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1003 Blue Gentian CirCI bE(OD CITY OF- EAGAPI ERMIT TYPE: 1) I N • 02911 3830 Pitot Knob Road Permit Number: `' Eagan, Minnesota 55122-1897 Date Issued: 11 1°04 t96 (612) 681-4675 APPLICANT: mTE ADDRESS: #0i t; #t Oft,, "ky ?; P#`'iTIilIt 1J. ! 1N 106 11m cif.'N$fIANl. 'f* K 4144Y PERMIT SUBTYPE: TYP OF WORK: A(.TkRAT.TO 0' t': $ .I I t .O N A C %00010 f RA 7 Rtt N HT P I NA ?$ #i?IITI" ;t.P4P# II" 1'f'I 'I` # #=t t1Tl #.,i }`€ f :;Fa1?l.f #i # F I"RJ'#CItl O R PLIt1H1,N3 W4 Pk ?- r I t J ? y T I. FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for I, t?t?F e Est. ue "400 Date 28 Site Address 1003 BL C1 4 Lot Block Sec/Sub. Parcel No. _ SECT. l w Name P . =fit: ti C "ice W at?G Z Address o city Phone to Name D TREX L o Address 3275 'WOOS AD vi City ;AC'_ Phone Name Address z City Phone - -9W I hereby acknowledge that 1 have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances,' R Signature of Permittee r A Building Permit is issued to: r . 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 143`2 19 8' OFFICE USE ONLY On Site Sewage Occupancy MWCC System Zoning On Site Well (Actual) Const City Water (Allowable) PRV Required # of Stories Booster Pump Length Depth S.F. Total Footprint S.F. APPROVALS FEES Engr./Assess. Permit 4;700 Planner Surcharge Council Plan Review Bldg. Off. SAC, City Variance SAC, MWCC Water Conn. Water Meter Road Unit Treatment P1 Parks _ ' '_- TOTAL rye { CITY OF 04" 3795 Picot Knob Reed ?o ?55 Eagan, kiinneseta $511 INSPECTOR NOTIFICATION Phone- 43"100 REQUIRED BY LAW" , SEPTIC DRAIN PERMIT FOR ALL INSPECTIONS "IELD Dote: 4/28/80 18710 Receipt No : . Site Address: 1003 Blue Gentian Single Residential i Lot UBlo k S S oo CAD b S c u / ec. Multi Res., Comm./Ind. Name Judith Herzog KIM alter. New/Alter./Repair Address S8ST!e C f I ll ost o nsta ation a rar± # ?d City 1i54-7682 s~ Phone: 10.00 Permit Fee None Jim Williams/Scherf Excavating Surcharge Address (2770 Lexington) 10410 F. Courthouse lvd. 55075 city Inver Grove Hgths. Phone: 1151+-5191 Total 50 This Permit is issued on the express condition that all work shall be Mi S done in accord*nce with alt *P00" ' a# , nnesota tatutes and City of Eagan Ordinances. $ 1 Building Off 4w •1/ tit t ?v.'(t s.3/ pfO? CITY OF EAGAN NO 14352 3830 Pilot Knob Road Box 21 -199, Eagan, MN 55121 H BUILDING PERMIT ORE: 454-8100 Receipt* To be used for REROOFING Est. Value $1,400 Date OCTOBER 28 19 87 Site Address 1003 BLUE GENTIAN OFFICE USE ONLY Lot 5 Block 25 Sec/Sub. SECT. 2 On Site Sewage Occupancy MWCC System Zoning Parcel No. On Site Well (Actual) Const x Name MRS. JUDY HERZOG City Water (Allowable) w = Address SAME PRV Required # of Stories o City Phone Booster Pump Length Depth o Name ROBERT D TREICHEL S.F. Total 0 a Address 3275 RANDOM RD Footprint S.F. ?M- City EAGAN Phone 454-8762 APPROVALS FEES m m Name Engr./Assess. Permit $27.30 i g Address Planner Surcharge 1.00 w City Phone Council Plan Review Bldg Off City SAC . . , I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC information is correct and agree to comply with all applicable St to of Water Conn. Minnesota Statutes am Eagan r - antes Water Meter Signature of Permittee Road Unit A Building Permit is issued to: ROBERT DTR .T H .L Treatment P1 on the express condition that all work shall be done in accordance with all applicable State of Minnesot Statutes and City f Eagan Ordinances. to Parks 3D ea/ ? Building Official TOTAL Plywood Minnesota Remodelers, Inc. 6200 WAYZATA BOULEVARD • MINNEAPOLIS, MINNESOTA 55416 TELEPHONE (612) 335-7866 F- H Eagan Township 3?95 Pilot Knob Road St. Paul 55111, Minn. L Attn: Mrs. Bolke SHIP TO PURCHASE ORDER No. 1193 THIS NUMBER MUST APPEAR ON IN- VOICE, B/L. BUNDLES, CASES, PACK- ING LISTS AND CORRESPONDENCE. DATE 11/27/67 DATE WANTED ASAP TERMS F. O. B. SHIP VIA QUANTITY DESCRIPTION PRICE AMOUNT 1 Building permit - entire contract amount $3340.00, $ 9.00 covering remodeling kitchen, includes electrical and plumbing (Personal check enclosed, drawn on Darlene Ferguson) (z )/ g / AU01 DR.R ED SIGNATURE - FORM 1500, REGENT FORMS, PHILA., PA, 10130 CITY OF EAGA G' Remarks Addition Section 2 Lot Rik 25 Parcel 10 00200 050 25 O'?