1964 Beaver Dam Ctcrrir;oF EaGaN WATER SERVICE PERMIT
379t Pilot Knob., Rood PERMIT NO.:
E"ae, MN 55122 DATE:
Zoning: "TTT ? No. af Units:
Owner: 2
Address: - •
Site Address: 1??,f, '•'r_^?rr?r ?'t_ T,'., r it t Z r,nr?n?_*?I -?,,.i .`
Plumber:
Meter No.: Connection Charge:
Size: Account Deposit: .
Reoder No.: Permit Fee:
1 agree to eomply with the City of Eagan Surchorge: - Sn **e,
Ordinaneea. Misc. Charges:
, k.. :.:.:•.?=
. Total: °
BY
Date Paid: H
Dote of Insp.: Insp.:
?
?, .
C1T y?QF EAGAF4 SEWER SERVlCE PE'RMIT
_
XI
5 Pifot ?{nob Road
3 ?
pERMIT NO.:
?
gun, MN 55134
i DATE: ?
:?.
E
Zoning:
No: of Units:
Owner:
Address:
5ite Address• c.nvc r_ r.an t„t r r, T. 1'`:?;??nTa'?
Plumber:
gc?
I ogree Fa eomply wirh Hhe City of Eagan Connection Charge:- Al5,?
Ordinanees. Acoount, Deposita x ?
_ Permit Fee• Vloa tc2
? Surcharge:
B Mi
Ch
:
-
y arges
sc.
.
Date, af Insp.: Total:
Insp.: Dote 'Ptiid:
5 '
CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
necRr?cao
• se49Et.
AMOUNT $
& OOLLARS
?oe
? CASH Q CFiECK
ROR
. .L !
. . ..-.... 1 ,
FUND CODE AMOUNT:
r. ?i C..
?
l ;
. -1
`C-
:
4-
Th
k Y
?,?
?
.
an
ou . .?1
Lt j
.
BY?? ?
VYhite-Payers GoPY
Yellaw--Pesting Copy
Pink-Fila Gbpy
CrrY at? rIA"M- `
, ; ? • ,? ' - - 3?lt9 P?lat •IG? Roed Euger? 3? '?'i1? '?` , trtO 3 ,
p140lfEs 454-81,00 .
???lpt
Ts 1119 aard fiar SF MIC Est. Vadue 581000 r)ore ?
Ss,a Addnm 1964 Beawr Lm Omupormy R3
t.at 65 B?rek ob? A'?Ciowl?
???c S
ia ? ? p ?„ir?g . ?.
3
s
a?5 oz
?,?? ? Pape* ? Fire 7-aft ?:-
:
tnkmw 0 V
TY" oi cout•
W Nome B?? QmstLlx;;t7.Q7 oo. - ?Mbavu 0 # Stan'ieg
? Addrm 644 Superiar ct venioiish o r-io"r 45 -ft.
Phcl" 4 4-143F: Grade 0 pWh A8. ft. .
Anowak ?
`?? 1
Jd13g8S$?
- - 80
22
??8
`fVt?r & SeW.
Suera?ir6?rgi? 29.5
0
Ci __ Rhone Pbiim pbn dmtk '7C - ?Q
hlame Ftm SAc; 525...00
?s+
s
W??r ?r?+.
?
J
?or?
Plaanner
?
'V4t? ?r 6'E3.t40,..
_ .. _.
Couruct ? >.
Rw+d, IJerTat
I itereby acknowledge thot 1 itowe reed this oppliccstion ctnd state that 8ldg. Off. -- - '
ft tnformrN'ion is vorreet crkd ?gra*e to camply with ull appticable
?''? ?364.01
Sta?te af A+1irresntc? Statuees or? City of Eagan tl?lirrances:
5ipnahm af Permt#iee
U3.l1E' (bTiStT,'t
A l3uqding PeTmtf is iswaad ros bCtLCn
os+ !!a
go"
afl wcirk shaN be dorre in accar+donGe xrith nll appFimble State af NMnnesare $temes mrw Ciiy of .
