob Rood
Bagon, MN 55122
Zonirg:
Owner:
Address:
Site Address:
PI umber:
I agree fosomply with fha Cify of Eagon
Ordinanoes.
By
Date of Insp.
SEVVER SERVICE PERMIT
PERMIT NO.:
DATE:
No. of Units:
eCJ
Connection Charge:
Account Deposit: _
Permit Fee:
Surcharge:
Misc. Charges: _
Totol:
Date Paid:
CITY OF, EAGAPI
3795 Filot Knob Road
Eo,jon, MN 55122
Znninn•
WATER SERVICE PERMIT
PERMIT NO.:
DATE:
. Na. of Units:
OM/r1Pf•
Address:
Site Address:
Plumber:
Meter No.:
11
Si7o•
Reader No.:
I agree to eomply with the Cifr of Edgon
Ordinonces.
By
Dote of Insp.:
Connection Charge:
Account Deposit:
Permit Fee:
Surcharge:
Mix. Charges:
Total:
Dote Paid:
I nsp..
? CITV OF EAGAN
3745 iilot Knob Rond
Eassn, MN 55122
Zoning:
Owner:
Address:
Site Address:
Plumber
f
I a9rse to comPip with the City of Eogon
Ordinnneea.
By
Dote of Insp.:
I nso. -
SEWER SERVICE PERMIT
PERMIT NO.:
DATE:
No. of Units:
Connection Glarge:
Account Deposit: _
Permit Fee:
Surchorge:
Misc. Charges: -
Totol:
Date Poid:
CITY OF EASAN
3795.Piiot Kno6 Rood
Ecgon, MN 55122
Zoninn,
WATER SERVICE PERMIT
PERMIT NO.:
DATE:
No, of Units:
Owner:
Address:
5ite Address:
Plumber:
Meter No.:
Size:
Reader No.:
1 ogree fo aomply wieh the City of Eegae
O?dinonees.
R?
Dote of Insp.:
Connection Charge:
Account Deposit: _
Permit Fee:
Surcharge:
Misc. Chorges: -
Totnl:
Date Poid:
CITY OF EA6AN
3795 APifot Knob Rocd
Eogan, MN 55122
' Zoning:
Owner:
Address:
Site Address:
Plumber:
I agree to comply with the City of Eagon
Ordinances.
a.,
Date of I nsp.:
SEWER SERVICE PERMIT
PERMIT NO.:
DATE:
No. of Units:
Connection Charge:
Account Deposit: _
Permit Fee:
Surcharge:
Misc. Charges: -
Totol:
Dote Paid:
CITY OF EAGAN
3795 Pilot Keob Road
-Eagon, MN 55122
Zoning: f?wner.
Address:
Site Address:
' Plumber:
Meter No.:
Cian•
Reader No.:
1 agree Fo wmply with the City oi Eagan
Qrdinancea.
By
Dote of Insp.:
WATER SERVICE PERMIT
PERMIT NO.:
DATE:
No. of Units:
Connection Charge:
Account beposit: _
Permit Fee:
Surcharge:
Misc. Chcrges: -
Total:
Date Poid:
cI EAGAN SEWER SERVICE PERMIT
3745' Pilot Knob Roed PERMIT NO.:
.• faean. MN 55122 DATE:
Zoning: No. of Unlts:
Owner: , Address:
$ite Address:
j Plumber: -
I aeme to eompfr wkh tha CiFy of Eogon
Ordinanees.
BY
Date of Insp.
Connection Chqrge:
Account Deposit:
Permit Fee:
Surcharge:
Misc. Charges:
Total:
Dote Paid:
CITY OF EAGAN
Additioip U:LA?E.?4 !P-P 3rd Adda__Lot 1 Rik 6 parcel #10 63982 010 06
owner-14T, ;, Street 4680 Stavern Point 5tate Eagan, MN 55122
?
Improvement Date Amount Annual Years Payment. Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA
STOFM SEW TRK ? 1982 246.22 5 246.22 C007616 12-23-81
STORM SEW LAT ?
CURB & GUTTER ' I
SIDEWALK
STREET LIGHT
I
WATER CONfV.
SUILDING PER.
SAC 525.00 20369 s8so
PARK
CITY OF EAGAN Remarks
Addition Ridgecliff 3rd Addn Lot 4 Rik 6 parcei #10 63982 040 06
Owner1t- '= rL-?tR?1-kStreet 4684 Stavern Point State Eagan, N 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN 5EW TRUNK 1 r el O11 2
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA
STORM SE1M TRK ^ 1982 246.22 5 246.22 C007616 12-23-81
STORM SEW LAT
CURB & GUTTER '
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
sAC 525.00 20369 8 8 80
PARK
CITY OF EAGAN Remarks
Addition Ridgecliff 3rd Addn. Lot 2 Rik 6 parcel #10 63982 020 06
Owner Street _ 4681 Alta Point State Ea.g.an, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF,
STREET RESTOR.
GRADING
SAN SEW TRUNK 1980 31C1 under arcel O11 2
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA 19$0 11C1 under arcel O11 2
STORM 5EW TRK 1A0 1982 246.22 S 246.22 C007616 12-23-81
STORM SEW LAT
CURB & GUTTER '
510EWALK
STREET LIGHT
20369 $880
WATER CONN. 305-00 20369 818180
BUILDING PER. 6063
sac 525.00 20369 8/8/80
PARK
CITY OF EAGAN Remarks
Addition Ridgecl? ff 3rd Addn _ Lot 3 eik 6 Parcel #10 63982 030 06
Owner Ld' :ldL-:-`Streec 4685 Alta Point State Eaga.rl, MN 55122
' Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STFiEET RESTOR.
GRADING
SAN SEW TRUNK
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA
STORM SEW TRK 24 . 22 5 246.22 C007616 12-23-81
S70RM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
Rd. UNIT 185.00
WATER CONN. 305.00 20369 818180
8UILDING PER. 6064
sac 525.00 20369 8 8 80
PaRK
BUILDING PERMIT
SItE /4ddreSS -'t,". Tr`"?•, Gi
Lot Block Sec/Sub. T;jdr'Pc' i1'fc
Porcel # -,"'.zcOTC3.Cd
-
CITY OF EAGAN
3795 Pilot Knob Rood Eagan, MN 55122 N2 6065
PHONE: 4548100
Receipt # ?-- - -
n-_
oWe Nome
3 Addre
0
s
Z0
°v
u?
Name eame
Addreas
Cir_y -
Name _
Address
I hereby ocknowledge that I hove rend this application ond state that
the infortnation is correct and agree to comply with all opplicable
State of Minnesoto Stotutes and City of Eagan Ordinances.
Erect [3 -:' Occupancy ' ?.
Alter ? Zoning PD
Repair 0 Fire Zone '
Enlorge ? Type of Const.
Move ? # Stories
Demolish ? Front ft.
Grode [] Depth ft.
Anorovols Feas
Water & Sew.
Pol ice
Fire
E?i9•
Planner
Counci I
Bidg. Off. _
APC
Permit
5urcharge
Plan check
SAC
Water Conn. `? •
Water Meter
Road Unit
Total 1,
S+gnoture of Permittee I
A Building Permif is issued to: - on the express condition that
all work shall be done in accordance with all upplicoble State of Minnesota Statutes and City of Eagan Ordinonces.
Buildirq Officiol
pasM # DaN luaad POnnMtee
Plumbing /? S f L? - d
Mechanical p?/ U // - d,S P?c,
?Vle,??/
INSPECTIONS DA7E INSP.
Rouflh-I n
Firrol
Footings ?--/? Dote Insv. Date Inap.
Foundation Plumbing ?
Frnme/ ins. 1-2-111 Mechanica I
Firwl P"
Remorks: 0-3 -)76 //- 5i 8a ??
' • CITY OF EAGAN
. 3793 Pilot Kno6 Road
No. ' Ea9an, Minnesofa 55122
Phone: 454-8100
- - PERMIT
Dote:
Site Address;
11-25-SO
4684 Stavern Pt.
lot ? Blvck p Sub/5ec. \
INSPECTQR NOTIFICATION
REQUIRED BY LAVU
FaR ALL INSPECTIONS
Receipt No.:
Single 1
Residentiol I
Multi Res., Comm./Ind. I
. .' i .i _ i , ilOiukJav2a iz41L?@y
Name - New/Alter./Repnir. ?
1i!
Address -.,
Cost of Installation
`?2tOTL?I:?I
City Phone: - Permif fee
` Name Surcharge
g Address 4637 CY1j.CCif'O ?1JC: .
e
3 .,., . _ ,
City Phone: . Total
This Permit is issued on the express condition that oll work shall be done in accordance with all npplicable State of
Minnesoto Statutes and City af Eogon Ordinonces.
