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1156 Blue Heron Ct 7, 1 lM N$ VrY OF EAGAN riERIW1T T1tl 4 pem* Num 3d P&X Mob Road Ewan, Minnesota 55123 Date hew: '(612) 681-4675 S ADDRESS: , APPLICANT: # fiC, Rt Ufa F1€ RON CT WINt1f~,f000 CO .1'me " • ,""'Y { , ~ *f Vf4AN(-J'; 14001 6IN (612) 891-4606 t ~ TYPE OF WORK: POMMIT SUBTYPE: <.i.f Owe, hEai F ~#?1 tNo 1"fiAM [t1C IN 011) FINA1 F 1"1"1114 A C U T 4 kPNARX. s W P1 RR IIAT THE-W PANT UL5 VI HQ 8. sr ifenrtit t~ r 1~ ~P ~ ' ow ftwo ♦ ' ! e ji. r l ~3 raw r ' CON&MOW ?4 Oft FirtM Deck ft Deafqra -7" f I-- Wei Or. Disp. 1. INSPECTION RE C R CITY OF EAGAN PERMIT TYPE: Not t n 1148 3830 Pilot Knots Road Permit Number: *&104 t Eagan; Minnesota 55122-1897Date Issued:NlA/' (612) 681-4675 SITE ADDRESS: APPLICANT: tors r Httif:V - 2 d.16 (A 1iCUF HFR0H t:..t. Tf'Er OCKHOK31 TFRRY PERMIT SUBTYPE: TYPE. OF WORK: (iAR:A~; t' /~1t I:f".'; 'ORY A111}I t l • a F 1IN6 1IN6 FRAH1 H i= 1NA1. ,I REPARKS, ,.:A 'S NF), A R A T f PU.RNIT IS' RFQ1,itl?t!1 FUR ANY FtFC.tRICAt W00f, Pamm ML Pan t 10141M DIMS TakVhons b EL ECTI FC t'-gd FOUND T MUSH HEKTING GAS WC TEST an~uL GYPEOAM AM Fft4L PL I FINAL HTQ ORSAT TEST BLDG FINAL BSMT R.I. AMT FINAL DECK FTG DECK FINAL ~i ICY OF EA GAN ~ j . PRot Knob Road It + ri Eagan; Minnesota 55122-1891 ' : 12) 681-4675 AIDIDRESS: I OT: ~,k ; j ^Elr3ur:l; APpil'Mr. P'Ei T SUBTYPE: TYPE WOWS ; 717 ~rl AT't~~/ flu:. itAp~lNii INS tITl(~11 $.N Pt 8G T INA1 t: • t RFHAi21+A VPARA IV PFIRAIT I REkitlT RFD ftE m A1 4Y 1"t.1,llRH1l`0 OR F-L-putt c,* 1¢ al( Y - 7. 1 q r 3t ik 'Sf` Alp I WAG. Como" FD= FPAMM AATW sy ~Cil~Er~i Tom` visa mow Fffm We TW 99.Ota FINAL BSIdT R 1. '~a 0-17 NS6~'f F1NAl DECK "G DELL FWAL ~3 f ~ ropy . Werdf icate of cenepaucv Wit4 of Wagan _ Ttpartwimt of Zvi" 3x9pecdo Certificate issued pursuant to the requirements of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following. SF DW 20660 Use Classification: M Bldg. Pmuit No. Occupancy Type Zoning District _ W Q'T,Yl~. Owner of Building THE W~~~ Address ~ 00 B*rJ!ng Address 1156 B ' - Locality s f jx._ Date. 0722/93 Building dificial POST IN A CONSPICUOUS PLACE Address 1156 BLUE Zip 5512 3 Lot ~a Blk 1S woos 6TH THESE PIEMS WERE / WERE N(" TIME OF THE FINAL INSPECTION: 'or: Date: 07/22/93 Y Final grade (6" from siding) Permanent steps (garage) s Permanent steps (main entry) Permanent driveway Permanent gas Sod/Seeded grass Trail/curb damage Porch Basement finish Deck Please verify with the builder the erec' the plumbing system and the shut-off of water supply to fore Contacts ngineer ng division at 6g] t-Of-way or installing underground sprinkler system. White - Cit) nt Copy Pink - Contractor Copy L 4~,6,1 i6o~ Request Date Fire No. Rough= Inspection I . Req d? 7 Ready Now ill Notity Inspector Yes NO When Ready? I Vicensed contractor ] owner hereby request inspection of above electrical work at: Job dd ss e . Box o" Fa ti, City 0 L Section No. Township Name or No. Range No. County Occ ant 'INTI Ph 'I~y` Lt.p5 Power Supplier Address Ele In I Connac r Company Na ) ac r5 Ljoe(tse R ti Ma ing ddr S odor r ner Making InstallaD--, urrizea rgalure ICo ra ovOwner Makin stall tign P e / V.,J MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTIONEB-00001-0 ► See instNCtiOrrb fc( conypleting this form on back of yellow copy L 3y. . `X" Below Work Covered by This Request eRr d Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) - t Comm./Industrial Furnace Farm Air Conditioner _ (Other (specify) Contractor's Remarks: Compute Inspection Fee Below: r# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps I Transformers Above 200 Amps Above 100 Amps I Signs Inspectors Use Only, TOT irrigation Booms _ fSpeciai Inmmunication THIS INSTALLATION MAY BE ORDONNECTEO IF NOT Other Fee COMPLETED WITHIN 18 M LATHS. 