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4701 Anne Pt CITY OR EAGAN WATER SERVICE PERMIT 3745 Pilot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No. of Units: Owner: - Address: Site Address: Plumber: Meter No.: Connection Charge: Size: Account Deposit: Reader No.: Permit Fee: agree to comply with the City of Eagan Surcharge: Ordinanon. Misc. Charges: Total: By Dote Paid: Date of Insp.: Insp.: CITY " EAGAN SEWER SERVICE PERMIT 3795 Pilot Knob Rood PERMIT NO.: Kagan, MN 55122 DATE: Zoning: No. of Units: I--uj Owner: Add ress: Site Address: Plumber: agree to comply with the City of Eagan Connection Charge: Ordinances. Account Deposit: Permit Fee: Surcharge: By Misc. Charges: Dote of Insp.: Total: Insp.: Date Paid: CITVF0F EAGAN WATER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No. of Units: Owner: Address: Site Address: Plumber: Meter No.: Connection Charge: Size: Account Deposit: Reader No.: Permit Fee: 1 agree to comply with the City of Eagan Surcharge: Ordinances. Misc. Charges: Total: By Dote Paid: Date of Insp.: Insp.: _ CITY'OF EAGAN SEWER SERVICE PERMIT ,3795 Pilot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: _ No. of Units: Owner: Address: Site Address: Plumber: I agree to comply with the City of Eagan Connection Charge: Ordinances. Account Deposit: Permit Fee: Surcharge: By Misc. Charges: Date of Insp.: Total: Insp.: Date Paid: - clrr of EaGarl . WATER SERVICE PERMIT '3795 Pilot Knob Road PERMIT NO,: Eagan, MN 55122 DATE: Zoning: No. of Units: Owner: Address: Site Address: Plumber: Meter No.: Connection Charge: Size: Account Deposit: Reader No.: Permit Fee: 1 ogre to comply with. the City of Eagan Surcharge: Ordinances. Misc. Charges: Total: By Date Paid: Date of Insp.: Insp.: r CITY OF EAGAN SEWER SERVICE PERMIT X37_95 Pilot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No. of Units: Owner: Address: Site Address: Plumber: I agree to comply with the City of Eagan Connection Charge: Ordinances. Account Deposit: Permit Fee: Surcharge: By Misc. Charges: • Date of Insp.: Total: Insp.: Date Paid: CITY OF EAGAN WATER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No. of Units: Owner: _ AAdress: Site Address: Plumber: Meter No.: Connection Charge: Size: Account Deposit: Reader No.: Permit Fee: I agree to comply with the City of Eagan Surcharge: Ordinances. Misc. Charges: Total: By Date Paid: Date of Insp.: Insp.: QTY'OF EAGAN SEWER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No. of Units: Owner: Address: Site Address: Plumber: 1 agfee to comply with the City of Eagan Connection Charge: Ordinances. Account Deposit: Permit Fee: Surcharge: By Misc. Charges: Date of Insp.: Total: Insp.: Date Paid: INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: 0." A ' 4 4) Eagan, Minnesota 55122-1897 ' I > Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: tut i t~ l t I + "N11 1' 1 1+1+1 1 fl,, PERMIT SUBTYPE: TYPE OF WORK: 1.1 1 All • DATE INSPTR. • TYPE DATE INSPTR. i i:i MANS Ira I Iii+f 4. y4 1 IIN11 11- 1 ( 1 I :1 r c+ r r►r~t I` 1 t 1 11 i , I . nr1N1 PT c I L I Permit No. Permit Holder Date Telephone 8 ELECTRIC I 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 LEST BLDG FINAL 4 BSMT R.I. I t BSMT FINAL DECK FTG DECK FINAL I CITY OF EAGAN Remarks Addition Ridgecliffe 2nd Addition Lot 2 Rik 1 Parcel 430 63981 020 01 Owner Street 4701 Anne Point State Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF, STREET RESTOR. GRADING SAN SEW TRUNK 1982 85.40 85.40 12-23-91 SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA 1982 85 4 1-2-23- STORM SEW TRK 1982 [258.26 5 258.26 12-23- STORM SEW LAT Services 1982 637.75 5 637.75 C007616 12-2-S-81 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 305-00 BUILDING PER. 59748 it SAC 525.90 n it PARK CITY OF EAGAN Remarks Addition Ridgecliffe Addition Lot 3 Blk 1 Parcel #10 ~21 030 03 Street 4705 Anne Point State Eagan, MR 55122 owner L Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 1982 85.40 5 85.40 C007616 12-23-81 SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA 1982 85.40 5 9-5-40 C007616 1 p7-,) ST ORM SEW TRK 1982 258.26 258.26 COO 616 1 12 23 81 STORM SEW LAT Services 1982 637.75 5 637.75 - CURB & GUTTER SIDEWALK STREET LIGHT Road 11nit --4 -8 5) 0 IQR46 7/16/80 WATER CONN. 14AC nn P1 BUILDING PER. Cnzn 11 SAC PARK r CITY OF EAGAN Remarks Addition Ri dgecl i ff . nd Addition Lot 1 Blk 1 Parcel #10 63981 010 01 Owner Street 4700 Lurid Point State Eagan, M 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK - 1982 85.40 5 85.40 0007616 12-23-81 SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA 1982 85.40 5 85.40 C007616 12-23-81 STORM SEW TRK 1982 258.26 5 258.26 c007616 12-23-81 STORM SEW LAT Services 1982 637.75 5 637.75 C007616 12-23-81 CURB & GUTTER SIDEWALK STREET LIGHT Road Unit 181;00 19846 7/16/80 WATER CONN. n n M5 00 BUILDING PER. 5937 rr rr n rr SAC 525.00 PARK CITY OFJEAGAN Remarks Addition Lot 4 Bik 1 Parcel #10 63981 040 01 4704 Lund Point Owner F' Street State Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 1982 85.40 5 85.40 0007616 12-23-81 SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA 1982 85.40 5 85.40 0007616 12-23-81 STORM SEW TRK 1982 258.26 5 258.26 0007616 12-23-81 STORM SEW LAT Services 1982 637.75 5 637.75 0007616 12-23-81 CURB & GUTTER SIDEWALK STREET LIGHT Road Unit i8s.09 19846 7/16/80 WATER CONN. 7Ar A^ n BUILDING PER. i f SAC 59 5 00 PARK MECHANICAL PERMIT DATE: 5/21/91 TYM RECEIPT: 101477 [WOHLERS ADDRESS 4 701 ANNE POINT Unit # Permit # 13013 2 B I Sect/Sub. RTMFCT..TFFE 2ND SOUTHSIDE - 431-7099 INSPECTION DATE INSPECTOR OTHER FRAMING ROUGH PLBG. ROUGH HTG. INSUL FIREPLACE FINAL HTS. FINAL PLBG. UNIT FINAL CERT/OCC INSP TIOON DATE INSPECTOR COMMENTS ,7 7 Receipt PLUMBING PERMIT Permit No. CITY OF EAGAN Fee Fill in numbered spaces S/C Type or Print legibly Tot. ~ 1. Date - 2. Installation +Cost yy 3. Job Address Lot l Blk. Tract 4. Owner 5. Contractor Phone 6. Address 7. City State Zip 8. Building Type: Residential ❑ Commercial ❑ Institutional ❑ 9. Work Description: New ❑ Add ❑ Alter ❑ Repair ❑ 10. Describe 11. No, Fixtures No. Fixtures Water Closet Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Receipt PLUMBING PERMIT Permit No. CITY OF EAGAN Fee Fill in numbered spaces S/C Type or Print legibly Tot. 1. Date 2. Installation Cost 3. Job Address Lot Blk. j Tract 4. Owner ' 5. Contractor Phone 6. Address 7. City - State Zip 8. Building Type: Residential Commercial ❑ Institutional ❑ 9. Work Description: New ❑ Add ❑ Alter ❑ Repair ❑ 10. Describe 11. No, Fixtures No. Fixtures Water Closet Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. 