Building Official
No. Phoee: ?IS4-B700 INSPECTOR NOTIFICATION
REQUIRED BY LAW
PERMiT FOR ALL INSPECTIONS
_ Dote: Receipt No.:
Single I
SItE AddfB53' 46 ' y • Residential
Lot Block Sub/Sec. M„iri Res., Comm./Ind. I
'r .? ,
Ncme 1?'r` n T:r,ormson ro
"
oir
New/Alter
/Re
.
p
Address - - Cost of Instollotion
?
City -Phone: " Permit Fee
Name Surchorge
Address
?
,
City Phone: ` Totol
This Permit is issued on the express condition that oll work sholl be doru in ottordcnce with oll applitable Stote of
Ahinnesota Statutes and City of Eogan Ordinances.
cirr oF EAGAN
3795 Wlot Knob Road
Eagaw, Minnesofa 55124
Official
Rspipt , '? PLUMBING PERMIT Pwmk No.
CITY Of EAQJW -??
. ,, F«
F!ll in rwmberod Vscer S/C - ?
, Typa ar Prlra MpiWy Tot ? .
1. Date 2. Installation Cost
3. Job Address LotBlk. Tract
4. Owner
. .....? ._ , .,y . ? ._
5. ContractoRL • ° - - _ _ ? T?? F Phona
, - ? 343
6. Address
7. CitY SUte Zip
8. BuildingType: Residential E] Commercial O Institutional ?
9. Work Description: New b Add O Altar ? Repair ?
10. Describe ? •
t "
11.
No• Fixtures
Water Cloaet No. Fixtures
C
l/D
i
f
Bath tubs ra
RSpoo
n
ield
S
k
i
T
Lavatory ept
c
an
f
S
Shower - o
tner
I I
w
Kitchen Sink e
Urinal/Bidet O
h
Laundry Tray er
t
Floor Drains
Drinkinp Ftn.
Slop Sink
Gas Piping Outleu
12. I hereby certify that the abovs information is true and corroct, snd 1 agree to
comply with all ordinances and codes governing this type of work.
Siyned: - for •
i • Rouyh Final
Inspections: Date Insp. Date Insp.
This is your permit when numbercd and approved.
Approved CITY OF EAGAN 464-8100
CITY CF EAGAN
3795 Pilot Knob Road Eogan, MN 'i5122
PHONE: 494-8100
BUILDING PERMIT
Ts ?e used /er
Site ,4ddress
Lor Block Sec/Sub. UdZeikiif
Parcel # .
W Name
3 ??
0
p Nume
Address
? r;.,, vti,,..e
Name _
Address
I hereby ocknowledpe that I have reod this opplicotion and state thot
the information is correct and agree to comply with oil applicable
State of Minnesota Statutes und City of Eogan Ordinonces.
Receipt #
N° 6062
Erect ? Occuponty
Alter ? Zoning
Repair ? Fire Zone
Enlarge 0 Type of Con .
Move ? # Starles
Demolish 0 Front ft.
Grade p Depth ft.
Avprovols Fees
Woter 8 Sew.
Police
Fire
Eng.
Pionner
Countil
Bldg. Off.
APC
Permit
Surcharge
Plan check
SAC
Woter Conn.
Water Meter
Road Unit _
Total • ? ??
Signature of Permittee I
A Building Pertnit is issued to: on the express condition that
all work sholl be done in accordonce with oll applicable Stote of Minnesota Statutes ond City of Eagan Ordinances.
Building Officicl
P?* # Oaib hnod pvsletM
Plumbing
Mechanicol
7 3*7,2 17f 9--,fe
INSPECTiONS DATE IMSP. Rouqh-In finol
Footings DaFe I Insp, pote Inap.
Foundotion Plumbing I
Frome/ins. 7- r/ Mechanicol
Finoi
Remarks.
f . cirr oF EAGAN
3795 Pilof Knob Road
Ea9an, Minnesoia 55122
No. Phom: 451-0 100
? 1 -' - PERMIT
Dote:
9-16-80
Site Address: 4610 `'tEiVP_T_] Pt.
Lot ' Block Sub/Sec. =?icigel??Ji.' '
INSPECTQR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
Receipt No.:
Single
Residential
20924
of lr plex
Name QI'Tiri ThOLipSOri tlOtAeNew/Alter./Repoir
` IIX 1712 ?;on?:: r_s CTSr.1.
? Address Cost of Instollation
Ci ?nnet?mk?.. ; . Pho?: ' tY Permit Fee
.s
Name '4,n? ?Van Surcharge Addrcss -. ' . .
O`?c,.;n?;- '
City Phone: Totol '
This Pertnit is issued on the express condition thot oll work sholl be done in accordance with all oppliaoble State of
Minnesoto Statutes and City of Eogon Ordinences.
Building Official
•, } ? ???
No.
Dote:
Site Address•
Lot
d
c
?
Block Sub/Sec.
, t
Nome
Address
City Phone:
Name
INSPECTOR NOTIFICATION
REQUIRED BY LA1N
FOR ALL INSPECTIQNS
Receipt No.:
Single I
Residentio!
Multi Res., Comm./Ind. I
New/Alter./Repair. Cost of Installotion
Permit Fee
SurcFarge
.5(
` I
Address
o .,.-
i? . ' .
City Phone: Tota I
This Permit is issued on the express condition that aIl work shall be done in accordonce with oll applicuble Stote of
Minnesoto Stotutes ond City oi Eogon Ordinances.
CITY OF EAGAN
3795 Pilot Knob Road
Eagen, Minnesota 55122
Phone: 454-8100
PERMIT
20.00
Building Officia)
! J
BUILDING PERMIT
CITY OF
3795 Pilot Knob Rond
PHONE: i
$ite Address
Lot Block Sec/Sub. ,• 1--PCliffo 3
Parcel .# u-*1Z'e,
oWc I Ncme
3 Address -1
O .
m Name _
i?0
Address
?- r..,,
Name _
Address
I hereby acknowledge that I have read this applicution and st,
the information is correct and ogree to comply with all ap
State of Minnesoto Stotutes ond City of Eagan Ordinances.
MN 55122 N2 6064
Receipt # --
Erect ,Q Occuponcy ?
Alter ? Zoning
Repoir ? Fire Zone _
Enlarge ? Type of Const.
Move ? # Stories
Demolish ? Front h.
6rade ? Depth ft.
Approrols Fees
Water & Sew.
Pol ice
Fire
Eng.
Planner
Council
81dg. Off.
APC
Permit
Surcharge
Plan check -
SAC
Water Conn.
Water Meter
Rood Unit
TOYal s 7 )71 ry i
?
Signature of Permittee I
A Building Permit is issued to: on the express condition that
oll work sholl be done in atcordance with all opplicoble State of Minnesota Stotutes and City of Eagon Ordinances.
Building Official
hemM # aaN Issesd Pwwifhe
Plumbing drQ ?
Mechonical
_ 72
INSPECTIONS DATE IhISP. Rouqh-In Finol
FoOtings Date Insp. Dote Irtsp.
Foundntion Plumbing
Frcme/ins. Mechaniwl
Finol
Remorks: 10-,3 - fo
/ /`Al 'S° e5At,
Na
Date:
CITY OF EAGAN
3795 Pilot Knob Rood
Ea9aw, Minnesota 65122 INSPECTOR NOTIFICATION
Phone: 454-8100 REQUIRED BY LAW
PERMIT FOR ALL INSPECTIONS
11-25-30
r
Site Address: " .1tR
'
Lot Block 5ub/Sec.
Nortx r„i '-- 7'ilOT' : 3 G?1
? Address
City Phone: . ' _
Name Ap?i
.
?
? Address '
City Phone:
This Permit is issued on the express condition thot oll work sholl be
Minnesoto Statutes ond City of Eagan Ordinonces.
Receipf No.:
Single
Residential "
New/Alter./Repuir
Cost of Instollation
Pe?mit Fee
f "
Surcha rge
Totnl
done in accordance with all opplicable Stote of
Building ptficial
' . , cirY oF EaGAN
~ 3795 Pilot Kaob Road
Eogan, Minnesota 55122
NO' Phena: 454-8100
PERMIT
Date:
Site Address:
.._ita [ v.
Lot Block u Sub/Sec. Pldge`'lifre
Nome 0 Iin Thom-D 9 oi? I-ion''
e Address - 2 IAor?:inq Crerd.
?
- ` ;OSL?fS? Rqll. _
City Phone:
Name ?',F: !U Ryr.
r
g Address -? ' .. • - , . . ; *' a .I'
e
0
V
City
-. ,.. ,, -
• . - ?
Phone:
This Permit is issued on the express condition thot all work shall be
Minnesoto Stotutes and City of Ea gon Ordinances.