1, the Electrical Inspector, hereby Rough-in r ate' certify that the above inspection has Final ate been made. ll OFFICE USE ONLY ' This request void 18 months from ® 2 0~ Request ate Fire No. Rbug - n Inspection Required Inspect on Other Th n p ugh-In (You us all inspector when ready) [0] Ready Now ill Notify Inspector Was ❑ No Date Read I censed contractor F-1 owner hereby request inspection of above electrical work at: Job 'Address (Street, Box or Route No.) City Section No. Township Name or No. Range No. County Occupant(PRINT) Phone No. Power Supplier Address Electrical Contractor (Company Name) Contractor's License No. Mailing Address (Contractor or Owner Making Installati n) 3 A(0Gk Wkovo Tom. <ty" yhn~ S Authorized ~ gnat W(Con act Owner M in I tallation) Phone Number MINNESOTA STATE BOAD OF 182 gU ivg s ty Bldg. St. m Paul, S-128 BE ACCEPTED BY THE STATE MN 551041CITY 11111111111111 VIII VIII VIII VIII VIII VIII VIII ENCLOSED. I UNLESS PROPER INSPECTION FEE IS Phone(612)642-0800 REQUEST FOR ELECTRICAL INSPECTION EB-00001-09 pp ' oo ~r 1110~ See instructions for completing this form on back of yellow copy. "X" Below Work Covered by This Request New Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Industrial Furnace Other (Specify) Farm Air Conditioner ^~.~,h6A T- SIT), Other (specify) Contractors Remarks: f, `I ~L n Bf IC!/~Ki U/ r t 11 Compute Inspection Fee Below: W # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Above 100 Amps Signs Inspector's Use Only TAL Irrigation Booms Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MO H . I, the Electrical Inspector, hereby Rough-in oat certify that the above inspection has been made. Final , o r OFFICE USE ONLY This request void 18 months from 111111- h{ Y~:.;1}{~-7i~`e:~4?iii: i~i.yt:~ylf:.j: )~!~!:1rv?[+-•'hri;'. )~.%!{~~:;'ry{:1~~ ~'~L:~.'~, a~i LAI i..: M 1",: TERRY ^ ,'•4 ;r.~.... ...F•..:'f.:t ...r 1f~!- !-fit R:^ h;t! t 320 9001 W6 B4UE PERON, 59.75 205 9001 ii56 BLUE HERON ~2.50 Total AmounK 102.25 USER My jAN Ir al: J; ~i•,1 •v r:i. J: M. Jr-.I aG•.1r uJ. ~.r t: ••G,ir •;ir• v:•.: :I::J ♦ ~L-f. I~RG 1r t.:t. ?t::,-.:f,)(•..,.:;.:;:r(.r,,n-.:~r~.:i:.i,s!r.:~-,?(..rga}k.:}~r,..~.?i 5{•.rl:~,r;~:ft.gk::AtYf..:i,}t,~;g.~S For Office Use I g Permit Clt of Eap I 3830 Pilot Knob Road Permit Fee: ~ L I I Eagan MN 55122 1 Date Received: 'n- Phone: (651) 675-5675 I I Fax: (651) 675-5694 Staff: -x}2008 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Site Address: Vy, )-t ` 1 ~ I c n Tenant: 1 CKV l 1 -T 22-6 h b _ Suite RESIDENT J OWNER Name ~ V-~1 _ ) --'C~ V-ho Q-1-41 _ Phone -5 Address/ City / Zip: CONTRACTOR Narrk! N- 1 l ' ense fE: ~lL Address:._ State- Zip Phan~ Contact Person: TYPE OF WORK _ New replacement _Repair -Rebuild - Modify Space _ Work in R.O.W. Description of work: PERMIT TYPE RESIDENTIAL Water Heater Y Water Softener Lawn Irrigation Add Plumbing Fixtures RPZ PVB) Main _ Lower Level) Septic System Water Turnaround New 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) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround` (includes $.50 State Surcharge) `Water Turnaround (add $136.00 if a 518" 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 $ 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 ap roved plan in the case of work which requires a review and approval of s. x~ x