1 hereby certify that the above information is true and correct, and 1 agree to comply with all ordinances and codes governing this type of work. Signed: for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 ` CITY OF EAGAN 3795 Pilot Knob Road Eagan, MN $5122 N°_ 5940 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for Est. Value Date 19 Site Address - Erect ❑ Occupancy Lot Block Sec/Sub. , Alter ❑ Zoning Parcel # Repair ❑ Fire Zone Enlarge ❑ Type of Const. Ice Nome Move ❑ # Stories ti.. Address Demolish ❑ Front City Phone ~-5 4 ft. Grade ❑ Depth Name Approvals Fees Permit v~ Address Assessment _ ~ Ci Phone Water & Sew. Surcharge Police Plan check W Name W Fire SAC u~ Address Eng. J Water Conn. <W Cl Phone Planner Water Meter Council Road Unit I hereby acknowledge that I have read this application and state that Bldg. Off. ' the information is correct and agree to comply with all applicable APC Total State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee A Building Permit is issued to: 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 Pamd! # Daft dewed Pa mittee Plumbing 1 3 Mechanical O/ . 1-11 INSPECTIONS DATE INSP. Rough-In Final Footings f ~ o Dote Insp. Date Insp. Foundation Plumbing r -OD-Fd Frame/ins. Mechanical -9b Final Remarks: i CITY OF EA"N 3795 Pilot Knob Road Bogen, Minnesota 55122 INSPECTOR NOTIFICATION No. Phone: 454-8100 REQUIRED BY LAW :Pat;rti' PERMIT FOR ALL INSPECTIONS Date: ?-25-80 Receipt No.: 4. Single Site Address: t ' Residential Lot Block 1 Sub/Sec. Multi Res., Comm./Ind. Name New/Alter. /Repair Address 1712 Hopkins Crsrd. Cost of Installation City ;Unetonka, '{n. Phone: 544 Permit Fee ` Name Gay Welter Heatir. - Surcharge 4637, (71licapo AV: . Address City ' ':L. Phone: Total This Permit is issued 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 CITY OF EAGAN 3795 Pilot Knob Reed Bogen, Minnesota 55122 INSPECTOR NOTIFICATION No. Pbone: 454-5100 REQUIRED BY LAW r FOR ALL INSPECTIONS PERMIT ~ ~ Date: Receipt No.: c064cj Single Site Address: !;704 Lund Pi- Residential Lot Block Sub/Sec. r`' -d ~eCliffEy .'nd Multi Res., Comm./Ind. I Name - --in '-'hof;?301i Homes '!r'r New/Alter./Repoir Address 1712 Hopkins Crsrd. Cost of Installation City Phone: 33 Permit Fee Name -Tent & Surcharge Address ''4,745 S. City ' Phone: " TotoI This Permit is issued on the express condition that oil work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official CITY OF EAGAN 3795 Pilot Knob Rood Eagan, MN 55122 N2 5937 PHONE: 454-8100 BUILDING PERMIT- Receipt # To be used for Est. Value Date 19 Site Address Erect ❑ Occupancy Lot Block Sec/Sub. Alter ❑ Zoning Parcel # Repair ❑ Fire Zone Enlarge ❑ Type of Const. W Name Move ❑ # Stories 3 Address Demolish ❑ Front ft. City Phone Grade ❑ Depth - ft. Name Approvals Fees D Address Assessment Permit ~ city Phone Water & Sew. Surcharge Police Plan check I- W WW Name Fire SAC r- W u~ Address Eng. Water Conn. aW City Phone Planner Water Meter Council Road Unit I hereby acknowledge that I have read this application and state that Bldg Off. the information is correct and agree to comply with all applicable APC Total State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee A Building Permit is issued to: 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 ~ t Penait # Date laced Permittee Plumbing f "y?` - Ord Mechanical 020 -rj_ ,2 S--,pe j.U INSPECTIONS DATE INSP. Rough-In Final Footings Date Insp. Date Insp. Foundation Plumbing Frame/ins. Mechanical Final Remarks: `a ~U c~, Qom, 6LU r. CITY OF EAGAN 3795 PiW Knob Road Eeyen, Minnesota 55122 INSPECTOR NOTIFICATION No. Phone: 454.8100 REQUIRED BY LAW FOR ALL INSPECTIONS PERMIT Date: Receipt No.: 2064C) Single Site Address: L~V Residential Lot 1 Block _ Sub/Sec. ,,.idgec.lift 2T'i" Multi Res., Comm./Ind. Name 1:t^"In Thompson Kome4 New/Alter./Repair Address 171.2 HoAkins Crerd.. Cost of Installation r'imetonka t.. i City r Phone: Permit Fee '_T m Ryan Nome Surcharge g Address Y+745 S. Robert e 0 City Phone: Total This Permit is issued 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 CITY OF EAGAN 3795 Pilot Knob Read Eagan, Minnesota 53122 INSPECTOR NOTIFICATION No Phone: 434-8100 REQUIRED BY LAW PERMIT FOR ALL INSPECTIONS Date: Receipt No.: Single Site Address: Residential Lot Block Sub/Sec. Multi Res., Comm./Ind. Name New /Alter. /Repair Address Cost of Installation City Phone: Permit Fee ` Name Surcharge is Address City Phone: Total This Permit is issued 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 CASH RECEIPT • CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE IS RKCE1V[D FROM AMOUNT I A DOLLARS loo ❑ CASH ❑ CHECK FOR FUND CODE AMOUNT Thank You ~l By White-PeydCopy Yellow-Posting Copy Pink-File Copy • • CITY OF EAGAN 3795 Pilot Knob Road Eagan, MN 55122 N2 5939 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for Est, Value Date i 19 Site Address Erect 0 Occupancy - ❑ Zoning Lot Block - Sec/Sub. Alter Parcel # Repair ❑ Fire Zone Enlarge ❑ Type of Const. cc Name Move ❑ # Stories 3 Address Demolish ❑ Front ft. City Phone Grade ❑ Depth ft. °C Name Approvals Fees N O & Address Assessment Permit & Water & Sew. Surcharge ~ City Phone ~ Police Plan check W Name Fire SAC P1K Address Eng. Water Conn. <W City Phone Planner Water Meter '1 n Council Road Unit I hereby acknowledge that I have read this application and state that Bldg. Off the information is correct and agree to comply with all applicable APC Total State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee A Building Permit is issued to: 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 Penult dj Deft Issued Permttfte Plumbing Mechanical d Flo INSPECTIONS DATE INSP. Rough-In Final Footings Date Insp. Date Insp. Foundation _ Plumbing Frame/ins. -qo Mechanical Final /s2-1L-to Remarks: / CITY OF EA"N 3795 Pilot Knob Read No. Eagan, Minnesota 55122 INSPECTOR NOTIFICATION Phone: 454-eloo REQUIRED BY LAIN PERMIT FOR ALL INSPECTIONS Date: Receipt No.. Single Site Address: Illle L • Residential I " Lot Block Sub/Sec. Multi Res., Comm./Ind. Name i'ho ,json _LOP.Ies New/Alter./Repair Address 177.2 Ytop?Cins r •g:^' . C Cost of Installation City i jillitorikk, '1. Phone: ql'!, ; Permit Fee Name -,.1.• _._.-r,,,, Surcharge r Address City Phone. 