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
Receipt No.:
Single I
Residential
Multi Res., Comm./Ind. I
New/Alter./Repair
Cost of Installation
Permit Fee
c ,.?..,..,e
Tota! '
done in occordance with all opplituble Stote of
Building Official
.- .? CITY OF EAGAN
3795 Pifo! Kno6 Road Eogon, MN 53i 22 W 6063
PHONE: 454-8100
BUILDING PERMIT Receipt # -
To be nsed for Est. Value Dut e , 19
Site Address Erect ['j Occupancy
l.ot Block Sec/Sub. - - ; - - " ? Alter ? Zoning
PaTcel ,# "? t•? Repair ? Fire Zone
Enlorge ? Type of Const.
Nome
r'
Mave
?
# Stories
W
z
3 Address
?n
Demolish
p
Front ft.
?
Ci
Phone
Grade
p
Depth fr.
? Name _
a
?? Address
f- r:..,
Water & Sew.
Police
Fees
Nome
?? I Address Eng, _
a'? City Phone Planner _
Council _
I hereby ocknowledge that I have read this application and state thut gldg. Off.
the information is cArrect and ogree to Comply with all applicable APC -
Staie of Minnesota Stotutes and City of Eagan Ordinnnces.
Permit } 3 Q«Q
Surcharge '
Plan check '
SAC
Water Conn. ' -
Water Meter - Road Unit
Tota!
Signnture of Permittee I
A Building Permit is issued to: - on the express condition that
all work shall be done in accordonce with oll applicable State of Minnesota Statutes and City of Eagan Ordinonces.
8uitd7ng Ofticial
Parmk # DaN lauad PanrlfMe
Plumbing ' - f6 -
Mechonical
INSPECTtQNS OATE INSP. Rough-In Final
Footing5 pate Insp. Date Insp.
Foundotion Piumbing
Frame/ins. - ,2- l'- 7- Mechanical
Finui
Remorks: -60
// -
? ?6
No. "'171
CITY OF EAGAN
3795 Pilof Knob Read
Eogen, Mieneseta 55122
Phone: 454•8100
" PERMIT
Dote:
4681 Alts Pt. (11-25-10 )
Site /Wdress:
ldceciit'f'e ?
Lot Blxk Sub/Sec.
Nome u'?"?? . _•'_c?'?30P_ _70::]tV3
. ??•, - . .
°e Address ? ?• _ ? , ???
Ciry Ph . _?
one:
J.rl, , r
Nome
p?
? Address
City Phone:
This Permit is issued on the express condition that oll wo?k sholl be
Minnesoto Stotutes and City of Eogan Ordinances.
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
Receipt No.:
Single
Residential ?
Multi Res., Comm./Ind. I
New/Alter./Repair. Cosr of Instollatlon
Permit Fee
c...?f,.,.?
Tota I
done in occordonce with oll npplicable Stote of
Buitding Official
?
No.
Date:
5ite Address:
cirir oF eACaN
8795 Piiot Knob Road
- , Eagan, Minnesofu 55122
? Plwwe: 454-8100
?L = PERMIT
4681 -4.1
Lot '; Block 6
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
Receipt No.:
Single I
i i Residential ` _ -
Sub/Sec. ? Multi Res., Comm./Ind.
Name tDI'2'iri 1'h0L'Tp80A New/Alter.lRepoir AddreSS lry,: ?icpki; s
Cost of Installotion
?- •? -
City .; ??-?1?? taI1k8" , ?`-2! . Phane: ' 3? Permit Fee .
Name n?nz Ryan
Surchorge `
.
? Address 1%+r11 : ?,•t _
City " . ' . Phone: . . Totcl
This Permit is issued on the express condition that all work shall be done in occordante with ell applicnble State of
Minnesota Stotutes ond City of Eogon Ordinances.
Building Officiol
?
' CITY OF EAGAN PERMIT TYPE: `''" i1' 1 M? +
3830 PilOt Knob Road Permit Number.
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
i?,i: ? <<i???, ?,
V I' V I1 p t
a
PERMIT SUBTYPE:
Wi1 i ! 1; , }
Ft r i(? V 1 N f;
Rt MAf+R I Nt; t Lt;fif 4t-84 :: i AVf RN 4o 1 ( l 0 1 4 1
4 f.fRi nt ia Pt ti ni
TYPE OF WORK:
fit ''•t !, I t` i t i?M r Rf- rA I IZ
(ltm?f INr, )
4f,41. At tn IT1 r1Ilt 4 1
Permit No. Permk Holder Date Telephone k
ELECTRIC
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
?
?.?fN-S
ClTY OF EAGAN PER1UIiT TYPE:
3830 Pilot Knob RoBd Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
? . . . ,.
G SITE ADDRESS: ,a APPLICANT:
I? , , ? , r? ?• 1 i ?: ? r , , ,:r; ;, ,,? , ?l?,
j ????? i 1 ? f i ;i:i? t?• 1. ? k;r. ! i6i l
PERMIT SUBTYPE:
TYPE OF WORK:
1; . CftTMroYfI'LUr MU{;1 nI' LN?;f'Fl'?I lr Ht"FnldF 1;001 .fRt !?dO
? . _._..
Permit Holder Date Telephone #
PLUMBING
NVAC
inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
AOlJGH
PLUMBING
PLBG .
AIR TEST
ROUGH
HEATING
'
GAS SVC
TEST
INSUL
GYP BOARD I
FIREPLACE
pr! /U
FIREPLACE
AIR TEST h ?
FINAL PLBG •
FINAL HTG
ORSAT
7EST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVIN
TEST
HYUROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
O
This request void D
??i -
18 moAths from
Dat o this [tequest Fire No. S S4py
"72
I, Licensed Electrical ontractor OOwner, do hereby request inspection of the above electri-
c in instaued at:
? Ny-
eet Address or Route No. ity 64c1"
ion Township Range County_.Dw-<94
Which is occupied by CAIA4 r,?.
Is a roughin inspection required on [his job? No ? Ye aK,. Ready Now ? Will CalV,
Power Supplier Address M-??f,4 G-i-dri
El
l C
i )lJ4s7
'
P
ectr
ca
ontracto r Contractor
s License NO
s
Mailing Address (COm any ?ame)
? l ? FT::-
A
th
d Si
i (EI r( al tra< or Owner Making This InStallation)
/?
?-
o" 5sb5-
u
or
ze
gnatu re Phone No.
I
(Electrical ontractor ar Owner Makin9 This Installatlon)
1gd? /F?, I?
2??
= 33 ?
'
? ? f? 1 F?M
V
?" ?'? ?? This inspectian request will not 6e accepted 6y the
l
? ??
?
? ? State Baard un
ess proper inspection fee is enelosed.
minnesota acace ooara or eieccrtci[y
' Griggs Midway Bldg. - Room N191 ? U
1821 University Ave., St. Paul, Minn. 65104 - Phone 297•2111
` rREQUEST FOR ELECTRICAL INSPECTION ;T v
CHECK BELOW WOAK COVERED BY THIS REQUEST
EB-00001-02
84972
Type of 6uilding Ne Add. Rep. Check Appliances W'ved Foc Check Equipment W¢ed For
Heme ? ? Range Temporary Wiring ?
Duplex ? ? Water Heater ? Lighting Fix[ures
t. Bldg. ? ? ? Dryei ? Elec[ric Heating ?
mmercW Bldg. ? ? ? Fumace ?. Silo Unloadcr ?
Industria] Bldg. ? ? ? Air Conditioner ? Bulk Milk Tank ?
Fatm ? ? ? LisC List
Other ? ? ? }e1e?s?
) ? OtSers?
Hexe
COMPUTE INSPECTION FEE BELOW J
Selvice En[nnce Size: # Fee Feedeis&.Subfeede[s: Circuits: # Fce
0 to 100 Am s. 0 to 30 Am res 0 to 30 Am eres fi-W
101 to 200 Amps. 31 to 100 Amperes 31 to 100 Am ies .0
Above 200_Amps. Above 100 Amps. Above 100 Amps.
Transformers RemoteControlCirc. Partialorotherfee
Signs Speciallnspectian Minimum fee 55.0
Remaiks TOTAL FE ' ,,?0
I, the Electrical Inspector, hereby certify that the,a6ove
has been m>ade-?
, , i_. aa-ali)
(Final) __
This request void
18 months from
i rus cequest void
] 8 months from
Date of this Request_ ? Fire No. S 84974
I, asPLicensed Electrical Contractor OOwner, do hereby request inspection of the above electri-
calwiringinstalledat: Yeevv P?wrr
.et Address or Route No. City Ewlj
on Townslup Range County wcjw
Which is occupied by UN-l(°i
Is a roup,hin inspection required on this job? No ? YescK, Ready Now ? Will Cal(;@?
