1346 Berry Ridge Rd? ..^?:?i ar•^,?-•
.,... .
? ? ' .' '_ " :. ' . . ?,.r^??4: ,•^rz'.'^.mR+?? ...;n?.
. .. ..
.. .. . ? .. . h:.:.. ? T^ .h .°`?{+.`did`.'.°°i53 vs''"v"?
.. ....:, .:
? • "...:..,. "..2`::,?
_ CA3H RECEIPT
CITY OF EAGAN }
3795 PIL.OT KNOB ROAD
EAGAlV, MINNESOTA 55922
DlkTE 19 RECEIVED
FROM
aMOU?vr
?--
- & DOLLARS
oo
r
? CASH -- -B`CHECK
. ?
Ft7ND ? CODE AMOUN7
-?
Thatlk Y0
? .,BX?'
White-PaNers Copy
Yetiaw-Posting CopY
Nm ?, 3898
Pink-FiEe Copy .
.V1.S'!? iv? ittL?7A? ..: 3iS
„ •T?? . ,
? 09S Peri lCnofi RouB PERt4tC7' NO.: 271
.
0
` Ea+gae, NhN $5122 DA7E: r
Zoning: F,tXI ^ No. of 3,ln'rts: ?, .
Otunerc . `
Addcess: ' ?
Site Acfidress:
Plumber:
: Meter No.: Conriec€ifln Clictrge.
2 ?»
70- ;
Size: . ' Accautt .Ueposit:
Reader A#o.: Permit Fee:
r
1 agsee ta oompiy with tkre Cily of Eargarn Surchurge: 6$ 0--P4
tkdinonce?. Misc. Charges:.
P -
. Totut:'
> By ?- Dn#e Raid:
Date of trtsp.: 4.r,sp.:
,
,?
?
k
"
Q
?7??"rov"000
W'.,
PiMi? t?ooTr ?tcqA
PERlvt(T #?O.a ,7???
F31?TE: ?
-..?
N0. oY' .LJi/RI l.S:
l .'. 4 .
y,
*rr 4
?+ ?# ?
-
--
-
------------
' 'Aad+e*: 334?+ &?rz?
um t?caad i.?25 S5? ?il?.t?.a ??t?,? ??
Pt?mk+er'• G?nss ,Ryatw P riq- F ea ?.? ?`$
P
}
p ? t. - ' . '. . ..
,
.4l1"019g 138W
' ..
•' 1?.? ? ? ?? ?
OPN)IY WIIb Efie-O}y Of tb9aA COftn@G'klOh
iC1P00q•4-??-?.??.?-.?
,
ACenutlY Deps?s't y,
° `
i
F
e.
Pem
r
t
e
Surcharge.
t $1+ Mt`9C. CIIQFgeS:
A
Toia4:
In4p. Date Poid: fj
?
?
CONTRACT PRICE:
Site Address d
>
Lot Block Sec/Sub
m
Name
co Address '_
c City t f_??? Phone
?
Name
aD
c :. .
Address 4 ,
OO Ciry -.., Phone"? x' S,; 2/7-1
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APFL!€S,
MINIMUM - RESIDENTIAL FEE ?--?12A0 -
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PEF3 PERMIT -'' T.59?
(ADD $.50 S/C IF PERMIT PRICE GOES `-`
BEYOND $1,000.00)
SIGNATURE OF PERMITTEE
FOR: GITY OF EAGAN
PLUMBING PERMIT
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122
PHONE: 454-8100
PERMI7 #
RECEIPT #
DATE: r 0'
BLDG. TYPE WORK DESGRIPTION
Res. New
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
Water Closet - $3.00 $
Bath Tubs - $3.00
Lavatory - $3.00.
Shower - $3.00
Ki?chen Sink - $3.00
Urinal/Bidet - $3.00
Laundry Tray - $3.00
Floor Drains - $1.50
J-Water Heater - $1.50
Whirlpool - $3.00
Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIT)
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE:
STATE S/C:
GRAND TOTAL:
Site Address 1346 '? ?IDGE RD
Lot 29 Biack ? Sec/Sub. UxLL?OP ?TA'1"E!
Parcel No.
W Name STE'itI +{? t?I,d? ?'TC?L
? Address i3?' UUY RI?R ?
0 City "CA14 Phone
, o Name ? ? ?OUS 114C
00a Address ??? 25SU IST V
? City ???NGTON Phone "3~"2876
t; ¢
WW Name
?., W
?? Address
a W City Phone
Buiiding Official Occupancy
1 hereby acknowlege that I have read this application and state that the
information is correct and agree to comply with alf appiicable State of
Minnesota Statutes and C?y of Eagan Ordina es.
Signature of Permitee ?- , ?
A Building Permit is issued to: ?? ofts im'?'+
on the express condition that afl work shall be done in accordance with ail
appiicabie State of Minnesota Statutes and City of Eagan Ordinances.
?.
Zoning
(Actuai) Const
(Ailowable)
# or stories
Length 111111mb
Depth 08*
S.F. Total
S.F. Footprints
On Site Sewage
On Site Well
MWCC System
City Water
PRV Required
Booster Pump
APPROVALS
Planner
Council
Bldg. Off
Variance
OFFICE USE ONLY
11-3 FEFS
-A!P Bldg. Permit
Surcharge 4+00
JW4 Plan Review
? SAC, City
-` SAC, MCWCC
? Water Conn
- Water Meter
' Acct. Deposit
`?•,
S!W Permit
- S!W Surcharge
7reatment PI
Road Unit
Park Ded.
Copies
TOTAI
??.00
Permit No. Permit Hoider Date Telephone #
WATER
SEWER
PlUMBlNG
rr
H.V.A.C.
ELECTRIC °J
Mspection Dafe Insp. Comments
Footings I
Foundation
Framing D ,S'
Roofing
Rough Pibg.
Rough Ntg.