1 Total This Permit is issued 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 CITY OF EAGAN 37" Pilot Knob Read Eagan. Minnesota 35122 INSPECTOR NOTIFICATION No. Phone: 434-8100 REQUIRED BY LAW i.l^ PERMIT FOR ALL INSPECTIONS Date: Receipt No.: 20(-,4 Single I Site Address: 470:' Aime Residential 1 Cf Lot Block 1 Sub/Sec. Multi Res., Comm./Ind. Nome '-rin Thonps0n liomps, New/Alter./Repair } 'g Address 1712 Hopkins Crerd. Cost of Installation City I r,7c tonka, lin. Phone: 544-7,> % 5 Permit Fee 20. Nome nz ~ Ry" F t Surcharge ' S g Address 14745 S. `,o ert Tr. City ~ Phone: -3-13-4 Total This Permit is issued 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 CITY OF EAGAN 3795 Pilot Knob Road Eagan, MN 55122 N2 5938 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for Est. Value Date 19 Site Address Erect ❑ Occupancy Lot Block Sec/Sub. Alter ❑ Zoning Parcel # Repair ❑ Fire Zone Enlarge ❑ Type of Const. T3:Address e Move ❑ # Stories Demolish ❑ Front _ ft. 00 Grade ❑ Depth ft. Name Approvals Fees 0 ou Address Assessment Permit ~ city Phone Water & Sew. Surcharge Police Plan check F W Name Fire SAC Address Eng. Water Conn. <W City phone Planner Water Meter Council Road Unit I hereby acknowledge that I have read this application and state that Bldg. Off. the information is correct and agree to comply with all applicable APC Total State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee A Building Permit is issued to: 1 - 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 Penelt # Doh homed Pawlttee Plumbing 116 "42C - d v Mechanical INSPECTIONS DATE INSP. Rough-In Final Footings Date Insp. Date Inap. Foundation Plumbing - Frame/ins. Mechanical Final Remarks: ~ ;yam . CITY OF EA"N 3795 Pilot Knob Road Eagan, Minnesota 55122 INSPECTOR NOTIFICATION No. Phone. 454-8100 REQUIRED BY LAW FOR ALL INSPECTIONS PERMIT Date: Receipt No.: Single I Site Address: 4701 --cane Pt. Residential II Lot Block Sub/Sec. T'l.i 'CIil'fe °~-id Multi Res., Comm./Ind. Name .)rrin ThoniipsoL kicines New/Alter./Repair ` 1712 Hopkins Crs 3 Address Cost of Installation C City dr-netonk a, Mn. Phone: Permit Fee ~ fu, -1 & Rw F Name Surcharge 1472i 5 Robert '.71-. Address e city Phone: I Total This Permit is issued 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 CITY OF EAGAN 3795 Pilot Knob Rood Eagan, Minnesota 55122 INSPECTOR NOTIFICATION No. Phone: 454-8100 REQUIRED BY LAW PERMIT FOR ALL INSPECTIONS Date: Receipt No.: Single Site Address: Residential Lot Block Sub/Sec. Multi Res., Comm./Ind. Name New/Alter. /Repair Address 1712 ko ?cIn^ a . Cost of Installation 'Inptonka.. "r City Phone: Permit Fee ` Name Surcharge Address ry _ City Phone: Total This Permit is issued 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 119175;7 p 21008 Requ~/ Q/ est D le F No equiren Inspection / Regwretln L+^" ady Now ❑ Will NoLiy Inspector (((••CCY~~ ` -Yes When Reatlyn Icensed contractor J owner hereby request inspection of above electrical work at Job Address (Street Boor or Rime Not Cary ~ No Townshiame or No Range No Courny Section p N ono ant (PRINTI Phone No 55 y Power Suopher Address """I"ral on b"oe (COmpany'l Contraotor5 Lmanse No Mettler Electric 042252 Mailing Address IContracer or Owner Making InetailaLOo) 1240 - 46th Ave. N.E. Authorded Signature IConnacto,Owner Making Installaion) ~ Phone Number Michael L. Mettler !/!^'L 574-9744 MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg - Room 5-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave, St Paul MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED J ttea Ee-oaam-os REQUEST FOR ELECTRICAL INSPECTION ► See instructions for completing this form on Dour, of yellow copy "X" Below Work Covered by This Request 21008 r, i ewrp.9d F~,p TypeofBmldmg Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt Building Dryer Other (Specify) Comm /Industrial Fur e Farm a Conditioner Other (spec,fy) Contractor's Remarks Compute Inspection Fee Below. # Other Fee # Service Entrance S¢e Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to WO Amps Transformers Above 200 Amps Above 100 Amps j5Sp,,,E,1 Inspectors Use Only TOTA 70 n Boms J . Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERE SCONNECTED IF NOT Other Fee COMPLETED WITHIN IS MONTHS. I, the Electrical inspector, hereby Rcrugh-'n Date certify that the above inspection has Final t been made. OFFICE USE ONLY Tins request vwu 18 mentns from This request void 18 months from GG qj Date this Request O 6D Fire No. S 84970 1, as Licensed Electrical Contractor ❑ Owner, do hereby request inspection of the above electri- cal wiring installed at: eet Address or Route No. Rt wU Ciit~y ~6, _46Atj ion Township n ' Range County ~ (~F Which is occupied by ~_Jk*hfS0J iADM"f (Name of Occupant) Is a roughin inspection required on this job? No D YeII Ready Now ❑ Will Cal10< Power Supplier kA Address FlaRat14b1tWJ Electrical Contractor Le_~LA_ LECr Contractor's License NJLfCI (l (Company N) Mailing Address l ~ ( ame kD(E trl I Contractor or Owner Making This installation) Authorized Signature nA • Phone No. (Electrical Contractor or Owner Making This Installation) r-: 0 aJ This inspection request will not 6e accepted 6y the t~ State Board unless proper inspection fee is enclosed. minnesota State board or Electricity Griggs Midway Bldg. - Room N191 EB-00001-02 982.1 university Ave.. St. Paul, Minn. 55104 - Phone 297.2111 j RECIUEST FOR ELECTRICAL INSPECTION S 8970 CHECK BEIR WORK COVERED BY THIS REQUEST _ Type of Building New Add. Rep. Check Appliances Wired For Check Equipment Wired For Home ❑ ❑ Range Temporary Wiring ❑ Duplex ❑ ❑ Water Heater ❑ Lighting Fixtures pt. Bldg. ❑ ❑ ❑ Dryer ❑ Electric Heating ❑ ommercial Bldg. ❑ ❑ ❑ Furnace Silo Unloader ❑ Industrial Bldg. ❑ ❑ ❑ Air Condit ]5cr Bulk Milk Tank ❑ Farm ❑ ❑ E] pLList LJ List rs~ Other ❑ ❑ ❑ Heie rs~ eiethe COMPUTE INSPECTION FEE BELOW - L7-'G Q Service Entrance Size: # Fee Feeders&Subfeeders: # Fee Circuits: # Fee 0 to 100 Amps. 0 to 30 Am eres 0 to 30 Am eres 101 to 200 Amps. 31 to 100 Amperes 31 to 100 Amperes 'yW Above 200_Amps. Above 100 Amps. Above 100 Amps. Transformers Remote Control Circ. Partial or other fee Signs Special Inspection Minimum fe Remarks TOTA EE 6,00 1, the Electrical inspector, hereby cer ' at t trfispec n has been . (Rough-in) Date 4:1- (Final) - / _ Date This request void 18 months from ,P } °z'~ This request void 1_21 18 months from 1 Date of this Request a Fire No. S 99286 1, aslK Licensed Electrical Contractor ❑ Owner, do hereby request inspection of the above electri- cal wiring installed at: p •et.Address or Route No. f 1b~ ~N~ Pr, J, City Section Township Range County DAt.Q Which is occupied by pia RhP5.01 *`Gr (Name of Occupant) Is a roughin inspection required on this job? No El Ye&,_ Ready Now ❑ Will Calf Power Supplier 94A Address fkgMrJb-1 W Electrical Contractor qe` 6-cap ` Contractor's License No ~ (Company Name) Mailing Address X11 L. C "!t JW_ (Electric 4l Co ractor or owner Making This Installation) Authorized Signature s tea: Phone