(neQO\? `t r t ?g .-e' l003 51bkt State EAGAN MN 55121 4"A A J(1 A, -3017 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK r SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA NA 19771 STORM SEW TRK 1984 511.00 34.07 15 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 13UILDING PER. SAC PARK OFFICE USE ONLY This request void 18 months from validation dote printed in this b 7x. 11111lIIilillli11111lIIIII IIIIIIlIOIIIINIIIII i0- 00,1A0 -050 * 0 4 4 6 0 8 4 E, * PLEASE PRINT OR TYPE G?f Request Date Rou h in inspection required? ? Yes (You must call the inspector when ready) Inspection Other Than Rough-0n: early Now D Will Call Date Ready: 2 I, , licensed contractor ? owner hereby request inspection of the above electrical work at: Job Address (Street, Box, or Route No.) //L-) 3 J/Gtr .-r /. City ii fid 1 Zip Code Section No. Township Name or No. Range .Fife No. County Occupant ,f /v / L / r^ f' l I Phone No. Power Supplier Address L 2 A )t? 1 t7 , j _ j P& Electrical Contractor (Company Name / / Contractor License No. Master Lic. No. (Plant Elect. Only) Mailing Address (Contractor or Owner Performin Installation All A" Authoriz ontractor or n Perform' Inst lotion) Phone No. -446-064 161 ?3/ 7/9 7 REQUEST FOR ELECTRICAL INSPECTION 7?.-ti Minnesota State Board of Electricity - 1821 Univeri• Ave., Rm. S-128, St. Paul, MN 55104 Phone t Vi42-0800 Home Duplex Apt. Bld Other: New Addn - Commercial Industrial Farm Remod Repair Air Cond. Htg. Equip. Water Htr. Load Mgmt. Other: Dryer Range Elec. Heat Temp. Service "X" above the work covered by this 1request. Enter remarks in this space and on the back of the white copy only. ' G AMC . -f v C rCkdU J Calculate Inspection Fee - This Inspection Request will not be accepted without the correct fee: Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Mobile Home Park Stall 0 to 200 Amps go, ! 0 to 100 Amps O.0-0 Street Ltg./Traffic Sig. Above 200 Above 100 Amps Transformer/Generator INSPECTOR'S ONLY TOTAL, Sign/Outline Ltg, Xfmr. l 0 Alarm/Remote Control f Swimming Pool d t t t d ib i h I h l d d h b h d h n , Irrigation Boom ere n on y certi t in Le instal ation escr e ere t e i . Rough-In es s a e t e a Date Special Inspection Investigative Fee THIS INSTALLATION M Final Dote-!? I AY BE ORDER CONNECTED CO D WITHIN 18 THS. OFFICE USE ONLY This request void 18 months from validation dote printed in this box. /) /'/ 0 4 4 6 0 8 0 4 PLEASE PRINT OR TYPE o?D Request Date (] - '7 A " /O Rough-in inspection required? ? Yes No Inspection Other Than Rough-In: 0 Ready Now$..Will Call ° 7 - (You must call the inspector when ready) Date Ready: I, licensed contractor ? owner hereby request inspection of the above electrical work at: Job Address (Street, Box, or Route No.) /OQ3 1-3jae (.7en .r> /ed City _ Z176,IV Zip Code 551f Section No. Township Name or No. Range No. Fire No. County OccuPa ! v No, ae .6 (C166) Phone No 4 9 (((J Power Supplier Address Electrical Contractor (Company Nome) Contractor License No. Master Lic. No. (Plant Elect. Only) Mailing Address (Contractor or Owner Performing Installation) Auth ture (Contractor or OwoWPJdopn Install "on Z2, Phone No. 