PowerSupplier 960 Address 1W'N°IV"
Electrical Contractor /J E?-(_ C?M?G Contractor's License Noh375)q
- (COmpany Name)
Mailing Address
Authotized Signature
.?ra i; c-'J? rL,? r-? ? ?
. i1 t ? ' )?
e?':JK
? ' R6,
al ontrac r oI Ownet Making Thls Installation) p?
/l.ii Phone No. O /p '_ C;Y o-S
?r or Owner Making This Installatlon) .
QG ;J ? This inspecvon request will nat 6e eccepted 6y the
State Board unless proper inapection fee is enclosad.
mmnesota 5ta[e tloartl ot tlectrfcity
Griggs Midway Bidg. - Room N791 EB-00001-02
??iversity Ave., St. Paul. Minn. 55104 - Phone 297-2711
l"FE'EQUEST FON ELECTRICAL INSPECTiON ^ o?
CHECK fi'ELOW WORK COVERED BY THIS REQUEST 1?1 %3 8 4 9 7 4
Type oP Suilding New Add. Rep. Check Appliances Wired For Check Fquipmrnt W'ved For
Home ? ? Range Temporary Wving El
,
Duplex ? ? WaterHeatet ? LightingFix[u[es ?
t. Bldg. ?? ? Dryet n?( F.lec[ric Heeting ?
mmercial Bldg. ??? Fumace ?51 Silo Unloadet ?
Industrial Bidg. ? ? ? A'v Condino ? Bulk Milk Tank ?
#Farm ? ? ? Lis[ List p
Other ? 0 0 &e1ers1 ? _ thers}
1
COMPUTE INSPECT[ON FEE BELOW ti L/";\I I I I J)
Service Entrance Size: # Fee Feedeis&Subfeedeis: # ?e^ Circuits: # Fce
U to 100 Am s. 0[0 30 Am eres 0 to 30 Am eres
101 to 200 Amps. 31 to 100 Amperes 31 to 100 Am exes
Above 200 Amps. Above 100 Amps. Above lOQ_Amps.
Transformers RemoteControl Circ. Partial oc othet Cee -'
Signs S eciai Ins ection Minimum fee $5.00
Remarks TOTAL E,V :?fa{X
I, the Electrical Inspector, hereby certify that
(Final)
This request void
18 months from
has been ra
:Date" ?'02
Dafe 3- lY-i-
This request void lO
18 tnonths from
Date of this Requesi Fire No. • 4013
I, a icensed E]ectrical Contractor ? Ownei, do hereby request inspection of the above electri-
cal glring installed at:
Street Address or Route No
4*on Township_
1Vhich is occupied by _
P3Ir T- c,tY MGki
Range County bw'^?7/3
'_T1TbMP5zn?
Is a rouglun inspection required on this job? No ? YWC" Ready Now ? Will Cao(
Power Supplier Rcw Address MP-h 146-1-07)
Electrical Contractor Contractor's License NoII-31OVS
Mailing Address C, (iL( ILL.
EI¢Ctrit2l tra oror0 nefM4kln9ThlslnStallatiOn)?,??0 !
Authorized Signature Phone No. S
(Electrlcal Contractoi or Owner Makl 9 Thls Installation)
?? (??'?? ????? ???'j.?? This inspection request will not he aecepted by the
?° State Board uniess proper inspectian fee is enclosed.
m?e wau aow?ncny
Griggs Midway Bldg. - Room N191 iI0
1821 Upiversity Ave., St. Paul, Minn. 55104 - Phone 297-2111 /, a 5
REQUEST FOR ELECTRICAL INSPECTION
CHE9K BELOW WORK COVERED BY TH1S REQUEST
EB-00001-02
4013
Type of Butlding New Add. Aep. Check Appliances Wiced For Check Fquipment Wired Fo[
FFome
Duplex ?
? ?
? Range
Water Hea[er ?
? Temporaxy Wixing
Lighting Fixtures ?
[. Bldg. ? ? ? Oryei q Electric Heating
mercial Bldg. ? ? ? Furnace Silv Unloader ?
ustrial Bldg. ? 0 ? A'v Conditioner ? Eulk Milk 7'ank ?
Faim ? ? ? '
List ( List
Other
?
?
?
Hehct3?
tie?s?
COMPUTE INSPECTION FEE BELOW t4
Sevice Entrance Size: # Fce Fceders& Subfeeders: # Cixcuits: Fce
0 to 100 Am s. 0 to 30 Am eces 0 to 30 Am eres :
101 to 200 Amps. 31 [0 100 Am res 31 to 100 Am res
A6ove 200_Amps. Above IOU Amps. Abovc 100 Amps.
Tiansformers Remote Control Ciic. Pa[tul or othet fee
Signs Special lns ection Minimum fe
Remarks TOTAL F E,,f7Jb
I, the ElecMcal Inspector, hereby certify that
(Rough•in)
(Final) ?
been made. ?W
? /
This request void
18 months from
BUILDING ??ERMIT APPLICATION
To ba used 10. 1 of 4 Plex est. value 38,000
Site Address 4680 Stavern Pt.
Lot 1- Black 6_ Sec/Sub. __?sj$g.ecl_i £fP 3
Parcel # >>nraonrAPd
z Name Orrin Thompson Homes
? Address1712 Hopkins Crsrd. _
`?
0 Name
Address S97Ile
? Cit
H?
w
Name
w
?
_r-, Address
I heieby ocknowledge thot I hove read this application ond state that
the informotion is correct and agree to comply with all opplicable
State of Minnesota $Tatutes and City of Eaqan Ordinances.
N° 6062
Receipt .}k ?
Erect f} Oc[upon[y R ;
Alter p Zoning pT) _
Repair ? Fire Zone 3
Enlarge ? Type of Const. V
Move ? # Stories
Demolish ? Front P4 ft.
Grade ? Depth 21F ft.
ADprowls Fcea
Assessm?t* 5-5-80 permR 110.50
Water & Sew. Surcharge 19.00
Police Plan check 55.25
Fire SAC 525.00
Eng. WaterConn.3Q`J.00
Planner Woter Meter 60.00
Council Road Unrt 185. nn
Bldg
Off
.
.
APC Totol 1,259_75
SignMUre of Permittee ? I
A Building Permit is issued to: Qrpi n T}nTenn HnniaS on the express condition thm
oll work shall be done in accordang$ with all oppiisqq{e $tote of Minnewta Statutes and City of Eagan Ordinonces.
cinr oF eacaN
3795 Pilot Kno6 Rood Eagan, MN 35722
PMONE: 454-8100
Building Officlal
CITY OF EAGAN
' 3795 Pi1M Kno6 Road Eagan, MN 55142 N2 6063
, MHON& 454-8100
BUILDING PERMIT APPLICATION Receipt #
Te be ueed for 1 of 4 plex Est. Value 38, 0oo Date $-$ , 19-8a_
Site Address 4681 .Alta Pt. Erect anc
Occu
R3
fj; y
p
Lot 2 Block 6_ $ec/Sub. RIdgaOli Ffa 3 Alter ? Zoning PT)
Parcel # unz'ecorded Repair ? Fire Zone 3
Enlarge ? Type of Const.
rc Name OTTlri thompson Homes Move ? # Stories
3 Address 1712 Hopkins CT'STd. _ Demolish ? Front 2L? ft.
°
Ci
Phone 544-7333
Grode ?
Depth 21i ft.
0 Name Approvols Fees
i
013 Addreu S3TRe
ok...,
Name _
Address
I hereby ackrwwledge thot I have read this application ond state that
the information is correct ond ogree to comply with oll applica6le
State of Minnewto Stotutes ond City of Eogan Ordinonces.
AssessrAat -S-- 5_8n
Water & Sew.
Police
Fire
Eng.
Plonner
Council
Bldg. Off.
APC
Permit ll fl '5(1
Surcharge 19 nn
Plan check 55 25
SAC 575 nn
Water Conn. 3115 no
Water Meter _.60 .,.00
Rood Unit 195
rotol 1. 259.75
Signature of Permittee I
A Building Permit is issued to: nrrin ThoIIlpGOn HomeS on ihe express condition that
all work shall be done in accqRlance with pll,oDVllcable State of,Minnesotn Statutes and City of Eagan Ordinonces.
8uilding Official
.? CITY OF FAGAN Iriclude 2 sets of plans,
14 1 sit,e plan w/elevatians &
BUSLDING PERMIT APPL7CATION 1 set of energy calculations.