. .. . . .. - . . . . ... ...-- _.. a.?.x}_.:. ....s'.i.>.? :;#???
pWSPWTldM I AA'PE
Firtpl
s
pm" *
?rf7, .r
?
?
?
P.
R ,
?.
A '
?
&cu?t•tn FiriW
. ? ? I. ?nsF+. ? Ck?e I 1aiR.
Rernnrks:
4. 4wner
5. Contractor
7
6. Addr@SS
7. City
r
. 8. Buiiding Type: Residentiajh
*,a,e 966 - 13 i v
State ` y&t.. 2ip
Commerciai ? institutional O
9. Work Description: New)A Add ? Alter 0 Repair ?
10. Describe C- ?!?? Fuel TYpe
71.
No
?-" suioment BTU - M. Ea.
Forced Air Plo. Eauipment CFM
A
Mfg. ir Handling:
Boilers z-
Mfg. ech. Exhaust
tlnit Heater
Mfg. Oth
Air Cond. er
Mfg.
Gas, Piping Outlets
12. rhereby certify that the above iriformation is true and correct, and 1 agree to
comply with all ordinan?es. an4,0odes governing this type of work.
Signed for
4 Fiough JFinal
rlnspections: Date Insp. Date tnsp.
Thit is your permit when numbered and approved.
!#PProved ' %' , . , CITY OF EAGAN 46"100
, .
ftsaw:_..24610
- , P'LtUDliN? P'E}?AiT ..
Z? '
?Sit ?.
CITY OF $ACiM
Fes
Frrl In nma???wwo
TyPe ar Arint,f?rlb??y 20
50
0 ?
.
?
Tat
5
, 1. 0111te A4' 7 A 2. InstaNatioroi
3. Job Arldress _V,/4' ViFIK a4Jkot 61- Bik. ? Tract
4. Owner L7/ / L. 65 CCJ/t/S T /C
5. ContrectonV/C UC/-/ n U61- LE /[ /pL
&one 11S-7/S4f2
. -
B. Address i? 7d 3?L/. /Q 11G- , 7 ?
7. Gity A'F/1/V'qT%f /A//I/ 2ip SI-1IO ?
8. Building Type: Residential Commercial O lnstitutional 0
9. Work Description: Mew 0 Add ? Alter 11 Repair 0
10. Descri be
11,
No• Fixtures
Water Closet No. Fixtures
Bath tubs Cesspool/Drainfieid
Lavatory Septic Tank
Shower Softner
Kitchen Sink Wel I
Urinal/Bidet
Laundry Tray Other
Floor Drains
Drinking Ftn.
Sl
Si
k
op
n
Gas Piping Outlets
12. t hereby certify that the above information is true and correct, and 1 agree to
comply wit?h all ?ordinance§ and codes gQ rning this type of wark.
Signed•:
for
6 Rouph Final
Inspections: Date Insp. Date Insp.
This is your pernrit when numbe.red and approved.
Approved `'!_ `• 'r '"'? ' . CITy OF EAGAN 464,8100
??
_ PI.U?YIBIN6 PE MI
CITY OF EAGAN
'. CONTRACT 3830 PILQT KNOB ROAD, EAGAN, MN 55122
PRICE PHONE 4548100
Site Address
Lot a!e=
- Name ..1A? ?c,C #'??,•, bin
? Addre?s 7„?D on r?c /?/9?,'
? City I'?rh/04 gt'2Af+' Phone
rr
?x Name 1?r! r p"3
O Address ? `'"?"