Applicant's Printed Name Applic s Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground -Rough-In Air Test -Gas Test -Final PERMIT III . CITY OF EAGAN ~ 4 o 0~ 3830 Pilot Knob Road PERMIT TYPE: BUILDING Eagan, Minnesota 55122-1897 Permit Number: 026155 (612) 681-4675 Date Issued: 08/03/95 SITE ADDRESS: 1156 BLUE HERON CT LOT: 6 BLOCK: 2 ST FRANCIS WOOD 6TH P.I.N.: 10-65905-060-02 DESCRIPTION: (BATHROOM) Building Permit Type BASEMENT FINISH Building Work Type ALTERATION REMARKS: A SEPARATE PERMIT IS REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK FEE SUMMARY: Base Fee $35.00 Surcharge $.50 Total Fee $35.50 CONTRACTOR: - A p p l i c a n t - ST. L I C. OWNER: CENTENNIAL CONST 18629805 20039989 TEBOCKHORST TERRY 2509 E 121ST ST 1156 BLUE HERON CT BURNSVILLE MN 55337 EAGAN MN 55122 (612) 882-9805 (612)452-8948 I hereby acknowledge that I have read this application and state thatthe information is correct and agree to comply with all applicable State of Mn. Statutes and City of Eagan Ordinances. APPLICANT.!PERMITEE SIGNATURE ISSUED BY: IGNA RE T~ INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: B U I L D I N G 3830 Pilot Knob Road Permit Number: 026155 Eagan, Minnesota 55122-1897 Date Issued: 08/03/95 (612) 681-4675 SITE ADDRESS: P ° I ° N ° : 10-65905-0960-02 APPLICANT: LOT: 6 BLOCK: 2 1156 BLUE HERON CT CENTENNIAL CONST ST FRANCIS WOOD 6TH (612) 882-9805 PERMIT SUBTYPE: TYPE OF WORK: BASEMENT FINISH ALTERATION DESCRIPTION (BATHROOM) INSPECTION TYPE ,DATE INSPTR. INSPECTION TYPE DATE INSPTR. FRAMING INSULATION ROUGH IN PLBG FINAL REMARKS: A SEPARATE PERMIT IS REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK CITY OF EAGAN 3830 PILOT KNOB RD - 56122 / q 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) CG.~G(~-,2 6814475 ♦ 3 npatend sftn surveys ♦ 2 copies of pan ♦ 2 copies of pans (include beam & wh dow sizes: pound Md. design; etc.) + 2 alts surveys (aderlor addition & deft) ♦ 1 enemy ceituintions ♦ 1 energy osbAntions 1br finked 3 copies of tree Preservation pion W lot platted after 711193 nquked: _Yes _ No DATE: Z~ CONSTRUCTION COST: x,700 . a~ DESCRIPTION OF WORK: Aarwl I,- STREET ADDRESS: 40" r LOT U BLOCK SUBDJP.I.D. GIL PROPERTY Name: -7,- Phone* OWNER Street Address' &257-4 4 City: 4! State: „AK7 Zip. _ CONTRACTOR Company: 61,as r Phone Z O Street Address: - Qg - /z/ s'LS License City: State: Zips W. Q3___.7 ARCHITECT/ Company: Phone'. ENGINEER Name: tration S• Street Addmss: City: State: Zip- Sewer $ water licensed plumber. Penally apples when addon change and lot change are requested awe permit is issued. 1 hereby acknowledge that I have read this application and state that the inkrrrr aWn is correct and agog to comply with all applicable State of Minnesota Statutes and CI ty of Eagan Ordinances. Signature of Applicant: RECEIVED OFFICE USE ONLY Certificates of Survey Received Yes No Jul 28 1995 Tree Preservation Plan Reoelved Yes No OFFICE USE ONLY `A BUILDING PERMIT TYPE . N E3 01 Foundation a 06 Duplex a 11 Apt./Lodging x-16 Basement Finish a 02 SF Dwelling a 07 4-plex a 12 Multi Repair/Rom. 0 17 Swim Pool 0 03 SF Addition a 08 8-plex a 13 Garage/Acoessory a 20 Public Facility 0 04 SF Porch a 09 12-plex a 14 Fireplace a 21 Miscellaneous 0 05 SF Misc. a 10 --Alex a 15 Deck WORK TYPE a 31 New X33 Alterations a 36 Move a 32 Addition a 34 Repair a 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City Water USC Occupancy sq. fit. Fire Sprinklered _ Zoning . sq. ft. PRV fi! of Stories sq. ft. Booster Pump Length sq. ft. Census Code. 4= Depth Footprint sq. ft. SAC Code • Census Bldg Census Unit APPROVALS Planning Building Engineering Variance Permit Fee Va on: $ Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter ` Acct. Deposit SNV Permit SNV Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC E SAC Units PERMIT LIT OF EAGAN 3830'Pitot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 031041 (612) 681-4675 Date Issued: 10/30/97 SITE ADDRESS: 1156 BLUE HERON CT LOT: 6 BLOCK: 2 ST FRANCIS WOOD 6TH P.T.N.: 10-65905-060-02 DESCRIPTION: Building'=Permit Type GARAGE/ACCESSORY Building Work Type ADDITION Census Code 438 ALT. GARAGE REMARKS: A SEPARATE PERMIT IS REQUIRED FOR ANY ELECTRICAL WORK FEE SUMMARY: VALUATION $5,000 Base Fee $99.75 Surcharge $2.50 Total Fee $102.25 Y CONTRACTOR: OWNER: Applicant - TEBOCKHORST TERRY 1156 BLUE HERON CT EAGAN MN 55123 (612)452-8948 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. APPLICANT/PERMITEE SIGNATURE ISSUED B SIGNATURE f041 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 681-4675 New Construction Requirements Remodel/Repair Reauirements ♦ 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 heated additions i 3 copies of tree preservation plan if lot platted after 711193 required: _ Yes _ No DATE: ly CONSTRUCTION COST: DESCRIPTION OF WORK: STREET ADDRESS: :E e` lV LOT BLOCK 2- SUBD./P.I.D. c~ Ff-htl U S w 00 0 46M PROPERTY Name: / C r ZLO f Phone #:S~a OWNER Street Address 44S IC City: Z~ 0. State: Zip: - CONTRACTOR Company: Sc 41 Phone Street Address: License City: State: Zip: ARCHITECT/ Company: Phone ENGINEER Name: Registration Street Address: City: State: Zip: Sewer & water licerned plumber (new construction only): Penalty applies when address change and lot change are equested 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 Ordinances. Signature of Applicant: OFFICE USE ONLY v z w Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No Not Required OFFICE USE ONLY 3. ' i .Y BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish ❑ 02 SF Dwelling o 07 4-plex ❑ 12 Multi Repair/Rem. a 17 Swim Pool ❑ 03 SF Addition ❑ 08 8-plex 13 Garage/Accessory a 20 Public Facility a 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 X 32 Addition o 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. 42.4 Depth Footprint sq. ft. SAC Code 01 Census Bldg 1 Census Unit , 0 APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ SCUO.00 Surcharge Plan Review License MC/WS SAC City SAC Ito ql~ Gnu Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Other Copies Totals ~ ~ ~7 % SAC SAC Units 000 . D°° ~s } = WiuoWWap ar~Es t~ s CONSUL INd !NdN!l115 O A C', $ BE PIAN~lRS and ~RND ~URVlVOAS 5607 ~~~r r r GINURING aK. "d' COMPRNM, INC. IV4. 31 7A 1000 EAST 1481h 87REE7, SURNSVILLE. MINNESOTA 5533,7 Pit A32-3000 CERTIFICATE OF SURVEY Legal Description: GaTrdd~ Tu~!ci pp,~r A~iTrQ.v` 3 DENOTES EXISTING ELEVATION (9a8•o ) DENOTES PROPOSED ELEVATION ra INDICATES DIRECTION OF SURFACE DRAINAGE 09 8.33 = FINISHED GARAGE FLOOR ELEVATION 00.62 = BASEMENT FLOOR ELEVATION 908.66 = TOP OF FOUNDATION PLEVIITION rod goy 48' 47"E 01,.15 8.0 3% T SCALE : t' r 30' N ~ s G'Q(JRT /51,08 1156 b Z, 10 Zaoo l 6'~\ ° 3.9 6 10 Ka- ~o~~GFr F.2ovT 6 ! y SETBACK L/NE 70.5?,AYaY uNE N 13.0 s hie ~ htl. ! Itj L-i (_.FP T~ -fi 8°0 0~ E ' U D ~ a M 2, ~ N N a+ ~9 AGXt+i )rrNCINEERIN~Y I DEPT / 8ENC1lMARiE' : T/✓N G' L G ~ G 7, B2 I ELEb! ~ 909•So 10, So U WEST I hereby certify that this is a true and correct representation of a tract of land as shown and described hereon. As prepared by me this 3o* day of MAX- ~N i 19 93 , -,10'11 Z~" _ Minn. Reg. No. z... PERMIT CITYiOFIAGAN 3830 Piiot'Knob Road PERMIT TYPE: I J L ! la N Eagan, Minnesota 55123 Permit Number: (612) 6814675 Date Issued: ? r 1 1 3 SITE ADDRESS: L O-I'; 6 G L0C 1) G f- H 1 0 _ e i~l < . 