Isul. S
Fireplace
Final Htg.
Orstaf Test
Firial Pibg. Plbg. inspector- Notify Plumber
Const. Meter
Engc/Plan
Bidg. Finai
Deck Ftg.
Decic Final
Weil
Pr. Disp.
CITY OF EAGAN
3795 Pilot Knob Road Eagan, MN 85122
, PHONE: 454-8100
BUILDING PERMIT Receipt #
To be eted for &Est. Value • DaYe -
? 2
N2 5 1
19 79
.. Site Address n134t'; '?''-= RiOge "'oae Erect [3' Occuponcy
Lot 29 Block r Sec/Sub. 1.111??n tst'' Alter ? ' Zoning ?
.,
Parcel # 1?'; ^3-?201 291 05 Repair ? Fire Zone -?
Enlarge ? Type of Const.
e ? Move ? # Stories
:?: Ld
ress -
Demolish p
?
Frqnt ft.
•x???"
'- Phone -? Grade ? Depth ft.
oe
Name Approvals Fees
UQ Address
Assessment , : . ..
Permit
ce
r Water & Sew. Surcharge
Ci Phone
Police
Plan check
F,
WW Name
Fire r?V- -Vr;
SAC '
4
?.
s? Address
Eng. ? .';
Fs s5
WaYer Conn. ?
aW Ci Phone Planner Woter Meter
Councii ?t','.t, a. -;r,
I hereby acknowledge that I have read this appiication ond state that gldg. Oft.
the information is correct and agree to comply with al) applicable APC Total ?
State of Minnesoto Statutes and Ciry of Eagan Ordinanees.
Signature of Permittee
A Suilding Permit is issued to: on the express candition thot
all work shall be done in occordance with alf oppiicable State of Minnesota Statutes and City of Eogan Ordinances.
Building Official '
Permit .# Date Issued PeemiKas
Plumbing 1 8,3 S `.13 -
Mechanical
-- y qGt Z -_ C
E-kt? 1?' bR?-ab S - a
IPfSPECT10NS DATE INSP. Rough-In Final
Footings ? Date Insp. Date I
Foundation Plumbing
Frame/ins. -41_? 17 Mechanical o? ?
Final
Remorks: J? /*.Y-- I"IW A l??? Aop
/
, r. CITY OF EAGAN
. ' #. 3795 Pilot Knob Road
' Eagon, Minnesota 55122
, Phone: 454-8100
, ?e•--;?.,
DOYe: -
Site Address
PERMIT
No.
Receipt No.:
Single
u
Residential
? Lot Block Sub/Sec. Multi Res., Comm.jlnd. I
Nome ? - New/Alter.JRepair
3 Address Cost af Instollation
O ?""?._°`S? ?".?,;???-., ? ?•°» yw;="r ?y?; g',?-i
C?"-+ty Phone: _ Permit Fee _
N e Surcharge
?
w Address
c
V
City ? Phone: Totnl This Perm+t is issued on the express condition that ail work shail be done in accordance with all applicable State,of
Minnesoto StaYutes ond City of Eagan Ordinances.
Building Official
l _./
CORRECTtON NOTICE
A DATE: 1-2o- 77
; Address f?I Q!?ze Site Name
Owner/Agent vf-4 k,? TelePhone
Owner/Agent Address
Ordinance Nos, and Corrections - Correct By
For reinspection
Eagan Dept. of inspection Inspector: .
3795 Pilot Knob Rd. ,
Eagan, Minnesota 55122 ?.?
454-81oo Dept.:
f > . ?
,
-
-t?? p
-
To
'
v
(t 3 Z?
-
oate rrn,e
Wa-liILE C9
??? 1.! 'lAtE?E t711.lT
?C?T
.v' t PO r't.G3t.?r
M
.
af
3 0 0 fl ?
Phone
Area Code Number Extensfon
TEIEPHONED PLEASE CAi.L
CAILED TO 8EE YOt1 W{Ll C111t AGAIN
WANTS TQ SEE YOD URGEMf
I RETURNED YCiUR CALL
Messege
? ??LrC{^'l.?
1,oi k ["??`'
. Qparato
AMPAD 23-4?SHT. PAQ Cr
?A EFFtCIENCYp 23-001 250 SHT. DiSPENSER BOX
CITY OF EAGAN Remarks ?
Additi,on HILLTOP ESTATES Lot 29 eik 5 Parcel
Ownerl?tl& 5 De15c?4.? S. ?DYVtj&,street 1346 Berry Ridge ROad state Eagan, l?IIxt 5 S123
Improvement , Date Amount Annual Years Payment Receipt Date
STREET SURF. ? C006539
9-26-79
I STREET RESTOR.
GRADING
SA9U SEW TRUNK ig'73 172.14 8.61 0 5-23-79
• SEWERLATERAL 2$$$ j9 C006538 9-26-79
* WATER LATERAL
WATER AfiEA 977 181.34 12.09 15 145.10 A007799 5-23-79
*
` .* STORM SEW TRK
* STORM SEW 1.A7 980
CURB & GUTTER
SIDEWALK
STREET LIGHT
Road Unit 75.00
WATER CONN. 270.00 13898 4-18-79
BUILDING PER. #
sac 525.00 13898 4- 8-7
PAR K
I
C1TY OF EAGAN
3795 Piht Knob Rood Eagae. MN 55122 Ng 5 162
e PNON8:454-810G
BUILDING PERMIT APPLICATION Receipt .#
Ta 6e used for SF Dwlg & Garage Esr
value 50i000• pate 4-18 19 79
.
Site Address 1346 B=YR?_cl
= Road
Erect [X
Occuponcy
R3
Lot 29 Biock 5 sec,sUb. _xiiitop Estates Aiter ? 2oning Rl
10 33000 290 05 Repair ? Fire Zone 3
parcel #
Eniarge ? Type of Const. j1
MC?'hCpTis??lOri
Name y Move p # Stories
W
? Address 1471 Br1dgEV12w Qemoiish .p Front 50 ft.