7b Be Used For ?E.SJy-r.Nc-P Valuation?3??pp,op Date 3"ut.y 31?. 1980
Site Pddress: j/48l f}L-Sq Qj. OFFICE USE ONLY
Lot a- Block 6 Sec./Sub. B1QGE?4?1F? Erect x OccuPancy
TH1RD Alter Zoning
Parcel #: ?r?, i p,,• ta?/:? i Z
n
Fi 3
Repa
r re
o
e
Enlarge 'IYpe of Const. t/
Owner: _ ri
# St
Nbve o
es
Pddress:
a Division of U. S. Home C r
DemoliSh
Front
City/Zip Code: " [ ht KinS CROSSROAD
• r?iNrJETONKA A;I"JN s Grad@ Depth ft.
57Q
Phone #: 54'{-1333 9PROVALS FEES
Contractor: ORpin.-i THOMP?N HOi;ES-
AddreSS: a Division of U. S. Home Corporation
t 1 .. II,p UrtJbtMUAU
City/Zip Code: NINN:.70NY.A. MINN. 55343
Phane #:
Arch./Eng.:
Pi3dress:
City/Zip Code:
Phone #:
Assessimnts ?'Pe?nit ?
Water/Seaer Surcharge
Police Plan Check 6%5132-
Fire SAC
gg, Wates Conn. 3 oS
Planner Water Metes (DO
Council Road Unit
Bldg. Off.
APC
'InT'AL
This request void
18 months from
Date of this Request Fire No. m• 4014
I, Licensed Electrical Contractor OOwner, do hereby request inspection of the above electri-
cal Win-ng instatled at
?t Address or Route No. 1?(J d? ??? PVI? ? City 618?
ction Township Range County k--1-P4-
Which is occupied by
ti
Is a roughin inspection required on this job? No ? Ye?` Ready Now ? Will CaIL[;L'T
Power Supplier ' `* Address rl44`OOJU'"
Electrical Contractor &U- &_EGj?` r? Contractor's License Noi?A5,5
(CPany Name) ?,
t
Mailing Address r6
(Electnc I on tor wner Makin9 Tnis Installatlon)
Authorized Signature Phone No. U N/
(Elet[rical Co racto o? Owner Making Tbis Installatlon)
j?( n j?j'[3 Inl t? t5 ?C ????? ???? This inspectian request will not be accepted hy the
?3 State Board unless proper inspection fee is enclosed.
mmnnsoia a.ace ooara or nacniciry
Griggs Midway Bldg. - Room N197
iversity Ave., St. Paul, Minn. 55104 - Phone 297-2111
QUEST FOR ELECTRICAL INSPECTION
BELOW WORK COVERED BY THIS REOUEST T
EB-00001-02
4014
Type of BuOding Ne Add. Rep. Check Appliances W'ved For Check Fquipment Wired Foi
Home
U
k ? ? Range ? 7emporary Wving ?
uplex o ? ? Water Heater ? Lighting Fixtures C9
L Bldg. ? ? ? Drycr ? Electnc Heating ?
mmercial Bldg. ? ? ? Furnar.e Silo Unloader ?
Industrial Bldg. ? ? ? A"v Conditionei Bulk Milk Tank ?
Fqrm ? ? ? Lis[ Lis[
Other
?
?
? Otheis?
Heie )
z° thers?
ere 1
COMPUTE INSPECTION FEE BELOW Q /.,.u I1:II I-V
101 to
I Above 200 Amos.l I II Above 100 Amos.l I II Above 100 Amua.l I I
Remarks
I, the Electrical Inspector, hereby certify that
TOTALF•Ea? JD
has been ma e.
n..m, /3 _ a - F -)
(Final)
This request void
18 months from
CITY OF FAC',T?N Include 2 sets of p]ans.
f? ?v ' 1 site plan w/elevations s
-T BUIIDINC; S•FR=rAPPL7CATION 1 set of energy calculations.
7b Be Used ior ????-j p-r-Nr P Valuation a 3?.e,reb _ Date 3"u?y 3? 1980
- ?
Site Address: y;(.@O ST9V6Rw Q'r.
Lot 1 Blocl: b) Sec./Sub• R14G j.lF_M Erect X_
Parcel #: T H i RD Alter
Repair
Oaner: Enlarge -
Nbve
Pddr25S: a DiviSion Of U. S. Home C r D271UZ15tl
i L KINS CRCSSROAD
City/Zip Code Gtade
: • rruarJETONKA A;iNN st?,?g
OFFICE USE ONLY
Occupancy
Zoning
Fire Zone 3
'Iype of Const. v
# St,ories
Front ;2 ft.
pepth R< ft.
Phone fl: 5`i Ll- 13 3 3 APPROVNS FEFS
contractor: 9RRJN TN9A4PS0A! I-19-M-C-S
Pddi25s: a Division of U. S. Home Corporation
1712 r.r u.o Urt nV
City/Zip Code: MINNE70NKA, MINN. 55343
Phcne #:
Arr_h./Eng.:
Acldress:
C'ity/Zip Code:
Phone #:
Assessrents Pesmit
water/Sewer Surcharge Y9 ?-
Police Plan Check ??''?
Fire SAC ?
Enq, Water Conn. ,3 os?"
-
Planner Water Meter ?
Council Road Unit /7F S4?-
Bldg. Off.
APC
RO'PAL
CITY OF EAGAN
, 3795 Pilot Knob Road Eogan, MN 55722 N2 6065
PHONE: 454-8100 .
BUILDING PERMIT APPLICATION Receipt #
ro ba woa fo. 1 of 4 plex Est. Volue 3$2000 Dare 8-8 is$Q-
Site Address 4 84 Sta,VPx'n pt Erect [X7C Occupancy R?
Lot-1? Block6_ Sec/Sub. RidgPn1iffa 3 Alter ? Zoning Pn
Porcel # uxirecorded Repair ? Fire Zone 3
Enlarge ? Type of Const. TJ
rc Nome (lrri n Thnmpenn Hnmac Move ? # Stories -
Z Address 1712 HOpkiriS Cx'Srd, Demolish ? Front 24 ff.
° Ci MinnetonkaIMphona 544-7333 Grade ? Depth ?' - fr.
" Name APProvals Fees
F
?? Address
? r..,
Name _
Address
I hereby ackrrowledge that I have read this avPlicotion and state that
the information is correct ond agree to comply with all applicable
$tafe of Minnesota Statutes ond Ci[y of Eagan Ordinonces.
Signature of Pertnittee
Water & Sew.
Police -
Fire
Eng.
Plonner -
CounCil _
Bidg. Off. -
APC -
Permit 11U.7U
Surcharge 19.00
Plan check 55.25
y,C 525.00
Water Conn. 305.00
Water Meter 60.00
Road Unit 185.00
rotal 1,259.75
A Building Permit is issued ta: Orrjr,ThQTgpgop j-j?eg on the express condition that
all work sholl be done in acco(r?/ once with all-applic ble State of M/innesoto Stotutes and City ot Eagon Ordinonces.
Buildin9 Offitiol ? ?`'??? ???Cr"i1-1
C b(?,5 CTTY OF EnC'?ADI Include 2 sets of plans,
1 site plan w/elevatians 6
BUIIDINC; F'EFZMIT APA?.SCATION 1 set of energy calculations.
7b F3e Used For ValuationA 3-1, 1 pp,op Date S"uvy 31- 1980
Site Tddress: ? l0 8 y g'('79ve-" Pr, OFF'ICE USE ONLY
Lot Blor3c (o Sec./Sub. j?14_GE£41t_Es Erect X OccuPanc7'
Pa1'c?l ?: TH1RD Alter 7oning
Repair Fire Zone 3
Oaner: Enlarge _ 7Ype of Const. ?
i
# Sto
Nbve r
es
Pddress: a Division o1 U. S. Hom= C r Lerrolish Front ? y ft.
City/ZiP COC3e: • KIr:S CROSSROAD
MItJNETONKA
A'irJN Sr Grade Depth ,2 ft.
.
34?
Phone #: 54 4- 133 3 APPROvALs FEES
Contractor: (aRRlNTHOXA-PS9NH9fF,-ES
Pd[3.Ce5S: a Division of U. S. Home Corporation
-J..vr na CML)?,?IIIUAU
CSty/Zlp COCle: . MINNETONKA, MIhN. 55343
Phone #:
P.rch. /Eng. .
Pdd.ress:
City/Zip Code:
Phone #:
Assessirents Pesmit l /D
Water/Se?.?er Surcharge ? >9 ?
Police Plan Check SS ?
Fire SAC ?;2?5_
gnq, Water Conn. 3 63`
Planner Watei Meter /od -?
Council Road Unit / rrS ?
Bldg_ Off.