1v7 6590 05 DESCRIPTION: 46 REMARKS: W p1. 1•rip.l.r fF.W ti to~-!Ir"l_ pL'F.C'1 FEE SUMMARY: VA L.LJAT:J0[1 6'1(4,Gl00 3 o f f;ti 3 0 M L L B ild E f awl i Si.IY'f (1 .as'(~C' $1v. u vo Si'l: gg ~,f~4i##l IU i 1. I , U E iu 0 k:." 1 q; , fl ;3 > 4a c CONTRACTOR: ~Ty p p OWNER: W1NLlWC10LJ (.0 1N'C 18 91.4 G f4'5" 000219 7 TWA. WI'dUWOO0 L:0 TfdC ( P P'LF= VALLEY Mi\ 5")_t24 APPLE VhLL` Y 116FI i2.1 1 A PLICA ERMITEE SIGNATURE I ED : SIGNATURE INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: Fl. i ! ra L 1~1! G 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: LciT~ 6 la 1. c;G l:~ _ 1:156 BLUE HERON CT WlNr.II,JCJOO CO 1:AlC I I i-(AHCl.S 61001,1 6TH (6112) 291-4160 5 PERMIT SUBTYPE: TYPE OF WORK: SF DIAG KEW INSPECTION TYPE .DATE INSPTR. INSPECTION TYPE DATE INSPTR. 1-00TT 14G FRAPITt.!G ]:MSULATTiIN FINAL 11IF1)l.I'll CF- RFIr1`,RKF; S c~ 6J PI_BIR - MA-ITHEW L)ANIELS P1_8C REACTIVATE _ RECENED CITY OF EAGAN 44,~z,~ P€RMIT c 1993 BUILDING PERMIT APPLICATION APR 0 9 1993 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, l set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date 4" / / Valuation of work S40-0 06 Site Address: /d, A4145 or STREET SUITE # Tenant Name: (commercial only) LOT BLOCK SUBD. r P.I.D. ~k .Description of work: The applicant is: Owner ❑ Contractor ❑ Other (Describe) Name Phone ~/'-469S Property LAST FIRST Owner Address The WkxMood Company, Mc. P. e. Box imags STE W vaWy, Minnesota 55124 City State Zip Company Phone I no wvxt*VW Company, Ina. Contractor Address P. O. Box 24329 L i cen sney, MlwesWa 55124 City State Zip Architect/ Company Phone Engineer Name Registration # Address li City State Zip Sewer & water licensed plumber IFS Processing time for sewer & water permits is two days once area has been approved.. I hereby acknowledge that I have read this apppplication and state that the information is correct and agree to comply with all plicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE t ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 X02 SF Dwg. ❑ 07 4-Plex ❑ 12 Multi. Misc. ❑ 17 Swim Pool ❑ 03 SF Addition ❑ 08 8-Plex ❑ 13 Garage/Accessory ❑ 18 Comm./Ind. ❑ 04 SF Porch ❑ 09 12-Plex ❑ 14 Fireplace ❑ 19 Comm./Ind. Misc. ❑ 05 SF Misc. ❑ 10 Multi. Addl. ❑ 15 Deck ❑ 20 Public Facility ❑ 21 Miscellaneous WORK TYPE X31 New ❑ 33 Alterations ❑ 35 Tenant Finish ❑ 37 Demolish ❑ 32 Addition ❑ 34 Repair ❑ 36 Move GENERAL INFORMATION Const. (Actual) V- N Basement sq. ft. MWCC System 'YES (Allowable) V - N 1st F1. sq. ft. City Water Y GS- UBC Occupancy R-1 2nd Fl. sq. ft. PRV Required Zoning R-1 Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length On-site well Census Code /o/ Depth y6, On-site sewage SAC Code 04 APPROVALS CWs bldg. Planning Building y;;s Assessments Engineering Variance REQUIRED INSPECTIONS ❑ Site ❑ Footing ❑ Framing ❑ Insulation ❑ Wallboard ❑ Final ❑ Draintile ❑ Fireplace Permit Fee vatuation: Surcharge M~ Plan Review 3 2 x 24-(= r] &g Lice MWCCnSAC -7 YZ A 1Y,c City SAC ►3__..5 30K 43.= 558.416= 1,51926 Water Conn. 1210 Water Meter 2 x Ito Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. ! = ~D / Road Unit ISTFLoaQ; ~ sctq v Park Ded. Trails Ded. 6_5MT= 1-59y Copies Other Z $ Total : 'X 5y ' y SAC % 100 z+~ n fi.oorL to SAC Units I_ 1b:0 W- 2: 4 11/2)c 7'/2 = ( I n io 16x6%=~~~; 8c, 02~ t 4 CONS11tTINa EN0 NiEAStW/.vAWWap 4/#6,.