C+ Phane 452-5373 Grode p Depth 48 ft.
?
p
Name 5? Approvais Fees
?U
Address
?- ?:...
Name
Address
! hereby ocknowtedge thoi 1 have read this applitotion ond state thot
the information is correct and agreejo compiy with a i oppiicable
State of A+iinnesotfl Stntut,es)ond CIW of Eagan_ ces.
Assessment
Water & Sew.
Police
Fire
Eng.
Pianner
C.ounci l
Bidg. Off.
APG
Permit , av
Surchorge 25.00
Pian check 70.25
snc 525.00
Woter Conn.
0
270.0
Woter Meter 60• 00
Zoad unit 75.00
Total 1,165. 75
Signature of Permittee
McCarjlly
A Buiiding Permit is issued t. OmStruCtion on the express condition thot
all work shall be done ifi a w' appli St of Minnesota Statutes and City of Edgan Ordinunces.
Building OfFiciQl
Mo? f Eatdn
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax:(65y)675-5694
o CC???M(?
D
SEP 1 1 200$
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: 34(v
Tenant: k'Y?
Suite #:
RESIDENT / OWNER Name: HQJ1SkC,- Gd'O" Phone: 6,?-[ & 63 (D 308
Address / City / Zip: ?? ?? ? HAf
Applicant is: Owner 4 Contractor
TYPE OF WORK Description of work: tA)i?lA0c,--1-s
Construction Cost: q DOo . oo Multi-Family Building: (Yes / NoX-j
CONTRACTOR I Name ?Qa40 -??r7t`./KS4 &'t`i'1L'tlCnSLicense #: J030 1e)?)
Address: ?
City: U4Uq.
Phone: ?p S I ??I(y P-)3Ce (,a Contact Person:
State: /-Iiv! Zip: ?S W)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Cateqory 1 Minnesota Rules 7672
Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
(4 submisSlOn type) • Energy Envelope Calculations Submitted
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:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
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
s.
accordance with the approved plan in the case of work which requires a review and 9:?
X U&?Coc?-
Printed Name pplicant's Signature
Page 1 of 3
?
RESIDENTIAL BUII.DING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
?c.?. d sj13? 03
New Construction Reouirements RemodeVReoair Requirements Offlce Use Onlv
3 registered site surveys showing sq. ft of lot, sq. ft. of house; and all roofed areas 2 copies of plan _ Cert of Survey Recd
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd
2 copies of plan showing beam 8 window sizes; poured found design, etc. 1 site survey for additions & decks _ Tree Pres Not Reqd
1 set of Energy Calculations Addition - indicate if on-Ve septic system _ On-site Septie System
3 copies of Tree Preservation Plan if lot platted after 7/1/93
Rim Joist Detail Options selection sheet (bldgs with 3 or less units
LAI
i
Date?/
Co st ctionCost 3-rL , ??vl s ?
Site Address G? -? ? Unit/Ste #
a a ? v? 3
Description of Work
Multi-Family Bldg _ YKN Fireplace(s) _ 0 ? 1 _ 2
Property Owner 11 Mp1v?S Telephone # (447 3ID ?
Contractor
Address -?
City ?LLC ?
-T
State Zig ,c - - tj T?lephone # ( ?? ) ??? rCJ ?(?" ?
COMPLETE THIS AREA ONLY IF CONSTRUCTIN6 A NEW BUILDING
- Minnesota Rules 7670 Categor? Minnesota Ru1es 7672
Energy Code Category . Residentiai Ventilation Category 1 Worksheet • New Energy Code Worksheet
(4 submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Licensed Plumber
Mechanical Contractor
Sewer/Wqter Contractor
Telephone # (
? P
? i, t'-? ? elephone # (
MAY 0 6 2003 ?
elephone # (
I hereby apply for a Residential Building 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 State of tVIN
Statutes; I understand this is not a permit, but only an application for a pernut, 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. ? .? %
IYlarAZI Meler
Applicant's Printed Name Applicant's Signature
Sub Types
OFFICE USE ONLY
?
s
? 01 Foundation ? 07 05-plex ? 13 16-piex ? 20 Pool ? 30 AccessoryBldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 E3ct. Alt - Multi
? 03 01 of _ plex ? 09 07-plex 0 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ty, 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Mtsc.
? 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 Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
0 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 I NSPECTIONS
; Footings (new bldg) FinaUC.O.
? Footings (deck) ;( FinaUNo C.O.
_ Footings (addition) ? Plumbing
_ Foundation HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final Pool Ftgs Air/Gas Tests Final
y Framing _ Siding Stucco Stone
4 Fireglace _ R.I. _ Air Test _ _
Final Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By?_z? , 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
I i
!FORIIA NO( 48 ?
I, --- -_ - ---
-- ---? --?
l
i
?
_i i
-- !-
?-,
?
;
. s
kcompuT,ATION
SHEET
CITY USE ONLY
PERMIT #: RECEIPT DATE:
2002 RUID$1QTIAL 1K$CB"CAI. PERVIIT Af'FI.ICATIOR
crrY oF akshu
3830 PnoT KNoB iln
EAGM MA 55122
651-681-4675
Piease complete for: ? single family dweliings
townhomes and condos when permits are required for each unit
Date: /a f 3`D :;L.
SITE ADDRESS:
OWNER NAME: 2VAU?2 TELEPHONE #: CS/- gW
3^- D3d?
IPISTAI..LER NAME: _bil,.,? fI, ?(?? '? lJIL? _ TELEPHONE #:
STREET ADDRESS: Wj/ ? oi'??,????/ CITY: ?,?, , STATE:
UiAW
ZIP: .S'S/a :),,,
Place a check mark next to the permtt work type
_ Add-on, m' ' r aiteration to existin dwelling unit $ 30.00
furrace rep9acemen
• air e ch '
anger
???