APC
TO'PAL
CITY OF EAGAN
3795 dilot Kneb Raed Eagan, MN 55124
PHONF: 454-8100
BUILDING PERMIT APPLICATION
N4 6064
Receipt #
To be ased for 1 Of LF p12X Est. Value 3$,ooo Dete g-g , 7980-
Site Address 4685 A1ta Pt. er"r }a Occupancy R3
Lor 3 Rid?ecliffe 3
Biock 6 5ec/Sub Alter ? zonin9 PD
,
unrecorded Repoir ? Fire Zone 3
Partel # _
Enlorge ? Type of Const. V
w Name OT'Tlri ThOIICpSOri HOID2S Move ? # Stories
; Address 1712 Hopkins Crsrd. Demolish ? Front 24 fr.
? Ci Phane 544-7333 Grade ? Depth 24 ft.
?
O Nome
- Approvals Fees
?r
u Address
Name
same
I hereby acknowledge that I have read this application and state that
the informotion is corred and agree to comply with all applicable
State of Minnesota Statutes ond Ciry of Eagan Ordinances.
Woter & Sew.
Police -
Fire
Eng.
Planner -
Council -
Bidg. Off. -
APC
pemit 11u.7u
SurcFwrye 79.00
Plon check 55 _ 25=
SAC ?`Z.5 - o
Water Conn. M 5 _ on
Woter Meter Hn- nn
Road Unit 185- (1(1
Total l -959 _75
Signature of Permittee I
A Building Permit is issued to: OPT'lri ThOm]JSOri HOIII2S on the express condition thot
oll work shall be done in otcor£Jqnce with all appljcablg Siare of Minnesota Statutes ond City ot Eagan Ordinances.
Building Official
CITY oF FJ+GAN Include 2 sets of p]ans,
1 site plan w/elevations 6
SUIIDIN(; PERMIT APPL7CATION 1 set of energy calculations.
3)r? -
7b I3e Used For re Valuation??i Date S"u?v 31?980
Site Fddress: q6$S prL'y-9 QTi
Lot 3 Block (o Sec./Sub. R14_G L1FEs Erect L_
Parcel q: THi RO Alter
??zn r_.?%?.?- Repair
O.mer: Enlarge -
Nbve
Pddr2S5: a Division of U. S. Home C D21Tt711S}'1
1/12 RIP:S CFOSSRDAD Grade
C1ty/ZlP COaO: - MINNETONKA A•I"JN a,,343
OFFICE USE ONLY
Occupancy
Zoning
Fire Zone 3
'Iype of Const. v -
# Stories
Fiont ?y ft.
DePt, 2y ft.
Fhone #: 544-1333 APPROVAIS F'EES
Contractor: gRRIP! T#OA/+PSBP! ?'9{d',?
P,ddre55: a Division of U. S. Home Corporation
1 .VI NJ l. R
C1iy/Z1F7 COd2: MINNETONY.A, h11NN 55343
Phcne # :
Axr_h-/FSn4- c _
Pc3dress:
City/Zip Code:
Phone #:
Assesgrents //.,41,
Water/Sewer
Polioe
Fize
FnJ -
Planner
Council
Bldg. Off.
APC
PPSmit
Surcharge _ 19r
Plan Check
SAC \?2
WatPS Conn.
Water Metes / o
Road Unit 6-
ZC7I'AL
CITY USE ONLY
L BL ? RECEIPT #:
SUBD. DATE:
1996 MECi1ANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
Ne 'construction Add-on fumace
Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc.
Date: S-
FEES
? Minimum Fee: Add-on/Remodel (existing residence only) 20.00
?
? HVAC: 0-100 M BTU 24.00
Additional 50 M BTU 6.00
? Gas Outlets (minimum of 1 required @$3.00 each)
? State Surcharge .50
TOTAL o? U.5' o
SITE RDDREss: ? a .:.k
OWNER NAME: \ c,..?k ? ?C ?c..( PHONE #: b-O`1qy
INSTALLER
J
J
STREET ADDRESS: \1113
CITY: ? \/l 2.1t\.\ 2 STATE: mN ZIP: S SDM
PHONE #: (lo_) vvi??
!?'OJ?C 7 6(V
CITY USE ONLY
L BL
$UBD.
RECEIPT #:
DATE:
1996 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55722
(612) 681-4675
Piease complete for: ? all commercialCndustrial buildings.
? multi-family buiidings when separate permits are = required
for each dwelling unit.
DATE:
CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION
DESCRIPTION OF WORK:
INTERIOR IMPROVEMENT
FEES: ?$25.00 minimum fee Q 1% of conVact price, whichever is greater.
• Processed piping - $25.00
• State surcharge of $.50 per $1,000 of gffmjs fee due on all permits.
CONTRACT PRICE x 1%
PROCESSED PIPING
STATE SURCHARGE
TOTAL
SITE ADDRESS:
OWNER NAME:
TENANT NAME: (iMPROVenneNrs oNLv)
INSTALLER:
ADDRESS:_
CITY:
PHONE #:
SIGNATURE
TELEPHONE #:
STATE: ZIP:
SIGNATURE OF PERMITTEE CITY INSPECTOR
PERMIT ?
? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT TYPE:
Permit Number:
Date Issued:
BUILDING
028756
09/11/96
SITE ADDRESS:
4680 STAVERN PT
LOT: 1 BLOCK: 6
RIDGECLIFFE 3R0
p.I.N.: 10-63982-010-06
DESCRIPTION:
(RpOFING)
?
Building-,Permit Type
??$uildLng W+o,r,k Type
Census Code ?
r
; m ^ •?._.? ?.
e..,.ti n ,..` .
y`
1 Yd
?3a s
MULTI. (MISC.)
REPAIR
434 ALT. RESIDEN7SAL
REMARKS:
INCLUDES 4684 STAVERN PT (LOT 4)
4681 ALTA PT (I.QT 2) 4685 ALTA PT (LOT 3)
FEE SUMMARY:
VALUATION $3,000
Base Fee $74.75
Surcharge $1.50
Total Fae $76.25
CONTRACTOR:
6 & G ROOFING
11677 HALL AVE
NORTHFIELD MN
(507) 645-2531
- Applicant - ST. LIC
16452531 0009369
55057
OWNER:
RIDGECLIFFE ASSOCIATION
1745 KARIS WAY
EAGAN MN
I
I hereby acknowledge that I have` read this app'1.Ycatio'n and statie thet rFie '
information is,cot'reat and aqres,etg_comply with all applieable State of Mn.
Stetutes and Cityof Eagan Ordirf`ances.
APPLICANT/PERMITEESIGNATURE ISSUED SI NATURE
oo 3830 PILI T KNOB RDN 55122
lt 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
NewConstrucUonR r , t 9§p}? fiyRemodeVRP•°alr Reai ?g e? :?,y „
? , ?,••xv,•` • v•'XL•r???.t
.. - .nFr*?.•'•??+1i'f??.`•;r:A.l
? 3 repistered site surveys 2 copies of pfan - .. ; ? .r • . " : ,.
? 2 eopiee of plans (indude 6eam d window sizes: poured tnd. desfgn; etc.) , ? 2 stte surveys (ezterior additlona &'decks) ..
? 7 energy calculatlom '? 1 energy alculationa for heated addilions ? 9 copiee ol tree preservatlon plen if lot platted after 7l1/93 - ' ' • . . requlred: _Yea No -' ' . .
DATE: u ?n ?? CP Co CONSTRUCTION COST:
DESCRIPTION OF WORK: t? te,- yr L"'
q 6 kPi 4-y?K
STREET ADDRESS: `t `aX
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LOT ?J BLOCK SUBO./P.I.D. #:
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PROPERTY ' Name:ya c?" ? Phone #: _ - ?
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ARCHITECTf - -- COfitpe(1y: zP lon2-#' ,
ENGINEER - . ?.:?.._, ...,. .. .?,?. - ?F
Name: Registration #: -?_
, ' ' . _4......_...w.__ +'3AR ?`J4P,'."?l•?P .
' Street Address•
• ..._._?..__. .r.t•..,. t.aty+l?:.
City: _ State: - _ Zip:>i?:J•?•?,??,j .
Sewer 8 water licensed piumber. . Penalty applies when addre§s•charige:and lot
change are requested once permft is issued. • •; -r-•- M- •?t '" ?" ??'""
I hereby acknowledge that I have read this apptica8on and state that the i rmation is.corzect_and ,agree to.`.comPly: wft ?
applipbie State of Minnesota Statutes and City of Eagan Ordinances. ??
Signature of Applicant: -
OFFICE USE ONLY -
Certificates of Survey Received _ Yes
Tree Preservation Plan Received Yes
_ -.. '. ?
.. ..
..
. ____
._
_,
No
No
_ -+.? •: ?.?