~' ROSE PLRNNinS and AND jUAYfYOAS f W 560 i. 41 F eK- - ~4¢ NGiNEERING COMPRNY, INC. 31 L..~.,.~..,~. 1000 EAST 140Ih STREET, BURNSVILLE, MINNESOTA 5533T PH 432-3000 CERTIFICATE OF SURVEY Legal Description: 407' 6 2 7: ?A~Ci ,Ql~/ T DENOTES EXISTING ELEVATION (9og.d ) DENOTES PROPOSED ELEVATION r..----- INDICATES DIRECTION OF SURFACE DRAINAGE ,1„08, 33 FINISHED GARAGE FLOOR ELEVATION oo. bz.. =BASEMENT FLOOR ELEVATION 908.66 C TOP OF FOUNDATION ELEVATION 9 t~, SCALE : t' • 30' N 47 E Q6.l5~ a o r,; o ` COURT 51, 08 r- ~O ab 4% 10 < r % lop ado 1 01 P 01 (:57 1b % &P,,67, 50PA17- \ SE7BACX LJNE 5449V6Y GiivE \ 4 J LIJ Pfd T ti 3 7 ' O r A` v , 1. i ~ C.~ a w..+w..+W J xNawglle TNN @ L6 ,F L 7, B 2 ~t1. x 9o8so 5 We I hereby certify that this is a true and correct representation of a tract o. land as shown and described hereon. As prepared by me this lo* day o; M,~re~y 19,x_. Minn. Reg. No. 14.05 L LOT SVRVzY enCILIET FOR uslDUTZ" RII2LDIMa TiRx2T 1PtLt TIbN JMOPPRT I LAD Date of Sucre? s ~T4 / g D Registered Land Surveyor signature and company W~v Building Permit licant Iwgal descriptionpp ' Address North arrow and bar scale House type (rambler, walkout, split v/o, Split entry, lookout,'ete.) ~O D Directional drainage arrows with slope/gradient C 0 VD • Proposed/existing sewer and water services D street name HIDO 0 Driveway sLrv~►Ttoas ~icilS~S • D 0'•0 sewer service 0' D 0 Lot corners " 0 Top of curb at the driveway D D 0 Elevations of any existing adjacent homes . Aso=e a V"- 0 Garage floor 8-- 0 0 First floor O' D 0 Lowest exposed elevation (walkout/window) O' D 0 Property corners D' 0 D • Front and rear of home at the foundation jgN'DjNG ARjh8 (if ag2licable) D Easement line f • Nk L . D D • KWL 0 Pond # designation D o" D L'mergency Overflow llevation D~0 0 Lot lines 0 0 • Right-of-way and street width (to back of curb) D 0 • Proposed home dimensions including any proposed decks, overhangs greater than 21, porches, ate. (i.e. ali structures requiring permanent footings) PJ~ D 0 show all easements of reccid and any City utilities within those easements . 9",13 0 setbacks of proposed structure and setback of adjacent existing homes D Retaining w requirements, if any • Reviewed: Name i .t-. .._;;OL ..{y - -h `roa> ;t;33' •.•".~tv:c$,.. :k{.''~A:•:' ~`.Y •y::a.s,{ hti :i . O r' y s Y- x 3. ''C':¢n<3. +L•;{'i~'h~~t:: • ~ : •.•'~IX'•'dt~3•K,•4<+3,c`tip~'''` ° ~.5~:'~" •~'"'F jh• ,3~': ~ { { { { _ ,7•. '!kC.v,}:.kn #{,'S { v°,eJ+{v2i.,11Z.;3•~Y.•v,C `vf`{5{ J} 4 .s. $•-h s.,,~~~33~~y~. , nAJI ~c:.x~... v::r:.. .5+•?:.`'d•.?!;:{ 1993 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. NO. FIXT13RES EACH TOTAL :2, SHOWER 3.00 ~ • o 0 2WATER CLOSET 3.00 1.00 BATH TUB 3.00 ( • Q a LAVATORY 3.00 ~15 • O C3 KITCHEN SINK 3.00 -3• a o LAUNDRY TRAY 3.00 3 • ° HOT TUB/SPA 3.00 _ WATER HEATER 3.00 y k FLOOR DRAIN 3.00 GAS PIPING OUTLET • minimum . 1 3.00 77- ROUGH OPENINGS 1.50 Li WATER SOFTENER 5.00 5 ' PRIVATE DISP. • naLC-y. lic. 15.00 1 U.G. SPRINKLER • tome under cont. 3.00 3 (55- ALTERATIONS • to costing 15.00 WATER TURN AROUND 15.00 STATE SURCHARGE .50 TOTAL: *Two o SITE ADDRESS: l 1 OWNER NAME: ~bbca INSTALLER:- C).~ -e 1 S ^ c- ADDRESS: 1 S 0~ CITY: STATE: 4- h ZIP CODE: "6- PHONE ((~1Z) 4 - 3 U SIGNATURE OF PERMITTEE e s .n G kY, ri;:K:i•: a _:r.~•a k: '':'P:~.':?R'f. ~.'c~•~: .•'O•$~ c.::'# .'.~r~i~L4;~ } ,rk..m.i:.S:.e::'.•':^e.''3:~JGx ,''&'~w'~.?t;~:'..:,~.:~' r '.r , . ?#:4,}',:,~+.,~y:.-,. ■f[//i. i}2>.a:~,~•.ai. •~+v'av.:,. xi.:<. ~$f:¢:: } fi:::. ~x+ L S - - q .G K kii\•i%•Y;: Jw.'v v,'ri:h::`}:.ii }i { r, } k L4. }y: ~l±p- t Yi:. )~i G 2 S 1 .A: Jrp c•:y.. ..::.i::O v3{, .