?"
`
.,.'?air con i?n?.?.
? -?:
• other
Nature of work:
?- 1J ?
?y
State Surchar e $ .50
TOtal $ 3ca ?
\- 4. _. I - -xr?... .
SIGNA PERMITTEE
1/02
CITY USE ONLY
PERMIT #: RECEIPT DATE:
APPROVED BY: , INSPECTOR
'+??? COJUMCj&. IMCE"M PFJ= 1?MLICATIOR
WYt OF FAGEN
3$34 PILOT KN4$ ftD
EA6W, bIN 55188
651-6$1-4675
Please complete #or: all commercial/industriai buildings
multi-family buildings when separate permits are not, required for each dwetting unit
DATE:
STTE ADDRESS:
OWNER NAME:
TENANT NAME (IMPROVEMENTS ONLY):
WAS THERE A PREVIOUS TENANT IN THIS SPACE?
PHONE #:
INSTALLER:
. V
STREET ADDRESS:
CTTY:
TELEPHONE #:
Y N. NAME:
STATE: ZIP:
WORK TYPE: New construction Install U.G. Tank
Interior Improvement Remove U.G. Tank
Processed Piping
Specify Nature of Work:
When installing/removing underground tank call 651-681-4675 for inspection by Fire Marshal and
Plumbing inspector.
Fees: 1°l0 of contract price Olt $50.00 minimum fee, whichever is greater.
Underground tank removaUinstallation = minimum fee
Contract price: $ x 1%_$ (Base Fee)
State surcbarge calculate at $.SO for each $1,040 Base Fee
TOTAL $
SIGNATURE OF PERMITTEE
Updated 1/U2
-AP ? . ? PERMIT
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE:
Eagan, Minnesota 55123 Permit Number:
(612) 681-4675 Date Issued:
? SITE ADDRESS:
' DESCRIPTION:
? ?, ?
? ?kwo ?p ??
?
Wa e.0i 9 %",.av A°
? ?
-10 c O ?, q
? a, . ?
?m ? ?pgg -.6
?W ? a?? _ ea
REMARKS:
FEE SUMMARY:
CONTRACTOR: OWNER:
??"- ??k /
APPLICANT/ ERMITEE SIGNATURE (SSUED , Y: IGNA 1RE
- - - - --- - - -- - ---
?
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: -
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
PERMIT SUBTYPE: TYPE OF WORK:
REACTIVATE
PERMIT # ? -
iSSN4
CITY OF EAGAN
1993 BUILDiNG PERMIT APPLICATION
681-4675
? ??. oio
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy,
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy af energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, Z) address is changed or 3) lot change is requested once permit
is issued.
Date 3- Val uati on of work 3. F? Q
Site Address: 13 y fo - _;Pvf lG ? k 16
STREET SUITfi #
Tenant Name: (commercial only)
LOT ? BLOCK P . I . D . ?Ik .
?
Descri tion of work: 7-c-? d r=
The appl i cant i s: ? Owner Contractor ? Other coescr;be>
Name S? /41 TcH£ Lc Phone
Property LAST FIRST
Owner ? BERP
J G z ?
?
3 y
?"
- Address
.
O
S? 1 (
57REET STE *
City State Zip
Company C 1°1 Phane
Contractor Address ILI/ p 9- 1"f ? kdc-tC kU License # 3 ?{?la Exp.
City Y,>UJ'?S ?'f ? Q ?c State Zip --?T_3 3
Company Phone
Archltect/
Engineer Name Registration #
Address
City State Zip
& water licensed plumber . Processing time for
& water permits is two days once area has been approved.
by acknowledge that I have read this application and state that the information is
L
t and agree to comply with all applicable State of Minnesota Statutes and City of
c
'
E
Ordinances.
agan
ure of App licant:
`
OFFlCE USE ONLY
BUILDING PERMIT TYPE
0 01 Foundation
CI 02 SF Dwg.
C] 03 SF Addition
? 04 SF Porch
? 05 SF Misc.
O 06 Dupiex
? 07 4-Pl ex
? 08 8-Plex
? 09 12-Plex
E3 10 Multi. Add'l.
WORK TYPE
D 31 New
O 32 Addition
? 33 Alterations
? 34 Repair
GENERAL tNFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
..`.- -..
0 lI Apt./lodging IkAl Aa't AA te?Finish
O 12 Multi. Misc. P?OO?I
O 23 Garage/Rccessory ? 18 Gonan./Ind.
E3 14 Fireplace ? 19 Comm./Ind. Misc.
O 15 Deck C] 20 Public Facility
? 21 Misceilaneous
[3 35 Tenant Finish
O 36 Move
Basement sq. ft.
lst F1. sq. ft.
2nd F1. sq, ft.
Sq. Ft. total
Footprint Sq. ft.
On-site we11
On-s i te sewage
Planning Building
Engineering Variance
REQUIRED tNSPECTiONS
? Site O Footing
? Wa7lboard 0 Final
D Framing
? Draintile
? Insulation
O Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment Pl,
Road Unit
Rark Ded.
Trails Ded.
Copies
Other
Total:
SAC 96
SAC Units
vatuatian: $
? 37 Demolish
MWCC System
City Water
PRV Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code
Assessments
. s
COMPUTATION
SHEET
EST. NO.
SNEET OF
DATE
_ .
,
.
l ?
?
?
$
I
.. ?.
'
;
. _.
•
'i
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? r- DATE 7
l ? -
BL'ILDI:VG PERMIT APPLICATI0:3
Include 2 sets of plans, 1 site plan w/elevations and 1 set of energy caieuations.
To be used for Re- Valuation ?ci G?
Site Address:
Lot Block Sec. /Sub. Parcel Number J? :?3pC9C? ?91? L?S
2 q 5-' h?,'???a?
Owner Telephone ?_
Address K?