'S13 EB-00001AA 1 B/96 1 ) STATE BOARD ,446-080 [_L REQUEST FOR ELECTRICAL INSPECTION Minnesota State Board of Electricity 1821 University Ave., Rm. S-128, St. Paul, MN 55104 Phone (612),642-0800 Home Duplex Apt. Bldg. Other: New Addn Commercial Industrial Farm Remod Repair Air Cond. Htg. Equip. Water Htr. Load Mgmt. Other: Dryer Range Elec. Heat Tem .Service "X" above the work covered by this request. Enter remarks in this space and on the back of the white copy only. Calculate Inspection Fee - This Inspection Request will not be accepted without the correct fee: Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps Street Ltg./Traffic Sig. Above 200 Amps `"" ...a.__ ove 100 Amps Transformer/Generator INSPECTOR'S US NLY TOTAL Sign/Outline Ltg. Xfmr. / ?a• ?C./ Alarm/Remote Control Swimming Pool -- . d h h d d I h ll b l d Irrigation Boom erein on ere certi a ins ec t e ect( 1 insta ation e Rough-In t ates state e Date Special Inspection Investigative Fee Final ot -? D THIS INSTALLATION MAY BE ORDERED ISCONNEGTEl IF NOT GOWLETED WITHIN 18 ONTH This req? t void 18 months from per .,.. 37938 Date of this Request I, as %Licensed Electrical Contractor O Owner, do hereby request inspection of the above electri- cal wiring installed at: Street Address or Route No. 00 3 die &Jtv E644 v Section Township Range County f1 ' 74 Which is occupied by Is a roughin inspec ' n c lir d?n hi oal?? NNo yes 0 Ready Now V Will Call D Power Supplier J'T Address iF W Electrical Contractor L j 14 d6 L Y Contractor's License No. (Company Name) /? Mailing Address I Q C /( T vl NO fl .53,6 , (Electrica Contract Ow Maki This Installation) Authorized Signature CCeS?tractor or Owner STATE (f trical Y Phone No. king This Installation) This inspection request will not be accepted by the State Board unless proper inspection fee is enclosed. Minnesota State Board of Electricity 19W- University Ave., St. Paul, Minn. 55104-Phone 645-7703 REQUEST FOR ELECTRICAL INSPECTION CH OK BELOW WORK COVERED BY THIS REQUEST S 37 Type of Building New Add. Rep. Check Appliances Wired For Check Equipment Wired For Home ? ? Range ? Temporary Wiring ? Duplex ? ? Water Heater Lighting Fixtures ? Apt. Bldg. ? ? ? Dryer Electric Heating ? Commercial Bldg. ? ? ? Furnacg4k Silo Unloader ? Industrial Bldg. ? ? ? Air Co a Bulk Milk Tank ? Farm ? ? ? 0 w Al - Herers Feede COMPUTE INSPECTION FEE BELOW Service Entrance Size: # Few Feeders&Subfeeders: # Fee Circuits: # Fee 0 to 100 Amps . 0 to 30 Amperes 0 to 30 Amperes 101 to 200 Amps. 31 to 100 Amperes 31 to 100 Amperes above 200 Amps. Above 100 Amps. Above 100 Amps. Transformers Remote Control Circ. Partial or other fee Signs Spe ial l n ection inimum fee Re ks 4-'U ? GLh tnr??, or?t/ OTAL FE •J? I, 4he Lqectrical Inspector, hereby certify that th+' above inspection has been maw (Rough-in) Date (Final) Date 3 d 2 - 2 C' This request void 18 months from r - % EAGAN TOWNSHIP N? 1696 ,n BUILDING PERMIT Owner ........ .._._N......... 1 . . Eagan Township Address (present) ..... & _ i........ ,g .......:.................... ........ Town Hall Builder ._.. 4-`. - Date Address -•-•-•--..•??'.`f...... -•-- ...-• ?--. ---- DESCRIPTION Stories To Be Used For Front Depth Height Est. Cost Permit Fee Remarks /7 n, LOCATION Street. Road or other Description of Location I Lot 1 Block 1 Addition or Tract -rte I :` --(- o' n' This permit does not authorize the use of streets, roads, alleys or sidewalks nor does it give the owner or his agent the right to create any situation which is a nuisance or which presents a hazard to the health, safety, convenience and general welfare to anyone in the community. THIS PERMIT MUST BE EE PT ON THH PREMISE WHILE THE WORK IS IN PROGRESS. _....... u on This is to certify, that..