City yl n
FEES
COMMJIND. FEE -19G OF CONTRACT FEE
APT. BLDGS. - COAAM. HATE APPLiES
TOWNHOUSE & CONDO - RES. RATE APLLIES
MINIMUM - RESIDENTIAL FEE $12.00
MINIMUM - COMM.IND.IFEE $20.00
STATE SURCHARGE PER PERMIT .50
(ADD $50 S!C PER EACH $1,000 OF PERMIT FEE)
? FOR CITY OFrAGAN
BLDG. TYPE
Res.
Mult.
Comm.
anBr
For Offl ?U?s IY
PERNIIT # ?? ?O
RECEIPT #
DATE: S d
WORK DESCRIPTiON
New
Add-on
Repair
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
Water Closet - $3.00 $
Batlh Tubs - $3.00 .
Lavatory - $3.00
Shower - $3.00
Kitchen Sink - $3.00
UrinaVBidet - $3.00
Laundry Tray - $3.00
Fioor Drains - $1.50
Water Heater - $1.50
Whirlpod - $3.00
Gas Piping Outlets - $1.50
(MINIAAUM -1 PER PERMIT)
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings
? U. G. Sprinkler System - $12.00
./'
PERMIT FEE:
STATES SJC:
AND TOTAL
GF ?
?
?
i
:
a L[?a .
c'12t`R'd
CITY UF EAGAN Remarks
Addition Meadowlauid lst Addition Lot 65 aik 1 Parcel 10 48050 065 01
Owner ''? Street _ 1964 BedVer DdIII C013zt State EaQ8A. M 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREETRESTOR. IIij7.,..?? . ,
GRADING
SAN SEW TRUNK ` 1970 77.95 3.12 25 40.63 A0100
88 4-16-81
? SEWERLATERAL -
GOD-1/; - I
WATERMAIN
* WATER LATERAL
WATERAREA 1973 5.27 6.35 15
P
STORM SEW TRK - 1971 282.92 14.15 20 127.38
* STORM SEW LAT
* se?v?ces
CURB & GUTTER
SIDEWALK
STREET LIGHT
Road Unit 185.00 24203 4-15-81
WATER CONN. 335.00 24203 4-15-81
BUILDING PER. 660
SAC
PARK
*e
x
%:ktrtt-f trait ol (Orrupaury
Cttp Of (Eagan
'Btpttdutmt nf Igixt1bing Ittsprr#inYc
Tbi.r Certificate ijsucd prrrsuant do the requircmems of Section 306 of the Unifa^?n Building
Code terti f 3+ing tb,at at the time o f issuance tbi.r strusture Tuaf in cnmptiance with the variouui
ordinaxiar o f the City rtguPatang huiddrng conrarucsion ar use. For t15e following:
I Single FAatily Iwg/Garage 6E03
ihe Cltsdfutim R3 BEdg. ferntit No.
?1?7 ?'P? TYP^e Coartruetion v Rire 7nn• 3 . Zoniog Disuia j?'
OwnerMRuildin8B?'i1ie?+Qn''g'te_ 00, Add.ss644 S1jpQriQT Cti.,}, FAgaTl
$u9dlugAddresa .62vr+ tMa.v-t- ?
Hufldine?f?l?..v?,? -
k :
n$w: Ju1Y 15p I9EM --
rost aH a cor+eP[¢VOY9 PLAC!
11THO1N U.S.R.
This request voie,
1$ months from i - ;
°e
Date of this Request 5 - '7 -? ?' ? ?Fire 1Vo. T 34929
l, as ?,icensed Electrical Contractor OU vvner, da hereby request inspection of the above electri-
cal winng mstalled at: i
T ?
Street Address or Route No. Gity
Section TownshiR _ Range County
Which is occepied by?
Is a roughin insgec ian re
Pawer 5ugplier
Electrical Cantractor
Mailing Address
Authorized Signature
? (Name of Occupant)
on this jab? I+fo ? Yes ? Ready Now 0 Will Callu
Address 111_
-,Contractor s License No.
jCMr Owner Maki?kfThis Instaltatlon)
Pttone No.
or vqner Making his lnstallation)
41Z TBisinspection request will nvt be aceepted hy the
5 7 ?i P 30 RAD C ? State Baard unless proper iospectian fee is enciased.