?- _
Contractor Telephone
Address
Arch/Eng.
Telephone
Address
OFFICE G'SE ONLY
Erect
Alter
Repair _
Enlarge
Move _
Demolish
Grade
Date of A roval 112d Initial :j •
Assessment __5
Water/Sewer
Police
? R Fire
Engineer _
Planner _
Council _
Bldg. Off.
r. A.P,C.
Occupancy ,2U
Zoning 'If /
Fire Zone ?
Type of Const.
# of Stories
Front .?U
Dep th D
Fees
?
Permit
Surcharge ?
Plan Check
?93
'
SAC v a? ?2?
?
Water Connection ? 7G
Water Meter
TOTAL ?l??'
?
?
ft.
'
?E • 1 ? ? ?
?] j\] COMPUTATION
-- ? ? ? SHEET
I DESIGNERS • ENGINEERS • BUILDERS
LISTED BY
CHECKED BY
OWNER _
LO CATI O N
EST. NO.
SHEET OF
CONTRACT N0. DATE
-A?
_...?..?_ _.....?...?..-,........-..,_._.„
._ _...?... . ...__ `
. _.. .- °---- __.,.._ _ _...??_.__..._._.,....,.._._ ...? .W__. ._.....?
I declare under the penalties of law that this account, claim or demand is just and conect and that no part of it has
heen paid.
Signature of Ctaimant
?
Street and Number
??.? . i01,r7
City and'?6te
2ip Code
M.S.A. 471.38, 471,391 (1965)
66 Size I- Walter S. Booth & Son, Minneapolis, Minn.
- Security Ptg. Co., St. Paul, Minn.
- Bankers Certified Servtce Co.
REAL ESTATE TAX STATEMENT rHOMas v. NOVAK,
PAYABLE in 1980 pAKOTA COUNiY PAYMENT COPY COUNTY TREASURER
GOYERNMfNT CENtER
VROPERTY IDENTIfICATION F/O: nAL E T& P J MACNAUGHTON HASTINGS, MINN. 55033
d5T PIAT LOT BLK
10 33000 290 05 9CP
„ooR:134b BERR
,u- EAGAN ?tri
1961 NAME OF TAXPAYEN
IRO/fRTY NOM[SIiADEO D A L E T f, P J M A C N A l
•:of 1346 BERRY RIDGE R[
lAN. 1, MH OM IUN. I. 1t7t EAGAN MN
NO
YOU MAY BE ENTITIEp TO A REFUND
To find out il you ore entitled to a refund of port of your property to¦ss Irom
the ttote 01 Minnesota, ws ths inlormation on the bock,ol this lorm.
USE iNESE AMOUNTS
when you fitl out your iroparly Tox Refund Form M•1PR:
i Ovalifying Tor Amounr
limitad to dwelling ond up to 1on
pcres (or 440 acrea of lond and
building+ ii forM.)
t. itate ?oid Memestwd G?dif
1f rhie box is checked, yeu owe delinquent tasms ond moy net
opply for the 1roporry iox ReIvnd.
GROSS TAX DISTRIBUTION
3 STATE • QQ
4 tOUNTY ]. ? ? 7 O
S TOWNSNI? OR dIY 13.91
6 3CMOOl DISTRICT 50.rj 1
7 OTHER TAXING 015TRICT 2.86
a. NSCAI DIS?ARITY
b. DEVELOPMENi OISTRICT
• TOiAI GROSS TAX 8!* .9$
9 REDUCTIONS
o. StATE SCMOOL AGRICUITURAI
CREDIT - ' - .
b. STATE PAIO NOMESTEAD CREOIT
10 TOiAI TAX - $4? 4$
1 t SVECIAL ASSESSMENiS t /
2
7
3
TOTAI (Sordefa?l ol RiqM) V
.
T
„ TOTAI AMOUNT
PAYABLE 352.32
NRSi HAIF INSTALIMENT 176.16
SECONO NAtF INSTALIMENi L76.16
'
RIDGE RD
55123 ESi1MAifO MARKEi-VAWE
2, 520
IGNTON
i UMITED MARItEi VAIUE
55123 2,070
. ASSESSED VAIUE
V 891
?ROYERiY DESCRI/TION ?OT T BlK O,rr?
ILLTOP ESTATES,;
,,,
,
,
? Z? ? ? .-.
SPECIAL ASSESSMENTS
ASSESSMENT AMOUNT
STREET 428 267.34
SPECIAt ASSESSMENT
TOTAL (TO IINE 11) 267, 34
INTEREST INCIUDED
IN ASSESSMENTS
133.67
IINCOME TqX PURPOSES
Y
1 O
O N 55123 'I
PROPERTY IOENTIFICATION
asr vlnr ior eiK
10 33000 290 OS 9
1980
i0 AVOID PENAITY
ST PAY ON OR BEfORE /NAY 31. 1980
1 ST HAIF TAX 176.16
THOMAS V. NOVAK
DAKOTA COUNTY TREASURER
TRAN. TAX PD.
TOT
exeise
PEN P0.
DAI.E T S P J MACNAU
1346 BERRY RIDGE R(3
EAGAN MN
.., LOAN CODE:
? O . .'.
T
E
. PAYABLE TO:
OFFICE USE
ONtY
? - CHECK
O - COUNTER
O - CASH
? - MAII NH
DALE T E PJ MACNAUGHTON ,
1346 BERRY R[DGE RD .
EAGAN MN 55123
OAM COQE:
PROPERTY IDENTIFICATION
N DIST PLAT lOT BtK
0 go
1
33000 290 05 9
E D. . D CASH T980 TO AVOID PENALTY CHECK
• ' 2NO PAY ON OR BEFORE OGT. 31, 1980
2ND HALF TAX 176. 16
[;7ABLE To: THOMAS V. NOWAK
DAKOTA COUhTY TREASURER
ONIY TRAN. TAX P0.