%yT'$} u:l .Q~vy k' JG .U :iS',:i ,[y~ rn `h $ $ { _ G•Y:'A}~:'. r. O.H.•JL~"`: may. O':c`:-OPN?.GA~O... . ~-ri.•vZ~.: '::C:i$~:.i:yv.:• 'v Y:~.~ :i: 4 GC ti- Ski t i ~ Y. .ti 4: i:t:tti?{,av} K k{}p%%nJ :%.,yo S s:U::~~Sx:'.lak,': 34:i :rc:.>;f::i'fr,; Ri2?itS,sa~:k~~5•µ•:°:`~.; : J3::.}'k;}~~:-- , ~b.~:' ;:§:.2.: x:~rr S::~: <ia J'r w.4: 2. . Cyn'.. .n...n r. i:.. -..:..ti..3}:i''.2: v. J: .•.w::v.? .k.:..v - - ~3h`ivFS'{..r-:2iGi ..tl:.i.LS.{..Mn~.v.~-:..:...».r vY~`... n.: ....:~k_.:... :.n v... 1993 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI. FAMILY BUR' -)INGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING U: - .T. NEW CONSTRUCTION ADD ON REPAIR WORK DESCRIPTION: CONTRACT PRICE: $ FEE: 1% OF CONTRACT FEE. STATE SURCHARGE: $.50 FOR EACH $1,000 OF I!ERM' FEE MINIMUM FEE: S 25.00 . CONTRACT PRICE X 1% $ STATE SURCHARGE $ TOTAL $ t SITE ADDRESS: TENANT NAME: STE. # OWNER NAME: INSTALLER: ADDRESS: CITY: STATE: ZIP CODE: PHONE FOR: CITY OF EAGAN APPLICANT i i 010111111mlilmom MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. NEw CONSTRUCTION _ ADD-ON A/C ADD-ON FURNACE DATE 6- FEES HVAC: 0-100 M BTU $ 24.00 ADDITIONAL 50 M BTU p7 6.00 GAS OUTLETS (MINIMUM i @ $3.00 EACH) r •4q) ' ADD-ON/REMODEL (MSTING CONSTRUCnON) $ 15.00 STATE SURCHARGE .50 TOTAL) " SITE ADDRESS: ' OWNER NAME: G~ TELEPHONE D !l `75 INSTALLER G ADD CITY: STATE:221 11J, ZIP CODE: TELEPHONE SIGNATURE OF P Jill, x J: 1: MECHANICAL PERMIT (COMMERCIAL) CITY OF FAGAN 3M PILOT KNOB RD FAGAN MN SS122 (612) 681-4675 PLEASE COMPLETE FOR ALL COMMERCIAUINDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMII.Y BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. DATE: CONTRACT PRICE: $ NEW BUILDING INTERIOR IMPROVEMENT WORK DESCRIPTION: FEES 1% OF v FEE $ PROCESSED PIPING: $25.00 MINIMUM FEE: $25.00 STATE SURCHARGE $50 FOR EACH $1,000 OF FEE. TOTAL $ SITE ADDRESS: OWNER NAME: TELEPHONE TENANT NAME: (wRovEmEN s oNLL.Y) INSTALLER: ADDRESS: CITY: STATE: ZIP CODE: TELEPHONE SIGNATURE OF PERMI TTEE CITY INSPECTOR 06 s SNELLING, GHRISTENSEN, BRIANT & UuE, P. A. ATTORNEYS AT LAW SUITE 400 RONALD L. SNELLING 5101 VERNON AVENUE SOUTH OF COUNSEL JOSEPH J. CHRISTENSEN MINNEAPOLIS, MINNESOTA 55436 WALTER 0. GUSTAFSON THOMAS A. BRIANT ROBERT P. LAUE TELEPHONE (6121927-8855 FACSIMILE (6121 927-5427 JOHN A. MURRAY April 5, 1993 Terry and Coleen Tebockhorst 5800 Schafer Road Edina, MN 55436 RE: St. Francis Wood 6th Addition/Street Landscape Islands Maintenance Dear Terry and Coleen Tebockhorst: Our offices represent Richard Land Associates which was the developer of the St. Francis Wood 6th Addition subdivision. As a lot owner in that subdivision, you are probably aware of the "street islands" located in the culdesacs on Blue Heron Court, Bald Eagle Court and Falcon Way. These islands enhance the attractiveness of your neighborhood and each lot owner benefits from these landscaped areas directly and indirectly. Although the landscaped street islands require very little maintenance, the City of Eagan has required that a plan be formulated to provide for the maintenance of the landscaping in the street islands on an ongoing basis and expects the lot owners in the subdivision to join in and support this effort. To this end, we have drafted a Declaration of Covenants for Maintenance and Repair of Landscaping which has been signed by Richard Land Associates with respect to the eleven lots in the subdivision which Richard Land continues to own. The Declaration also contemplates