No. (Electrical Contractor or Owner making This Installation) LI f 01 ll IS ©W 1JU©© This inspection request will not be accepted by the trv State Board unless proper inspection he is endosed. mmnesota btate noarc or tiectricity Griggs Midway Bldg. - Boom N191 t" EB-00001-02 18 University Ave., St. Paul, Minn. 55104 - Phone 297-2111 n 3 4WROUEST CHECK BELOW WORKOCO ERED BYl TH S REQUEST INSPECTION ✓ 9 9 2 6 6 Type of Building New Add. Rep. Check Appliances Wired For Check Equipment Wired For Home ❑ ❑ Range Temporary Wiring ❑ Alex ❑ ❑ Water Heater Lighting Fixtures R t. Bldg. ❑ ❑ ❑ Dryer ❑ Electric Heating ❑ ommercial Bldg. ❑ ❑ ❑ Furnace y~~7 Silo Unloader ❑ Industrial Bldg. ❑ ❑ ❑ An Con rover tW Bulk Milk Tank ❑ List List ) Other o 0 ❑ Re[e rs Qereers} COMPUTE INSPECTION FEE BELOW 11 4-1 --tA f n l11 Service Entrance Size: # Fee Feeders&Subfeeders: # Fee Circuits: # Fee 0 to 100 Amps. 1 0 0 to 30 Amperes 0 to 30 Amperes .Z av 101 to 200 Amps. 31 to 100 Amperes 31 to 100 Amperes F. eY Above 200_Amps. Above 100 Amps. Above 100 Am s. Transformers Remote Control Circ. Partial or other fee i. Signs Special -Inspection Minimum fee $5 Remarks ~ TOTAL FE W 1, the Electrical Inspector, hereby Electrical Inspector, hereby t* ve ins ectionve ins ection has been e. (Rough-in) Date 7---la (Final)e° ti Date 744-( This request void 18 months from a~oo q L O A-L~G_ 18- epe fro i Date of this Request 1 3 Fire No. S 99288 I, asgLicensed Electrical Contractor ❑ Owner, do hereby request inspection of the above electri- cal wrong installed at: -t NO!'- •et Address or Route No. q1 LOND City ~A, 0 Section Township Range _County DA11-01A Which is occupied by cwt 10 ~NP-r d ow (Name of Occupant) Is a roughin inspection required on this job? No ❑ Yew Ready Now ❑ Will Cale Power Supplier P16% Address ARwIAKy 39SdS Electrical Contractor T~(_LL_ ftk{a4`- Contractor's License No. 1 (Company Name) Mailing Address I`f11 (c f - (EI is Contractor or Owner Making This Installation) 1-1 V Authorized Signature Phone No. 5~'a3z75 (Electrical contractor or Owner Making This Installation) [:6 (a ~ ® C(D PV This inspection request will not he accepted by the s'y d In: t+3. ~`d 44, #~,J! Il State Board unless proper inspection fee is enclosed. minnesote *rare Mena or eiecrnciry Griggs Midway Bldg. - Room N191 „ EB-00001-02 3QUEST n iversity Ave.. St. Paul, Minn. 55104 -Phone 297-2111 y` CHECK BELOW WORKOCO EREDTBYITHIS REQUEST SPECTION ~J S 9 9 2 8 8 Type of Building New Add. Rep. Check Appliances Wired For Check Equipment Wired For ome ❑ ❑ Range ❑ Temporary Wiring ❑ Alex ❑ ❑ Water Heater ❑ Lighting Fixtures ❑ t. Bldg. E3 ❑ ❑ Dryer Electric Heating ❑ Commercial Bldg. ❑ ❑ ❑ Fumace Silo Unloader ❑ Industrial Bldg. ❑ ❑ ❑ Air Conditioner Bulk Milk Tank ❑ Farm ❑ ❑ ❑ List ) List Other ❑ ❑ ❑ Others ers - Here COMPUTE INSPECTION FEE BELOW Service Entrance Size: # Fee Feeders@Subfeeders: # Fee' Circuits: # Fee 0 to 100 Amps. 0 to 30 Amperes 0 to 30 Amperes 9.00 101 to 200 Amps. 31 to 100 Amperes 31 to 100 Am eres Above 200 Amps. Above 100 Amps. Above 100 Amps. Transformers Remote Control Cur. Partial or other fee d Signs Special Inspection Minimum fee $5.00 Remarks TOTAL FEE I (Rough-in) j , the Electrical Inspector, hereby certify th abovjt s ectron has been ma 11e. ~a Loa . (Final) to This request void 18 months from / G / LO This rilquest void / Ij/ 18 months from 1 9_~ q l I V 92 Date cithis Request I 013 1 ~ Fire No. I, al~Q Electrical Contractor ❑ Owner, do hereby request inspection of the above electri- cal Vfn'nfn"``'nginstalled at: )t Vet Address or Route No. 0l LUN D P) 07- City Section Township T Range County Dk" Which is occupied by OF PA /S 7 IZON3 J IjUltrc (Name of occupant) Is a roughin inspection requuirre~edd~ on this job? No ❑ Y~ ReadF44-% y Now ❑ Will Cal Power Supplier }Pali Address II J (2V Electrical Contractor Contractor's License NA- W. (Company Name) Mailing Address & L~ PP (Electri a o ctor or owner making This installation) ✓ Authorized Signature _11A_ i Phone No. arP5 (Elect 001M ri~cal Coi trac or or Owner Making This Installation) NAM This inspection request will not be accepted by the State Board unless proper inspection fee is enclosed. mmnesota state aoara or eiectncity Griggs Midway Bldg. - Room N191 EB-00001-02 182.1 University Ave.. St. Paul, Minn. 55104 - Phone 297.2111 S 99289 REQUEST FOR ELECTRICAL INSPECTION CHECK BELOW WORK COVERED BY THIS REQUEST ype of Building New Add. Rep. Check Appliances Wired For Check Equipment Wired For Home ❑ ❑ Range ❑ Temporary Wiring ~p❑I adplex ❑ ❑ Water Heater ❑ Lighting Fixtures CA L Bldg. ❑ ❑ ❑ Dryer Electric Heating ❑ ommercial Bldg. ❑ ❑ ❑ Furnace ' o UdoaTder ❑ Industrial Bldg. ❑ ❑ ❑ Air Conditio Ik Milk ank ❑ Farm ❑ ❑ E] Lis[)} t ) Other El El 11 Mersf e[e[s} COMPUTE INSPECTION FEE BELOW 111 Service Entrance Size: # Fee Feeders&Subfeeders: # Fee Circuits: # Fee 0 to 100 Amps. 0 to 30 Amperes 0 to 30 Amperes (p xw- 10 to 200 Amps. 31 to 100 Amperes 31 to 100 Am eres Above 200_Amps. Above 100 Amps. Above 10Q--Amps. Transformers Remote Control Circ. Partial or other fee Signs Special Inspection Minimum fee $5 Remarks TOTAL FE OA 1, the Electrical Inspector, hereby cer t th a itfspection has been mIade. (Rough4n) Date /dam ~~l) (Final) r Date This request void 18 months from ° CASH RECEIPT ~a CITY OF EAGAN 3795 P ROAD EA A AN, , MIN SOTA 55122 RHC6IVE FR WOUN $ su ~ ~c7 DOLLARS leo CASH C1 CHECK v ~ ~ Rte/ 174Id-7c5-l` PU ND CODE All i/ Z `a 4J Thank You 5- BY N? 19846 rte-Payers Copy Yellow-Porting Copy Pink-File Copy CITY'OF EAGAN 3795 Pilot Knob ltad Eagan, MN 55121 NO 5938 70HONTs .454-8100 BUILDING PERMIT APPLICATION Receipt # To be used for 1 of 4-plex Est. Value 37 ,100. CO Date juiy 16, 19--acl- Site Address 4701 Anne Pt. Erect M Occupancy Lot 2 Block 1 Sec/Sub. RidgeCliffe grid Alter ❑ Zoning R Parcel # Unnennrrled Repair ❑ Fire Zone III Enlarge ❑ Type of Const. V rc Nome 'Orf'rin 'Pi:"IOfllpson HCmes Move ❑ # Stories Address Ili HOpiC1riS Crossroad Demolish ❑ Front 24 tr. ° Ci eton" 553d►3ne 544-7333 Grade ❑ Depth 24 ft. Name Approvals Fees oo " Address Assessment 7/8/_8.0_ Permit l i n - 5n ug Water & Sew. Surcharge i Q - nn City Phone Police Plan check 55-25 Name S f1n ame Fire SAC 525- Address Eng. Water Conn.3n, _ nn city Phone Planner Water Meter 60 On I Council Road Unit 185 I hereby acknowledge that I have read this application and state that Bldg. Off. 7/9/80 the information is correct and agree to comply with all applicable 750 75 75 State of Minnesota Statutes and City of Eagen'Ordinances. APC Total 1 259 Signature of Permittee A Building Permit is issued to: Qrrjn TI. SQD BS 112C- on the express condition that all work shall be done in accordance with all ~(p/plies at o inne Stotu and City of Eagan Ordinances. Building Official ~T Y~p,G 9 CITY OF FAGAN Include 2 sets of plans, .t~- 593 1 site plan w/elevations & BUILDING P&JET•APPLICATION 1 set of energy calculations. To Be Used For RFS ID_SNCC - valuation :;-7 . 