O - CHECK
O- EOUNTER 5/N PEN PD.
? - casH NM
O - MAII TOTAL
-?,u.? - .._....__......_ -? . _. _. _ .. _ _ ?._.
_ ..........?. ............?.,.. .?wr,....,.-.?wW..,, :.«?r.r.,?.w=-.,.,.sr-..,.y,.._,... ? ' . .. , ?...'».n.....?..n«...,>. . ...,..... - .. .._.?.... .
1991 BUILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
2 SETS OF PLANS
3 REGISTERED SITE SURVEYS
1 SET OF ENERGY CALCULATIONS
MULTIPLE DWELLINGS
?
?
COMMERCIAL
6--
2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
(CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - GONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED FLUMBER. JUN
To Be Used For: ? ??`-?r8" Valuation: () f>t\i? Date:
?
Site Address
Lot 7
2_L Block
i?
Parcel/Sub ?40 "i
Owner 54C-,; C_ '? T>ro:,=e_ 1 r\1 rj:'
<
Address
City/Zip Code
- ?
Phone
,?-
Contractor
Address ? Uj
City/Zip Code
Phone ul - 7
Arch./Engr.
Address
City/Zip Code
Phone #
OFFICE USE ONLY
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length °? -
Depth :
S.F. Total
Footprint S.F.
On site sewage`
On site well
MWCC System _
City water _
PRV _
Booster Pump _
FEES
Bldg. Permit '
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn.
Water Meter
Acct. Deposit
S/w Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trail Ded.
Copies
SUBTOTAL
Penalty
Lot Change
TOTAL / taiv
f
APPROVALS
Planner
Council
Bldg. Off.
Variance
?4&?:L agrees that all work shall be done in accordance with
(Signature"of Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
2000 FIREPLACE PERMIT APPLICATION
C(TY OF EAGAN
? 3830 PILOT KNOB ROAD - 55122
651 681-4675 4
;
Date: ? • ??? ?(}? (?
Description of Work: _
Job address:
Lot: i =?_ Biack:
Applicant (circle one only):
Construct new fireplace _Gas _Masonry Alterations to existing
' Install gas insert onlv Install gas line onlv
Other
??.
? Subdivision/P.I.D. #: -ex
Owner CCo trac Permit Fee: $60.50
4
Name: Phone
PROPERTY Last First
OWNER
Street Address: 4cyZ2
Ciry State:/?/?' ' Zip: 92? -7J
Company: Phone #: l?/? ,Y/
4rj?' -4?61-S
T? (area code)
FIREPLACE ???? J
INSTALLER Street Address:
City State:
Zip:
Company: Phone #:
(area code)
GAS LINE
INSTALLER Street Address: 7?
City
State:
Zip:
I hereby acknowledge that I have read this application and state that the information is correct and agree to
comply with all applicable State of Minnesota-S
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 16 Fireplace
WORK TYPE
? 31 New ? 33 Alterations ? 39 Gas Line ? 41 Wood Stove
? 32 Addition ? 34 Repair ? 40 Gas Insert
GENERAL INFORMATION
Census Code 434
SAC Code Ol
REMARKS
Chimney/flue must be inspected before concealing.
C
PERMIT # ? k , ??
RECEIPT DATE:
8008 PXSIDE8TIikL PLUM$INC PERMIT APPLICATION
CITY OF EAfiAN
S$SO PU.OT KNO$ gD
EAsAx, Mv 551 2E
65i-6$1-4675
Please complete for: single family dwellings, townhomes and condos when permits are required for each unit,
backflow preventer for irrigation system
SITE ADDRESS:
OWNER NAME: :
INSTALLER NAME:
STREET ADDRESS:
CITY: ?GL(AD!y-
TELEPHONE #:
ZIp:
_ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00
includes $40.00 County fee
Note: Additional consultant fees may apply
• MODIFICATION/ALTERATfON TO EXISTING DWELLING UNIT, INCLUDING:
_ Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00
_ Abandonment of septic system.
Water turnaround - existing dwell'ng unit (+ 5/8" met if needed -$118)
Other:
_ RPZ: new installation/repair/rebuild $ 30.00
_ lawn irrigation system
ReplacemenUadditional: _ water softener ?i water heater , $ 15.00
State Surcharge $ .50
Total -
I hereby acknowledge that I have read this application, state that the information is correct, and agree to
is the applicanYs responsibility to notify the property owner that the City of Eagan assu s n ility
operational and maintenance activities to the facilities constructed under this permit pro r
Y in rA
(AKtA GUUt)
(AREA CODE)
with all applicable City of Eagan ordinances. It
9mages caused by the City during its normal
ITTEE
PERMIT #
RECEIPT DATE:
8008 USIDENTIAi. PLUHY$INC PEftMIT APPLICATiON
crrY ? KA6M
3$30 PILOT Kft0$ liD
F-AsAiv, Mv 55122
651-6$1-4675
Please complete for: single family dwellings, townhomes and condos when permits are required for each unit,
backfiow preventer for irrigation system
.
SITE ADDRESS: ( 3 4b a iZl A 6,e
OWNER NAME: :
INSTALLER NAME:
STREET ADDRESS:
CITY:
STATE:
ZIP: r
_ SEPTIC SYSTEM, new/refurbished (requires two sets of pfans and MPC license) $ 100.00
includes $40.00 County fee
Note: Additional consultant fees may apply
• MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING:
_ Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00
_ Abandonment of septic system.
Water turnaround - existing dwelling unit (+ 5/8" meter if needed -$118)
? Other: a 2 "
V,
iopta-u n
?
_ RPZ: new installation/repair/rebuild $ 30.00
_ lawn irrigation system
Replacement/additional: _ water softener ? water heater $ 15.00
State Surcharge $ .50
Total
.
$
1 hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ardinances. It
is the applicanYs responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal
operational and maintenance activities to the facilities constructed under this permit wi ' op lrig -of-wayleasement.