-_- -k--- --- .................. .......... ...-has permission to erect a .... .. . .---.. . _ .... - - - • •----..--- P the above described premise subject to the provisions of the Building Ordinance for Ea n Tow ship adopted April 11, 1955. °• ....... ............. Per hairman Tnwn oard Building Inspector 4, 6, PHONE 927'-4511 ?/' l- (- CHOPS. M4 FRE LL_411JJ COMPANY PLANTS AT ST. LOUIS PARK OSSEO READYMIX CONCRETE - LIGHTWEIGHT & CONCRETE BLOCKS - AUTOCLAVE BLOCKS 07/15/26 a 15:01 FAX City of Eaan 3630 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Ij002 ----------------- For QlfiQa g 1 Permit Permit Fee: 6 Data Received: f Staff: L------------------ 2008 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 7- (7-0 o Site Address: i- Tenant: Suite #: RESIDENT /OWNER Name: /1/(,4 U G Phone: Address / City / Zip: CONTRACTOR Name: P E i It & je? t C License #: q Q g 4 Address: 4 p City: i 1 i 6-t-- State: _ Zip: 5' T 4 0 r Phone: 65'fr? 3 qe Contact Person: /1. TYPE OF WORK New _ Replacement _ Repair ___- Rebuild _ ModIfy Space _ Work in R.O.W. Description of work: PERMIT TYPE RESIDENTIAL Water Heater Water Softener Lawn Irrigation Add Plumbing Fixtures (_ RPZ / _ PVB) (__ Main , Lower Level) Septic System Water Turnaround w Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $60.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround" (includes $.50 State Surcharge) "Water Turnaround (add $136.00 if a 5/8" meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) -' TOTAL FEES $ I hereby acknowledge that this Information is complete and accurate; that the work will be In conformance with the ordinances and codes or me vny or Eagan; that I understand this Is not a permit, but only an application for a permit, and work Is not to start without a It; that the work will be in accordance with the approved. plan in the case of work which requires a review and approYisl of plans, x ?!tJ A-/ IL C Ili 5I ? A Applicant' Printed Maine FOR OFFICE USE Applicant's Reviewed By: Date: Required Inspections: . _Under Ground _ Rough-In -Air Test __Gas Test -Final Dakota County Real Estate Inquiry 3 Dakota County Real Estate Inquiry Data Updated 1/20/2005. Select option and click map: Zoom In Whole County Refresh Map Big Map Legend Real. Estate Parcels M Parcels M Common. Ownership MWater M R/W. Easement ? Dedicated RAN Standard 9 M Choose a search method, enter criteria, and click Go or hit enter key. House #: Go o. Address: G F PIN: Go 2004 Est. Value (Payable 20051: $54,200 PIN: 10-00200-050-25 Owner: JCFH LLC 2003 Taxable Value (Payable 2004: $52,200 Address: 1003 BLUE GENTIAN CIR Payable 2004 Tax: $1,673.92 T c ;~ 6 City: EAGAN, MN 55121 Total Acreage: 0.36t Year Built: 1955 This application was developed by the Dakota County Office of GIS in cooperation with Assessing Services, Treasurer - Auditor and Property Records uepartments 8 N T Y Click on the Dakota County Logo above to return to the home page Y0.c0. + _ ?S Page 1 of 1 http://207.171.98.200/scripts/esrimap.dll?Name=webq 1 &Left=496622.241 &Bottom=99791.2181 &Right=... 01/24/2005 Dakota County Real Estate Inquiry Page 1 of 2 Property Record Details Many commonly asked questions about assessment information may be answered at the Dakota County Assessing Services Frequently _Asked Questions web page. Note: Click data field headings for further information on each value. Data Updated 1/20/2005. PROPERTY ID NUMBER: 10-00200-050-25 FEE OWNER: JCFH LLC 2737 FAIRVIEW AVE N SAINT PAUL MN 55113-1307 PROPERTY ADDRESS: 1003 BLUE GENTIAN CIR EAGAN MN 55121 2004 ESTIMATED MARKET VALUE (PAYAB.LE20Q 51 LAND: $47,200 BUILDING: $7,000 TOTAL: $54,200 2004 TAXABLE/LIMITED MARKET VALUE (PAYABLE 2005) LAND: $47,200 BUILDING: $7,000 TOTAL: $54,200 2003 ESTIMATED MARKET VALUE PAYABLE 20041 TOTAL: $52,200 2003 TAXABLE/LIMITED MARKET VALUE (PAYABLE 2004 TOTAL: $52,200 PAYABLE 2004 TAXES NET TAX: $1,673.92 SPECIAL ASSESSMENTS: $0.00 TOTAL TAX & SA: $1,673.92 LAST QUALIFIED SALE: DATE: 9/94 AMOUNT. $78,500 LOT SIZE R/W ACREAGE: 0.07 TOTAL ACREAGE: 0.36 YEAR BUILT: 1955 SCHOOL DISTRICT: 197 WATERSHED DISTRICT: GUN CLUB PAYABLE 2005 HOMESTEAD STATUS: NON HOMESTEAD PAYABLE 2005 ASMTUSAGE: COMMERCIAL 2004 BUILDING CHARACTERISTICS PAYABLE 2005.1.:. TYPE S.FAM.RES YEAR BUILT 11955 ARCH/STYLE SPLIT LEVL FOUNDATION SQ FT 1025 FINISHED_SO FT 111750 http://207.171.98.200/scripts/esrimap.dll?name=webql &Cmd=Details&PIN=100020005025 01/24/2005 Dakota County Real Estate Inquiry r IBEDROOMS 1 BATHS 1.5 FRAME WOOD GARAGE SQ FT 396 OTHER GARAGE MISC BLDG PLAT NAME: SECTION 2 TWN 27 RANGE 23 TAX DESCRIPTION: E 78 FT OF W 1805.37 FT N OF ROAD OF NW 1/4 2 2723 Page 2 of 2 http://207.171.98.200/scriptslesrimap.dll?name=webql &Cmd=Details&PIN=100020005025 01/24/2005 4Y OF EAGAN PV 330 Pilot Knob Road . agan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: P.I.N.: 10-00200-050-25 DESCRIPTION: PERMIT PERMIT TYPE: BUILDING Permit Number: 029115 Date Issued: 11/04/96 1003 BLUE GENTIAN LOT: 5 BLOCK: 25 SECTION 2 MAC SOUND Building Permit Type SF (MISC.) Building Work Type ALTERATION Census Code 434 ALT. RESIDENTIAL REMARKS: SEPARATE PERMITS REQUIRED FOR ANY ELECTRICAL OR PLUMBING WORK FEE SUMMARY: VALUATION $24,000 Base Fee $337.25 Plan Review $168.63 Surcharge 12.00 Total Fee $517.88 CONTRACTOR: -•- Applicant -- ST. L I C OWNER: KQTHY'S CONSTRUCTION INC 18545884 2004502 NORD DANIEL 1621 E 79TH ST 1003 BLUE GENTIAN RD MINNEAPOLIS MN 55425 EAGAN MN (*12) 854-5884 (612)686-5049 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 Mn. Statutes and City of Eagan Ordinances. 9/AESGNATURE ISSUELDBYSI4 T E CITY OF EAGAN 3830 PILOT KNOB RD - 55122 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 c4j?'Q ? 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 ? I energy calculations for heated additions 3 copies of tree preservation plan if tot platted after 7/1/93 required: _Yes _ No DATE: October 22, 1996 CONSTRUCTION COST: $23,668.00 DESCRIPTION OF WORK: Misc. Alt. ( 150 Sound Insulation Program) E0166 STREET ADDRESS: 1003 Blue Gentian Road LOT BLOCK ds SUBD./P.I.D. #: PROPERTY Name: Daniel and Barb Nord Phone 686-5049 OWNER LAST 1003 Blue Gentian Road Street Address- City: Eagan Zip- 55121 State: MN CONTRACTOR Company: Kathy's Construction Inc. Phone #: 58x-5?I+ Street Address: 1621 E 79th Street, Suite 120 License #. 20045023 Minneapolis MN 55425 City: State: Zip: 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 Information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan OFFICE USE ONLY Certificates of Survey Received Tree Preservation Plan Received Signature of Applic Yes No Yes No OCI 22 i"a OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex 0 02 SF Dwelling a 07 4-plex a 03 SF Addition a 08 8-plex t3 .04 SF Porch a 09 12-plex P" 05 SF Misc. a 10 _ plex WORK TYPE (AA c ? 31 New 0'-'33 Alterations a 32 Addition o 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth i APPROVALS ? 11 Apt./Lodging a 16 Basement Finish o 12 Multi Repair/Rem. ? 17 Swim Pool o 13 Garage/Accessory o 20 Public Facility o 14 Fireplace ? 