OFFICE USE ONLY
. . . .,
. ,.... ,
BUILDING PERMIT TYPE
?-01.?Eoundation::.o=•06<<:Dupiex ? 1]•.?.Apt./Lodging ?.?.. 0 16
eX - :. _ ii .t-t , :. ; ??• I"'.?''. ? c„ . ?t ... irvf?n ,, .. , .-?i.n,GfM!"`'+F.?.:#t;,?E,'??'T,a?,
0 02 SF'Dwelling' a-'07°4-plex '?"??' o" 12 ?Multi'Repair/Rem. a 17..',.... ` Swim Poo(';H''
.: :: ?•., ^?-
? 03 SF Addition ?. OS 8-plex? 13 Garage/Accessory 13-20 Public Facility
? 04 SF Porch ? 09 12-plex ? 14 Fireplace ?.21. Miscellaneous
0 05 SF Misc. ? 10 _-plex ? 15 Deck ?. _... .?> ..
•--
WORK TYPEy . ------ --?_?.?.? . _? -?,f •?.....
-}
_'_. ?., '.:..?.). ! . :'.. ? . . _. , .'.1 ?Zi., . ? '... ... _..
0 31 TNew ? 0 33 Alterations 0 36 Move
? 32 Addition - o .-. 34. _Repair o .. 37 .._.Demolition _. __. .
. _..... ...... ?...? -
GENERAI: INFORMA'TION _ 8 . - . ---, -? .
. ?.
?,.._.W .
Const. y(Actual) Basement sq. ft.? .-MCNVS-Sy§tem-
(Allowable) Main level sq. R City Water
UBC Occupancy -. _ ?. ;:??.t;? »sQ•_ft. . . . Fire Sprinklered ••T?^,=r,e-;,.;,
Zoning sq.ft. •?. -'PRV? :?+??.•
?4}
# of Stories__ -Booster. Pump '
Length sq. ft. ? Census Code. ,
Depth-._.___ Footprint sq. tt., SAC Code, ,
" - --._ ___ ___..,....._.,Census Bldg
\' '•`.?";°` ?'; .;?,, ,,?? '?, r, '.?, ?Census Unit- -?
. , ...,..,-._ ?? ,.+. ?»-p.-. . ??. ? ?f , I-;t ? '? - 1 t x?' i t I •,? ?
APPROVALS ?_???
???lkAl 1?`aTiance
, -. ?: r.4?+?? .?..??? •..? •_aV??YV?^ 'YINl?W ?wi:.?W.??:ye.?..?'w,.+N.+?.?VFU.r+n?i?i . u:MnY'iW?4LL+ h?H\Y . .? ..
Permk Fee 7 Valuation:
-•._.?.-Surcharge- ..
Plan Review
..._.+-License-.--,_..4i .___....?.?__...??.?:•_.._:.:E? . __,.w.... :?rr:r???
: MC/WS SAC , -
--?-=,CitY.SAC:_.._M
Water Conn.`
_?. Water Metera;x- ,...? ?
?Acct. Deposit - -____u._ .::??_lc- .__.----____.._ __..._.._---•--____._ .
S/W Pertnit
,., ,,;,SIV1l:Surcharge
; ,. ??_ ?,,s,,?? ? •
Treatment PI. ?_..-.-.?__ , __.-...._...v?..__.. __._.,..? •: ?scl;,??•? t -_3.z?.?,?t,_;??.,,• ?.,<i,?.. .
. . . . . . ? =.^.i) ?r?oL•?]£? _1:':'u+.:.r,.
Road Unit..
's#iParkaDed:: h.,-'f-.Y,,;;., a.i
•4;'? •? ??? .i 13 ?'>Il 9>?. ?R.'11?!}+v`Y'?'f'?? C?u11S. -. f Jl? ??i'? ?n?`?.'M+?Y:l7fll'w' ?.4?:: C?.1 1
Trails Ded.
OtFier ?' • . . ,? . ,M .,. ,
-- Copies-.-
Total:
''.
%O p-'. ? .^
SAIi
SAC Units ..__.._ u:s:a
.;;. .
- - . . .,.. '.?y _ , , .r.?, _ . . . . , .
CiTY I)F E:AGAN
f;ASH:I:Efi: S iERi'SINE1L NiJe i`?i
UA'1'E. 08/25/38 'iIML: 15:02.47
ID:
NAME. RTf.HFlRD J. WAI._TER
:3290 9001 4684 ST(-tVERN FT 50.00
2155 :3001 4684 STFlVGhN f'T 0.50
T'o+.a:l. F:ucn:i.p+, Mno,.ent : 50.50
CRO9@,652
lJ;;[-R tn: naNr.v
v CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMITTYPE: suzLoiNe
Permit Number: 0 3 2 9 9 0
Date Issued: 0 8/ 2 5/ 9 8
SITE ADDRESS:
P.I.N.: 10-63982-040-06
DESCRIPTION:
4684 STAVERN PT
LOT: 4 BLOCK: 6
RIDGECLIFFE 3Rp
Bu?}.-1ditSg jPermiC Type
Building'W'cs;rk Type
Q?ensus Code "
FIREPLACE
ALTERATION
434 ALT. RESIpENTIAL
REM6FMiv/FLuE MUST BE TNSPECTED BEFORE CpNCEALING.
FEE SUMMARY:
Bese Fee $50.00
5urcharge $.50
Total Fee $50.50
r T p - HpplicanL -
WAQY TpER"eCr 'ONQR'ACTING 18618013
7420 COLUMBUS AVE S
RICHFIELD MN 55423
(612) 861-8013
TTZAVC-1rRPATTY
4684 S7AVERN PT
EAGAN MN 55123
(651)6$6-0448
?
I hereby acknowiedge tFrat Z haveread this
information is correct and agree,tQ aomq].y
Statutes and City-of Eagan Ordinances.
APPLICANUPERMITEE SIGNATURE
PERMIT
?applicetibn and.state Chat the
with allapplicable Stete of hin.? ? . . ?
ISSUED BV: SIGNATURE
I
CITY OF EAGAN
3830 PII.OT KNOB RD - 55122
1998 FIItEPLACE PERMIT APPLICATION
681-4675
DATE: 6,2 I /7 C/
DESCRIPTION OF WORK: _ Construct new fireplace
? Install gas iasert onlv
Other
Name: ile -7Y Phone #:
Lut First
1/ s AnDxESS: 116 8L/ 55t64 vc e-,J P7`
LOT: BLOCK: ?O SUBDMSION/P.I.D.#: ?ic?q? A A ?r?
' APPLICANT (circle one only): OWNER CONTRACTOR
I hereby acknowledge that I have read this applicaGon and state that the information is conect
and agree to comply with all applicable State of Minnesota Statutes and City of Eagan
Ordinances.
PROPERTY
OWNER
FIREPLACE
INSTALLER
GAS LINE
INSTALLER
Street
City State:
Company:
Street
g-D C,- _9 ?,
PERMIT FEE: $50.50
_ Alterations to existing
? Install gas line onlv
,
Zip:
Phone #: e6 /-M?3
#
City et C q(-4F`,S- Sta- Zip: S-S-r/.-7?
Company: Phone #:
S;m,sh,re? ? S /k?4 f'3 07A-?
Street
OFFICE USE ONLY
BUILDING PERMiT TYPE
O 14 Fireplace
WORK TYPE
? 31 New O 33 Alterations
? 32 Addition ? 34 Repa'v
GENERAL INFORMATION
Census Code. 434
SAC Code Ol
REMARKS
Chimney/flue must be inspected before concealing.
2004 RESIDENTIAL BUILDING PERMIT APPLICATION
City OfEagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWCtion ReouiremenLS RemotleVFteoair Reouiremenls I? Office Use Onlv
3 registe2d site surveys showing sq. ft, of lot, sq. N. of house; and all roo(ed areas 2 copies of plan Cert of Survey Recd _ Y_ N
(20%maximumbtcoverageallowed) 1setofEnergyCakulationsfurheatedadditions TreePresPWnRecd _Y _N,
2 copies of plan shovring 6eam & window sizes; poured found design, etc. 1 site survey for addNOns 8 decks T2e Pres Required _Y _ N
1 set of Energy Cakulations AddNon - indicate Aansife sepNc system On-site SepUc System _ Y_ N
3 copies of Tree P2serva6on Plan'rf lot platled after 711193
Rim Joist Dehail Options selection sheet (bldgs with 3 or less unifs
Date `??) / 10 / 20?
Site Address ?(a??j , ?{ (dgl} Coust(r?uction Cost OQU- ? 0
S? v? v vl '(' "h UniUSte #
P-?-
Description of Work
Muld-Family Bldg _ Y_ N Fireplace(s) _ 0_ 1 _ 2
Property Owner R C• Q 1- ? r 5} a SSp CJLCd4clephone #(?7 S:4 7? `??l 1' ?'?3 ?
Contractor ?j (?