S GNATUR F PERMITTEE 1/02
T_F_L_E!'HONE p (GC? ? ?
(AREA CODE)
TELEPHONE #: 477 - I? b 15r
(A A CODE) - -
? INSPECTION. RIECORD
£ r C# IY OF ?'?llGAN OGRMi i I i',r: .
i ? 3830 Pikat Knob Road Permit Number
t ?', ?agarr, Wnnesota 55123 Date #ssued:
? (612) 681-4675 ?
?
? M ADDRESS: APPLICAN7:
? 1 :14 CA NFra?? R06F RD c ? .? 000FxN6
#?l't I I i ?? 4"b .!. ¢z ? .8 9 ? .,.,-. K.
_ ??tAff SUBTYPE:
TYRE OF WORK:
iiF' i ce IPTTOM
REPAIR
t7F-Rt?ofloo
,
?
E
?
?
?
?
?
?
?.
, _.• CITY Of EAGAN
' ? . 3795 Pilot Knob Road ?`? •???`? ? - ?3?rIT''Yr-
' Eagan, Minnesola 55122
Phone: 454-8100
Date:
5-?"+.1-79
PERMIT
Site Address:
?
No.
t 4&l103
Receipt No.:
Single X
Residential ?
Lot Block Sub/Sec, Multi Res., Comm./Ind. I
Name - New/Alter./Repoir. • 1
4,
3 Address Cost of lnstallation _-
0
eity Phone: _ Permit Fee - -
i4$i3'4 }?•t,).
N e - Surchorge
.
i;-.`?t ??'vTt` ? ;`•.??;'.
v
; Address ?
0
City Phone: Total '
i
This Permit is iasued 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
? y/ - -
, - CITY OF EAGAN
• 3795 Pilot Knob Road
Eagan, Minnesota 55122
Phone: 454-8100
PERMIT
..;-??„„• =c?
Date:
Site Address: ?
Lot
Name _
Biock Sub/Sec. _
e Address
3
O
City _ Phone:
N e
..
; '
o°., Address
e
0
V ',r? -:' 3"'?,'+'? ? 'wi? '•t,: .?'"?' . ,`±`
City Phone:
This Permit is issued on the express condition thot afl work shall be
Minnesota Statutes and City of Eagon Ordinances.
No 13Y
.
" 41 ')4
Receipt No.:
Single
Residentiol
Multi Res., Comm./Ind. I
New /Alter./ Repair
Cost of Installation
., :
Permit Fee -
Surcharge
?..,.. ?, ,.?
Total
done in accordance with all applicable Stnte of
Building Official
This reque' rjl months from ?'?°? ?4S iJw_;t?r 'R2 3 5 4 0
Date of this Request '- 2- a -- ??
I, as,4 Licensed Electrical Contractor 0 Owner, do hereby request inspection of the above electri-
cat wiring installed at:
Street Address or Route No.
Section Township
Range County
Which is occupied by
Is a roughin inspection required on this job? No 0 Yes? Ready Nowl? Will Call O
Power Supplier ddress
Electrical Contractor ? Cont tor's Lice sei
(Company Pfame)
Mailing Address
Authorized Signature
STATE i#?AIDtftu CapY
? - -
This inspection request will notbe accepted by the
State Board unless proper inapection fee is enclosed.
i4plo?Of?jj nesota State Board of Efectricity
f t?54 U• Or
sit
y Ave., St. Paui, Minn. 55104-Phone 645-7703
? ?" REQUEST FOR ELECTRICAL INSPEGTION
?
? C9wC]Z?LOW WORK COVERED BY THIS REOUEST
C'' ?'SG079
'R 23540
Type of Building New Add. Rep. Check Applian ces Wired Foa Check Equipment Wired For
Home ? ? Range ? Temporary Wiring ?
Duplex ? ? Water Heater ? Lighting Fixtures ?
Apt. Bldg. ? ? ? Dryer ? Electric Heating ?
Commercial Bldg. ? ? ? Fumace ? Silo Unloader ?
Industrial Bldg. ? ? ? Air Conditioner ? Bulk Milk Tank ?
Fazm ? ? ? List ?
?thers n List
Rthers?
Other O [] ? eie ere
COMPUTE INSPECTION FEE BELOW
SeFVice Entrance Size: # Fee Feeders& Subfeeders: # Fee Circuits: # Fee
0 to 100 Am s. 0 to 30 Am res 0 to 30 Am eres
101 to 200 Amps. 31 to 100 Amgeres 31 to 100 Am eres
Above 200 Amps. Above 100 Amps. Above 100 Amps.
Transformers Remote Control Circ. Partial or other fee
Signs 3pecial Inspection Minimum fee $5.00
Ttemarks
:
TOTAL FEE < "3 a
I, the Electrical Inspector, hereby certify tha bov %stiln ha beeri mad ^ 7 pf a?
,
(Rough in)
(Final) ? te -7-- 12-??
This request void 18 months from •
This re void 18 months from
f 'R ";, 426
Date o this Request -f--
? I, as Licensed Electrical Contractor OOwner, do hereby request inspection of the above electri-
? cal winng installed at: ?ac?
IStreet Address or Route No. ' &C.'2-m-+-j eD , City ???,t/
Section Township
Which is occupied by
Range County
Is a roughin inspection required on this job? No ? Yes ?l Ready Now 0 Will Call ?
Power Supplier,Q/a.1L[? Address
Electrical Contractor??Tl? ?? L?t :TI?-? ?..• Contractor's License Nv
1 (Company Name) , „
Mailing Address
Authorized
F,Wtrical Cont
N
STATE BOARD COpY This inspection r'equ wil t be accepted by tne
State Board unless proper inspection fee is enclosed.