additional owners in the subdivision joining in the covenants by signing a separate Consent. A copy of both the Declaration of Covenants by Richard Land and the Consent to the Covenants for the other lot owners is enclosed for your review. It is anticipated that the cost of maintaining all three street islands will not be more than $300.00 to $500.00 in total annually for the next several years. This would result in a cost to each lot owner of approximately $10.00 to $15.00 per year with all lots participating. If areas are not properly maintained, the city does have the right to remove landscaping in islands. By becoming involved, other lot owners can assure themselves that the islands will continue to be an amenity to their neighborhood and not become a detriment. Please review the enclosed documents and let me know have you or our legal counsel has any questions. If not, please the your of Covenants for Maintenance and enclosed Consent to Declaration April 5, 1993 Page 2 Repair of Landscaping signed by each owner of the lot and spouse, if any, in the space indicated by the red "x". Please also have the Consent notarized with the notary completing the acknowledgement and signing in the space indicated by the blue "x" in the area provided for that purpose below your signature area. The notary should place the notarial seal in the area to the left of the notary's signature line. Once the Consent has been signed and notarized, please return it to me in the return addressed envelope enclosed and I will see that it is recorded with the Dakota County Recorder. We look forward to hearing from you in the near future. Very truly yours, SNELLING, CHRISTENSEN, BRIANT & LADE, P.A. Joseph J. Christensen Attorney at Law JJC/bc Encl. cc Thomas Colbert, Director of Public Works, City of Eagan J. Donald Giefer, Richard Land Associates CONSENT TO DECLARATION OF COVENANTS FOR MAINTENAINCE AND REPAIR OF LANDSCAPING The undersigned, being the Owner (s) of the following described property: Lot 6, Block 2, St. Francis Wood 6th Addition, according to the plat thereof on file or of record in the office of the Dakota County Recorder (the "Lot") hereby consents to that certain Declaration of Covenants for Maintenance and Repair of Landscaping executed on behalf of Richard Land Associates dated the 8th day of March, 1993, and filed on the 16th day of March, 1993, in the office of the Dakota County Recorder as Document No. 1107468 (the "Declaration"). The undersigned also hereby agrees that all of the terms and conditions of the Declaration shall be binding upon the Lot from and after the date this Consent is recorded in the office of the Dakota County Recorder. Dated this day of , 1993. OWNER(S): Terry P. Tebockhorst Coleen R. Tebockhorst STATE OF MINNESOTA) )ss COUNTY OF ) The foregoing instrument was acknowledged before me, a notary public, this day of 1993, by Terry P. Tebockhorst and Coleen R. Tebockhorst, husband and wife. Notary Public THIS INSTRUMENT WAS PREPARED BY: Snelling, Christensen, Briant & Laue, P.A. 5101 Vernon Avenue South, Suite 400 Edina, Minnesota 55436 PERMIT City of Eagan Permit Type:Building Permit Number:EA163322 Date Issued:08/26/2020 Permit Category:ePermit Site Address: 1156 Blue Heron Ct Lot:6 Block: 2 Addition: St Francis Wood 6th PID:10-65905-02-060 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Terry P Tebockhorst 1156 Blue Heron Ct Eagan MN 55123 (612) 701-8512 Rji Professionals Inc 6063 Main St Suite F North Branch MN 55056 (651) 674-5158 Applicant/Permitee: Signature Issued By: Signature