21 Miscellaneous a 15 Deck a 36 Move a 37 Demolition Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. . sq. ft. sq. ft. Footprint sq. ft. MCNVS System City Water Fire Sprinklered PRV Booster Pump Census Code. _ SAC. Code _ f .. Census Bldg Census Unit Planning Building Engineering Variance Permit Fee Valuation: $ 2-q,060. Surcharge Plan Review License MCIWS SAC City SAC Water Conn. Water Meter Acct. Deposit SIN Permit SNV Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units 1987 BUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR /HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS - RESIDENTIAL RENTAL UNITS FOR SALE UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMP RCTAT_ INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Used For: 1 0 /_lG Valuation: /VOO Date: /© aC f7 Site Address /0D3 A 'E 62' 1P qAJ gq' Lot 5 Block c S Parcel/Sub Z?t Owner 5 ? ?Y F<zo 6 Address /Od 3 /3L i6 s?,E• J7/ ?? City/Zip Code F?46 /, ,291J 337/ / Phone On Site Sewage Occupancy MWCC System Zoning On Site Well Type of Const City Water (Actual) (Allowable) # of Stories Length Depth S.F. Total Footprint S.F. APPROVALS FEES ?r (&F L Contractor 4,! 2D 7/r Address 3 7,5- City/Zip Code L 6,M"/ 171AI Phone `f J 7' f7, Arch./Engr. Address City/Zip Code Phone # Assessments Water/Sewer Police Fire Engr Planner Council Bldg Off APC Variance Permit __,3 a Surcharge (. o 0 Plan Review SAC, City SAC, MWCC Water Conn Water,Meter Road Unit Treatment P1 Parks Copies TOTAL a t, CITY USE ONLY L BL RECEIPT SUB D. /O-, 1- , 054 5 DATE: Cv. ?, p$QD 1996 MECHANICAL PERMIT RESIDENTIAL 'p ' ?t?c8?97 CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dwellings townhomes and condos when permits are required for each unit New construction Add-on furnace ' Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc. Date: A-- /0 - ? FFFC 01 Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00 HVAC: 0-100 M BTU 24.00 Additional 50 M BTU 6.00 101 Gas Outlets (minimum of I required © $3.00 each) State Surcharge .50 TOTAL a /003 lc?e G ?z -' SITE ADDRESS: j OWNER NAME: PHONE INSTALLER NAME: e KS©!? /f? STREET ADDRESS: zz 49 CITY: STATE:__ ____ ZIP: PHONE #: ((,/?) 7 3? S s ,? , ° n?? ; r CITY USE ONLY L _ BL RECEIPT #: SUBD. DATE: 1996 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, 55122 (612) 681-4675 Plane complete for: ? all commercialrndustrial buildings. ? multi-family buildings when separate permits are W required for each dwelling unit. DATE: CONTRACT PRICE:. WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: * $25.00 minimum fee gr 1% of contract price, whichever is greater. ? Processed piping - $25.00 State surcharge of $.50 per $1,000 of out fee due on all permits. CONTRACT PRICE x 1% PROCESSED PIPING STATE SURCHARGE TOTAL SITE ADDRESS: OWNER NAME: TELEPHONE #: TENANT NAME: (IMPROVEMENTS ONLY) INSTALLER: ADDRESS: CITY: STATE: ZIP:. PHONE #: SIGNATURE: SIGNATURE OF PERMITTEE CITY INSPECTOR City of Eaaa 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 ------------------ For Office Us t Permit #: Permit Fee: ?- Date Received: I Staff: ---------------- 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 09 Site Address: 60 3 O l o e- t??K f ?a n `?-U Ct 04 , Tenant: ( o, Ga At Suite #: RESIDENT /OWNER Name: ?C 0 09 A COn'l,G?ih?c°S Phone. 6 6-1 - 6 `r - 77 Address / City / Zip: pr ? 3 ? I r I/;i 11J + Y S/¢'. < f t ?? ?? Applicant is: Contractor W K Qe _Ia___r_r1 TYPE OF OR _ Description of work: Construction Cost: Multi-Family Building: (Yes / No CONTRACTOR Name: T'r License #: Address: 534 Tit A??VState: City: -7--Ca, Phone: 0' 6 7 y5/ 23 6-a Contact Person: / r Q COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category l Minnesota Rules 7672 Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted ('l 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 the ,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 42A x Applicant's Printed Name Applicant's Signature Page 1 of 3 iof D a