,ninndsuLa atate avara oT G 6CLfICIiy
Griggs Midway Bidg. - Room N197 EB-00001-02
? 1821 UniverAty Rve.. 5t. Paul, Minn. 55104 - Phone 297-2111
HEQUJ§T F(5R ELECTRICAL INSPECTION
C H E C K B E L O W W O ff K C O V E R E D B Y T H 1 S R E O U E S T T ? Qq 2?
Type of Building New d. Rep. Cheok Applian ces Wired For Check Equipment Wired For
Home ? ? ? Range
~ Tempoiary Wiring ?
Duplex ? ? ? Water Heater ? Lighting Fixtures ?
Apt. Bldg. ? ? ? Dryer Electric Heating ?
Commercial Bldg. ? ? ? Fumace ...? Silo Unloader ?
Industrial Bldg. ? ? ? Air Conditioner ? Bullc Miik Tank ?
Fazm ? ? ? List List
Other
?
?
?
o Heiers? p
Heiers?
(;UMYUTE INSPECTIO N FEE B ELOW
Sezvice Entrance Size: # Fee FeedersBcSubfceders: # Fee Circuits: # Fee
0 to 100 Am s. ' Zo 0 to 30 Am eres 0 to 30 Am eres
101 to 200 Amps. 31 to 100 Amperes 31 to 100 Am eres
Above 200 Amps. Above 100 Amps. Above 100 Amps.
Transformers Remote Control Circ. Paztial or other fee _Irv
5igns Special Ins ection Minimum fee $S.
Remarks TOTAL FE? `'
l, the ElectnW4hsp?tS?, t-r,*y ceitif the in3pection has been maci" e.? _
(Rough-in) Date
(Fina1) ' C Date
This request void
18 months from
W / G L
? u,BGt VQld `'•
? 8 ?onths from
r ?
Daie o his Request.3 ` ? Fire Na S 69Z?°?
I, a Licensed Elect cal ntractor 0 Owner, do hereby request inspection of the above electri-
w inng installed at: y?
S
treet Address or Route No. 47-?? ???s1 ?,.?i., 4R2rz L7?City F
1??
Section TownshiR Range County
Which is occugied by
-r
j ,, ....... .,. ..?......?. „
Is a roughin inspection required on this job? No ? Yes .0, Ready Now Will Call ?
Power Supplier ???( Addre -
??
? _3
Electrical Contracto7r '`f-t.
. ?"? _ C~61'4' Contractor's Tacense No.
Z47(77L p) j
Mailing Address 13 ?-?' '? ?' Z.•
pEle ical eAlractor or (wner Making This Installat on)
Authorized Signatu4 Phone No.,
Mteofical c5ntractcVp(r Owner akirn Th{s Installatlon)
Th ?nspection request wili not he accepted hy the
' - ° • '- • ' St .e Bnard unless proper inspection fee is enciased.
• . ? It mmnnesota brate noara ot tiecvicicy
. ` Griggs Midway Bldg. - Room N791
78
21 University Ave., St. Paul, Minn. 55104 - Phone 297-2111
CHECK BELOW WORK CO EREDTBY' THIS REQ EST'ON 69723
Type of Building New Add. Rep. Check Applian ces Wired For Check Equipment Wired For
Home ? ? ? Range ? Temporary Wiring ?
Duplex ? ? ? Water Heater ? Lighting Fixtures ?
Apt. Bldg. ? ? ? Dryer ? Electric Heating ?
Commercial Bldg. ? ? ? Fumace ? Silo Unloader ?
lndustrial Bldg. ? ? ? Air Conditioner ? Bulk Milk Tani: ?
F'azm ? ? ? L
ist -?'"'
? ? List
Other ? ? ? p
? '??
Hereis ? pHer?ars?
CObiYUTE INSPECTIO N FEE B ELOW `J "
Service Entrance 5ize: # Fee FeedersBcSubfeeders: # Fee Circuits: # Fce
0 to 100 Am s. 0 Lo 30 Am res 0 to 30 Am eres
101 to 200 Am s. 31 to 100 Am res 31 to 100 Am res
Above 200 Amps. Above 100 Amps. Above 100 Amps.
Transformers Remote Control Circ. Partial or other fee
5igns Special Yns ection Minimum fee $5.00
Renarks
e% w2 9% TOTAL FEE
z'
I, th t s r, reby certify that the above inspection has been made. S',cn"3 l)
(Ro -in Date
(Final) r e Date
This request void
18 months from
.
CITY OF EAGAN
3795 Pi[ot Knob Road Eogan, MN 35122
PHONE: 454-8 ] 40
BUtLDINts PERMlT APPLlCATlON
N° 6603
Receipt # 5?!v 0 ?
To 6e vsed for SF ZE?GAR Est.Vofue 58.000 Date 4-15 , 1981
Site Address 1964 Dgdver DEffi1 Erect ? Occuponcy R3
Lot 65 Block 1 Sec/5ub. PleadCWlMCIS Alter ? Zoning Rl
10 4$050 065 Ol Repair ? Fire Zone 3
Parcel #
E
l T
ot C
t V
n
orge p arvs
ype
:
W e Blilie Cbnst^???i ?, ?- Move ? ,? Stories
3 :Address
644 S?'xi0r ?
Demalish
p 45
Front
?? 454-1438
Gmde
p 4$
depth ?.
°C
0 Name Approvals Fees
?
Address
r:?,
Sanie
IVame _
Address
I hereby acknowledge that t ha
the information is correct and
State of Minnesoto Stotutes q
Signoture of Permittee ---79
A Building Permit is issued ta:
all work shali be dorte in acCo
Building Officinl
Phone
read this appiication and state ihaf
gree to comply wtth ail opplicable
City of Eagan Ordina s.
-?c?--P ?' c ?
AssessrrAG 12-2-80
Water & $ew.
Folice
Fire
Eng.
#'lenner
Council
Hldg. Off.
aPc
Permit 153.00
Surcharge 29.5
?
Piun check 76 - 5Q
SAC 525.00
Water Conrr. --33-5-A10
a
Water Meter 60.0
Rood Unit 185 . d0
Total i . 1ti a _ no
Le cvnstruction on the express condition that
? ate o€ Minnesota,$tatutes ond City of Eagars Ordinances.
- of Eato
3830 Pilot Knob Road
ESgan MN 55122
Phone: (651) 675-5675
Fax: (551) 675-5694
Apprcarrt is: Owner _X ContrMr
2oo8 RESIDEN7IAL BUILDING PERMtT aPPUcArIoN
9
pate; Site Addrass?
TenaM:
Suih #:
RESIDENT / OWNER Name:. Nt Nv-Ti-?A ?' mA Phone: OC 15_
Address / Cily / Zip:
nrnE oF woRtc
CONTRACtOR
Description of woric: T?rIZ 0?'F `'? ?2.IG R.C?F o??J 5
Construcdan Cost:
Name:
r? s?i?
j ---- --/. ^
? permmit
i Permk Fee:
1 ?
t
j Date Hecetved: ?
I StatF ?
? -----------------?
aa,m-Famaty Building: tYes_/ HoX..j
L Licerm
Addre&S: ' 11 llrf r v •
cky: statc. Y1 _ ZIP. !SSQB?._
Phone: cOC"?? ' y?A1- Mk;3 Contact Person:
COMPIETE THIS AREA ONLY IF CONSTRUC'nNG A N_'W BUILDING
Minnescta Rules 7670 Cateaorv iMinneso%_R_W#A 7672
Energy Code • aeaia"eu veno1abon. ca*gory 1wodsnW • New EnerW code wodW*gc
suan?a : s?m?a
?°ry
(J subi+ission type) ' Enwgy Em?slope cslotations subniuea 1n the last 72 monehs, has she citY or r208n Issusa a permk tor a simtlar plan basea on a mmster pimn?
^Yes _No If yes, date and address of inester plan:
Licensed Plumber. Phone•
Alechanicsl ContracWr:
SC1N8l 8c Wdt91' COR1l8CtOi:
PltOns'
PhOt1e:
I hereby *Wvwedge that this iMonnatlai is =npIete and ao=aW, ttced tM work vA be in contormar?CS with ihe oNinwum and oodes ot the Itty aa
Eagan; ttW t undecstand this is not a parmt but only an aMUcftn for a perA and work is rrot to:start wilhout a perm* ttW ttre work wM be m
axordance wid, the approved plan in the cm af wodc vuhich reqAtres a reviow and approval ot plm
A'A -:
APPrcani's Printea Name Avplicant's signaiure
Page 1 0f 3
4?-.1, ? Lci-,s
?.
L{? 7?f
?
?
C.ITY uF EA:?-1N
BUILDING PERNIIT APPLICATION
Include 2 sets of plan"
1 site plan w/elevations &
1 set of energy calculations.
Be Used For Valuation Date
Site Address : e-'t..
Lot Block ? Sec. /Sub y/J?,g PraJ%,t??,j?> Erect _
Parcel #: Alter
Repair
Owner: Enlarge
Nbve
Address: G, qt{??-?.cc--t. GJ?' Demolish
City/Zip Code :
?
Phone # : <:..( t'-l -? ?
Contractor: r ?,• ?.;; T ?
.?
Address: scm
City/Zip Code:
Phone #:
Arch./Eng..
Address:
City/Zip Code:
Phone #:
4 9 iu?
13'e i7 x ? 1•l •`
OFFICE USE ON.I,Y
OccuPancY
Zoning
Fire Zone 3
Type of Const.
# Stories
Front ft.
Grade Depth y $ ft.
APPROVAIB FEES
?
Assessrrents Pexmit /J 3 ,0o
Water/Sewer
Police
Fire
Eng-
Planner
Council
Bldg. Off.
APC
Surcharge ,-X9 S?
Plan Check ?f , 4-4
SAC
Water Conn. d ?
Water Meter G o. 4.0
Road UI1it / ?S'' dd
TOTp,t, , do
/3GLf U?
k7- 6, `; I J f ,
,
I-u % ? (1° ( I
?.?Mp•qT5'.??;?
C.? r lo S' +?Joc,? I /?'Id A? ?c,? G?v " ?»??:..,.?,,?;a?,.,, „??.:?..,. .. , ...
?
PLOT PLAN Scale - Z. inch
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M ust shczw location of streets, lot and pronosed buildings, give lot climensions. (Loi cornert: a;;>.,;;o ;r,;
are to bt? stafced bcfore appraisal is requested.)
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DEVELOPERPS CEIdTIFICA'i'7ON
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:, u :) c; lvri.sic, ri-.
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;"h.:s :s to certi_fY that L+ e ?c
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rc3rnp I ieu. wa.th the Se11.er's recquirements ??e?c:??: ?;, ••? : , , .; .. ,
A -1ap?xav?1_ fc?r a buyld.ing pcrmi `,
??iis Rpproval is by Sell.er only. Bul1der mt?st
c-itfr rc:quirements and rnust seeure hiJ own ?)DI Ic' ? :•;.?, . . . . . ?
flrypraved by Seller, Dunn F, C'urry Real Fistate
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:ticcepted by I3uyer 4
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4940 riking f]ridPra
PenPUgan Offire 1'ar-4,
Minnecapnle s
M1V 5 5:;35
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