Minnesota State Board of Electricity
?19 niversity Ave., St. Paui, Minn. 55104-Phone 645-7703
*EEGUEST FOR ELECTRICAL lNSPECTION
CHECK BELOW WOP.K COVERED BY TNIS REOUEST
R 68426
Type of Building New Add. Rep. Check Applian ces Wired For Check Equipment Wired For
Home ? ? Range Temporazy Wuing a'
Duplex ? ? Water Heater ? Lighting Fixtures
Apt. Bldg. ? ? ? Dryer ? Electric Heating ?
Commerciai Bldg. ? ? ? Furnace X Silo Unloader ?
Industriai Bldg. ? ? ? Air Condi ioner ? Bulk Milk Tank ?
Fazm ? ? ? Lfst JA5 ? 2,45 ?? .? List
Other ? ? ? p
Hehersj 5 D:sl3L- _ p
Hehers?
COMPUTE INSPECTION FEE BELOW
Seivice Entrance Size: # Fee FeedersBcSubf
Fee Circuits: Fee
0 to 100 Am s, 0 to m 0 to 30 Am eres
101 to 200 Am s. ,?,tGt 31 t m 31 to 100 Am res
Above 200 Amps. o
Abo Above 100 Amps.
ransformers Rem Co Paztial or other fee
Si ns S ecial Ins ec Minimum fee $5.00
Remarks
TOTAL F yy, o0
I, the Electrical Inspector, hereb fy t t e atSove inspection has been m?de.
(Rough-in) Date
(Final) Date
This request void 18 months from
CiTY OF EAGAN Np y 192 0 4
ik 3830 Pilot Knob Road, P.O. gox 21-199, Eagan, MN 55121
PHONE: 454-8100
BUIIDING ?? MK? Receipt # Xd4
To be used for 3-SEAS013 PORCH Est. vaiue $8 000 Date JUN 7 , tg 91
Site Address 1346 BERRY RIDGE RD
Lot 2 9 Biock 5 Sec/5ub. HILLTOP ESTATES
Parcel No:
W Name STEVE & DIA13E MITCHEL
; Address 1346 BERRY RIDGE RD
° city EAGAN Phone
o Name EE 30NES INC
?? Address 6905 255TH ST W
? City FARMINGTON Phone 463-2876
? W Name
0 ; Address
<W City Phone
t hereby acknowlege that I have read this application and state that the
information is correet and agree to comply with ali applicable State of
Minnesota Statutes and Ci of Eagan Ordina es.
Signature of Permitee _
A Building Permit is issued to: E E JONES INC
on the express condition that all work shali be done in accordance with afi
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Buiiding Officiai
OFFICE USE ONLY
Occupancy R--3
Zoning
FEES
99.00
4.00
(ACtaaq Gonst ? N Bldg. Permii
(Altowabte) V-N
# of Stories
length POrC.ll 12X. 4
Deptfi DeCk 5x12
S.F. Total -
S.F. Footprints -
On Site Sewage -
on site weii _
MWCC System ____
City Water
PRV Required _
Boosier Pump _
APPROVALS
Planner ?
Council
BIdg.Off. ?
Variance -
Surcharge
Ptan Review
SAC, City
SAC,MCWCC
Water Conn
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI
Road Unit
Park Ded.
Copies
TOTAL
lU3.U0
CiO.
for Office t,~se
City O JJ ~t_ajj ~n Permit 3830 Pilot Knob Road I Permit Fee:
Eagan MN 55122 Date Received:
Phone: (651) 675-5675
Fax: (651) 675-5694 1 Staff:
1 - - - - - - - - - - - - - - -
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: i- - ' I Site Address: 1 ~ (L [ (4 ~
Tenant: Suite
RESIDENT /OWNER Name: M ARSAQ 1 E j C Phone:
Address / City / Zip:
Applicant is: Owner K Contractor
TYPE OF WORK Description of work: I EAk CC-C- ' P_E i' tic J < 3
Construction Cost: (~11 116 Multi-Family Building: (Yes / No _J
CONTRACTOR Name: t
~r ~ I~(~; t l..<,Yl Sl"'R"uC.i") on License -19
Address:!5 41 t F_H Lz{ Pe
City: S~t Stater1) Zip: 5 12)
Phone: 43Contact Person: c2 e fl
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Category 1 Minnesota Rules 7672
Energy Code • Residential Ventilation Category I Worksheet • New Energy Code Worksheet
Category Submitted Submitted
submission type) • Energy Envelope Calculations Submitted
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.
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
x 0 A ? ~ 6\ x a
Applicant's Printed Name
Applicant's Signature
Page 1 of 3
Use BLUE or BLACK Ink
r________________�
� For Office Use I
I I
� Permit#: � ��0�� �
Clty of ����� ; . . ��� 5 �� �
Permit Fee. �� I
3830 Pilot Knob Road � �
Eagan MN 55122 � Date Received: � "1�— � �
Phone: (651) 675-5675 � �
Fax: (651)675-5694 I Staff: ,�� �
� I
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: �I��" ��� �'i Site Address: ��o ✓ �`�;G. Unit#:
Name: 1�'�/�� �'VIC+�Gt/ �
Phone:
Resident!
Owner Address�city i z�p: (3�� l�c.,�-y I��� ��`c.-.��-
Applicant is: Owner �Contractor
Description of work: ��� r��f
Type of Work
Construction Cost: �Vr �� � Multi-Family Building: (Yes /No�
Company: ��-� �' ��S �S {YVc.-4,�„` Contact: �'a �
Address: Z��3 l ���, �.✓c,�e City: ��G��n �/Yj I`�
Contractor
State: �l`� Zip: S`�3Y'L Phone: (P12-�'iD•� cjG9� Email: ,/��r���ses �v y�� • �y..�
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License#: � ��Q-54 Lead Certificate#: �
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
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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 documenfs 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. _�M.���
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.aopherstateonecall.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 State Building Code must be completed within 180
days of permit issuance.
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ApplicanYs Printed N me Applicant's Signa ' re
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