100.0o Date 3IA y a Icl 6 0 Site Address: `1-10 A N N F 9-r' OFFICE USE ONLY yfv Lot 3_ Block Sec./Sub. R,aR ECO W Ere - Occupancy Parcel Repair Fire Zone 3 Owner: Enlarge Type of Const. ✓ Nave # Stories Address: a Division of U. S. Hcme Cor Demolish _ Front 71/ ft. 1/1 PKINS CROSSROAD ' Grade Depth ? City/Zip Code: MINNETONKA MINN FS343 ab X J2 Phone 54'i-'1333 APPROVALS F~ Contractor: plNl Tunnnocnnt unn~ AssessrTents E0 Permit °-4 Address: a Division of U. S. Home Corporation Water/Sewer Surcharge 1712 NS C9USb"UAL) Police Plan Check s City/Zip Code: MINNETONKA, MINN. 55343 Fire SAC Eng- Water Conn. 3 or °9 Phone Planner Water Meter /o--- Arch•/Eng•: Council i Road Unit /gs ffi Bldg. Off. Address: APC City/Zip Code: Phone TOTAL CITY OF EAGAN 3795 Pilot Knob Read Eagan, MN 55123 NA 5939 PHONE- 454-b:00 O ~i BUILDING PERMIT APPLICATION Receipt # O ~'~p To be and for 1 of 4-plex Est. Value 37,100.00 Dote July 16 , 1980 4705 Anne Pt. R3 Site Address Erect ~ Occupancy Lot 3 Block 1 Sec/Sub. RidgeCliffe 2nd Alter ❑ Zoning _ R3 Parcel # Unrecorded Repair E] Fire Zone III V Enlarge ❑ Type of Const. a Name _Orrin ThO yson HOmes INC. Move ❑ # Stories 24 ft. i Address 1712 Hopkins Crossroad Demolish ❑ Front O City Ninne'tOnka, Phone 544-7-i~-~ Grode ❑ Depth 2 ft. Nome Same Approvals Pees 0 i< Address Assessment 0 Permit -55 Water & Sew. Surcharge 19.00 City Phone Police Plan check 55.25 G~ Fw Name 4amp Fire SAC 525.00 x~ Address Eng. Water Conn. 305-00 <i City Phone Planner Woter Meter v0.00 Council Road Unit 1 1 hereby acknowledge that I have read this application and state that Bldg. Off, 7/9/ 0 the information is correct and agree to comply with all applicable APC Total 1,259.75 State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee Orrin A Building Permit is issued to: OII1pSOri S C . on the express condition that all work shall be done in accordance with pplicoble Staft o esota Statutes and City of Eagan Ordinances. Building Official CITY OF EACAN Include 2 sets of plans, - -41-57~ 3 S 1 site plan w/elevations s BUILDING PERK APPLICATION 1 set of energy calculations. To Be Used For RFS ID S14CE valuation 2-1. 1 Qo. oo Date MA" 8 ~ 14 B o Site Address: y7oc NNE ~T- OFFICE USE ONLY Lot 3 Block __X___ sec./sub. Erect C Occupancy 3 eco Alter Zoning Parcel 44,V1 r. r nl Repair Fire Zone 3 Owner: Enlarge Type of Const. V move # Stories a Division of U. S. Home Corporatino Demolish Front y ft. Address: 1/1 PKINS CROSSROAD Grade Depth c~ ft. City/Zip Code: MINNETONKA MINN ~ 2 Phone .5T j-'1333 APPRID I FEES Q Contractor: ~pIM T. HWASO1~h~9PM,ES Assessment s / / snPermit Address: a Division of U. S. Home Corporation Water/Sewer Surcharge Police Plan Check City/Zip Code: MINNETONKA, MINN. 55343 Fire SAC S~ Water Conn. ~0,5'~ Phone p ~er Water Meter 60 Council 1 Road Unit Arch./Eng.: ° Bldg. Off. (ld: Address: APC City/Zip Code: Phone /J~' S CITY OF EAGAN 3795 Pilot Knob Road Eagan, MN 55122 NO 5937 PHONE: 454-6100 BUILDING PERMIT APPLICATION Receipt # _ To be used for 1 of 4-plex Est. value 37,100.00 Date July 16,, 19$®_ Site Address 4700 Lund Point Erect M Occupancy R3 Lot 1 Block 1 Sec/Sub. Ridgecliffe grid Alter ❑ Zoning R3 Parcel # u_nreeo_rded Repair ❑ Fire Zone 1Il Orrin Thompson Homes Enlarge ❑ Type of Const. V W Name Move ❑ # Stories 3 opk s rossroad 244 Address Demolish ❑ Front 2 4~ ft. ° ❑ e; Minrhetonka, 55ne 544-733 Grade Depth ft. rc Name Same Approvals Fees o ou Address Assessment 0/ ou Permit 110 -57 city Phone Water & Sew. Surcharge 19.00 Police Plan check 55.25 ~w Name Same Fire SAC 525.00. ~ uCD Address Eng. Water Conn. 305-00 <w city Phone Planner Water Meter 60.00 Council Road Unit 18 . oo I hereby acknowledge that I have read this application and state that Bldg. Off. 7/9/80 the information is correct and agree to comply with all applicable 1,259.75 State of Minnesota Statutes and City of Eagan Ordinances. APC Total Signature of Permittee A Building Permit is issued to: oeg on the express condition that all work shall be done in accordance 11 lic State of Min to Statutes and City of Eagan Ordinances. Building Official _g s < O CITY OF EAGI~N Include 2 sets of plans, 37 1 site plan w/elevations s 2 BUILDING PkRMIAAPPLICATION 1 set of energy calculations. To Be Used For RFS M r MCE valuation 3?. 1 ()0. Oo Date Z%A6y 1 q 8 0 Site Address: 4-10o L1A 0P PT• OFFICE USE ONLY Lot I Block sec./sub. &10 Frect Occupancy EStWX GO Alter Zoning Parcel Repair Fire Zone Owner: Enlarge Type of Const. Move # Stories a Division of U. s. Home C r . Demolish Front ~p y ft. Address- I/ 1Z PKINS CROSSROAD Grade Depth ~2 y ft. City/Zip Code: MINNETONKA AIINN ss343 G~p ~Jl) sY2's- Phone 5 4' -M APPROVAIS F'EM - Contractor: 2' Assessments ~ D Permit IN TLlOMPSCN me Address: a Division of U. S. Home Corporation Water/Sewer Surcharge OVKINS ~Ru3~, PO1102 Plan Check City/Zip Code: MINNETONKA, MINN. 55343 Fire SAC Phone Eng. Water Conn. Y 05 Planner Water Meter &6~ Arch./Eng.: Council Road Unit / FS Bldg. Off. Address: APC y City/Zip Ccde: Phone IVTA.L CITY OF EAGAN 3795 Pilot Knob Readv Eagan, MN 55112 No 141 PHONE: 454-8100 BUILDING PERMIT APPLICATION Receipt # To be used for 1 of 4-nlex Est. Value X7.100.00 Date Snly 16 19_$a- Site Address % 4704 Lund Pt. Erect M Occupancy R3 Lot 4 Black 1 Sec/sub. Ridgecliffe 2nd Alter ❑ Zoning R3 Parcel # unrPen'ry'ipd Repair ❑ Fire Zone 111 Enlarge ❑ Type of Const. V s Name 01-r'in Thompson Homes Move ❑ # Stories 3 Address1712 Hopkins Crossroad Demolish ❑ Front 24 ft. o City Minnetonka, Phone 544-7333 Grade ❑ Depth 24 ft. s Name Same Approvals Fees o0 v Address Assessment 7/ /$O Permit 110.50 01 Ci Phone Water & Sew. _ Surcharge 19.00 Police Plan check 55.29 Fw Name Name Fire SAC 525.00 ~Z-v, Address Eng. Water Conn. 90500 aW City Phone Planner Water Meter 60.00 Council Road Unit 185,00 I hereby acknowledge that I have read this application and state that Bldg. Off. 7/9/80 the information is correct and agree to comply with all applicable APC Total SAT,,75 State of Minnesota Statutes and City of Eagan Ordinances. Signature of Pennittee A Building Permit is issued to: on the express condition that all work shall be done in accordonce wi bi of i Soto S tes and City of Eagan Ordinances. Building Official CITY OF EAGAN Include 2 sets of plans, 1 site plan w/elevations b BUILDING PERNIIT APPLICATION 1 set of energy calculations. Th Be Used For REND f 14CE Valuation 3-1, 100. 0o Date Tiny 8 ICL 8 0 Site Address: ►11 o!j L L fu0 Pr OFFICE USE ONLY Lot Lk Block 1 sec./Sub. &jb&RqAFFL Erect X Occupancy 3 SCCC- Alter zoning A) 3 Parcel Repair Fire Zone 3 Owner: Enlarge _ Type of Const. Move # Stories a Division of U, S. Home Cor Demolish _ Front ~y ft. Address: PKINS CROSSROAD Grade Depth c2 ft. City/Zip Code: MINNETONKA MINN X53,2 7O ~yx^p?:i- Phone .544-11 33 APPROVALS FEESS Contractor: 171NI TI-Jf1 Assessments ~ e Permit z/o M nnI nrJ_ Address: a Division of U. S. Home Corporation Water/Sewer Surcharge Police Plan Check a 5 City/Zip Code: MINNETONKA,, MINN. 55343 Fire SAC Eng. Water Conn. 30s Phone Planner Water Meter ~p z' Council } Road Unit 8S Arch./Eng.: Bldg. Off.~ff, Address: APC City/Zip Code: Phone TOM ~~~'S CITY OF EAGAN Z ` EARLY UTILITY CONNECTION PERMIT Address Subdivision/Parcel I hereby request permission from the City of Eagan to connect to the sanitary sewer and water lateral line in the public right-of-way. I understand that the City has not yet completed, inspected and/or accepted the sewer and/or water lateral. I agree not to use, test, or connect these individual services to any interior plumbing and understand the require- ment to cap the sewer service to prevent any unauthorized use. In accepting this permit, it is agreed that I will hold the City and its agents harmless from any damage that may occur due to this early connection. It is understood that no Occupancy Permit will be issued or water allowed to be turned on until the City uti system ha been declared operational by the City Engineer. i Signed by - Plumber: Owner: Developer: Builder: Dated: 7~ CITY OF EACAN II EARLY UTILITY CONNECTION PERMIT 1 Address Sibdivision/Parcel I hereby request permission from the City of Eagan to connect to the sanitary sewer and water lateral line in the public right-of-way. I understand that the City has not yet completed, inspected and/or accepted the sewer and/or water lateral. I agree not to use, test, or connect these individual services to any interior plumbing and understand the require- ment to cap the sewer service to prevent any unauthorized use. In accepting this permit, it is agreed that I will hold the City and its agents harmless from any damage that may occur due to this early connection. It is understood that no Occupancy Permit will be issued or water allowed to be turned on until the City uti system ha been declared operational by the City Engineer. Signed by - Plumber Owner: Developer: Builder- _ Dated: i CITY OF EAGAN EARLY UTILITY CONNECTION PERMIT !7~ Zvs0 fir [lQ~rfr~~ Address Subdivision/Parcel I hereby request permission from the City of Eagan to connect to the sanitary sewer and water lateral line in the public right-of-way. I understand that the City has not yet completed, inspected and/or accepted the sewer and/or water lateral. I agree not to use, test, or connect these individual services to any interior plumbing and understand the require- ment to cap the sewer service to prevent any unauthorized use. In accepting this permit, it is agreed that I will hold the City and its agents harmless from any damage that may occur due to this early connection. It is understood that no Occupancy Permit will be issued or water allowed to be turned on until the City ut ity system has been declared operational by the City Engineer. 16 Signed by - Plumber: Owner: Developer: Builder: Dated: CITY OF EAGAN EARLY UTILITY CONNECTION PERMIT Address Subdivision/Parcel I hereby request permission from the City of Eagan to connect to the sanitary sewer and water lateral line in the public right-of-way. I understand that the City has not yet completed, inspected and/or accepted the sewer and/or water lateral. I agree not to use, test, or connect these individual services to any interior plumbing and understand the require- ment to cap the sewer service to prevent any unauthorized use. In accepting this permit, it is agreed that I will hold the City and its agents harmless from any damage that may occur due to this early connection. It is understood that no Occupancy Permit will be issued or water allowed to be turned on until the City ut ity system has been declared operational by the City Engineer. Signed by - Plumber: 9 Owner: Developer: Builder:: Dated: <l" U CITY OF EAGAN 1 FOR CITY USE ONLY 3830 PILOT KNOB ROAD EAGAN, MN 55122 PERMIT # ~3a 3 PHONE: (612) 454-8100 RECEIPT #/V / 17'7 DATE: EBIA tT-TAT: PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION FEES NEW CONST ADD-ON MINIMUM ADD ON HVAC 0-100 M BTU 24.00 REPAIR ADDITIONAL 50 M BTU 6.00 GAS OUTLETS - MINIMUM 3.00 OF 1 PER PERMIT OWNER NAME: -7 Q Q SUBTOTAL: $ /S, oC~ SITE ADDRESS: b~ ' yiyE IbINT STATE SURCHARGE: .50 LOT: A BLOCK ~ SUBD. TOTAL: $ SC? INSTALLER: U) 6 toec-'eS TffS/O~ ADDRESS:- -7 31) Ns-0 ! T-rp_ T C SIG TUR OF PERMITTEE CITY: L-r n p zip; 5a PHONE `fd~-" Ib I y C4MM$RC.SAT/IIVDUSTRTAL; PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS, APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: FEES OWNER NAME: 18 OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR SITE ADDRESS: EACH $1,000 OF PERMIT FEE. PROCESSED PIPING - $25.00 LOT: BLOCK SUBD. $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 18 $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) FOR: CITY OF EAGAN PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: BUILDING Eagan, Minnesota 55122-1897 Permit Number: 0 2 8 7 4 0 (612) 681-4675 Date Issued: 09/11/96 SITE ADDRESS: 4700 LUND PT LOT: 1 BLOCK: 1 RIDGECLIFFE 2ND P.I.N.: 10-63981-010-01 DESCRIPTION: (ROOFING) 8W4ildin.q.,Permit Type MULTI. (MISC.) Building Work Type REPAIR a~ Census Code 434 ALT. RESIDENTIAL j. REMARKS: INCLUDES 4704 LUND PT (LOT 4) 4701 ANNE PT (LOT 2) 4705 ANNE PT (LOT 3) FEE SUMMARY: VALUATION $3,000 Base Fee $74.75 Surcharge $1.50 Total Fee $76.25 CONTRACTOR: - Applicant - ST. LIC.OWNER: G & G ROOFING 16452531 0009369 RIDGECLIFFE ASSOCIATION 11677 HALL AVE LUND PT NORTHFIELD MN 55057 EAGAN MN (507) 645-2531 I I hereby acknowledge that I have read this,,app1ication and state that the, information is correct and agree to comply with all applicable State of Mn. Statutes and City of Eagart'Owdin6nces. ~ APPLICANT/PERMITEE SIGNATURE S ED BY SIGNATURE CITY OF EAGAN 3830 PILOT KNOB RD - 55122 16q401996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 New Construction Reoulrements Remodel/Reoair Reouirements ♦ 3 registered site surveys ♦ 2 copies of plan * 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ♦ 2 site surveys (exterior additions & decks) ♦ 1 energy calculations ♦ 1 energy calculations for healed additions ♦ 3 copies of tree preservation plan if lot platted after 7/1/93 required: -Yes _ No DATE: A u CONSTRUCTION COST: I Q Q DESCRIPTION OF WORK: ~ ~b -7 D b ~D L+ L_ L4 STREET ADDRESS: 11 lot I oS ct,. -Pi- La. F L ?j LOT I- t BLOCK j SUBD./P.I.D. 1 n PROPERTY Name: Phone OWNER U„ ""`I Street Address City: State: Zip: CONTRACTOR Company: (~6-jI (--Y- PQQ-6.N~ Phone -SC)" ys ~3J Street Address: I ! 0 ~ Ha N tt ~ C License `13 ~O City: k,V-`{~ State: /1-1 /J Zip:SSGS 7 ARCHITECT/ Company: Phone ENGINEER Name: Registration Street Address: City: State: Zip: Sewer & water licensed plumber: Penalty applies when address change and lot change are requested once permit is issued. I hereby acknowledge that I have read this application and state that the I rmation is correct and agree to comply with aN applicable State of Minnesota Statutes and City of Eagan Ordinances. n Signature of Applicant: a" ~~y tom( OFFICE USE ONLY Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish ❑ 02 SF Dwelling ❑ 07 4-plex ❑ 12 Multi Repair/Rem. ❑ 17 Swim Pool ❑ 03 SF Addition ❑ 08 8-plex ❑ 13 Garage/Accessory ❑ 20 Public Facility ❑ 04 SF Porch ❑ 09 12-plex ❑ 14 Fireplace ❑ 21 Miscellaneous ❑ 05 SF Misc. ❑ 10 = plex ❑ 15 Deck WORK TYPE ❑ 31 New ❑ 33 Alterations ❑ 36 Move ❑ 32 Addition ❑ 34 Repair ❑ 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code Census Bldg Census Unit APPROVALS Planning Building Engineering Variance Permit Fee 7 Ll 7 S Valuation: $ Surcharge 1 S b Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit SAN Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: 7tO `oZ S~ % SAC SAC Units w a 1 RESIDENTIAL BUILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan NIN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements RemodeUReoair Requirements Office Use Only 3 registered site surveys showing sq, ft of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cart of Survey Read -Y -N (20% maximum lot coverage allowed) l set of Energy Calculations for heated additions Tree Pres Plan Recd _Y _N 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Reqd _ Y _ N i set of Energy Calculations Addition - indicate don-site septic system On-site Septic System _ Y _ N 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detail Options selection sheet (bldgs with 3 or less units Date h/ 0 Cam, / ~ 1 f~s-~ Y'% Construction Cost Site Address Unit/Ste # Description of Work ~sS/Po(G!E' Multi-Family Bldg N Fireplace(s) _ 0 _ 2 Property Owner 10 crc ~✓o 17-le, /~i t/4n Telephone # (7S-;7 1" Contractor ~S 4,~e r(~ Address City ztw- State A vf/ Zip ~ Telephone # 0j5;1 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Energy Code Category . Residential ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone # ( ) Mechanical Contractor Telephone M D Sewer/Water Contractor Telephone I hereby apply for a Residential Building Permit and acknowledge that the informati BV otnp a ee ate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; 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 wig in accordance with the approved plan in the case of work which requires a review and approval of / /r,;2 / ~i c Applic is nt Name Applicant's Signature OFFICE USE ONLY Sub Types ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi ❑ 03 01 of - plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screen/gazebo) ❑ 36 Multi Misc. ❑ 05 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 ❑ 36 Move Bldg. ❑ 42 Demolish (Foundation) ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish (Bldg)' ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS - Footings (new bldg) _ Final/C.O. - Footings (deck) _ Final/No C.O. - Footings (addition) _ Plumbing _ Foundation _ HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Figs _ Air/Gas Tests - Final - Framing - Siding _ Stucco _ Stone - Fireplace _ R.I. - Air Test _ Final _ Windows (new/replacement) Insulation - Retaining Wall Approved By Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan ~j 3830 Pilot Knob Road, Eagan MN 55122 3 O a Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements RemodeUReoair Requirements Office Use Only 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cart of Survey Recd -Y -N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd _Y -N . 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Required _Y -N 1 set of Energy Calculations Addiflon - indicate ifon-site septic system On-site Septic System _Y _N 3 copies of Tree Preservation Plan if lot platted after 7/V93 Rim Jost Detail Options selection sheet (bldgs with 3 or less units ~2a -UC~U ~c~ Date 3 / 1 y / 0 4 Construction Cost Site Address 4~ 0 `4-1 Q U V P Unit/Ste # t l o l 4 tv 5 C3 v. Description of Work Cx -4A0 Multi-Family Bldg - Y _ N Fireplace(s) - 0 - 1 _ 2 Property Owners (Q ill A y C} SSO CJ -d~~gelephone # (~a) 'FS ~1 T ' 3 Contractor { T I~~ r Address ~y 11 C t] r VpP` `e Cityy':~s l V\ S U t~ ~ z State Zip ,S-55~1 Telephone # eS 2} l1 b I `7 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateaoty 1 _ Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (,I submission type) submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone ) Mechanical Contractor Telephone # ( ) - 1 Sewer/Water Contractor Telephone ) I I hereby apply for a Residential Building Permit and acknowledge that the information is complete and a;)curate; that the work will be in conformance with the ordinances and codes of the City o`f bagan and-the-State of MN Statutes; 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. C6/ Applic 's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi ❑ 03 01 of - plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screen/gazebo) ❑ 36 Multi Misc. ❑ 05 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 ❑ 36 Move Building ❑ 42 Demolish Foundation ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish Building" ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant Valuation 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) _ Final/C.O. Footings (deck) Final/No C.O. - Footings (addition) _ Plumbing _ Foundation _ HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final Framing _ Siding _ Stucco _ Stone - Brick Fireplace _ R.I. -Air Test -Final _ Windows Insulation _ Retaining Wall Approved By: Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total CITY USE ONLY L BL I RECEIPT* 7 SUBD. f✓Se~X~• ~ DATE: s I n'7 97 1995 PLUMBING, PERMIT, (RESIDEN.TIAL) CITYOF 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 FIXTURES EACH NO. TOTAL Shower 3.00 x = Water. Closet 3.00 x = Bathtub 3.00 x _ Lavatory 3.00 x = Kitchen Sink 3.00 x = Laundp(, Tray 3.00 x = Hot-TutilSpa' 3.00 x = Water Heater 3.00 x Floor Drain 3.00 x = Gas Piping Outlet * minimum - 1 3.00 x = Rough Openings 1.50 x = Water Softener 5.00 x = Private Disposal * Dakota Cry. license 20.00 = U.G. Sprinkler * home under const. 3.00 = Alterations * to existing 20.00 = Water Turn Around I / / 20.00 ~n,S f~rll NPw v~u/ATP2,~,~e14m- STATE SURCHARGE .50 TOTAL nZD , Sd SITE ADDRESS:/~U / OWNER NAME: li ZA i~ e:1j L7nAl IQ~ INSTALLER NAME: / C l11 idig STREET ADDRESS: & CITY: ST ~R J l STATE: ZIP: 66-1D-3-1o2oZ y PHONE a`~~ CITY USE ONLY L BL RECEIPT SUBD. DATE: 1995 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ► all commercial/industrial buildings. multi-family buildings when separate permits are t14S required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION ADD ON REPAIR DESCRIPTION OF WORK: FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per $1,000 of Real t fee due on all permits. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL SITE ADDRESS: TENANT NAME: STE. # OWNER NAME: INSTALLER: ADDRESS: CITY: STATE: ZIP: PHONE SIGNATURE: APPLICANT CITY OF EAGAN C.R. WINDEN & ASSOCIATES, INC. CERTIFICATE OF SURVEY LAND SURVEYORS Te1.645-3646 1381 EUSTIS ST., ST. PAUL, MINN. 55108 FOR: U. S. HOME CORPORATION Imo- --49-- - - --49-- 22 ~ cj /0 I 2Z v I ~0 ao c\i 27 o Garage y riA rage o Z7 N I L 22 22 ; ' \ II r ' Q /0 20 ~4~G//ir)9 O d' O 1 W \ Q~ I 1``f 24sz b. Uri: f ~ i .Owe/%„9 4 ~ I Ur~iy~ 48.SZ-- 20 ! ewe//,;9 Z4 24 _ SZ a 9nif r Dwei/• Q V , 4 ~ f /D a 20 20 zz 1 zz~ ~ I o I oN SOALE~ ZO' 27 °G,araye ` &ar4ye Oh O D6NOYES IRON 27 I 10 I 22 1 22 /0 ! fvfure I 9araye - 49-- - Note: Buildings shown are proposed As of this date Ridgecliffe Second Addition has not been recorded. Lots 1 through 4 inclusive, Block 1, Ridgecliffe Second Addition, Dakota County, Minnesota. WE HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF 'A SURVEY OF THE BOUNDARIES OF THE`LAND'. ABOVE DESCRIBED AND OF THE LOCATION OF ALL BUILDINGS, IF ANY, THEREON, AND ALL VISIBLE ENCROACHMENTS, IF ANY, FROM OR ON SAID LAND. Dated this V4 day of 3314 A.D. 1980 C. R. WINDEN & ASSOCIATES, INC. By (v-w f.~ ry4+i Surveyor, Minnesota Registration No. -1`1Zh i PLUMBING (RESIDENTIAL) f~ Permit Application 8701 4fil?6 City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 Please complete for: Single Family Dwellings Townhomes and Condos when permits are required for each unit Date Site Address -L-! ..6 L G4yl Unit # Property Owner 1 Y)-15;0Y L Telephone # (9~d) ya3_ 9G p Contractor 0.\ VSO PVum~3 1 Y\ Address o2y~ Q Y111 l'e W City cx ~C 2U State _ L Y\ Y~ Zip 650 Y ~ Telephone # (Vs4 41(02-69?? The Applicant is Owner I/ Contractor Other Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00 Includes County fee. Additional consultant fees may apply. Alterations To Existing Dwelling Unit, Including $ 50.00 Adding fixtures to lower levels or room additions, excluding water softener and water heater Abandonment of septic system _ Water turnaround 5/8" meter if needed - $121.00) Other: RPZ new installation _ repair _ rebuild $ 30.00 Lawn irrigation system _ Water softener ✓Water heater ; 15.00 replacement _ additional iAV it State Surcharge Total $ /L5-,,,5 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 with the Plumbing Codes; 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. Applicant's Printed Name Applican ignature Use BLUE or BLACK Ink Noma Ci~ of Ealan Pe~,~#: ou I d t t 3830 Pitt Kroh Road Permit Fee: Eagan MN 5$122. Date Received: 2 t Phone: (651) 675.-5675 Pax: (651) 67"S" 1I sto t L------------- 2010 MECHANICAL PERMIT APPLICATION [sate: - 94 /Z-_ Slts Address: / Awe wzP 't. ef Tenant Shiite RESIDENT / OWNER Name: _ 1Sr/G ig .o mgt t n Phone: t,?2 -7X Z / Address /City /Tip: Z9 - 13. sjrj Z CONTRACTOR Name: Lioer+se# Address: _ T State: Zip: zE-E1 j 3 Phone: Conte E man: Pr1ac° P /7 p TYPE OF WORK New Replacement Additional Alteration Dernolition Description of work' Ar"We-e- G NOTE: Ro9f mo4ated and grog, 0.4,n'Eounted mechanical equipment is required t0 be screened by Clty Code, Pease a ltaCt the lY*lfA al Inspector for information 4n permit d screening methods. PERMIT TYPE RESIDENTIAL COMMERCIAL Furnace New Construction interior Improvement X Air Conditioner - , install Piping _T Processed _ AirExcframger teas txEerior t IYAC t9nit Heat Pump _ Under I Above ground Tank Install Remove) " When installinglremoving tank(s), can for inspection by Fire Marshal and PlumbbV Inspector RESIDENTIAL FEES: $55.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) Fire repair (replace burned out appYarwes, ductwork, etc) (includes $5.00 State Surcharge) $ off - _ TOTAL FEE COMMERC/AL FEES: $75.00 Underground tank instabbon/removal OR Contract Value $ x1% SU-00 A IMM (mss State Surcharge) - if the EMS En is ten "mm $10,010. surcharge k s 6.bo $ Permit Fee If the Permit Fgg is > $10.010, surcharge increases by tso for each s1 pow Permit Fee Surcharge (Lc s $lO Oi 1•, l i.O10 Pem* fte mquim.a $ 5.50 surrhwoe) TOTAL FEE C BEF01 Y. Q~. Call 00010 r Stab One Cott at (661)164-0002 for protection agelnst underground Oft darpage. Ceti 48 hours before you Intend to dip to nm*We kCfas of underground utilklec www.nooherstateonecail.orn I hereby acknowledge that this im(or wuon 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 accordarm with the approved plan In the can of work which requires a review and approval of plans. r ,ems Name ppRee s Signature FOR OFFICE USE Reviewed By: Date: Required lnspectlons: _Under Ground Rough In ,Air Test _Gas Service Test -in-floor Heat -Final Exterior HYACSceni Ins .on Use BLUE or BLACK Ink r For Office Use Permit#: I M1 City of EaROD ~aPermit Fee: 410.01 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: 1 Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I I I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Q /2,13/13 Site Address: y161 XJVf'iJ7fC,405" J(7 40, 11704V Unit Name: IV- Phone: Resident/ Owner Address / City / Zip: Applicant is: Owner , K Contractor Type of Work Description of work: 9e/~C DUI- Ype Construction Cost: Multi-Family Building: (Yes -9/ No ) 4 Company: f/~~ 1r Contact: 45A M44.4 #401 Contractor Address: 13A0r , aRrie`d e4- City: IS~aXle AI A State: AI A Zip: ~J7 Phone: ( I A " License #:2 03 ~4 66 / 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? _Yes _No If yes, 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 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.gopherstateonecall.oro 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. ~y X_ I~ t'049' 430 x App icant's Printed ame A ant's Sign ture Page 1 of 3