Address 1 a"a L}`) ^Y\ -k
State -(V-1 1'\? C cS--Q-M a u`? S City? u Y v\' S\J l 11 Y--
Zip k3:;? 33? Telephone # ( °f S
COMPLETE THIS AREA ONLY IF
Energy Code Category - Minnesota Rules 7670 Cateeorv 1
. Residential Ventilation Category t Worksheet
(J submission type) Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan?
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
A NEW BUILDING
Minnesota Rules 7672
• New Energy Code Worksheet
Submitted
Y_ N If so, 25% plan review
Telephone #(
Telephone #(
Telephone #(-?'?=) ? r-'):
I'? IJISi _ L('I,'
,..?? . , ? . . . ?r.
I hereby apply for a Residential Building Permit and aclrnowledge that the inforniation i's complete an4?accurate;
that the work will be in conformance with the ordinances and codes of the City! of Eagan and the Stat ? of MN
Statutes; I understand this is not a pernut, but only an application for a permit, and)'waFk-is-xiet-to siart?ithout a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval ofplans.
14 Applicant' Printed Name Applic t's Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 AccessoryBldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ent. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 38 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building• ? 43 Reroof O 46 WindowslDoors
? 34 ReplaCement •Demolidon (Entire Bidg) - Give PCA handout to applicant
Valuatlon Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinallC.O.
_ Footings (d'eck) _ FinaUNo C.O.
_ Footings (addirion) _ Plumbing
Foundarion HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tesks Final
_ Framing Siding _ Stucco _ Stone _ Brick
_ Fireplace _ R.I. _ AirTest _
_ Final Windows
_ Insularion _
_ Retaining Wall
Approved By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Building Inspector
?00CA
S? RESIDENTIAL PLUMBING PeRnmT aPPUCarioN
? CITY OF EAGAN
? p 0 5 3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
??5 1?o
1/ 208 45
Date
Site Street Address HAWKINSON, KAREN UIIIt #
, 4680 STAVERN POINT
EAGAN, MN 55122
Property Owner (651) 452-1080 Telephone # ( )
Contractor. NorbI om PL.l,mblnC) Telephone#((pJy) g2'7-?I0?3
Address 2-qV5 -10Lr"held ?+V. Sa City YYt aI5 State 1?1? 11? Zip ;?-5l'0g
i
O
V C
Oth
T
A
li
er
wner
ontractor _
he
pp
cant
s: _
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license includes County fee
$ 100.00
Per as-built $ 10.00
Alteretions to existing dwelling $ 50.00
_ Add plumbing fixtures. This fee includes installation of a water softener andlor water
heater at the same time. !f you are installing only a water softener and/or water
heater, do not complete this section; move to the next section and check the
appliance(s) you are installing.
_Septic System Abandonment
_ Water Turnaround (add $130.00 if a 5/8" meter is required)
Other:
/
Water Heater
Water Softener $ 15.00
/
_ new v rep;acement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ 50
I ?) 5R
Totai $
I hereby apply for a Residential Plumbing Permit and acknowledge that the intormatlon is compiete ana accurace; mac cne
work will be in conformance with the ordinances and codes of the City' of Eagan and the plumbing codes; that I
understand this is not a permit, but only an application for a permit, work is not o start without a permit and work will be in
accordance with the approved plan in the event a plan is required to be review a d app ov d.
A;
jeffrev L. NorMorn, ?
ApplicanYs Prin d Name Applicant' S' na ure
f-22o ?
2006 RESIDENTIAL PLUMBING PERnnir APPLicArioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
C_? _ ., l ) / ,. ? I
$1s.S°
Date ? I ? I
Site Street Address 14 ???+ UNt #
Property Owner 1?? t n Telephone #wr?)?-t`_7
Contracto ? a , Telephone #( I? ) ?j?
Address City A-l IC??Lf'1 _ StateL?? \ Zip ?(??j ?
The Applicant is: _ Owner ? Contractor _Other
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-built $ 10.00
Alterations to existing dwelling $ 50.00,
_ Add plumbing fixtures. This fee includes instaliation of a water softener and/or waler
heater at the same time. If you are installing onlv a water softener and/or water
heater, do not complete lhis section; move to the nexl section and check the
appliance(s) you are installing. _
_Septic Syslem Abandonment
_Water Turnaround (add $130.00 if a 5I8" meter is required)
Other:
Y Water Softener _ Water Heater $ 15.00
_ new ? replacement
Lawn Irrigatfon _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
Total $5 "50
- - -
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the
work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I
understand this is not a permit, but only an application for a permil, work is not to start without a pennit and work will be in
accordance with the approved plan in the euent a plan is required o be reviewed and approved. .
ApplicanYs Printed Name A IicanPs Signature
C.R. WINDEN 8 ASSOCIATES, INC.
LAND SURVEYORS Te1, 645-3616 CERTIFICATE OF SURV*:Y
1381 EUSTIS 57., ST. PAUI, MINN. 55108
FOR: ,
U. S. HOME CORPORATION
N
.-
? /,G?
P?' ? \ .fl
? LZ P
\ F?? Op
,
. 0 25 O C' ` L?7
Scale: 1" = 20'
. ;fl O \ C?.0'0 o Denotes Zron
O S? '
CP Y?\ /// '? 20 O Sa
d? 22, \0
C7 ?
A `0
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4??? a . ?. N
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00
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Note: Buildings shown are proposed N ?'"?`\ 25
9 0O
As of this date Ridgecliffe N\O Third Addition has not been
recorded.
Lots 1 through 4 inclusive, Block 6,
Ridgecliffe Third Addition, Dakota
County, Minnesota.
i
i
WE HEREBY CERTIFY T1iAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE SOUNDARIES OF THE LAND
ABOVE DESCRISED AND OF THE LOCATION OF ALL BUILDINGS, IF ANY, THEREON, AND ALL VISIBLE ENCROACHMENTS, IF
ANY, FROM OR ON SAID LAND.
Da[ed this_22LiLday of JuLv A.D. 19Sp C. R. WINDEN & ASSOCIATES, INC.
?
By J)/??a-LMJ
Surveyor," Minnesota Registration No.169¢2
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PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA109554
Date Issued:03/19/2013
Permit Category:ePermit
Site Address: 4681 Alta Pt
Lot:2 Block: 06 Addition: Ridgecliffe 3rd
PID:10-63982-06-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Lisa Skogen
5660 Memorial Avenue North
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 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 -
Timothy G Olson
4681 Alta Pt
Eagan MN 55122
(651) 681-8201
Hoffman Refrigeration & Heating
5660 Memorial Ave. N
Stillwater MN 55082
(651) 439-5770
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
r
For Office Use
} f Permit L/?55
I
City of Eapn I Permit Fee: a 50
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I
Fax: (651) 675-5694 I Staff: ^ I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: ~D l Site Address: q 6C-41' Unit
i Name:~496-ectj-ppe is ,6z_ E Phone:
Resident/ JgZ s
Owner Address / City / Zip: lqf 1..- 'L 1 e~ 14 2-,/
Applicant is: Owner Contractor
Type of Work Description of work: y e -,;-6&
I Construction Cost: *~Lr0 U O Multi-Family Building: (Yes / No
Company: r/I l4lg o `lax 1/'I~ Contact: 7t
Contractor Address: l G hel~~ _ City: Aoa0 4
State: Zip: Phone:
License 42 3 S'-O 611, 7 Lead Certificate
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?
F
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
. w~
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 it
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.aooherstateonecall.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 7)1-* 1"',
Applicant's Printed ame cant's Signature
Page 1 of 3
Use BWE or BLACK Ink
r----------------�
I For Office Use �
� � Permit#: � ,J� � I
�lt� Of ����Il � //� a � �
� Permit Fee: d lJ� �
3830 Pilot Knob Road � �
Eagan MN 55122 � Date Received: �
Phone: (651)675-5675 I I
Fax: (651)675-5694 I Staff: I
I I
2015 RESIDENTIAL BUILDING PERIMIT APPLICATION
���t `���� A
Date: Z T Site Address: �L��p� '�v�°r'f'! /"F" Unit#:
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If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTIIVG A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan 6�ased on a master plan?
_Yes _No If yes,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
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th�rnforinaf�Qn�may�`be c�ass��ed as�no -publ���you rar�afe`spe�r��� .eas� ���at a��d� �#�he�Cify � � ,
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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.qoqherstateonecall.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 S1:ate Building Code must be completed within 180
days of ermit issuance.
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Applic nYs Printed Nam Ap icant's ature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA167084
Date Issued:02/23/2021
Permit Category:ePermit
Site Address: 4681 Alta Pt
Lot:2 Block: 06 Addition: Ridgecliffe 3rd
PID:10-63982-06-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
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 -
Timothy G & Alison L Olson
4681 Alta Pointe
Eagan MN 55122--264
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature